When there aren't enough brain chemicals to stimulate the blood flow needed for an erection, erectile dysfunction results. Depression can result from low confidence in the bedroom and the negative effects on other areas of your life.

Men with erectile dysfunction (ED) may lose confidence in themselves and their ability to please their partner. Depression is common among men with ED and this sexual health condition can affect not only the sexual relationship, but social and work activities too. Studies have shown that about 20 – 30% of divorces are due to sexual health issues such as ED. Research has also shown that people in sexless marriages are more likely to seek a divorce than those with active sex lives.

Women sometimes do not understand that there could be a medical cause for ED, such as cardiovascular disease or diabetes. Women might feel that their partner has met someone else or the relationship is ending. Fortunately, several studies have also shown that ED can be reversed with healthy lifestyle choices and effective medication.

The weekend pill

Men who are looking for a medication that they can take on Friday and still be able to have sex on Sunday can now order cheap Tadalafil 20mg tablets from an online leader like kamagraonline.com . This medication is also known by the brand name, Cialis and it is a PDE-5 inhibitor like Viagra and Levitra. It works in a very similar way except the main difference is that one tablet lasts up to 36 hours.

Other popular medications used to treat ED last approximately 4 to 6 hours. Healthy blood flow to the penis is essential for a firm erection and this medication enhances blood flow. It does this by increasing the body’s ability to produce nitric oxide which is the same naturally occurring chemical that increases during exercise.

Nitric oxide causes constricted blood vessels to relax and dilate. When blood vessels dilate, blood flow increases and erections can become suitable for sex. Fortunately, Tadalafil tablets are conveniently accessible online with easy order and pay systems.

The Erection Hardness Score (EHS)

In 2013, a study found that increased erection hardness after treatment with an effective PDE-5 inhibitor like Cialis resulted in significant improvements in the confidence and self-esteems of the men who took part in the study. The 3-month study involved 478 men with ED between the ages of 19 and 80 and they were all in stable relationships.

There partners were also included, and the men were given PDE-5 inhibitors. Both participants and their female partners answered questionnaires at the beginning of the study and again at the end. The researchers used the Erection Hardness Score (EHS) which rates erections on a scale of 1 to 4, with 1 indicating the softest erections and 4 indicating the firmest erections.

At the beginning of the study only 0.4% of the participants in the study had EHS scores of 4 and by the end this had increased to 58.3%. This shows how effective PDE-5 medications like Cialis are at counteracting the symptoms of ED.

How Cialis should be taken

- One tablet should be taken at least 30 minutes before planned sexual activity.
- One tablet should not be exceeded in 24 hours as this will not enhance the desired effects and it may lead to unwanted side effects.
- Cialis may be effective for up to 36 hours after taking one tablet.
- Alcohol can interfere with how this medication works so excessive drinking (blood alcohol level of 0.08% or higher) should be avoided.

Side effects of this medication

According to the above named ePharmacy’s director of Research, “Cialis has potential side effects although most people do not get them. Some relatively more common side effects that affect under 10% of patients include headache, facial flushing and nasal congestion. There are various ways to ensure that you do not experience side effects, like adhering to the precautions.”

Less common side effects that affect under 1% of patients include dizziness, nausea and a fast heart rate.

Some precautions that men should take when using Cialis

- Grapefruit juice may affect how well this medication works and it should be used with caution or preferably avoided.
- Any form of organic nitrate or nitric oxide donors such as amyl nitrite (“poppers”) should be avoided as the combination of these medications can lead to an unsafe drop in blood pressure.
- Alpha blockers may interfere with this medication.
- In clinical studies, some men taking Cialis have reported dizziness so men who use this medication should carefully check how they react to these tablets before driving a vehicle or operating machinery.

This medication can be ordered online

Men can now order generic Cialis from kamagraonline.com without a prescription. This established internet pharmacy offers Tadalafil tablets at cost effective prices and the convenience is unrivalled. Customer support is available 24/7 to answer any queries and secure payment gateways are utilised for safe and secure transactions.

Customer confidentiality is carefully maintained to ensure privacy and delivery is fast and discreet, direct to the address that is specified on checkout. If a customer orders cheap Tadalafil 20mg tablets delivery takes 2 – 5 working days in the UK and it is 5 – 7 working days in the EU.