When we are young and everything is working well, it never occurs to us that anything can go wrong with this wonderful machine we all live in. Taking cialis to maintain stamina over a long weekend of activity is safe. Other substances may be less helpful. That is what being young is all about. We all have to learn where our limits are. Of course, this includes sex and most will experiment both with conventional sex and sex in conjunction with recreational drugs.

Clinical studies have now established that about a quarter of all cases of ED are caused by smoking and/or substance abuse. Put another way, male smokers who have high blood pressure are 26 times more likely to suffer ED. Former smokers with high blood pressure are 11 times more likely to suffer ED than those who have never smoked. Smoking also accelerates arteriosclerosis and this can reduce the flow of blood into the penis. The problem is the inhaled carbon monoxide. It combines with the haemoglobin in the red blood cells and limits the capacity of the cells to carry oxygen around the circulatory system. The lack of oxygen leads to a hardening of the artery walls and a reduction in the amount of blood that reaches the peripheral extremities of the body (including the penis and testicles). Worse, it also contributes to a general loss of libido and a reduction in the sperm count.

The combination of diabetes and smoking not only encourages ED but also increases the risk of strokes and heart attacks. Why does this happen? The best answer is always prevention. Never smoking, whether actively or passively, preserves our health. Similarly, never drinking excessively and then only drinking a little red wine every day, reduces the risks of heart disease. If we started to smoke, stopping immediately is the ideal. If there are signs of ED, taking cialis will probably be sufficient to restore full function. But if the damage is too great, then further medications may be required. Should you have reached the tipping point into alcoholism and a loss of libido, there are programs that help you to quit the alcohol, and there is always cialis to try to repair you interest in sex.