I-Lowdown Ekutholeni i-Erectile Dysfunction. Impilo Yabesilisa. UNick Knight, MD, PhD. (2019)

IMIBUZO: I-counter-narrative to reality inikezwe nguJustin Lehmiller, othambekele kancane. Ungu-a umhlinzeki okhokhelwa njalo ku I-Playboy Magazine futhi uvale umakhelwane we Nicole Prause; ilungu le-RealYBOP (iqembu elakhelwe ukweba uphawu lwentengiso lwe-YBOP); nasebhodini le-SHA - the iqembu lisebenzisana ne-xHamster ukukhuthaza amawebhusayithi alo.

--------------------------------------

Ngabe ulwela ukuyithola ngesikhathi sokuya ocansini? Nakhu okudingeka ukwazi. (isixhumanisi esihlokweni)

Ukungasebenzi kahle kwe-Erectile kushesha ekukhuphukeni phakathi kwamadoda aphilile, okuthinta isigamu salabo abaseminyakeni yabo engamashumi amathathu futhi kuholele ekungeneleleni kokulungiswa okusheshayo kwemithi. Kepha njengoba amaphilisi amancane aluhlaza okwesibhakabhaka eqala ukwanda, kungenzeka iqiniso elinzima ukuthi inkinga isezinhlokweni zethu?

Manje i-30, okokuqala wabona "ukwesaba kwangaphakathi" eyunivesithi. Intombazane abebehamba nayo yayiqale yamtshela ukuthi angakhathazeki ngaphambi kokubona ukuthi konakelephi. Uthi: “Ngicabanga ukuthi bengilwa. "Ngaphandle nje kwalokho, ungitshela ukuthi lo muntu umngani wakhe ubona ukuthi 'unakho ngaso sonke isikhathi'. Ungitholile, lapho nangempela. Kwakuyinto embi kunazo zonke ukuzwa. Bengimthanda kakhulu. Angikwazanga ukuyeka ukwethuka. Ngemuva kwalokho angikwazanga ukukusukuma. ”

I-frisson yaqala ukuphuma. Abazange bathandane, futhi akazange ambone esathandana futhi. Lokho bekuku-2009, lapho ayephelelwe yisikhathi sobusha bakhe. Ishumi leminyaka kamuva, uJohn, owacela ukuthi singasebenzisi igama lakhe langempela, usanamahloni. “Akuyona into oya kudokotela ngempela. Kungani ungakwenza? Bazokunikeza i-Viagra kuphela, engingazitholela yona. Futhi ngubani ofuna ukukhuluma ngakho? ”

Ngubani ngempela? Kepha ochwepheshe bakholelwa ukuthi uJohane umane nje ungumuntu oyedwa egumbini lokuphithizela lamadoda ahlupheka buthule. I-Erectile dysfunction (ED), eke yabhekwa njengesifo sowesilisa osekhulile, kubikwa ukuthi iyenyuka kakhulu phakathi kwezinkulungwane zeminyaka. Abaphenyi bathi eyodwa kweziguli ezine ezintsha ze-ED manje zingaphansi kwe-40, kanti ucwaningo lwakamuva olwenziwe yiCo-Op Pharmacy lwathola ukuthi, emadodeni ase2000 ahlolwe, uhhafu walabo abaseminyakeni engamashumi amathathu wawunzima ukuthola noma ukugcina indondo - kunamadoda amashumi amane abo noma amashumi amahlanu.

Ngamagama wezokwelapha, lokhu kunengqondo. Ama-Millenials anempilo, i-fitter, atshintshiwe ngokwondlekile futhi mancane kakhulu amathuba okuba nesifo senhliziyo ukwedlula oyise. I-30thomethings isebenza ngaphezulu, phuza okuncane futhi, ngobukhulu, ungabhemi. Uma bekukhona uhlu lwezindlela zokugwema i-ED, ilungu elijwayelekile lesizukulwane leli lalizophawula ibhokisi ngalinye. Kepha odokotela bahlangana ngisho nabantu ebusheni babo abahlushwa i-ED. Ngakho-ke, uma sibona ukwenyuka kwamadoda aphilile ehluleka ukukusukuma, yini esenza ukuthi sehle?

