We need to start with a brief reminder of the underlying mechanics of an erection. When your brain recognises a situation as sexually stimulating, it sends a message to the arteries leading into the penis. Although blood is routinely circulated through the penis — it prevents gangrene and the flesh rotting - the volume is low. When the message from the brain is received by the arteries, they dilate and the volume of blood entering the penis increases dramatically. It slowly begins to fill a sponge-like area of tissue. As this swells, it presses against the veins taking the blood out. This traps blood inside the penis and the erection grows and hardens. When the stimulation disappears, the arteries into the penis contract. The flow of blood is reduced and the erection fades away. Ignoring the problems of psychology, this places the key performance requirement on the ability of the arteries to dilate and contract upon demand.

There are smooth muscles built into the walls of arteries all round the body and, depending on the energy requirements and environmental conditions like temperature, they all expand and contract as needed. Unfortunately, the blood carries a number of different elements through the body including cholesterol and triglycerides. These cause the walls of the arteries to harden. Plaques form which prevent dilation and contraction. This becomes the disease called artherosclerosis. It first affects the smallest arteries and, if not treated, spreads through the whole system of blood vessels until the heart can no longer cope. Strokes and heart attacks follow.

When we apply this to erectile dysfunction, the lessons are clear. The arteries leading into the penis are among the smallest in the body and so the ones most likely to be affected by artherosclerosis. If the early onset of this disease is preventing you from enjoying an erection, this suggests the rest of your blood vessels will be affected over time. The best estimates are that you have about four years from the first appearance of erectile dysfunction to take effective preventative action to prevent heart disease. Because the medical science is clear, any man reporting erectile dysfunction to his physician will be treated as a heart patient until tests prove the risks are low. Put another way, erectile dysfunction is a warning sign giving you the chance to avoid the pain of a stroke or heart attack and extend your life. Ignore this warning at your peril.

You could just surf the internet, find a recommended online pharmacy and buy cialis. This drug is clearly the best of the treatments because it gives the longest response times. If you take the as-needed version, it gives thirty-six hours of responsiveness. The once-daily version gives you responsive power as and when the opportunity presents itself. This would restore your erections and give you several years of satisfaction and pleasure. But during these years, the artherosclerosis will be developing. If you have not at least made lifestyle changes to your diet, your health is seriously at risk, and no amount of cialis is going to prevent the arrival of serious diseases. Take the wise course of action. Have the full range of tests. If they prove negative, you are reassured and your health insurance company is happy. If you are at risk, the preventive treatments will extend your and keep your insurance company’s bills small. Everyone’s a winner!