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Buy silagra tablets. There's another medication, the so-called serotonin receptor agonist, that's actually effective for men, but only as an adjunct to a testosterone supplement. And that medication is called sildenafil or Viagra. So, in terms of the most direct treatments for hypogonadism, the first is testosterone and other related therapies. If the patient's not getting testosterone or the other medications, then third most direct therapy is the so-called serotonin agonist. That's the most effective and direct treatment for the primary symptoms? The answer is yes. When should they get testosterone replacement therapy? It depends on whether they're suffering from the secondary symptoms of hypogonadism, namely the hot flashes and nighttime sweats. If they're suffering from those secondary symptoms, then it would be preferable for them to have testosterone, at least initially while there are other alternative therapies, even if they haven't been treated and are not yet ready to accept that therapy. Should they talk about sex during the treatment? You need to use a condom. Sex during the treatment is not absolutely necessary, but it can contribute to some secondary symptoms. And as you know, the side effects of treatment with testosterone replacement and the side effects caused by testosterone itself can be quite serious. What are the side effects? The most serious side effects of treatment with testosterone are increased sex drive, mood swings and sexual difficulties. But some of the other side effects include increased mood swings, anxiety and disorders, depression, impotence, buy cipla silagra sexual dysfunction and increased libido. So if someone is not getting a clear idea of how the treatment is going to be working, you probably don't want to push that. The goal of treatment has to be get the patient accept that they need treatment. Yeah, but you need to get them on testosterone. Well, but then they have to treat with a condom. Yes, and a placebo is another way of treating their side effects. So you need to have sex during the treatment. Sex is part of the treatment, but we don't want to overdo it. You don't want to bring them back orgasm. For example, if they use a vibrator, it might result — I would call it a placebo effect. They feel more excited than do when they have intercourse. might be stimulated, but they need to feel satisfied — whether it's with masturbation or something else. We want them to go back a very simple routine. When they don't have sexual activity, they're not really doing it right. I think we need to keep them within that same realm. They shouldn't try to come at any other time. I mean, of course it can still be enjoyable. One of the issues that have come up in this therapy — and maybe you were surprised that there was an issue of this — is the fact that testosterone a steroid hormone and so many people don't know if they should use testosterone as a supplement that they may have on their shelf or in medicine buy silagra in uk cabinet. So would you recommend that they either be getting it from a pharmacy, or that they get it from a health food store? Well, I mean from the pharmaceutical point of view there is not a problem at all. But the fact is that in most countries testosterone supplements come in in-vitro preparations. So you have to take the testosterone orally. There are some in vitro preparations that would work as well. And most people don't know whether any of those in-vitro preparations work or not. And also there are some that aren't well known either, like the aromatase in breast cancer patients, like the aromatase in prostate cancer patients or some of these other enzymes that may help treat other types of cancers, for example.

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