I'm blessed with b/g twins my Ob stinks and has never told me but I know they had separate sacks and separate placentas so does that mean Di-Di fraternal?

My OBGYN did my first vaginal scan herself and we are having twins. She said that she could not tell if they were mono-di or di-di, but at the time I was so excited, the question did not come to mind. Does this mean I am having fraternal twins? Or is there still a chance of identical twins?

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Cialis Optimal Timing

A Brief Overview of Cialis

For today, Cialis is the second most famous remedy for such delicate and important male problem as erectile dysfunction, and, perhaps, the first in effectiveness. It is used against erectile dysfunction caused by psychological and physical factors in men all over the world. In the mechanism of action of this medication lies stimulation of natural process of erection occurrence: the drug boosts blood flow in the genitals, especially in cavernous bodies of the penis, by dilating the walls of arteries there. From this information follows the conclusion that this drug is not an aphrodisiac or some magical stimulator, but a medication the action of which is justified by strict scientific principles of the effect of the main ingredient on the male sexual system.

Cialis positively differs from all the other potency drugs in a long-lasting effect, for which it is often called “weekend pill”. The active ingredient of the drug, Tadalafil, acts for about 36 hours, so the intake of one pill guarantees you almost two days of good erection. Still, there are some nuances concerning the proper way of taking the drug, which most patients are not informed about. In this article we will describe them and give you some tips on how to take Cialis for the best possible effect.

How To Take Cialis for Quickest Effect: The Dosage

It’s evident that the degree of expression of the action of any drug is directly dependent on its dosage. This applies to Cialis as well. It is manufactured in form of film-coated pills in the dosages of 20, 10 and 5 mg, sometimes 2,5 mg pills are also available.

If you take Cialis not regularly, for symptomatic action a 20 mg pill is most suitable. It will provide a strong effect which you will be able to feel already in about half an hour after the intake, this is the optimal timing for a single intake. Swallow the whole pill and wash it down with water. One of positive properties of Cialis, important for many men, is that the effect of this drug doesn’t depend on what and in what amount you eat with it, although very often food delays the onset of the effect of medications against erectile dysfunction. With Cialis you don’t have to worry that your romantic dinner will be an obstacle for a pleasant pastime in bed, since food doesn’t interfere with the rate of its absorption into the blood. Cialis 20 mg should be taken not more often than once a day, however, this also applies to other dosage options.

Cialis Optimal Timing in Case of Regular Use

Quite often a man wants to be insured against sexual failure not only on a single day of a romantic date, but also at any time, to be ready for sex and not worry about having the coveted pill in his pocket. This can apply to a married men who wants to have regular sex without changes in its quality as well as to a man who doesn’t know when he will be in bed with his mistress next time. For such patients it is recommended to take Cialis every day in a low dosage. This will provide them a stably high concentration of Tadalafil in the blood, and the drug will be in effect at any given time of the day. The dosage should be lower than in case of single intake because of the fact that regular intake of Cialis 5 mg or even 2,5 mg pills (which is the smallest effective dosage) provides the same concentration of the active substance in the blood as the on which is observed in the organism a couple of hours after taking a large dosage once a week, for example.

It should be noted that in case of regular use of Cialis it absolutely doesn’t matter, at what time of the day you take it. You can take a daily pill in the morning, or during lunch, or in the evening – when it is more convenient for you. The only recommendation is to take the drug every day at about the same time. This will save you from fluctuations of the content of Tadalafil in the body.

A lot of men report that when they take Cialis daily, side effects which they experienced in the beginning of the course significantly decrease or even disappear after about a week of taking the drug. During this time the body gets used to the drug, tolerance to it rises, and the person no longer experiences the unpleasant sensations that usually accompany the irregular reception of Cialis.

Doctors’ Recommendations About Cialis Timing

In such an important matter as health, one should not disregard the advice of specialists. If you are not sure which dosage regimen and frequency of drug reception is right for you, sign up for a consultation with an urologist or sexologist. Don’t put experiments on your body. The doctor will take into account a lot of information about you which may be important for the treatment, like your age, accompanying illnesses, state of the cardiovascular system, cause of erectile dysfunction, presence or absence of benign prostatic hyperplasia and many others.

For elderly men regular reception of Cialis in small dosages in usually prescribed, since such a scheme of treatment has less negative impact on cardiovascular system and is effective not only against erection problems, but also against benign prostatic hyperplasia (BPH), which is often found in men over 55 years of age.

For those men whose problems with erection are rooted in syndrome of anxious anticipation of sexual failure, doctors often prescribe to take Cialis in the dosage of 10 or 20 mg in the day when sex is planned. After several successful sexual acts with the pill there is usually no more need for it.

Situation with serious erectile dysfunction in men in men of young and middle age requires an individual approach to treatment, usually daily intake of Cialis in medium or high dosage is prescribed. Treatment ends when a stable effect is achieved which persists without taking the drug.

These are the most common cases. There are many others in which the optimal time of taking the drug and its dosage will differ. We strongly recommend that you not engage in self-treatment, but appeal to specialists.