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Treatment of men with erectile dysfunction, which is the inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance. In order for Aggra to be effective, sexual stimulation is required. Aggra is also indicated in pulmonary arterial hypertension. Aggra is a selective, reversible inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). When sexual stimulation causes the local release of nitric oxide; inhibition of PDE5 by Aggra produces increased levels of cGMP in the corpus cavernosum. This results in smooth muscle relaxation and inflow of blood into the penile tissues, thereby producing an erection. Aggra has no effect in the absence of sexual stimulation. Mechanism of Action: The physiologic mechanism of erection of the penis involves release of nitric oxide (NO) in the corpus cavernosum during sexual stimulation. NO then activates the enzyme guanylate cyclase, which results in increased levels of cyclic guanosine monophosphate (cGMP), producing smooth muscle relaxation in the corpus cavernosum and allowing inflow of blood. Sildenafil has no direct relaxant effect on isolated human corpus cavernosum, but enhances the effect of nitric oxide (NO) by inhibiting phosphodiesterase type 5 (PDE5), which is responsible for degradation of cGMP in the corpus cavernosum. When sexual stimulation causes local release of NO, inhibition of PDE5 by Sildenafil causes increased levels of cGMP in the corpus cavernosum, resulting in smooth muscle relaxation and inflow of blood to the corpus cavernosum. Sildenafil at recommended doses has no effect in the absence of sexual stimulation. Pharmacokinetics and Metabolism: Sildenafil is rapidly absorbed after oral administration, with a mean absolute bioavailability of 41% (range 25-63%). It is eliminated predominantly by hepatic metabolism (mainly cytochrome P450 3A4) and is converted to an active metabolite with properties similar to the parent, Sildenafil. Both Sildenafil and the metabolite have terminal half lives of about 4 hours. Absorption and Distribution: Sildenafil is rapidly absorbed. Maximum observed plasma concentrations are reached within 30 to 120 minutes (median 60 minutes) of oral dosing in the fasted state. When Sildenafil is taken with a high fat meal, the rate of absorption is reduced. Metabolism and Excretion: Sildenafil is cleared by hepatic microsomal isoenzymes. After either oral or intravenous administration, Sildenafil is excreted as metabolites predominantly in the feces (approximately 80% of administered oral dose) and to a lesser extent in the urine (approximately 13% of the administered oral dose). Pharmacokinetics in Special Populations: Geriatrics: Healthy elderly volunteers (65 years or over) had a reduced clearance of Sildenafil, resulting in approximately 84% and 107% higher plasma AUC values of Sildenafil compared to those seen in healthy younger volunteers. ###Pharmacist Ahamadullah ### ###Aggra 100###

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Penile enlargement is basically the increase in the girth, or the width of the penis. That can be done by various methods like some non surgical methods like fillers, which is not very recommended procedure. PRP, or Platelet Rich Plasma is also used from their own blood, but it has its own limitations. The 2 methods are, one is using the flap. Flap is a piece of tissue which has its own blood supply. It is raised from the abdomen and it is placed under the skin of the penis to increase the girth. The second, and simpler is the fat grafting. Fat is injected under the skin of the penis, it has limitation in the amount of fat that can be placed, because the fat has to survive, and when it survives, it changes the shape of the penis shaft. We have to be careful in the amount of fat, also we don’t want any calcifications or any problems there. These are the two methods, less invasive is fat grafting, more invasive is using your own tissues. For patients who have impotence, or who can’t have penile erection, penile implants, which are silicon implants are done. About the side effects, people are worried about loss of libido, that is not the case. Local complications like fat not getting absorbed, healing problems in the first few months. Long term complications are seen rarely. About the fat grafting, once you gain weight, the fat in the penis also increases, and it changes the shape of the penis. So that has to be done in limitation and by properly trained people.

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When it comes to enhancing intimacy and pleasure in a relationship, many individuals are constantly seeking new ways to spice things up. One emerging trend that has been gaining popularity is the use of THC gummies for sex. These delicious edibles, infused with THC, are known for their ability to heighten sensation, arousal, and overall sexual experience. In this article, we will explore how THC gummies can take your intimacy to a whole new level and provide a deeper connection with your partner.

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First and foremost, it is essential to understand the science behind THC gummies and how they work in enhancing sexual experiences. THC, short for tetrahydrocannabinol, is the primary psychoactive compound found in cannabis. When consumed, THC binds to receptors in the brain and body, resulting in a variety of effects, including relaxation, euphoria, and heightened sensory perception.

When it comes to sex, THC can lead to increased blood flow, heightened sensitivity, and reduced inhibitions, making for a more pleasurable and intimate experience. By consuming THC gummies, individuals can experience these effects in a convenient and discreet way, without the need to smoke or vape cannabis.

Furthermore, THC gummies typically contain a precise dosage of THC, allowing users to control their experience and tailor it to their preferences. This ensures that individuals can enjoy the benefits of THC without experiencing overwhelming effects, making it ideal for those looking to enhance their sexual encounters without feeling too high.

Benefits of Using THC Gummies for Sex

There are numerous benefits to incorporating THC gummies into your intimate moments with your partner. One of the primary advantages is the enhanced sensation and pleasure that THC can provide. Many users report heightened sensitivity, increased arousal, and more intense orgasms when using THC gummies before engaging in sexual activity.

Additionally, THC is known for its relaxing and euphoric effects, which can help individuals feel more present, connected, and open with their partners during sex. This can lead to a deeper sense of intimacy, increased communication, and a stronger bond between partners.

Furthermore, the discreet and convenient nature of THC gummies makes them an attractive option for those looking to enhance their sex life without drawing attention to their consumption. This allows individuals to enjoy the benefits of THC without any stigma or judgment, making it easier to explore new realms of intimacy with their partners.

Tips for Using THC Gummies in the Bedroom

While THC gummies can certainly enhance your sexual experiences, it is essential to use them responsibly and mindfully. Here are a few tips for incorporating THC gummies into your intimate moments:

1. Start with a low dosage to gauge your tolerance and sensitivity to THC. It is always best to start slow and increase your dosage gradually to avoid any overwhelming effects.

2. Communicate openly with your partner about your desires, boundaries, and expectations when using THC gummies. This will ensure that both parties are on the same page and can fully enjoy the experience together.

3. Create a comfortable and relaxing environment for your sexual encounters. Set the mood with dim lighting, soft music, and any other elements that help you feel at ease and connected with your partner.

Conclusion

Overall, THC gummies offer a unique and exciting way to enhance intimacy and pleasure in a relationship. By understanding the science behind THC, exploring the benefits of using THC gummies for sex, and following some simple tips for incorporating them into your intimate moments, you can take your sexual experiences to a whole new level. So why not give THC gummies a try and discover a new dimension of intimacy with your partner?

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Best erectile dysfunction treatment for older men Explore the key differences between Tadalafil (Generic Cialis) and Sildenafil (Generic Viagra) in this concise 3-minute medical comparison tailored for older men facing erectile dysfunction. Discover how these PDE-5 inhibitors work, their onset times, duration of effects, and side effect profiles. Learn why tadalafil’s longer-lasting impact may benefit those with unpredictable schedules, while sildenafil might suit couples with planned intimacy. We also discuss important considerations like food interactions, potential side effects, and drug contraindications, emphasizing safe and personalized use. Whether you’re new to ED medications or seeking the best option for your needs, this expert overview empowers you to make an informed choice. Like and share to help others navigate ED treatments confidently! #ErectileDysfunction #Tadalafil #Sildenafil #MensHealth #EDMedications OUTLINE: 00:00:00 Tadalafil vs Sildenafil: Medical Comparison for Older Men