I-HARD CASH

Ngonyaka odlule, i-Viagra igubha usuku lwayo lokuzalwa lwe-20th. Njengoba iphilisi elincane eliluhlaza okwesibhakabhaka livunyelwe ukusetshenziswa ku-1998, lenze umenzi we-Pfizer ngaphezu kwe- $ 24bn e-US kuphela. Ilungelo lobunikazi likaPfizer lase-US liphelelwa yisikhathi e-2020 kepha, eminyakeni embalwa edlule, inkampani yaxoxisana ngesivumelwano sokuthi izinketho zohlobo oluthile nezinye zingathengiswa - intuthuko eye yaguqula umnotho we-ED. Empeleni, ukwakhiwa kwethu sekukhulisiwe.

Phakathi kokuqala ukuthola usizo oluqinile kubo kwakuyinkampani yokuqala yaseMelika i-Hims - inkampani yezempilo nenqubo yokuphila ehweba ngamashashazi angama-modish, izithombe ezabiwayo nama-memes ahlekisayo, futhi ethengisa konke kusuka kumavithamini kuya ku-sildenafil, isithako esisebenzayo eViagra. Ukumemeza kwawo “kumncane”, futhi lokho kukhala kuye kwehlela ezindlebeni ezithandekayo. Ngonyaka owedlule, ama-Hims abaluleke ngaphezu kwe- $ 700m futhi kwabikwa ukuthi wayesondela ngokushesha esimweni se-unicorn: inani lentengo le- $ 1bn.

Ixosha impumelelo efanayo, ezinye izinkampani zalandela. Ngenkathi i-Therapeutic Goods Administration ngonyaka odlule yenqabe isicelo sokwenza sildenafil (Viagra) ukuthi itholakale ngaphandle kadokotela, ingathengwa ku-inthanethi. Ngaleso sikhathi, e-UK, i-Viagra yadlula kwikhawunta - konke kwashintsha. "Singelinye lama-brand ambalwa ase-UK aqale ngonyaka ophelile, sithengisa le mithi," kusho uRiccardo Bruni, umsunguli we-Many, usokhemisi wamadoda ase-UK osekhemisi. "Kukhona imakethe ecacile yalezi zidakamizwa, zenzelwe abancane nabadala." Kunzima ukuphikisana nemodeli yebhizinisi. Iningi linabatshalizimali abavelele, kufaka phakathi uRichard Reed, umsunguli wenkampani ye-smoothie u-Innocent Drinks.

Isono, ukutholwa kulula. Uku-oda izidakamizwa esizeni, konke okumele ukwenze nje ukugcwalisa ifomu lokubonisana, elihlolwe usokhemisi wabaningi. Kepha akuzona zonke izikhathi zokuqala ezinamakhemisi angaphakathi endlini, futhi kalula ukuthengiselana online kudonsele ukugxekwa. Isibonelo, abanye ochwepheshe bezokwelapha baxwayisa ngokuthi, yize iningi lalezi zidakamizwa lingazinciphisa izimpawu, ngeke lizilungise izinkinga eziyimbangela. Ngemuva kwakho konke, izimbangela zezingqinamba ezinjenge-ED zingaba yinkimbinkimbi - isizathu ngqo sokugcina kwe-TGA kwesimo sesimo.

Ukuqonda ukuthi kungani into yephukile, kubalulekile ukwazi ukuthi isebenza kanjani. Ngenkathi ukwakheka kungahle kubonakale kulula ngokwanele - ukuvusa umfutho nokuhlanganisa okulinganayo kuhamba isikhathi! - kungumphumela wenqubo eyinkimbinkimbi edinga ukuhlangana okuhle kwamakhemikhali nohlelo lwezinzwa, kufaka phakathi amathuluzi amaningi wemvelo athambekele ekushayeni inothi elikhulu.

Okokuqala, kukhona umthamo wepenisthi wokugcina igazi. Ukwehluleka lapha kujwayelekile, futhi lokhu kwaziwa njengokuhluleka kokugcina ukwakheka. Kukhona futhi ukushaywa kokuthola igazi lapho endaweni yokuqala - okuvame ukuboshelwa ezindabeni zenhliziyo kanye ne-ormetabolic syndrome. Ukuhlukumezeka ngokomzimba ebuchosheni, noma ukucindezelwa kwezinzwa (ngenxa yokuhamba ngebhayisikile ngokweqile, ithi), nakho kungaba nomthelela.

