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Though it doesn’t necessarily have to be from a doctor (MD) — some other medical professionals can prescribe medication, such as nurse practitioners. Yes, we know that might be annoying. But Cialis is a serious drug. It’s a phosphodiesterase 5 inhibitor — or, easier to say, a PDE5 inhibitor. Among other things, it works as a vasodilator. That means Cialis can open up your blood vessels and increase blood flow to your penis. It’s not a magic boner pill, though. You still need sexual stimulation to get hard. As with most other prescription drugs, it comes with side effects and risks. So it’s important to get medical advice about the right Cialis dosage for you and potential drug interactions to be aware of. Common side effects of Cialis include: Headache Indigestion Back pain Muscle aches and pains Nasal congestion Flushing Pain in limbs And you can’t take Cialis if you take: Nitrates Guanylate cyclase stimulators Poppers A licensed healthcare provider will ask about your overall health. Let them know if you have low blood pressure, bleeding problems, heart problems like angina or if you’ve had a heart attack. There were talks of Cialis making the jump from a prescription medication to an over-the-counter one. But the target date was 2018…and here we are, years later. So you may not be able to get Cialis over the counter just yet, but you can get a prescription relatively easily — if the drug is suitable for you. The same goes for tadalafil, the generic version of Cialis. Learn more about Cialis on our blog: https://www.hims.com/blog/is-cialis-over-the-counterED Gummies Ads: Effective Advertising Strategies to Capture the Erectile Dysfunction MarketThinking about testosterone therapy? Before you jump in, listen to this essential conversation on the real risks, fertility consequences, and what men need to know about hormone health. 👉 If you found this episode valuable, drop a comment below to tell us what you loved most, and share it with a friend! Let’s spread the knowledge. 💬✨ Chapters & Key Moments 00:00 – Trailer: Why testosterone isn’t always the answer 00:45 – Welcome to The Dr. Brighten Show 02:08 – Meet Dr. Justin Houman: Urologist & men’s health expert 03:12 – Is low testosterone behind every cranky, low-energy guy? 04:05 – How to properly test testosterone (the biggest mistake most men make) 06:25 – Total testosterone vs. free testosterone: Which number matters most? 07:58 – What causes low free testosterone (and why obesity plays a role) 09:15 – The seasonal impact on men’s testosterone levels 10:40 – Why vitamin D matters for testosterone production 12:15 – The fertility risks of testosterone therapy (what most doctors don’t tell you) 15:02 – How TRT shuts down sperm production (and safer alternatives) 16:40 – The timeline for sperm recovery after stopping testosterone 18:00 – Lifestyle strategies to naturally boost testosterone and sperm health 19:55 – The role of HCG, clomiphene, and enclomiphene as fertility-friendly options 22:30 – Hair loss meds & hormone health: The truth about finasteride 25:50 – Why post-finasteride syndrome happens (and what to watch out for) 27:18 – Are hair loss treatments reversible? Safer options explained 30:05 – How sperm morphology, motility, and count actually affect fertility 32:22 – The egg’s surprising role in selecting sperm (and why it matters) 34:10 – Why sperm health predicts overall male health and longevity 35:55 – The misconception that male fertility isn’t impacted by age 38:20 – Erectile dysfunction in young men: Why it’s often hormone-related or psychogenic 41:40 – The impact of stress, sleep, and wearables on testosterone health 44:18 – Alcohol, testosterone, and “whiskey dick”: What’s really going on 46:02 – Vasectomy myths, reversibility, and long-term considerations 50:10 – Why sperm banking is smart (even if you’re not ready for kids now) 53:22 – Simple steps men can take TODAY for better hormone and fertility health 56:40 – Final thoughts: Why early testing and lifestyle choices matter most This Episode is Brought to You By: Chorus: http://chorusforlife.com/drbrighten and receive 10 percent off your order or subscription Dr. Brighten Essentials: http://www.drbrightenessentials.com use code POD15 for 15% off Lumebox: https://drbrighten.com/lumebox use code drbrighten for our exclusive community discount on your purchase. Support our sponsors! These partners help make this show possible and allow us to keep bringing you high-quality, science-backed content. Connect with Dr. Justin Houman 💻 Website: https://houmanmd.com/ 📸 Instagram: https://www.instagram.com/justin.houman.md/ 🎥 TikTok: https://www.tiktok.com/@justin.houman.md?lang=en ⭕ Youtube: https://www.youtube.com/channel/UCfIgw3GFY3uDXWuzR0z7OqA 👩🏻⚕️Follow Dr. Jolene Brighten: 💻 Website: https://www.drbrighten.com 📸 Instagram: https://www.instagram.com/drjolenebrighten 🎥 TikTok: https://www.tiktok.com/@drjolenebrighten 🧵Threads: https://www.threads.net/@drjolenebrighten 🌟 Grab my free hormone friendly recipes here! https://drbrighten.com/hormonekit/ 🎧 Subscribe to the Podcast: Apple: https://podcasts.apple.com/us/podcast/the-dr-brighten-show/id1786362161 Spotify: https://open.spotify.com/show/5VWcYWJFzi3OnwidT25IXi?si=481df20ef0a6417 YouTube: https://www.youtube.com/@DrJoleneBrighten Like This Episode? 