Erectile Dysfunction is one of a number of male sexual dysfunctions; however, it is all possibly the most spoken condition. Discussing impotence issue in men who can treat it with Fildena Strong is no longer done in a hushed voice which is present behind the closed doors; discussion is also more open, and the taboo once associated with it has almost gone as some of the result of the arrival of oral treatments that are all easier for obtaining and are well provided in a more acceptable way. Nevertheless, some of the conditions might eventually remain disturbing for men and their partners who shall eventually endure suffering as a result of the problem despite the increase in understanding, along with some advances in the field.

The nurse is well placed in the primary care field for helping the upset that is caused; however, in order for offering some of the care that is effective, insight, and understanding of the condition are needed as well as the various treatment options like Fildena Strong needed for helping men in managing their health and wellbeing. It is also important that some of the patients are properly assessed and investigated before embarking on treatment; this is also a significant condition that is likely for presenting in the primary care sector which is needed.

Risk Factors and Causes

Definition and Prevalence
As there is no standardized definition for impotence issue, it might also follow that the estimate shall be varying widely. The persistent (anything existing for approx. six months) has an inability to attain and sustain a stiffer penile erection sufficient to permit satisfactory sexual performance with consumption of Fildena Strong medicine.

Risk Factors and Causes
Risk factors are also well associated with some of the cardiovascular diseases that are shared with impotence or ED: inactivity, smoking, obesity, high cholesterol level, metabolic syndrome, hypertension, and diabetes mellitus.

Vasculopathy might have come to be recognized as the most common cause of impotence in men. The importance of this might also mean that the impotence issue is seen as a sentinel marker for cardiovascular disease in the primary care setting. Identification of some cardiovascular risk factors might be included in the routine part of the evaluation for impotence and is as important as taking the patient's sexual, medication, and some of the psychosocial histories. Involving the patient's partner in evaluation and management is greatly valuable.

There are numerous causes that are attributed to impotence, and these might include some of the physical illness as well as interphone caused by drugs (iatrogenic). The nurse might be given careful consideration to underlying diseases ensuring the assessment that some of these things might not go undetected.

Examination and investigations
The nurse might also undertake a physical examination of the man. It is also suggested that a genitourinary examination is needed for well determining in case there are any anatomical defects. Also, attention is to be paid to the possibility of endocrine causes, neurological, or vascular causes, as appropriate, particularly if this might be highlighted while taking the history.

Lifestyle, drugs, and devices
Addressing lifestyle might include issues that can help to overcome impotence issues in men. Encouraging men to engage in better physical activity can lower the risk for Erectile Dysfunction relative to those who might remain sedentary; exercise and weight loss are shown for improving penile working for better lovemaking sessions. If nothing works, try consuming Fildena Strong and it will help you to attain and sustain stiffer penile for longer lovemaking session.

There are a number of first-line oral therapies that can help to be used for impotence or ED. Phosphodiesterase inhibitors like sildenafil (Kamagra), tadalafil, and vardenafil, can all help in improving the relaxation of smooth muscle. Efficacy of consuming these ED medicines is reliant on the release of nitric oxide from the nerve terminals of the cavernosal nerve.

Erectile Dysfunction condition which can be treated with Fildena Strong affects a significant proportion of the population. It can also be a sentinel sign of cardiovascular disease, and these things include nurses who might make every effort to encourage men to come forward and discuss their specific needs.