Could actually work at causing erections in men with ED. Subsequently Cialis and Levitra became available with essentially the same effectiveness as Viagra. Many men require 2 to 4 occasions to use the medication before it works-why this occurs is not entirely understood. As we have since learned, about 60% of men with ED respond to these medications and the remaining 40% do not. Second, it's important to maximize the effectiveness of these medications with proper timing (Viagra requires taking the pill one hour prior to sexual activity and preferably on an empty stomach. The maximum dose must also be used if lower dosages are not working. There are also a number of men who initially respond and then stop responding. And as I've mentioned in a previous blog, normalizing a low Testosterone level will also increase the effectiveness of these meds in many men so this should be addressed. The first thing to know is that these medications often do not work the first time taken. Well there are several reasons why this happens and there are several points to be made about taking these medications properly. Now if all these factors are accounted for and the medications still aren't working, this likely represents a severe degree of ED. If the medications were working at first and are no longer effective this likely represents a worsening of the ED rather than the body "getting used to" the medications. Our free Discount Rx savings card can help you and your family save money on your prescriptions. This card is accepted at all major chain pharmacies, nationwide. Enter your name and email address to receive your free savings card. Our free Discount Rx savings card can help you and your family save money on your prescriptions. This card is accepted at all major chain pharmacies, nationwide. Enter your name and email address to receive your free savings card. When a man is aroused, nerve signals are sent from the brain and around the penis. 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In brief, my current girlfriend and I engage in a LOT of sex (one day last week we ended up having sex about 8 times - obviously by the eighth time it took me a while to get it up and I was a bit tired). hey thanks for the words of encouragement, espeacially today....hopiangle and reven..congrats!!!! okay, before i hit the preverbial wall here and go to bed early for once....thought i'd share something that made me laugh today....about EVERYTHING makes me laugh....maybe i'm "manic" on top of everything!!!! INDY, you know how we were talkin about my "DATE" for tommorrow night eh.... Are you sure that there's no health or emotional reason for his lack of endurance? Does he take any daily medicines that may have sexual side effects? Seek this out first then tell him that you both should seek counseling for this problem. Men want to know that they can always perform and deliver when needed, especially in the bedroom. If you’re in a relationship, then you like seeing your partner satisfied whenever she pleases. Your performance in the bedroom is a big deal for you. Sex is no longer as enjoyable as it once was, and this could be a big blow to your ego. However, you don’t always have the energy of a man in his 20s. Hence, you’ve thought about getting a bottle of male enhancer for help. Don’t go through your later years feeling insecure, or worse, feeling like half the man you used to be. Read this review and maybe this might make your decision easier. You need to take charge of your health and finally feel good about who you are. One brand that you may come across is called Levitra. Levitra (or what is otherwise known as Vardenafil HCl) is an FDA-approved oral prescription. This is believed to treat erectile dysfunction (ED) in men. This male enhancer belongs to a class of drugs called “PDE5 inhibitors.” What does this mean? 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But this can go up to 1 hour. On average the effects of Levitra can last between 4 and 5 hours.