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How long has a problem existed? Did a specific event, such as a major surgery or a divorce, occur at the same time?Do you have diminished sexual desire? If so, do you think it is just a reaction to poor sexual performance?How hard or rigid are your erections now? Are you ever able to obtain an erection suitable for penetration even momentarily? Is maintaining the erection a problem?Can you achieve orgasm, climax, and ejaculation? If so, does it feel normal to you? Does the penis become somewhat rigid at climax?Do you still have morning erections?Is penile curvature (Peyronie's disease) a problem?What would be your preferred frequency of intercourse, assuming the erections were working normally? How would your sexual partner answer this same question?

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Similar to injections, we always give the first suppository in our office to make sure there are no problems and that you are comfortable doing this. Pros Cons No needle Mimics normal erection Discreet Gives best erection to glans (head of penis) Rare scarring or prolong erection (priapism) Pain in penis (30%) Expensive Less effective than injections (50%) Bleeding from urethra Hard to use if have tremor or poor vision or severe obesity Poor long-term satisfaction (less than 40%)
Erectile dysfunction is common and becomes increasingly more so with age. Complete impotence occurs in 5% of men aged 40 years and 15% of men aged 70 years old. Milder forms of impotence can affect 50% of men aged 50 years old, increasing to 70% of men over 70 years old. .

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A quick web search will reveal dozens of "dietary supplements" that claim to treat ED. But the FDA warns that many of these are not what they seem. These pills often contain prescription drugs not listed on the label, including the active ingredient in sildenafil (Viagra). This can cause problems if the medication interacts with something else you take.
Natural remedies that can aid with erectile dysfunction (ED) involve simple lifestyle changes that work to improve one’s overall physical and emotional well-being.

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warningsWhat is the most important information I should know about Viagra (Sildenafil (Injection))?
Banana contains potassium which helps to regulate the flow of blood by dilating arterioles and in turn enhancing erection.

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Drugs A-Z provides drug information from Everyday Health and our partners, as well as ratings from our members, all in one place. Cerner Multum™ provides the data within some of the Overview, Uses, Warnings, Side Effects, Pregnancy, Interactions, Dosage, Overdose, and Images sections. The information within all other sections is proprietary to Everyday Health. Read more

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The prostate gland is located just below the bladder and is surrounded by nerves and blood vessels. These nerves and blood vessels are needed to achieve a normal erection. Much research has been done to understand where these nerves are located and how to prevent them from getting damaged during surgery or other treatments.

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    When there is angina or heart failure, the doctor may need to determine whether the heart has enough reserve to carry out the work necessary for sexual activity by performing cardiac treadmill stress testing. What precautions should patients take when using vardenafil (Levitra, Staxyn)?

    Combination therapy for the treatment of erectile dysfunction has been under investigation. Most of these studies have been small trials, and long-term data regarding their effectiveness and safety are lacking. However, with thorough evaluation and counseling, there may be a use for combination therapy for certain individuals with ED.
    Surgery is an option in some cases of erectile dysfunction. Most surgery cases are performed for one of three reasons: to implant a device to initiate erections; to reconstruct arteries and increase penis blood flow; to block off veins that allow blood to leak from the penile tissues.

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    More body fat/less muscle massMild anemia caused by decreased hemoglobinOnset of osteoporosisLoss of hairFatigue/less energyReduced sex driveDepression/moodiness/cognitive problems

    Niacin: This ingredient is basically a vitamin B3. Vitamin B3 widens the blood vessels thereby increasing the flow of blood in the penis.
    Acupuncture: This traditional Chinese needle therapy is said to boost blood flow. It’s most often used to treat chronic headaches and back pain. But some men have found it works for erectile dysfunction.

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    Several erectile dysfunction patients have overcome the condition in ways that do not include medicine. As a result, a major means of treatment advised for patients with erectile dysfunction is the use of natural alternative methods. Dehydroepiandrosterone (DHEA). Asparagus racemosus. Ginseng. Yohimbe. Horny goat weed. Zinc. L-carnitine. L-arginine.

    “If someone really wants an herbal supplement, I’ll recommend ginseng,” Laborde says. “At least it’s not going to hurt you.”
    The recommended starting dose of vardenafil is 10 mg taken orally approximately one hour before sexual activity. A doctor may adjust the dose higher or lower depending on efficacy and side effects. The maximum recommended dose is 20 mg, and the maximum recommended dosing frequency is no more than once per day. Patients can take vardenafil with or without food. As with sildenafil, for vardenafil to be effective, sexual stimulation must occur.

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    No nitrate-based drugs should be given to men with suspected heart attacks if they have taken PDE5i medications within 24 hours. Combining PDE5i with nitrate-based medications can cause a severe and dramatic drop in blood pressure with potentially very dangerous consequences. This is also why someone should absolutely never share PDE5i medications with anyone else. If they happen to be taking one of the drugs that interacts dangerously with PDE5i medications, the results could be very serious. If there is any question about possible drug interactions, always check with a doctor or pharmacist.

    Problems faced by urologists at all stages when returning to surgery after a prolonged absence
    As already mentioned, taking certain medications, using tobacco, and drinking heavily can cause or contribute to problems with ED.

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A GP might recommend sex therapy, either on its own or in combination with other psychotherapy.

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Meanwhile, PDE-5 (phosphodiesterase-5) is a chemical that the body releases to signal that it’s time for the erection to end. PDE-5 inhibitors slow the activity of PDE-5, allowing the NO activity to continue, bringing forth an erection.

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The common side effects are testosterone suppression, liver damage, acne, stomach upset and a lot more.

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