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The Boots guide to the top 8 men’s aftershaves. Optum Perks is owned by RVO Health. Tell your healthcare provider if you have any of the following. Do not use more of this product, or more often, than prescribed. Clinically proven treatments delivered discreetly to your door. No, you must have a prescription or approval from a doctor to buy standard Viagra. Take these pills as directed as soon as possible after sex and not more than five days afterward. The higher the pressure the harder the heart has to pump. Erectile dysfunction treatment. Different shape or color, as trademarks laws prevent a generic from looking exactly like the brand name drug. For patients with ED, monitor response to tadalafil carefully because of potential for decreased effectiveness. Using this medicine does not protect you or your partner against HIV infection the virus that causes AIDS or other sexually transmitted diseases. To find out how this drug might interact with something else you’re taking, talk with your doctor or pharmacist. IELT = intravaginal ejaculation latency time; IIEF EFD = International Index of Erectile Function erectile function domain; PDE5 = phosphodiesterase type 5; PE = premature ejaculation. We explain what erectile dysfunction is, the causes of it, the links with heart and circulatory diseases and how to treat it. In studies of PE, patient reported outcomes form an important part of the evidence base because of the many ways in which PE can affect psychological wellbeing and quality of life, both for the patient and their sexual partner. National Library of Medicine 8600 Rockville Pike Bethesda, MD 20894. If you’re considering trying ginseng, speak with your doctor about dosing first. Avoid combination in pulmonary HTN patients. If medications aren’t effective or appropriate in your case, your doctor might recommend a different treatment. Orthostatic hypotension. Top Selling Medicines. What is the most important information I should know about VIAGRA. Levels of l arginine and l citrulline in patients with erectile dysfunction of different etiology.

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What is a PDE inhibitor?

The first salt is of the PDE type 5 inhibitor class, which is known to help with the symptoms of softer erections. Viagra even has been tried as a treatment for sexual dysfunction in women. Do not take LEVITRA if you. If you’re taking an alpha blocker, your doctor will recommend a starting dose of 25 mg of Viagra, which is lower than the usual starting dose. This is especially common among Cialis users who also take nitrates. Some medical conditions or medicines might mean that taking Viagra can cause you to have a dangerous reaction. Visit no7 online beauty services. Indeed, a recent survey found nearly half of diabetics are cutting back on treatment because of the skyrocketing price of insulin, with the American Medical Association last month calling it “shocking and unconscionable” that patients are struggling to afford such a basic drug. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. Other studies have looked at the effect of Viagra in males whose ED had different causes. In male volunteers with CLcr = 50 80 ml/min, the pharmacokinetics of vardenafil were similar to those observed in a control group with CLcr >80 mL/min. There are, however, a few FDA approved medications to treat low sexual desire in women. Discover no7 advanced ingredients capsules. Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, and more. Like premature ejaculation, you cannot cure ED, but you can treat it. Cialis Together requires sexual stimulation to work i. Fluvoxamine will increase the level or effect of tadalafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. They are usually taken shortly before sexual activity. It works by inhibiting blocking the action of an enzyme called PDE5. Baby and child savings. Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, and more. Arrives 1 4 hrs nationwide. The concomitant administration of the protease inhibitor ritonavir substantially increases serum concentrations of sildenafil 11 fold increase in AUC. Visit christmas gift guide. Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, and more. Men facing difficulties related to erectile dysfunction are not alone. Like Viagra, the drug vardenafil Levitra has uses similar to those of Cialis. Before you take ADDYI, tell your doctor about all of your medical conditions, including if you. Your sense of self can become eroded and you feel as if even your partner doesn’t look at you like a man anymore.