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How To Increase Penis Size Naturally Assameseshorts AssamesehealthvideoSex-Enhancing Drugs New videos DAILY: https://bigth.ink/youtube Join Big Think Edge for exclusive videos: https://bigth.ink/Edge ---------------------------------------------------------------------------------- Michael Perelman says there are a host of options out there, including alternative therapies, but it all depends on your sexual tipping point. ---------------------------------------------------------------------------------- Michael Perelman: Internationally renowned, Dr. Michael Perelman is Co-Director, of the Human Sexuality Program, New York Presbyterian Hospital. He is a Clinical Professor of Psychiatry, Reproductive Medicine, and Urology at Weill Medical College, Cornell University. A National Institute of Health Fellow, he received his MS, M.Phil. and Ph.D. degrees in clinical psychology from Columbia University--where he wrote the first sex therapy doctoral dissertaion in Columbia's history in 1976. Dr. Perelman's clients, experience common sense advice filtered through the wisdom of over 30 years of clinical practice. Dr. Perelman has been invited to present his Sexual Tipping Point model at professional meetings around the world and has published widely in the professional literature. He is frequently quoted and often featured by the media. Besides private practice, Dr. Perelman serves on multiple professional society,editorial, and industry Advisory/Directors Boards. He is the Past-President of the Society for Sex Therapy and Research. His research interests are integrating the use of sexual pharmaceuticals with sex counseling to provide better risk/benefit for men and women suffering from sexual problems. ---------------------------------------------------------------------------------- TRANSCRIPT: Question: What are the differences between Viagra, Cialis, and Levitra? Michael Perelman: I am privileged, actually, to be an advisor to all three of these companies and there are remarkable similarities between these drugs because they are all in the same class of medication and they all work in the same way. Essentially they help blood accumulate in the penis by diminishing the outflow; it does not go back to the rest of the body quite as fast as it might otherwise. We walk around normally flaccid as men, without an erection, because there is an enzyme, phosphoridesterades [ph?] that degrades the potential for erection normally, so these drugs all block that enzyme. So it is as if you have pulled the plug in the bathtub and then you stuff it up with Kleenex and it kind of goes out more slowly. So if you have water coming in and the water is going out more slowly, the bathtub gets filled up quite nicely, and, in fact, would even overflow. So how do these drugs work? The drugs all work very similarly in that they affect that enzyme. Cyalis has a longer duration of action. What that means is it lasts from 24 to 48 hours verses the other drugs last a less long period of time. Because each of these molecules is unique, even though they are part of the same class of drugs, they have slightly different side effects. So while Levitra and Viagra would remain within the system, within the body, a shorter amount of time than Cyalis, in many cases that would be desirable and in some cases that would not be desirable, so this is important that the patient have a conversation with his physician as to really what’s best for them, and there are reasons to consider one drug over another as what to try first. In fact, Cyalis, for instance, has just been approved for daily dosing, so smaller amounts of the drug are used on a daily basis, almost like a male vitamin, to keep a certain level of arousal, capacity for arousal I should say in place with less side effect, and yet the other two drugs that are used on what is called a PRN basis and as needed basis, or do not last in the body as long a period of time. So the side effect profile, which is something that you do not see advertised on television and discussed in a serious way, is more, again, the stuff of late night jokes, long-lasting erections. The other aspects or side effects are something that you need to discuss with your physician, and that will help determine which drug is best for you, and that can be a trial and error experiment with some guidance from your doctor as to this notion of duration of action. Do you want a drug that has more availability for more spontaneity or do you want a drug that you know is going to work for you that you are comfortable using? And in that sense, Viagra, having been first to market, is many people’s choice only because, like Kleenex, we do