Ngakho-ke, ingabe kukhona ubhubhane lwezinsizwa eziqala ukukhahlelwa lapho libuhlungu? "Nginabafana - abanye abancane njenge-18 - bangitshela izinto ezinjengokuthi, 'Dick wami uphukile,' kusho uGP Nick Knight. “Banokuhlangenwe nakho okukodwa noma okuningi kokungakwazi ukuthola indali, futhi bakhathazekile. Lokhu sekuyinto evamile. ”Kepha amahlandla ayisishiyagalolunye e-10, efuna incazelo ye-ED insizwa ikhonkotha isihlahla sokuxilonga esingalungile. “Ukuhamba kwabo akuphukile. Lokho kungenzeka kakhulu emadodeni amadala, angahle abheme, abe nesifo sikashukela noma abe semithini. Lokhu kungenye into. ”

HLALANI AMageyimu

Isiko elidumile livame ukuveza i-ED njengehlaya. Lokhu kungenzeka, ngokubonga, indoda ebhekwe kabi njengekhanda inezandla ezandleni zayo ngemuva komkayo ophoxekile ”emaphaketheni kagwayi namaphamfulethi ezokwelapha eminyakeni yamuva. Lezi zithombe zithuthukise ukulandisa okuthi ukungakwazi ukuthola ukwakheka ngandlela thile kukwenza ube mncane wendoda - noma ngabe ungumuntu obhemayo wosuku lwe-20, ogula kakhulu - noma uyinsizwa ekhathazekile nje.

Lokho kuyinkinga ephindwe kabili uma ubheka lokho ochwepheshe abaningi bakholelwa ukuthi yimbangela yangempela yokukhuphuka kwe-ED. "Akumane kwenzeke nje ukuthi kube nengozi yokuthi kukhona futhi ubhubhane lwezinkinga zempilo yengqondo emadodeni," kusho uKnight. “Ngingahlaba umxhwele ukwazi ukuthi, kulabo bantu abethula no-ED, bangaki abahlushwa nayinkinga yezempilo yengqondo,” kusho yena. "Ngingathanda ukuthi inani liphezulu."

I-Knight izonikezwa okungahambi kahle uma ama-bookies eneso emitholampilo. "Kube khona ukwanda okukhulu kwezinsizakalo zokwelashwa kobungqingili," kusho uKate Moyle, umeluleki onguchwepheshe kule ndawo. "Izinsizwa zakha ingxenye enkulu yalabo abafuna ukwelulekwa, futhi sibona amanani amaningi ehlangabezana nokungasebenzi kahle kwe-erectile nokungasebenzi ngokushesha noma okubambezelayo."

Lokho kubalulekile. I-psyche yakho ibambe i-penis yakho kungathi ngentambo ye-marionette. Lapho nje uqala ukuhlaziya izinto ngokweqile, kungaba umdlalo ngaphezulu: ukucindezela nokukhathazeka yikubulala kwemizwelo kokugcina. “Abesilisa engibabona bavame ukuchaza banomuzwa wokuthi bakhona kakhulu emakhanda abo, kodwa hhayi emizimbeni yabo, noma ukuthi kunzima ukugxila kukho uma kukhulunywa ngocansi,” kusho uMoyle. Ukuya ocansini kudinga ukucabanga okuthile kube mnandi futhi, kungenzeka. Kepha isizukulwane esincane - esigoqiwe ngokuqhathanisa nokungafaneleki, kanye nokuqinisekiswa kwe-Instagram yenjabulo - kuvame ukuba nobuchopho kakhulu bokukwazi ukungena ku.

Ukuxhumana ngempilo yengqondo bekulokhu kungijabulisa, ”kusho uBruni. "Kumele ubheke umuthi kuphela. Sithengisa i-Priligy, umuthi wokujwalwa kwangaphambi kwesikhathi, esifana kakhulu nemithi eminingi yokubulala izinhlungu cishe icabangeke. Ilawula i-serotonin, okuthi, uma ilinganiselwe, ingakubangela ukuba ufike ngokushesha okukhulu. Lokho kukutshela konke okudingeka wazi mayelana nokuxhumeka kwengqondo yakho nobulili bakho. ”

Ngakho-ke, yini engajabule ngayo? "Ukukhathazeka ngokusebenza yikho kanye okusho ku-tin. Ukwesaba ukwenza kabi: hhayi ukuhlala isikhathi eside ngokwanele, ukungabi lukhuni ngokwanele, hhayi ukwanelisa umlingani wakho, ”kusho uMoyle. "Futhi uma kugxilwe kulezi zinhloso, akusikho ukuthi sikujabulele."

iye yahlunguphazwa kusukela kudala. Ukufika emsukeni wenkinga, ochwepheshe bebelokhu bebuza ukuthi yini ngempela, esishintshile? Imizuzu emibili ku-Google nakwithiyori eyodwa izovuka ngokuqinisekile njengenkazimulo yasekuseni: umthelela wokufinyelela kwethu okungavinjelwe ezithombeni zobulili ezingcolile.