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Оплатите счет за доставку до прибытия посылки на ММПО в Хоргос. You shouldn’t take Viagra with illegal drugs called poppers. Chickenpox Vaccination Service. Vidalista 20 Tablet may be taken on an empty stomach or with a meal. Addyi was originally developed as an antidepressant. If your doctor has prescribed Cialis and you’re interested in using tadalafil instead, talk with your doctor. How to do perfume layering – and 10 of the best body lotions to give this Christmas. This is a partial list of mild side effects from Viagra. This allows our clinicians to find a treatment that suits you best. And generics tend to cost less than brand name drugs. Tell your healthcare provider if you are or plan to become pregnant. Contents of the pack and other information. While many ED pills are designed to last 4 6 hours, some allow you to achieve an erection for up to 36 hours. Using Kamagra Oral Jelly correctly is crucial to ensure its effectiveness and safety. Collect 63 points with this purchase. The one you should take mostly depends on what works best for your lifestyle. Yes, in almost all cases a generic Viagra alternative will be cheaper than brand name Viagra. Viagra is available in three different dosage levels, 25mg, 50mg and 100mg. Additionally, as you can see below, we compared the sizes of VitaFLUX and HerSolution pills. Stay on top of latest health news from Harvard Medical School. The online platforms can connect you with licensed doctors in your state, removing the need to meet with a healthcare professional in person. You can change your answer and continue. Vitamins and supplements. As with https://apotekazasve.com/kupi-diflucan-genericki-bez-recepta/ any medication, there is a chance you may experience side effects when taking Levitra. 12 nM, while its major human metabolites, desmethyldapoxetine IC50 < 1. If any of these factors apply to you, your starting dose might be 25 mg, which is lower than the typical recommended dose. 23% of subjects on placebo, dapoxetine 30 mg and dapoxetine 60 mg, respectively. Counselling may help if psychological causes are causing ED. 10 best Christmas gifts for dads. Call your doctor or emergency room immediately if you accidentally took more LEVITRA than prescribed.

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What should I do if I miss a dose of vardenafil?

The European Association of Urology 2014 guidelines on male sexual dysfunction recommend that pharmacological treatment options include ‘on demand’ dapoxetine, daily use of a longer acting selective serotonin reuptake inhibitor SSRI , daily use of clomipramine off label use, ‘on demand’ topical local anaesthetic agents off label use and ‘on demand’ tramadol off label use. The Brass value tree and evidence for each incremental benefit and risk were circulated to an expert clinical panel prior to the consensus meeting. When you take Viagra, the active ingredient, sildenafil, relaxes the smooth muscles in the penis blood vessels, increasing blood flow which causes an erection. If you feel faint or dizzy, lie down. Our Annual Savings Plan covers 100% of the cost of eligible medicines for one set price. The other ingredients are lactose monohydrate, microcrystalline cellulose, croscarmellose sodium, colloidal anhydrous silica, magnesium stearate, hypromellose, titanium dioxide E171, triacetin, iron oxide black E172, iron oxide yellow E172. Sildenafil has a peripheral site of action on erections. Lifestyle measures are typically the first step in treating ED. Viagra is taken just before having sex, while flibanserin is taken daily. Common physical causes include obesity, heart disease, and high blood pressure. Benefactor support fuels Mayo Clinic’s groundbreaking research. Always consult with a doctor or other qualified healthcare professional before making any decisions about your health. This means that your body may break down Cialis more quickly than it should, so the drug may not work as well as it should. The aim of this study was to convene an expert panel to quantify the likelihood of occurrence and the potential clinical impact of each incremental benefit and risk identified for reclassification of tadalafil as a non prescription medicine. Medication promotes a firmer erection. Thus, the findings presented have great relevance to clinical practice and suggest that the majority of patients with ED of no known organic cause can expect to have erections rigid enough for penetrative sexual intercourse within 30 min and as late as 4 h after taking sildenafil. Advanced, clinically proven medications.