not think of a facial tissue, we frequently will use the name Kleenex, Read the full transcript at https://bigthink.com/videos/sex-enhancing-drugs/Ed Medications 2025312How to Last Longer in Bed | 8 Tips to Increase Sexual Stamina Naturally Struggling with sexual stamina? Want to last longer in bed? In this video, I share 8 practical tips that can help improve your endurance and enhance your sexual performance. From simple exercises like Kegels and deep breathing techniques to lifestyle changes and useful tools like desensitizing creams, you'll find everything you need to boost your stamina and confidence in the bedroom. Whether you're dealing with premature ejaculation or just want to take control of your performance, these natural methods will help you stay in the moment and enjoy more satisfying intimate experiences.If you found these tips helpful, make sure to give this video a thumbs up, subscribe, and turn on notifications for more valuable content! Don't forget to subscribe for more tips on health and wellness! #SexualStamina #LastLongerInBed #HealthTips #Mindfulness #Kegels #MensHealth #PrematureEjaculation #SexualHealthComprei Viagra Aos TurcosErectile dysfunction (ED) or impotence is sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. A penile erection is the hydraulic effect of blood entering and being retained in sponge-like bodies within the penis. The process is most often initiated as a result of sexual arousal, when signals are transmitted from the brain to nerves in the penis. The most important organic causes are cardiovascular disease and diabetes, neurological problems (for example, trauma from prostatectomy surgery), hormonal insufficiencies (hypogonadism) and drug side effects. Psychological impotence is where erection or penetration fails due to thoughts or feelings (psychological reasons) rather than physical impossibility; this is somewhat less frequent but can often be helped. Notably in psychological impotence, there is a strong response to placebo treatment. Erectile dysfunction can have severe psychological consequences as it can be tied to relationship difficulties and masculine self-image. Besides treating the underlying causes such as potassium deficiency or arsenic contamination of drinking water, the first line treatment of erectile dysfunction consists of a trial of PDE5 inhibitor drugs (the first of which was sildenafil or Viagra). In some cases, treatment can involve prostaglandin tablets in the urethra, injections into the penis, a penile prosthesis, a penis pump or vascular reconstructive surgery. The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina; it is now mostly replaced by more precise terms, such as erectile dysfunction (ED). The study of erectile dysfunction within medicine is covered by andrology, a sub-field within urology. Research indicates that erectile dysfunction is common, and it is suggested that approximately 40% of males suffer from erectile dysfunction or impotence, at least occasionally. Signs and symptoms Erectile dysfunction is characterized by the regular or repeated inability to obtain or maintain an erection. It is analyzed in several ways: • Obtaining full erections at some times, such as nocturnal penile tumescence when asleep (when the mind and psychological issues, if any, are less present), tends to suggest that the physical structures are functionally working. • Other factors leading to erectile dysfunction are diabetes mellitus (causing neuropathy). Causes • Drugs (anti-depressants (SSRIs) and nicotine are most common) • Neurogenic disorders • Cavernosal disorders (Peyronie's disease) • Psychological causes: performance anxiety, stress, and mental disorders • Surgery • Aging. It is four times more common in men aged in their 60s than those in their 40s. • Kidney failure • Diseases such as diabetes mellitus and multiple sclerosis (MS). While these two causes have not been proven they are likely suspects as they cause issues with both the blood flow and nervous systems. • Lifestyle: smoking is a key cause of erectile dysfunction. Smoking causes impotence because it promotes arterial narrowing. Surgical intervention for a number of conditions may remove anatomical structures necessary to erection, damage nerves, or impair blood supply. Erectile dysfunction is a common complication of treatments for prostate cancer, including prostatectomy and destruction of the prostate by external beam radiation, although the prostate gland itself is not necessary to achieve erection. As far as inguinal hernia surgery is concerned, in most cases, and in the absence of postoperative complications, the operative repair can lead to a recovery of the sexual life of patients with preoperative sexual dysfunction, while, in most cases, it does not affect patients with a preoperative normal sexual life. ED can also be associated with bicycling due to both neurological and vascular problems due to compression. The increase risk appears to be about 1.7-fold. 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