I-PORN ULTIMATUM

Kusukela kwanda ukubhebhetheka kwe-porn, i-erections, sekugcwele, kufaka indlela yabo emcabangweni wokuhlangana wesizukulwane samadoda ukhathazeka kakhulu ngocansi kunangaphambili. Umtholampilo owodwa wezempilo yezocansi ubike ngokwanda ngamaphesenti ama-100 okudluliselwa kulabo abafuna ukwelashwa ngomlutha wezocansi. Ochwepheshe abaningi babheka lokhu njengembangela yezinkinga zeminyaka zeminyaka zokungasebenzi kobulili.

"I-Porn yiyona efisa kakhulu ukusondelana," kusho uKnight. “Amanye amadoda awazitholi izingqinambo ezifanayo nezobulili bangempela njengoba zinjalo lapho ephulula ubulili ngocansi. Ngivame ukubuza iziguli, 'Ubuka malini?' Futhi, 'Ucabanga ukuthi kungenzeka kube nomthelela?' ”

Ngempela kube nomthelela kuKevin - futhi ongeyena igama lakhe langempela - okholelwa ukuthi ukusetshenziswa kwakhe kocansi kwaba nomthelela ekuweni kobuhlobo besikhathi eside. Uthi: “Angicabangi ukuthi ngake ngaba umlutha wangempela wobulili. “Kepha mhlawumbe ngiyisebenzise kakhulu futhi ngikwenze kusukela ngisemncane. Intombi yami yokugcina ayizange ingibambe ngiyisebenzisa noma yini efana naleyo, kodwa ngicabanga ukuthi yisizathu esenza ukuthi ngibe nale nkinga eqhubekayo ebuhlotsheni - isikhathi esithandekayo sokusangana lapho ngifuna imithwalo yocansi, khona-ke angikwazi ukuthola kanzima ngemuva kwamasonto ambalwa. Ngicabanga ukuthi i-porn ingenze ngaba nesizungu ngohlobo oluthile lokujula. ”

Lokho kudinwa kube nomphumela wohlobo lweminyaka eyinkulungwane ye-ED - leyo "elashwa" yinjabulo yomlingani omusha, ongafanisa injabulo yokuthi uKevin, manje oyi-29, uvame ukutholakala ngokuvula ithebhu entsha kwiRedTube. Kepha imizwa iyehla masinyane, futhi ayisakwazi ukuvusa lowo mlingani. “Benginaye iminyaka emithathu. Senze ucansi mhlawumbe kathathu phakathi nesibili sokugcina. Ngingayikhipha nge-porn, kepha hhayi yona. Ngazizwa nginecala ngaso sonke isikhathi, futhi kwangenza ngakhululeka. Kwakukubi kakhulu. ”

Ukukhetha okungenamkhawulo okunikelwe i-inthanethi ye-porn kungadambisa amandla akho okujabulela ubudlelwane “obujwayelekile”. "Kubeka kakhulu ibha," kusho uKnight. "Ngeke ngikwenzele lutho." Ukuphendula, amawebhusayithi afana ne-Brain yakho kuma-porn ne-ED izinkundla zeReddit avele - imiphakathi eyakhelwe lapho yahlanganyela khona ngolwazi lokuphazamiseka kwengqondo okubizwa nge- “erenctile dysfunction”.

Iqembu langaphambili, ikakhulukazi, belikumgomo wokuqwashisa ngolwazi ngalokho elikubona njengokuxhumana okucacile phakathi kokusetshenziswa kocansi kanye nokungasebenzi ngocansi: "Ngaphandle kokufika kokusakazwa kwe-porn kwi-2006," kuphikisana, "akukho okuhlobene okuhlobene uye ku-ED yobusha uye washintsha ngokwazisa eminyakeni edlule ye-10-20. ”

Kepha lo mbono awunabo abagxeki bawo. Kukhona ababalobi ababeka umthamo wokuqapha onempilo ngisho noma behlola lawo maqiniso abonakala engenakuphikwa. Omunye walabo abangabazayo nguDkt Justin Lehmiller - uthisha osasebenza eHarvard futhi njengamanje osebenza naye eKinsey Institute - omsebenzi wakhe kwezocansi nangokwengqondo ushicilelwe kuwo wonke amaphephabhuku amakhulu ngobulili babantu.