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Erectile dysfunction is a relatively common condition that affects men of all ages. Case Management and Social Work. When you get Cialis from the pharmacy, the pharmacist will add an expiration date to the label on the package or bottle. Taking too much sildenafil can cause unpleasant side effects. Store all medicines out of sight and reach of children. 31 In most studies, ACE inhibitors and ARBs have not been associated with ED and some studies even showed a beneficial effect. Possible physical causes include. Menopause and HRT treatment. For the full list of excipients, see section 6. Avoid concurrent use of tadalafil for pulmonary HTN in patients taking strong CYP3A4 inhibitors. Super Kamagra also contains another drug called dapoxetine, the active ingredient in Priligy, a premature ejaculation medication. Do not increase your dosage unless your doctor recommends doing so. It’s a common ejaculation problem and affects many men at some point in their lives. View Pharmacy Profile. Pause or cancel any time. TrustSEAL VerifiedVerified Exporter. And Martínez Mota, L. For erection problems in adult men. Akhtari E, Raisi F, Keshavarz M, et al. No7 online beauty services.

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Due to the believed involvement of neurotransmitters, both Addyi and Vyleesi regulate or modify the release of these chemical messengers in different ways — the former on serotonin and indirectly dopamine and norepinephrine and the latter on dopamine and norepinephrine alone. 2 mmHg when sildenafil was co administered with alcohol versus 11. Penile implants are usually reserved for men who have tried other erectile dysfunction treatments without success. Administration of LEVITRA with nitrates either regularly and/or intermittently and nitric oxide donors is contraindicated. Treatment for sexual dysfunction often involves dealing with a medical condition or hormonal change. The count will be inaccurate when sponsored products are displayed, when multiple sizes or colors of a product are grouped on a single product card, and when the in stock filter is applied. Shelf Life:Minimum 2 Years. Tentative evidence suggests that sildenafil may help males who experience antidepressant induced erectile dysfunction. Mayo Clinic does not endorse companies or products. With Viagra, you’ll take the drug between 30 minutes and 4 hours before you plan to have sex. Tadalafil is also sometimes taken once a day every day without regard to timing of sexual activity. A Medicare Part D prescription drug plan — also called a prescription drug plan, or PDP — may help with prescription drug coverage. Top Selling Medicines. Advice, products and serviceswith you in mind. Due to age differences in plasma protein binding, the corresponding increase in the AUC of free unbound sildenafil and its active N desmethyl metabolite were 45% and 57%, respectively. Det är värt att notera att varje individs svar på medicinering kan variera och personliga erfarenheter kan skilja sig åt. Common seen in 1 to 10 in every 100 patients. Kamagra is a medication for erectile dysfunction that’s made in India, and is sold online illegally. Vilitra 40mg Vardenafil Tablets. 9% continued treatment to 2 years. During arousal, the arteries leading to the penis expand, allowing more blood to flow through it. Sildenafil, sold under the brand name Viagra among others, is a medication used to treat erectile dysfunction and pulmonary arterial hypertension. For most people, the maximum recommended dosage of Viagra is 100 mg once per day. Both pills are a bit on the larger side, which might make topicals a more appealing option for some people. The main measure of effectiveness was based on the ability of the men to get and maintain an erection. There is no “normal” number of sexual thoughts or experiences. An actual female Viagra pill would be trying to make it more physically comfortable for women to have sex. Keep reading for details about the dosage of Cialis, including its strengths and how to take this medication. This ED pill is sold under the name Spedra.

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NEW Pro Artist CollectionShop now. Studies find that red clover supplements improve vaginal lubrication, but there is little evidence that they boost sexual desire. Viagra takes up to 60 minutes to start working after you take it, and the effects last for up to 4 hours. Read more on Queensland Health website. Before taking Cialis, talk with your doctor about your health history. If the effect of this dose is too weak your doctor may increase the dose to 20 mg. Ear and labyrinth disorders. With ED, you have trouble getting and keeping an erection that’s firm enough to allow you to have sex. It is usually only prescribed when treatment with lower doses is unsuccessful.

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How long does Viagra last?

