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Sildenafil, which appeared on the market in the late 90s, is the first really effective drug that has helped solve the problem of erectile dysfunction to large number of men. According to statistics, about 150 million men from 18 years and older suffer from problems in sexual life and urination due to the disorder of blood circulation in the pelvic. One of the most popular and effective drugs for symptomatic treatment is Viagra. Today there are not less popular counterparts, and namely, German Levitra, American Cialis and other, but nevertheless, sildenafil keeps its position. Thanks to a big advertising campaign and truly innovative features, the drug is known all over the world. Its high efficiency is specified by an incidental finding and synthesizing the compound – sildenafil – which acts selectively only for a particular process in the smooth muscle. In order to understand how Viagra works the mechanism of erection appearance and preventing factors should be examined. It is basis is hemodynamics or blood flow through the vessels in an area of low pressure. British researchers have revealed that impotence drugs such as Viagra might cause sudden hearing loss - which is worrying news for the estimated 2.3 million men in Britain who suffer from erectile dysfunction. London - British researchers have revealed that impotence drugs such as Viagra might cause sudden hearing loss - which is worrying news for the estimated 2.3 million men in Britain who suffer from erectile dysfunction. It is thought that a chain of chemical reactions triggered by Viagra may affect the inner ear. Though erectile dysfunction is more common in older men - around 65 percent of the over-60s suffer from it - around 40 percent of men will have suffered from the problem by the age of 40. There are many physical causes for it, explains Dr Arun Ghosh, a GP specialising in sexual health at the Spire Liverpool Hospital. It can be caused by nerve damage from diabetes, or surgery for prostate cancer. Another cause is reduced blood flow due to smoking, raised cholesterol levels or high blood pressure.

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