It's definitely a complex issue. And even though tremendous progress has been made in the field of ED, there's still a lot we don't know about the relationships between the brain and sexual function. Depression is unquestionably a major cause (and consequence) of ED but I believe that even simple mo...

Anxiety, depression and mood disorders are major causes of ED, especially among young men. Psychogenic ED is, however, a big mystery. This is an area where our ignorance still exceeds our knowledge. Anxiety is a normal biological reaction but it may get in the way of sex. When you get too anxious, t...

There are several ways to improve your erections and sexual performance without taking ED drugs. A few tips: a) Relax! Sex is all about relaxation. If you've had a stressful day, it's probably not a good idea to have sex in the evening. b) Fatigue is another major cause of erectile failure. If possi...

Thanks. Number 2) is so important. Information is the first step towards a full recovery, I can't stress it enough. I suffered from sexual performance anxiety for many years (coital anxiety) and never did anything about it. I knew nothing about ED and didn't see it as a medical problem. I simply tho...

ED is a multifactorial condition but whatever the cause of your problem may be, there are always two essential steps to be taken: 1) Consult a urologist Only a doctor can determine the exact cause of your problem and prescribe you the right treatment. Self-medication is always a risk. Even if your p...

This is my first topic on Frank Talk and I'd like to talk about a new ED drug called VIGAMED (oral phentolamine). I have talked about it extensively on the EDGuider Forum. VIGAMED (formerly known as Vasomax) is not Viagra, it belongs to another group of drugs called alpha blockers. VIGAMED works via...

I've been taking Cialis and Vigamed (oral phentolamine) for two years and they're still working.

If you believe that your drugs are losing efficacy, stop taking them for a long period of time and then resume treatment.

Flavio, 33 years old and I come from Portugal.