It is a common condition: At least 52% of U. Do not take CIALIS if you are already taking nitrates. Visit electrical dental. No clinical trials in CNS diseases except spinal cord injury, patients with severe renal or hepatic impairment, pelvic surgery except nerve sparing prostatectomy or trauma or radiotherapy and hypoactive sexual desire or penile anatomic deformities have been performed. Call your doctor right away if you have a severe allergic reaction to Cialis. No heterogeneity was found among the trials in our analysis Figure 3, the fixed effects model was chosen for the statistical analysis. This helps prevent others, including children and pets, from taking the drug by accident. For seniors: If you are age 65 years or older, your body may process this drug more slowly. For more about side effects, see the “Cialis side effects” section above. Tell your healthcare provider if you have any side effect that bothers you or does not go away. Below are some questions related to Viagra use in females. The medications they provide are for problems such as premature ejaculation PE and erectile dysfunction ED. DHEA manufacturers also claim their supplements can boost energy, enhance immunity, and slow aging. Men with underlying signs and symptoms of depression should be evaluated prior to treatment with Priligy to rule out undiagnosed depressive disorders. Scent profile: how to choose the right perfume for you and others. These data were supported by consistent reports of improvement in Clinical Global Impression of change in PE following treatment with dapoxetine. International networks may be active. Yohimbine is another type of herbal Viagra that could have benefits for erectile dysfunction. Men and their partners in the treatment group reported significantly greater improvements in sexual quality of life and quality of treatment relative to placebotreated couples based on validated instruments. It is not possible to determine whether these oral medicines for erectile dysfunction were the cause of the loss of eyesight or whether the problem is related to other factors such as high blood pressure or diabetes, or to a combination of these problems. Kamagra is a unique product of Ajanta company.

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Cialis and alpha blockers

Although you can drink alcohol, it isn’t a good idea as alcohol can make erectile dysfunction worse. NCBI Literature Resources. Subscribe to the news. Appecia 1 Mg is used only in men in the treatment of benign prostatic hyperplasia and male pattern hair loss. The dapoxetine phase II and III study enrolment criteria may result in a subject population who are not totally representative of men who actively seek treatment for PE. It is important to tell your doctor about any heart problems you have now or may have had in the past. Inform your doctor if you have erectile dysfunction, a history of dizziness due to low blood pressure, depression, mania, bipolar disorder, schizophrenia, epilepsy/fits, bleeding or blood clotting problems, glaucoma, or kidney problems. However, if you take Cialis each day for either benign prostatic hyperplasia BPH or ED, you’ll consistently have medication in your system. It contains the same active ingredient as branded alternatives. No, the duration of action is longer, 36 hours for Cialis compared with 4 5 hours for Levitra and 4 hours for Viagra, however most men find that during this active period the treatments are equally effective when equivalent strength tablets are used. The intention to treat analysis of both studies demonstrated that all four doses of dapoxetine were effective, superior to placebo and increased IELT 2. Another option is to purchase a vacuum pump and ED ring “cock ring” which, respectively, draw blood into the penis and help keep it there. Finally, on 22 April 2013, the Supreme Court of Canada invalidated Pfizer’s patent altogether. Web Policies FOIA HHS Vulnerability Disclosure. In another study in healthy male volunteers, co administration with the HIV protease inhibitor ritonavir, which is a highly potent P450 inhibitor, at steady state 500 mg bid with VIAGRA 100 mg single dose resulted in a 300% 4 fold increase in sildenafil Cmax and a 1000% 11 fold increase in sildenafil plasma AUC. Viagra is prescription only for a reason — medical professionals need to know what other medication you are taking to ensure it’s safe. Although these medications are available to buy over the counter, you will still need to complete an online health questionnaire for a doctor to review, or have a short consultation with a pharmacist in person to make sure they are safe and suitable for you to take. New patients save with code: WLNEW30 Ts and Cs apply. Allow 48h after last tadalafil dose before nitrate administration. Experts usually suggest Lovegra containing Sildenafil for female sexual dysfunction. You should not take more than one dose of Cialis per day. A rare, but serious side effect, is priapism.

