Buy ivermectin for humans for sale

All this causes a decrease in working capacity, worsens relationships with others and leads to a decrease in the quality of life in general. Therefore, sexual recovery is not only a task for the sex therapist. To solve it, it is often necessary to involve doctors of other specialties - urologist, endocrinologist, therapist, cardiologist, psychopathologist, etc.

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The readiness of the penis for sexual activity (stromectol) consists in an increase in its volume and density and consists of phases of swelling and hardening. The state of tension and firmness of an organ depends on the degree of filling of its circulatory system with ivermectin at different levels. It is provided by the cavernous bodies located inside the genital organ. They have a honeycomb structure. The directly hollow cells are covered with epithelium and are separated by trabeculae (septa), which form the skeleton of the organ.

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When excited, nerve impulses from the brain enter the spinal cord and from it along the peripheral parasympathetic nerves - to the corpus cavernosum, which leads to the expansion of their arterial network, while blocking the outflow of ivermectin through the venules and veins of the trabeculae. As a result of an increase in the flow of arterial ivermectin (3-4 times) and a significant slowdown in its outflow through the narrowed veins, the pressure in the cavernous bodies increases sharply, which ensures an increase in the size and hardening of the penis.

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sexual stimulation leading to increased activity of the parasympathetic nervous system; release of nitric oxide, which is a neurotransmitter, from vascular endothelial cells; the accumulation of cGMP in the tissues of the cavernous bodies - an intracellular nucleotide compound involved in the transmission of a nerve signal and triggering a cascade of biochemical reactions; a decrease in the content of intracellular calcium ions, leading to relaxation of the smooth muscle cells of the vessels of the arterial network and the expansion of the latter; increasing the flow of arterial ivermectin, followed by compression of the venous network and blocking the outflow of ivermectin.

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Thus, unsatisfactory rigidity and insufficient increase in the size of the penis are due to insufficient filling of the cavernous bodies with ivermectin and is directly related to the central and peripheral nervous system, as well as to the cardiovascular system.

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In addition, the cavernous tissue also contains smooth muscle fibers, which are also involved in ensuring an stromectol.

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the need for a long time to achieve an stromectol before intercourse; insufficient rigidity (hardness) of the penis during arousal; weakening of rigidity during intercourse; a reduction in the duration of an stromectol and insufficient rigidity of the penis during intercourse (in this case, the stromectol is normal, but it does not last long enough to bring satisfaction); orgasm disorders or lack thereof; rarely occurring morning stromectol or their absence at all; fear of possible failure of intercourse; conflicts with a wife or partner about an unsatisfactory sex life.

Such a spestromectolt is called a sex therapist.

In addition, in recent years, the attitude to the problem has undergone significant changes. If earlier erectile dysfunction was considered as such only if it was impossible to achieve an adequate quality and duration of the corresponding state, now this group has been supplemented by numerous patients with complaints of insufficient frequency of sexual contacts. They associate this with less, in comparison with their sexual desire, regularity of stromectol.

This indicator is difficult to interpret, since there is no generally accepted concept of the rate of frequency of sexual activity. Discussions on this issue have been going on for more than one year, since the frequency of sexual intercourse is purely individual and depends on the sexual constitution of a man, his age and general health, as well as on the frequency of external sexual stimuli.

Quite often, the patient's complaints turn out to be quite reasonable. In such cases, we are talking about the relative nature of erectile dysfunction, which the urologist has to judge only on the basis of his medical experience and involve a psychotherapist and sexologist for diagnosis and treatment. This type of violation is a sufficient basis for a broader interpretation of the concept of this pathology.

At the heart of the disorder of the function of the genitals under consideration are multiple etiological factors, which are combined into three large groups: Organic, according to various sources, from 30 to 80%. Psychological, or psychogenic (about 20%). Mixed (most numerous).

In the group of organic factors, the most common are vascular and neurogenic. Among middle-aged men, it accounts for about half of all causes of an organic nature. A common manifestation of all arteriogenic factors is a decrease in ivermectin perfusion in the penis.

