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Being unable to achieve an erection is very common, especially in men over 40. Causes of erection problems include anxiety, drinking too much alcohol, tiredness or stress as well as a symptom of a more serious underlying medical condition like cardiovascular disease. (2)

Tadalafil works in the same way that other ED medications do. It increases the blood flow to the man’s penis, which then helps a man achieve an erection. Taking Tadalafil daily alone will not, however produce a firm erection. A man must be sexually aroused too. (2)

Often called the “weekend pill”, Tadalafil will typically begin to work around half an hour after being taken with or without food, and with a glass of water. However, it’s essential not to take it with grapefruit juice, which can prevent the breakdown of Tadalafil in the body. This may increase the likelihood of suffering from any side-effects.Tadalafil is called the “weekend pill” because it can be taken on a Friday evening and still be effective on a Sunday morning. (2,3)

Read more information: Buying Tadalafil online

1. National Institute for Health and Care Excellence (NICE) Tadalafil. Available at https://bnf.nice.org.uk/drug/tadalafil.html
2. NHS Erectile Dysfunction, [cited 16 August, 2017]. Available at https://www.nhs.uk/conditions/erection-problems-erectile-dysfunction/
3. Electronic Medicines Compendium (EMC). Tadalafil 10mg [cited March 2019]. Available at:
   https://www.medicines.org.uk/emc/files/pil.8636.pdf
4. Electronic Medicines Compendium. Tadalafil 20mg [cited March 2019]. Available at: https://www.medicines.org.uk/emc/files/pil.8637.pdf

We have changed to Nitrofurantoin(brand name Macrobid) as first line treatment for women with lower urinary tract infection (also called cystitis)due to the NICE (National Institute for Clinical Excellence) guidelines for women who do not have a catheter. It aims to optimise antibiotic use and reduce antibiotic resistance.(1)

Previously Trimethoprim was recommended as first line treatment but developing resistance to it’s effectiveness has meant that Nitrofurantoin may be the preferred choice. It depends on your geographical location and your kidney function.

Read more information: Nitrofurantoin

The cheapest erectile dysfunction (ED) pills are generic Viagra, called Sildenafil.

What is a generic drug?

The term “generic” refers to the active ingredient of a medicine or drug rather than to the advertised brand name under which the medicine is sold. It is a term referring to any drug marketed under its chemical name without advertising.

Pfizer made the original Viagra tablet that is often referred to as the “blue pill”. The patent expired in 2013 which then allowed other pharmaceutical manufactures to make a generic version under the name of the active ingredient called Sildenafil. They are exactly the same medically and perform in the same way with the same side-effects.

Read more information: Generic Viagra

Epididymitis is a painful condition which affects men and has several causes, with a major cause being sexually transmitted infections (STIs), particularly in men under the age of 35. Most cases can be resolved with a course of antibiotics. (1)

What is epididymitis?
Epididymitis is the medical term for inflammation of the epididymis, which is a tube which runs along the back of the testicle. Both testicles have an epididymis and it is possible for one or both to become inflamed. When the condition also affects the testicles themselves, it can be known as epididymo-orchitis (orchitis means inflammation of the testicle(s)). (1)

What are the symptoms of epididymitis?
Epididymitis symptoms can include:

• Pain in one or both testicles (the onset of epididymitis pain can be sudden or gradual)
• A painful, swollen, tender scrotum which can feel hot to the touch
• Fluid collecting around the testicle(s), giving a swollen or lumpy appearance and feel
• Trouble passing urine
• Discharge from the tip of the penis – this can be white, yellow or green, which signals an infection (1)

Read More Visit – epididymitis

Our returning guest blogger Hanna, 35, today talks about her experience getting STI tested.

Well I never thought my last boyfriend and I were destined to be together forever, but we’d fallen into a comfy routine of watching box sets whilst eating take away. Plus, we’d both reached our mid-thirties and were cohabitating in relative contentment; or so I thought…

When I found out that his ‘work’ nights out were a string of one-night Tinder hook ups I suddenly had that dread that he’d left me with more than just the outstanding rent; so I started looking online for ways I could get tested, sharpish, and without anyone finding out.

It’s a mine field. The local G.U.M. (Genito-Urinary Medicine; and yes, I had to look it up) clinics open no longer than three hours at a time and the slots that are by appointment only are notoriously difficult to call through and get booked on to. I looked at the NHS home test kit, but due to a staff back log it would take 14 days to send me a kit out and then I wouldn’t get the results for 3-4 weeks. Well, the thought of what I could potentially be harbouring in my nether regions meant that I wanted results in days, not weeks, and certainly not over a month – so I tootled off to my local walk-in clinic.

Read More Visit – NHS home test kit

If you are a man who suffers from erectile dysfunction you are not alone. However, today there are several different medications that you can use in order to help overcome it. Probably the best-known of these is Viagra. Taking a Viagra tablet before sex can help to obtain an erection because what Viagra does is to relax the blood vessels in the penis, and this allows for greater blood flow which causes an erection.

In fact, all erectile dysfunction medications achieve the same end and work in a similar way, increasing blood flow to the penis. Another medication is Cialis, and this is known as the weekend pill because the effects can last for up to 36 hours compared with Viagra which lasts for four to six hours.

There are also generic forms of both Viagra and Cialis. Sildenafil is the generic form of Viagra, sildenafil being the active ingredient, and you can buy sildenafil online. The generic form of Cialis is Tadalafil which is the active ingredient in Cialis.

Should you be unfortunate enough to suffer from a common sexually transmitted infection such as gonorrhoea you can buy a gonorrhoea treatment online as well. You can get a test kit and if it proves positive you can then get a simple treatment.

Something that many men suffer from is hair loss, but there is now a treatment for that as well. You can buy Propecia which is the original brand, or you can also buy finasteride pills which are cheaper, finasteride being the active ingredient in Propecia.

Thanks for joining me!

Good company in a journey makes the way seem shorter. — Izaak Walton