Cialis Works for Most Men, But Not All Men

 시알리스, generically called tadalafil, is an effective therapeutic option for many men who have difficulty obtaining and maintaining erections that are hard enough for sexual intercourse.

Cialis may not work for 20% to 30% of men who try it for the treatment of erectile dysfunction.

The most common reasons Cialis may not have worked are misuse or improper treatment schedule.

It is important to understand that Cialis may not work after the first dose. It is advisable to try at least 8 to 10 doses before considering whether Cialis is working or not.

시알리스 구매 works best when taken daily. When Cialis is taken on an as-needed basis, it is important to take it on an empty stomach at least 1 to 2 hours before the start of sexual intercourse.

It is also important that a correct starting dose is chosen based on the severity of erectile dysfunction and the patient's risk factors for peripheral vascular disease.

A higher dose of Cialis is generally needed in men with poorly controlled diabetes, obesity, kidney failure, and high blood pressure that requires multiple medications to control. Typically, a lower dose of Cialis is effective in healthier, younger men.

Studies show that many men who initially thought 시알리스 구입 didn't work for them find that Cialis works well when dosed properly and taken as directed.

Hormonal Problems: Low Testosterone, Low Thyroid Hormones, Elevated Estradiol, Elevated Prolactin

Hormonal disturbances in men, such as low testosterone and high prolactin, are common reasons why medications like tadalafil (Cialis) may not work properly. Correction of hormonal abnormalities, which we routinely screen for at New York Urology Specialists , often lead to greater effectiveness of Cialis.

If Cialis Stopped Working Well, Maybe It's a Sign of Worsening Vascular Disease

Based on our knowledge of how Cialis works, Cialis does not lose potency over time. However, the effectiveness of Cialis in achieving erections may decrease if vascular insufficiency caused by underlying medical problems worsens.

Decreased effectiveness of Cialis may be a sign of worsening underlying causes of erectile dysfunction. When we see patients complaining that drugs like Cialis no longer work, we repeat routine tests to determine if anything has changed.

Poor control of high blood pressure, high cholesterol, poor control of diabetes, and weight gain are some of the common causes why tadalafil (Cialis) may stop working properly. Treating the underlying problems is important not only for sexual health, but also for cardiovascular health.