Inhloso ka-Lehmiller ayikaze ibe yokwehlisa izinombolo, kangangoba uthela amanzi abandayo phezu kwe-hysteria. Uthi: “Abanye abantu babheka amaphuzu edatha engeyona ikhwalithi ephezulu. “Anginayo imibono eqinile yomuntu. Ngingusosayensi. Enginakho kungaphezulu komqondo ophansi. Akukona nje nge-porn. Kunabantu abaningi kuma-antidepressants, kunokukhathazeka okukhulu komzimba, futhi kunobunzima obukhulu bokuxhumana ngocansi. Ukukhalaza i-porn kuphela kuyinto enhle. ”

Ngumbono ophindwe nguMoyle. “Kukhona into ethile esemthethweni emcabangweni wezocansi, kepha izithombe zobulili ezingcolile akuyona inkinga yodwa. Imibiko yengcindezi nokukhathazeka kubantu abasebasha iphezulu kakhulu. Kepha izinkinga zobulili azisaxazululwa. Lokhu kungaba nomthelela ekukhathazekeni okwengeziwe. Kungumjikelezo omubi wokungasebenzi kanye nokukhathazeka. ”

Lowo mjikelezo wehlazo nokungasebenzi yikho okuholele amadoda amaningi ezihlelweni ezingemuva ze-intanethi, ekhetha ukuthenga i-Viagra ye-web emnyama kuwebhu namakhemikhali angamanga. Ukuqunjelwa, kubonakala sengathi, kudlula ukuqaphela.

INDLELA ESEZULWINI IQILE

Yilapho ukuqala-nje okufana Nabaningi kuye kwakwazi ukufaka khona amandla esenzweni. Kuyisixazululo seminyaka eyinkulungwane yenkinga yeminyaka eyinkulungwane, ngobuchwepheshe obusezingeni eliphakeme obuhlinzeka ngezinzuzo zendlela engekho emthethweni - ukuqonda, ukulethwa kosuku olulandelayo - kepha ngokuphepha kanye nokuba semthethweni kwangempela - kanye ne-24 / 7 - ekhemisi.

Abanye ochwepheshe, kufaka phakathi i-Lehmiller, bakholelwa ukuthi ukutholakala kalula kwale mishanguzo akusizi ngalutho, ngoba kwandisa isilingo sokufuna iphilisi esikhundleni sokuphenya izimbangela zangempela zezinkinga zethu. Kodwa-ke kukhona isilinganiso sokulindela okungenangqondo lapha. Izibalo aziqambi amanga: amadoda azifaka engcupheni ngokuthenga ama-meds angalawulwa nsuku zonke. Akunakwenzeka - eqinisweni, akunakwenzeka ukuthi - bonke bazophuthuma baye kudokotela ngoba sebetsheliwe.

Ngakho-ke, ngabe leli gagasi elisha lokuqalisa linganikeza isisombululo kubantu abanjengoJohn, okungenani esikhathini esifushane? “Into engicasulayo kakhulu ukwamukelwa kwehaba: 'Sithola kungani udabukile ngo-ED. Woza uzokhuluma nodokotela wakho ngakho, '”kusho uJohn. “Yi-bulshit, empeleni. Ngeke ngihlale phansi ngikhulume nothile uma kulula kakhulu ukuzihlaziya. ”UJohn ulinganisela ukuthi uthathe endaweni ethile esifundeni se-50-100 lapho ethenga khona imishini ngokungemthetho empilweni yakhe yobudala. Lapho ebuzwa ukuthi uyazi ngezingozi - imithamo ngokweqile ngenxa yokulembula okungafanele kwezithako ezisebenzayo, ukungcoliswa ubuthi, izidakamizwa ezingekho emthethweni - ufunga izinhlamvu. “Cha,” kusho yena. "Bengingakwazi lokho."

Ngale ndlela, izinkampani ezinjenge Ziningi zinamandla okwenza okuhle okuningi. "Yebo, senza ukuthenga lezi zidakamizwa kube lula," kusho uBruni. “Futhi siyakuqonda ukukhathazeka emikhiqizweni esiyithengisayo, kepha esikuthengisayo kuyalawulwa. Sizama nokuba yingxenye yale ngxoxo kube ngcono.

