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Dr.David
Dr.David, Doctor
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Experience:  Internal Medicine Specialist,MBBS
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I received a brochure for male enhancement pills, Nitrozyt.

Resolved Question:

I received a brochure for male enhancement pills, Nitrozyt. The claims look very impressive. Do you know of this product, and does it really work? If not, is there any other natural product that works better than Cialis, Viagra etc.?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr.David replied 2 years ago.
Hello
Welcome to the just answer website.

There are various over the counter supplements(Like Nitrozyt) available but there is no credible medical evidence that the supplements are safe, effective, and perform the way they claim.My advice is don't go for any pills or any herbal products you have seen in advertisements for penis enlargement.There is no scientific proof about their effectiveness in general.

First the cause of ED(erectile dysfunction) should be evaluated.Its most common causes are: aging,diabetes,hypertension (high blood pressure),cardiovascular diseases,cigarette smoking,nerve or spinal cord damage,low testosterone levels,certain medications,depression and anxiety.

Various tests like ultrasound,neurological evaluation,Dynamic infusion cavernosometry and cavernosography (DICC),Nocturnal tumescence test.The treatment includes Oral medications like Sildenafil ,Tadalafil,life style improvements (for example; quitting smoking, and exercising more), Inserting medications into the urethra (intra urethral suppositories), penile prostheses,testosterone.Prostaglandin E1 (intraurethral alprostadil or MUSE) can be inserted in a pellet (suppository) form into the urethra to attain erections.

So I advice you to make an appointment with your urologist for these tests & examination to know the exact cause & then treatment will be done accordingly.Please feel free to ask if you have any other question.

Please click green ACCEPT BUTTON so I can be paid for assisting you. BONUS and Positive Feedback are always greatly appreciated.

Regards-
Dr.David


Customer: replied 2 years ago.

At the age of 67 should I expect very hard rections? Cialis, Levitra give me decent erections, but not very hard erections. Please educate me on this issue, as to what to exoect at my age.

Thanks.

Expert:  Dr.David replied 2 years ago.
Results showed that age played a primary role in men who said they had ED. The older the men, the higher the reports of ED.One study has shown a prevalence of ED of approximately 40 percent in 40-year-old men and approximately 70 percent in 70-year-old men.

Although aging is one of the most common cause of ED, but conditions like heart disease,hypertension,diabetes, and associated medications & other causes should be ruled out before labeling the cause of ED as age factor.Psychological causes are also on of the most common cause.Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex; feeling stressed either at home or at work.

As you are getting a decent erections from Cialis, Levitra or other oral medications,I advice you to continue with these only. Inserting medications into the urethra (intra urethral suppositories), prostaglandin E1 (intra urethral alprostadil or MUSE) can be inserted in a pellet (suppository) form into the urethra to attain erections are not required in your case.Continue with your these oral medications.Hope this helped.

Also please do not forget to click green ACCEPT BUTTON so I can get credit for the time & assisting you. BONUS and Positive Feedback are always greatly appreciated.

Regards-
Dr.David



Dr.David, Doctor
Category: Medical
Satisfied Customers: 7165
Experience: Internal Medicine Specialist,MBBS
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