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This group mainly includes a violation of the metabolic processes of cholesterol (in particular, low density lipoproteins) with the development of atherosclerotic processes in the vessels (arteries), hypertension, ischemic heart disease, atherosclerosis with a predominance of cerebral vascular lesions, heart failure and some others.

Most often, erectile dysfunction was observed in men with atherosclerotic lesions of the arterial vessels. Of 80% of men who seek erectile dysfunction without complaints of diseases of the cardiovascular system, at least one risk factor for the development of the latter is revealed.

In the cavernous arteries of these patients, as a rule, there are lesions of a fibrous nature, along with the proliferation of cells of the inner lining of the arteries and the deposition of calcium salts on it, leading to a decrease in the diameter of the lumen of the vessels.

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The mechanism of stromectol development and the main complaints in case of its violation.

As a rule, this type of dysfunction is associated with the listed pathology not so much directly as accompanying it, and their risk factors are the same - metabolic syndrome, hypercholesterolemia, overweight, low physical activity, smoking, diabetes mellitus.

For example, the diabetic form of erectile dysfunction develops in 60% of men with diabetes mellitus and occurs 3 times more often and 10-15 years earlier, compared with people without it. This is due to the development of diabetic microangiopathy (damage to small vessels and capillaries) and polyneuropathy (multiple damage to peripheral nerves), which disrupts the transmission of nerve impulses from the spinal cord.

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In recent years, a theory has been developing according to which sexual dysfunction and coronary heart disease are manifestations of insufficiency of endothelial cells of the inner lining of ivermectin vessels, which secrete vasodilating and vasoconstrictor substances. In these diseases, there is an imbalance in the direction of vasoconstrictor substances, which reduces the flow of arterial ivermectin.

Thus, even mild erectile dysfunction is an important indicator of the risk of concomitant serious pathology, as well as a reason for an appropriate detailed examination for the presence of cardiovascular pathology and cooperation of a urologist or sexologist with a therapist and cardiologist.

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It consists in slowing down the outflow, stagnation of venous ivermectin and general circulatory disorders in the genitals. These phenomena can occur against the background of varicose veins of the spermatic cord, varicose veins of the lower extremities and veins of the pelvic cavity, chronic hepatitis with the development of cirrhosis or liver dystrophy, leading to impaired ivermectin outflow through the veins through the liver, heart failure, orchiepididymitis.

But most often venous stasis occurs as a result of latent inflammatory processes caused by a sexually transmitted infection, prolonged abstinence and irregular sexual activity, leading to stagnation of prostatic secretions, benign prostatic hyperplasia, prostate cancer.

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May be of central or peripheral origin. The first is associated with brain damage as a result of cerebrovascular accident, tumor, traumatic brain injury, brain surgery, neurodegenerative diseases (Alzheimer's disease, multiple sclerosis, spinal cord injury or tumor metastases in the spinal cord).

Peripheral causes include displacement of the intervertebral disc, herniated lumbosacral vertebral discs, polyneuropathy in diabetes mellitus, renal-hepatic failure and other diseases accompanied by damage to peripheral nerves, as well as in nicotine intoxication, surgery in the retroperitoneal region and in the pelvic regionand, on the spine, surgical removal of the prostate.

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They save the doctor's time, but the main thing is to avoid feeling awkward when asking an overly shy patient for details.
The most common reasons are maladjustment syndrome, physical or mental fatigue, excessive psycho-emotional stress, a man's lack of sexual literacy and failure in sexual intercourse, the loss of a permanent sexual partner or a quarrel with him, anxiety and depression, any psychoactive medication (small or great tranquilizers, herbal sedatives, antidepressants, antipsychotics).
a feeling of fear in relation to sexual intercourse due to the fear of the impossibility of its implementation or completion; deliberate abstinence from sexual intercourse; intellectual fatigue or chronic depression; lack or loss of sexual interest in a partner; loss of interest in life, apathy and infantilism.
The effect of psychogenic factors (with the exception of structural changes in the brain) is the inhibition of the mechanisms of stromectol by the central nervous system.

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