How powerful is viagra?
Around the world, viagra is probably one of the best known of all brand names. Launched in 1998, it has given birth to its own mythology which is good for promoting sales, but may lead to exaggerated expectations about its power. The simple truth is that viagra only treats erectile dysfunction. It is not a cure for the underlying problems that may be causing the dysfunction. As a example, a man who has been involved in a traffic accident damaging his groin and pelvis may lose the power to produce an erection. In such unfortunate cases, there is no effective way to restore what has been lost. Now translate this to surgery to remove a growth in the prostate to nerve damage resulting from diabetes. Once the surgeon’s knife has cut or the nerve endings are lost, the damage cannot be undone.

Cardiovascular disease and viagra
Any problem with the way in which your blood vessels work will affect sexual performance. The most common is artherosclerosis, a hardening of the arteries. This prevents the normal muscular action to dilate and contract the artery and slowly reduces the hardness of an erection. Unless this is treated as a separate problem, erectile dysfunction will become permanent. If you have had a stroke or heart attack, and your physician has approved you resuming sexual activity, viagra can improve your performance. But there are potential problems with interactions between the drugs used to treat heart conditions and viagra. You cannot take viagra if any of the drugs either contain a nitrate or are designed to reduce high blood pressure.

Diabetes and viagra
In the US, almost 10% of all men over the age of twenty have diabetes. Erectile dysfunction is a common side effect with more than 50% of all diabetic men over the age of fifty partially or completely impotent. The reason is that diabetes damages the nerve endings. If the brain is not able to send messages to different parts of the body, you lose control over that part of the body. Because viagra encourages the arteries leading into your penis to dilate, it can prolong an active sex life. But if you are not also receiving effective treatment for the diabetes, the viagra will not prevent the inevitable loss of sexual power. This treatment starts with lifestyle changes to reduce the amount of alcohol you drink and adjusts your diet to keep the blood sugar level as close to normal as possible.

Other physical causes
These range from lifestyle choices like alcoholism and drug abuse, to the adverse side effects of medications you are taking, and to other long term diseases affecting the brain or vital organs such as the liver or kidney. In all such cases, you should seek the detailed help of your physician. Hiding the problems away and simply buying viagra online may bring short term relief but, over time, you are making the problems worse. Early preventative treatment of these other causes will give you additional years of life and allow you to continue sexual activity for longer.