"Abantu besilisa bangakwazi ukwenza into ethile evamile - njengokuthi abakwazi ukukhuphuka ngezikhathi ezithile. Asizwani nalawo madoda. Asikaze siphoqelele amaphilisi kubantu abangawadingi, futhi ukubonisana kwethu kuvumela kuphela abantu abawathengayo. ”

IMISELA YOKUKHULA

Mhlawumbe esikudingayo, ngaphezu kwakho konke, ukwahlukaniswa okusha okungeyona kanambambili njenge- “ED noma no-ED”. “Mhlawumbe izinsizwa zinombono ongalungile wokuthi yini i-ED,” kusho uLehmiller. “Uma ipipi lingakwenzi lokho elifuna ukuthi likwenze ngaso sonke isikhathi, bacabanga ukuthi kunenkinga. Kodwa kujwayelekile ukuthi abantu besilisa bangahlali balolonge njalo. ”

Ngendlela, lokho kuphila nje. “Kwesinye isikhathi, impilo inzima nje. Kuyacindezela, futhi ukhathele, futhi awukwazi ukuya ejimini, ”kusho uKnight. "Asikho isidakamizwa noma ukwelashwa okungenza konke lokho kuhambe, futhi kungaba nemiphumela engemihle."

Ngokumangazayo, lapho ibona khona inzuzo yemithi injengeViagra ye-ego. “Ngingabona umfana osemncane bese ngimnika iphilisi elilodwa noma amabili, futhi kunjalo. Unayo kanye, bese inamathela ekhanda lakho. Izikhathi ezimbalwa ku-Viagra kanye ne-boom! Ubuyile ukuzethemba kwakho. ”

Ukungasebenzi kwe-Erectile phakathi kwabesilisa abanempilo, kubonakala sengathi, kungaba konke engqondweni: enye imiphumela emibi yezinkinga zethu eziningi zezempilo yengqondo, kanye nokukhathazeka, ukudangala kanye ne-dysmorphia yomzimba. Kuyihlathi lapho.

“Siqala ukukhuluma eziningi zalezi zinto,” kusho uMoyle. "Asisekho okwamanje uma kukhulunywa ngocansi."

Isimo seNhlangano esiguqukayo empilweni yengqondo, ke-ke, sinikeza isifundo esihle kunazo zonke: ukuphula ubandlululo, okokuqala kumele siphonsele inselelo izahlulelo esizenzayo ezingqondweni zethu. Futhi size senze lokho? Izibalo ziphakamisa ukuthi ukwehla kwendawo yokulala kuzoqhubeka kuphela.

Yimaphi amaphilisi okufanele uwaphuze ukusiza ukungasebenzi kahle kwe-erectile?

Akunamahloni kuhlelo lepilisi kodwa udinga ukwazi ukuthi uphuzani. Umar Malick, usokhemisi wabaningi, uchitha amaphilisi

I-1. I-VIAGRA

Umuthi wokuqala we-ED okhiqizwe nguPfizer. Isebenza ngokwandisa ukugeleza kwegazi okonweni futhi kufanele kuqale ukusebenza ngaphakathi kwemizuzu ye-30.

I-2 SILDENAFIL

I-Sildenafil citrate isithako esisebenzayo eViagra. Izinhlobo ezingalungisiwe zisebenza ngendlela efanayo, kepha azivumi ukuthwala inani lentengo leViagra.

I-3 CIALIS

Igama lomncintiswano oyinhloko weViagra. Ingahlala amahora angama-36, echaza ukuthi kungani kwesinye isikhathi ibizwa ngokuthi “iphilisi lempelasonto”.

I-4 TADALAFIL

I-Cialis engabanjwanga. Kusebenza ngempumelelo, kepha kubiza uhhafu wentengo. Amanye amadoda athola ukuthi i-tadalafil inemiphumela emibi embalwa kune-sildenafi.

I-5 LEVITRA

Isebenza kancane ngokushesha kuneViagra futhi ihlala isikhathi esingafika emahoreni amahlanu. Qaphela ukuthi lesi sidakamizwa sithathwa ngemithamo emincane kuneViagra.

I-6 VARDENAFIL

Isithako esisebenzayo ku-Levitra. Ibuye ithambekele ekuthini ithinteke kancane ngokudla, kanti ukudla okunamafutha kwenza kube nzima eViagra ukungena egazini.

U-Alex Ingabe umbhali ohola umklomelo nomhleli osebenza kuzo zonke izici zamaphrojekthi we-brand, kusuka ezwini lezwi nobunikazi kuya ekusebenzeni komkhankaso womhlaba wonke, kanye nezici zezintatheli kanye nomlobi wezincwadi ezinde.