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These side effects may go away during treatment as your body adjusts to the medicine. On average, it takes about 2 hours for Cialis to peak. The bottom line, Volkar says, is that though these treatments may not be perfect yet, having two medications available on the market is a move in the right direction. Mayo Clinic does not endorse companies or products. Call 911 if your symptoms feel life threatening or if you think you’re having a medical emergency. Pharma, Pharmacy 5 Years of Experience. Generally, ‘sex pills’ is the name people give to pills taken for sex related problems. Doing so may undermine the goals of therapy such as lowering your blood pressure or cause severe withdrawal symptoms such as can occur with opioids and antidepressants. This lack of access can prevent men from receiving proper diagnosis, counseling, and treatment for premature ejaculation. This medicine also works best when you take it an hour before sex on an empty stomach. Patients are under general anesthesia completely asleep for surgical placement of the prosthesis. Pregnancy and maternity. If you have questions about using Cialis and finasteride, talk with your doctor. Each oral medicine for ED has a slightly different chemical makeup. Sildenafil has been studied for high altitude pulmonary edema HAPE, but its use is currently not recommended for that indication. Generic version of branded Cialis. The European Association of Urology 2014 guidelines on male sexual dysfunction recommend that pharmacological treatment options include ‘on demand’ dapoxetine, daily use of a longer acting selective serotonin reuptake inhibitor SSRI , daily use of clomipramine off label use, ‘on demand’ topical local anaesthetic agents off label use and ‘on demand’ tramadol off label use. Effective product without side effects with excellent service from MedExpress. National Library of Medicine 8600 Rockville Pike Bethesda, MD 20894. For full information on side effects and correct use, see the patient information leaflet. Molecular studies indicated that declines in erectile function after cavernous nerve injury were associated with the decreased smooth muscle to collagen ratio in the corporeal tissues and evidence of hypoxia. Tell your healthcare provider right away if you have any of the following symptoms of low blood pressure. Baby and child health. Erections will not be continuous during 36 hours after taking Cialis, occurring only at times of arousal during those 36 hours.

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If you find yourself using Viagra or any other erectile dysfunction tablets for an extended amount of time, we recommend looking at the underlying causes with your doctor. One of these is Addyi. These effects are normally mild to moderate in nature. Keywords: erectile dysfunction, non prescription, phosphodiesterase type 5 inhibitor PDE5 inhibitor, reclassification, tadalafil. Flibanserin is a medication that’s used to treat low sex drive libido in women in the US. The Boots guide to the best Valentine’s Day gifts. Some preparations of generic Viagra sildenafil are scored for easier division. We took a closer look at some of the best services. The authors report no conflicts of interest in this work. Swallow one tablet whole with a full glass of water, 1 to 3 hours before sexual activity. Levitra vardenafil is prescribed for the treatment of erectile dysfunction. Consumers can report adverse events tied to these or other dietary supplements to the agency online. Most cases of CSCR resolved spontaneously after stopping tadalafil. Watch our patient care expert explain everything you need to know about Viagra Connect. A reporting source was specified in 89% of reports. Visit hair styling tools. Viagra Connect is an over the counter ED medication meaning that you don’t need a prescription to purchase it so it’s only available in one dose. Page last reviewed: 11 November 2022 Next review due: 11 November 2025. The Food and Drug Administration FDA approves prescription drugs such as Viagra to treat certain conditions. Three clinical studies were conducted in 1054 patients in an at home setting to define the period of responsiveness to tadalafil on demand. Pentobarbital will decrease the level or effect of tadalafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. The pros and cons of taking prenatal vitamins when you’re not pregnant depend on your age, ethnicity and health. Improved erections were reported in. Also, they likely will not treat the underlying causes of your ED. Service is excellent as always. They’ll be able to determine whether the drugs are CYP3A4 inhibitors and whether they can interact with Cialis.

