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Sildenafil is the generic version of Viagra, the first-line medication offered by many doctors because it’s been on the market longest and its side effects and drug interactions are well known. Sildenafil works exactly as Viagra does and can cause the same side effects, including dizziness, nausea, rash, pain in the arms or legs, and abnormal vision.

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Given that ED is associated with so many underlying conditions – obesity, diabetes, vascular disease, hypertension, and more – minimizing your risk for those conditions can help minimize your ED. Maintaining a healthy weightEating a healthy dietControlling your high blood pressure and cholesterolReducing your stress levels and tending to your anxiety or other mental health concernsExercising regularlyQuitting smoking and limiting your alcohol consumption
Public enemy number two is alcohol. Yep, brewers droop is real. Alcohol interferes with your ability to achieve an erection and lessens your ability to ejaculate. But the effects last longer than the hangover. A study published in the New England Journal of Medicine revealed that “erectile failure” is significantly higher in men who drink more than 3 units of alcohol every day. And a separate study found that 61% of people dependent on alcohol suffered from sexual dysfunction, most commonly erectile problems or reduced sexual desire. .

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Kegel exercises are an easy activity you can engage in to instantly begin to increase your sexual function and health. Normally used by women after giving birth, this exercise helps strengthen muscles that are responsible for holding in blood and maintaining your stamina. When not used, these muscles can become weakened and fail to help ...
According to a review of clinical reports published in Behavioral Sciences, there has been a sharp increase in the prevalence of sexual dysfunctions in men under 40 since the start of “porn tube sites” that allow wide access to sexually explicit videos. In the early 2000s, about 2 percent of European men under the age of 40 experienced erectile dysfunction. By 2011, among European men ages 18 to 40, the rates increased to a range of 14-28 percent. (5)

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The scientists have also determined the optimum quantities of each herb which in combination with other ingredients can impart best results.
Erections are neurovascular events, meaning that nerves and blood vessels (arteries and veins) are involved in the process of an erection and all must work properly to develop a hard erection that lasts long enough. Erection begins with sexual stimulation. Sexual stimulation can be tactile (for example, by a partner touching the penis or by masturbation) or mental (for example, by having sexual fantasies, or viewing porn). Sexual stimulation or sexual arousal causes the nerves going to the penis to release a chemical, nitric oxide. Nitric oxide increases the production of another chemical, cyclic GMP (cGMP), in the muscle of the corpora cavernosa. The cGMP causes the muscles of the corpora cavernosa to relax, and this allows more blood to flow into the penis. The incoming blood fills the corpora cavernosa, making the penis expand.

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These diseases include high blood pressure, diabetes, clogged arteries, heart and blood vessel disease, high cholesterol, and chronic kidney disease. Other possible causes include: Nerve injury: The penis, spinal cord, prostate, bladder or pelvis may have sustained a physical injury that needs to be treated. This includes a large group of men who have had surgery or radiation treatment for prostate cancer. Unhealthy lifestyle: This includes smoking, excessive alcohol use, obesity and not exercising. Mental health: Depression, stress and anxiety surrounding sexual failure can all lead to erectile dysfunction. Medications: Some medications, including antidepressants, can cause sexual side-effects. Hormones: A small number of erectile dysfunction cases result from low levels of the male hormone testosterone.

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So, what can a man do to treat erectile dysfunction naturally? There are a few alternative natural treatments for erectile dysfunction that are safe and effective and do not involve medications or surgery.4

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    If it happens more often, it may be caused by physical health or emotional problems. Non-urgent advice: See a GP or go to a sexual health clinic if:

    In a double-blind, randomized, placebo-controlled study, researchers found that oral administration of l-arginine in high doses (5 grams per day for a six-week period) significantly improved sexual function in men with erectile dysfunction, but only if the dysfunction was caused by decreased nitric oxide excretion. (26)
    PDE5i medications are absolutely not to be taken by men with heart conditions who are taking nitrates such as nitroglycerine or isosorbide (Isordil, Ismo, Imdur). Those with serious heart disease, exertional angina (chest pain), and those taking multiple drugs for high blood pressure are advised to seek the advice of a heart specialist before beginning therapy with sildenafil.

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    Books & Articles on the History of Urology Books & Articles on Specific Diseases & Procedures Books & Articles on People in Urology Books & Articles on Instruments

    We understand your concerns and can answer your questions about male sexual issues. We’ve heard it all before, and we can find the answers—and the treatment—that is personally best for you.
    Learn More About Diagnosing Erectile Dysfunction: Tests and Screenings, Early Diagnosis, and Your Doctors

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    In cases of underlying conditions resulting in erectile dysfunction, treating the underlying condition can help reverse the dysfunction.

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    Sildenafil may affect the way other medicines work, and other medicines may affect the way Sildenafil works, causing side effects. Especially tell your healthcare provider if you take any of the following:

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    Half of men with diabetes will experience ED within 10 years of their diagnosis. High blood sugar levels can damage the nerves that control sexual stimulation. They can also damage the blood vessels needed to provide adequate blood flow to the penis in order to have and maintain an erection.

    Appropriate treatment options should be applied in a step-wise fashion, balancing invasiveness and risk versus efficacy. If possible, the partner should be involved in the decision-making. The decision depends on the patient preferences and expectations as well as the experience and judgment of the physician. Oral phosphodiesterase type-5 inhibitors are first line therapy.
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Therefore, men with these health conditions should not use vardenafil without having these conditions evaluated and stabilized first. For example, men with uncontrolled high blood pressure should have their blood pressure controlled; and men with potentially life-threatening abnormal heart rhythms should have these rhythms controlled.

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It’s also among the most natural methods to increase testosterone levels. Burning fat reduces the chances of developing vascular disease and diabetic conditions, two of the main factors that cause ED.

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Those interested in the procedure can call a GAINSWave® treatment provider to learn more. About Menu Toggle What is GAINSWave ? What to Expect? How it Works? Comparing Treatments FAQs Medical Advisory Board Expected Results Menu Toggle Erectile Dysfunction Treatment Peyronie’s Disease Treatment Sexual Enhancement Clinical Research Testimonials Am I a Candidate? Testimonials Resources Menu Toggle Men’s Health Guide Provider Resources Magazine Press Become a Provider Find A Provider Log in Get started About Medical team Health resources Log in Health guides > Erectile Dysfunction > Erectile Dysfunction... What To Know About Erectile Dysfunction (ED) By Natalya Lopushnyan, MD Medically reviewed January 18, 2021 Share: Table of contents

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