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Sildenafil (sildenafil citrate) is prescription medicine used to treat erectile dysfunction (ED).
One of the main reasons men have ED is poor blood flow from atherosclerosis (clogging of the arteries). Your penis has two arteries – about as thin as a cocktail straw – that can become clogged up just like the coronary arteries in the heart. PRP improves blood vessels and grows new capillaries for increased perfusion. .

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The term impotence is often used to describe many forms of sexual dysfunction, including the inability to achieve an erection, and other issues like loss of libido, inability to ejaculate or difficultly having an organism. While impotence is more of a blanket term, erectile dysfunction specifically refers to difficulty developing or maintaining an erection.

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Treatments for erectile dysfunction are usually effective and the problem often goes away.
If your doctor rules out other causes, he or she may prescribe Sildenafil (brand name: Viagra), tadalfil (brand name Cialis), and vardenafil (brand name Levitra). These medicines are taken by mouth to help you maintain an erection.

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While impotence occurs at any age, the chance of developing impotence increases with age.

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A penile implant is often recommended for men who have tried other treatments without success. This device, on the market for 30 years, basically gives men an erection at their discretion but does not affect the ability to ejaculate or feel orgasm.

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    We optimized his hormones and began adding only a few supplements for daily use, none of which were libido booster or erection pills. After taking time to rule out everything else in his blood work, he was ready to talk about peptides. Acoustic Shock Wave Therapy and PT-141 were the miracle combo for him. While there may be deeper issues as to why his ED began in his 20s, the solution for him was delivered in a comprehensive and customized treatment program built just for him. He took a practical approach – and it worked.

    Stendra (avanafil)Viagra (sildenafil)Cialis (tadalafil)Levitra or Staxyn (vardenafil)
    Getting an erection is a process that includes physical, hormonal, and psychological elements. The penis is made of soft, spongy, elastic tissue that fills with blood to make it grow in size and become rigid. Around the spongy tissue and the prostate, there are nerves that send signals so that the blood vessels supply the blood (Fig. 1). These signals are controlled by the male hormone testosterone.

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    U.S. Food and Drug Administration. FDA Drug Safety Communication: fda cautions about using testosterone products for low testosterone due to aging; requires labeling change to inform of possible increased risk of heart attack and stroke with use. www.fda.gov/Drugs/DrugSafety/ucm436259.htm. Bassil N , Alkaade S , Morley JE . The benefits and risks of testosterone replacement therapy: a review. Ther Clin Risk Manag 2009;5:427–48. Søe KL , Søe M , Gluud C . Liver pathology associated with the use of anabolic-androgenic steroids. Liver 1992;12:73–9. doi:10.1111/j.1600-0676.1992.tb00560.x Randrup E , Baum N , Feibus A . Erectile dysfunction and cardiovascular disease. Postgrad Med 2015;127:166–72. doi:10.1080/00325481.2015.992722 Wrishko R , Sorsaburu S , Wong D , et al . Safety, efficacy, and pharmacokinetic overview of low-dose daily administration of tadalafil. J Sex Med 2009;6:2039–48. doi:10.1111/j.1743-6109.2009.01301.x Seftel AD , Sun P , Swindle R . The prevalence of hypertension, Hyperlipidemia, diabetes mellitus and depression in men with erectile dysfunction. J Urol 2004;171:2341–5. doi:10.1097/01.ju.0000125198.32936.38

    In randomized placebo-controlled trials, an estimated 60% of men with diabetes, and 80% of men without diabetes experienced improved erections with sildenafil.
    Perhaps the most common treatment option for ED, oral medications – sometimes referred to as PDE5 inhibitors – are a standard first-line of treatment. Sildenafil (Viagra)Tadalafil (Cialis)Vardenafil (Staxyn, Levitra)Avanafil (Stendra)

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    NOTE: Some of the information provided contains graphic, medical images which individuals may find upsetting

    To put it simply, feeling distressed or anxious in some way causes an erection to subside as the body is tricked into thinking that your attention is needed for a more important event (or threat).
    Several non-pharmaceutical methods may help increase blood flow to the penis naturally. You can try these alone or in conjunction with medication.

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    If you've had an erection for more than 4 hours, go to your nearest accident and emergency (A&E) department.

    Erectile dysfunction is not new in either medicine or human experience, but it is often not easily or openly discussed. Cultural expectations of male sexuality inhibit many men from seeking help for a disorder that can usually benefit from medical treatment.
    Nitric oxide (NO) mediates the vasodilation (widening of blood vessels) in the penis, increasing blood flow. Let’s break that down a bit further. Nitric oxide tells specific muscles in the penis to relax. The relaxation of those muscles allows blood flow to increase to the erectile tissues of the penis, causing the penis to enlarge and grow rigid, forming an erection.

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A trained professional will be able to help you work through many of the psychological effects of ED.

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Espinosa says it can ease symptoms of exhaustion and ED. And it’s less likely to leave you feeling wired than some other products. The side effects are minimal, he says, both in his experience and in the studies he’s seen.

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An inflatable penile implant can be implemented in the case of erectile dysfunction, Peyronie’s disease, or other medical conditions in which a man can no longer maintain an erection or sexual function.

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These drugs work in response to sexual stimulation and must be taken at least half an hour to two hours before sexual activity. Drawbacks include a loss of spontaneity and cost. In addition, high-fat meals can delay the onset of action. A vacuum erection device Urethral suppositories Penile injections

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