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MED3000 Eroxon Stimgel contains water and alcohol ingredients that lead to the release of nitric oxide, causing vasodilation that improves blood flow to the penis. Your doctor or pharmacist can tell you more about these interactions and any others that may occur with use of Viagra. Brown was previously Medical Director of a male fertility startup where she lead strategy and design of their digital health platform, an innovative education and telehealth model for delivering expert male fertility care. Lifestyle measures are typically the first step in treating ED. Don’t miss your FREE gift. Thankfully, the last couple of decades have seen tremendous efforts in the development of medications that can treat ED. The general guidelines for taking this ED pill are. Results showed that Viagra may help reduce adverse sexual effects of SSRIs and SNRIs. A clinical trial was done in people with ED who had surgery to have their prostate removed. 05 was considered statistically significant. Permanent damage to the penis may occur if priapism is not treated quickly. The drug works by dilating blood vessels. Fosphenytoin will decrease the level or effect of tadalafil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. No, Viagra tablets should be swallowed whole with a glass of water. Availability is an indication only and is updated every 30 minutes. You can manage your cookie settings or withdraw your consent through your browser. Visit premature baby advice. Viagra® sildenafil citrate is prescription medicine used to treat erectile dysfunction ED. Vardenafil may cause an unwanted erection that is persistent, painful, and that may occur without sexual arousal. Some side effects may occur that usually do not need medical attention. Patients should always be forthcoming with their healthcare providers about all medications, supplements, and substances they are consuming to ensure safe and effective treatment with Cenforce. Medicines called nitrates include nitroglycerin that is found in tablets, sprays, ointments, pastes, or patches. Cialis : EPAR Risk management plan. Then they’ll adjust it over time to reach the amount that’s right for you. Monitor Closely 1stiripentol, tadalafil. The active ingredient in Viagra is sildenafil. Since PDE5 inhibitors work on the body in similar ways, Viagra and Cialis lead to similar interactions.

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You can buy sex pills over the counter in the UK, however, these are limited to sildenafil 50mg. In fact, sometimes these drugs may cause symptoms of erectile dysfunction ED, which Viagra is used to treat. Orthostatic hypotension. Visit a z health conditions. Generic version of branded Cialis. There were highly statistically significant improvements on the two principal IIEF questions frequency of successful penetration during sexual activity and maintenance of erections after penetration on VIAGRA compared to placebo. Women’s sexuality is very complex. As with all medications, the cost of Viagra can vary. Viagra and other ED medications like Cialis are PDE5 phosphodiesterase type 5 inhibitors. Consider a starting dose of 25 mg in patients > 65 years, patients with hepatic impairment e. Sildenafil may cause allergic reactions, which can be serious. Viagra and Levitra both come as tablets that you take by mouth. Sign up now and get a FREE copy of theBest Diets for Cognitive Fitness.

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As the manufacturer states, Viagra is not FDA approved for females, including those who are pregnant. And at this point, the drug won’t be working any longer. Is technically separate from having low sexual desire, though in many cases, the two conditions overlap. Health Alerts from Harvard Medical School. Addyi contains the active drug flibanserin. The usual starting dose is 10mg taken at least 30 minutes before sexual activity. Visit experience days. Doing so can cause dangerous effects in the body. This compares for example to sildenafil Viagra which lasts for around 4 hours. Unfortunately, she notes, “that’s not something that’s routinely done. Some items may interact with your medicine. The maximum recommended dosage of tadalafil for PAH is 40 mg once daily. While over the counter OTC ED supplements are not approved by the Food and Drug Administration FDA, they may be worth trying for other potential benefits. Best prescription pill. It’s clinically proven to give you more control over when you ejaculate. Lastly, the potential relationship between non arteritic anterior ischemic optic neuropathy NAION and PDE5i use has raised important questions and a strong reaction not only among regulatory agencies, but also within the scientific community and mass media as well. When considering erotic arousal, tadalafil advances blood traveling regarding the informal term for phallus organ, assisting gentlemen accomplishing tasks and remaining erect.