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Injection therapy: The modern age of such drug therapies began in 1993 when the injection of papaverine (Pavabid), an alpha-blocker that produces vasodilatation (widening of the blood vessels), was shown to produce erections when injected directly into the penis. Soon afterward, other vasodilators, such as prostaglandin E1 (PGE 1) monotherapy (Caverject, Edex), PGE1 and phentolamine (Regitine), and Trimix (papaverine, phentolamine and prostaglandin E1), were demonstrated to be effective. The benefit of combination therapy is the decreased dosing of each with less side effects. Most important is the reduction of the prostaglandin PGE1 dosing, which is associated to the localized pain.

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By squeezing the pump fluid travels to the IPP cylinders inside the penis and produces an erection.
Often known by the common brand name Cialis, tadalafil is a PDE-5 inhibitor that you take once per day to provide 18-36 hours of effectiveness. This significantly reduces the planning typically involved in using other treatments like sildenafil. That said, some users only take tadalafil as needed, and those dosages can sometimes be different. You and your doctor will decide what’s right for you. .

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Injections Some medicines can be injected or placed inside the penis to help create an erection.Testosterone Your doctor may recommend that you take this hormone if your levels are low.Devices and Surgery
Smoking, excessive use of alcohol and illicit drugs are also associated with ED.13 A study in 2005 suggests that ED is not only more likely among men who smoked compared with those who never did, but that in younger men with ED, cigarette smoking is very likely the cause of their impotence.14 15

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Men with a known hypersensitivity to alprostadil should not use intraurethral prostaglandin E1.
Defined by an inability to develop and maintain an erection firm enough for sexual relations, erectile dysfunction (ED) affects approximately one in four men during their lifetime. According to research scientists, up to 75 percent of ED cases occur due to medical causes. When functioning normally, neurotransmitters initiate an erection by relaying signals from the brain to the vascular system. The resulting increased blood flow and pressure to the penis allows tube and elastic like tissue within the penis to expand, achieving erection. Blood flow reduction to the penis Scarring of the penile tissues does not allow for a normal erection- Peyronie's disease Nerve damage (may occur directly to the penis or to areas leading to it) Hormonal or metabolic disorders such as diabetes Psychological conditions (mainly seen with ED in males under the age of 40) Vein leakage, also known as a venous leak Trauma, injury, or surgical procedures to the spinal cord or pelvic area Vascular disorders or disease such as high blood pressure Neurologic related conditions such as multiple sclerosis or Parkinson's disease High levels of cholesterol Heart disease Occurrence and/or treatment for enlarged prostate or prostate cancer Obesity Sleep-related disorders Tobacco use Diseases such as alcoholism and other substance abuse disorders Psychological related issues

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A 48-year old man presents with a 25-year history of erectile dysfunction. He’s in a loving relationship, eats well, and exercises regularly. Previously, he has been to several doctors focused on balancing hormones related to the thyroid and adrenals, and testosterone. However, this isn’t a typical case of solving low testosterone sending him out with erections. After previous treatments, this private, soft-spoken man still had issues – and it was hard on his mental health.

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"A quick onset of action and favorable tolerability suggest that avanafil may be an attractive option for on-demand ED therapy in difficult-to-treat populations, as well as the general ED population," he concluded.

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    The foods you eat can have a direct impact on erectile dysfunction, Dr. Mucher says. A diet rich in fruit, veggies, whole grains, and fish, and with fewer servings of red meat and refined grains, decreases the risk for ED.

    The pills are the result of extensive research on male sex behavior. The ten year long research has taken into account all the contemporary scientific inventions in the field of medicines.
    Did you know that the females get their second peak in sexual energy after 40s. But for the males, the sex rolls down the hill.

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    Blood test A blood sample may help your doctor look for signs of diabetes, heart disease, low testosterone, or other issues such as liver or kidney disease.Urine test A urine test can look for markers of diabetes.Ultrasound/Doppler exam This test can let your doctor see if you have problems with penile blood flow.Psychological exam Your doctor might screen you for depression or another mental health disorder that could be linked to ED symptoms.What Should You Tell Your Doctor About Symptoms?

    In cases of underlying conditions resulting in erectile dysfunction, treating the underlying condition can help reverse the dysfunction.
    ED can often occur as a result of diabetes. A study of type-1 and type-2 diabetics with ED found that erectile dysfunction in 30% of the subjects was connected to DHEA deficiency. The results of this study suggest that possibly a third of men with diabetes-related ED could treat their ED using DHEA.

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    Urology, Male Infertility & Reproductive Health, Reconstructive Urologic Surgery & Trauma

    It may be uncomfortable for you to discuss your sex life with a urologist or a sexologist, but it is the most effective way to deal with your concerns. Together with your doctor, you can identify what is important in your sex life and choose the best treatment option to have a satisfactory sex life. If you have a partner, it is important to include them in these consultations.
    Albuterol Inhalation (Ventolin)Amoxicillin (Amoxil)Azithromycin (Zithromax)CoQ10 (Coenzyme Q-10)Levothyroxine (Synthroid)Lipitor (Atorvastatin)Lisinopril (Zestril)Norvasc (Amlodipine)Prilosec (Omeprazole)Vitamin D3See All

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    Sexual excitement is a fragile balance of numerous factors, any of which can throw a wrench in the works. A man can experience performance issues if he has: Relationship struggles from a lack of communication, stress, or other factors Depression or anxiety Mental health conditions High levels of stress

    Research also shows that pelvic floor exercises can help to restore erectile function. A study conducted in the UK found that men treated with pelvic floor muscle exercises that were taught by a physiotherapist showed significant improvements compared to a control group that were only advised on lifestyle changes. After six months of practicing pelvic floor exercises and making lifestyle changes, 40 percent of the men regained normal erectile function and 35.5 percent showed improvements. (18)
    Men who have ED should not ignore the ailment. After all, more than 40 percent of men over the age of 40 struggle with ED. Men struggling with ED should talk to their doctor about potential causes and treatment options, as well as make lifestyle changes to reduce incidence. Young men should take preventive steps, including the development of healthy lifestyle habits, like eating a balanced diet and maintaining a healthy weight, which can reduce their risk of ED.

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Rhodiola Rosea: Also known as “golden root,” this plant is a relatively new herbal remedy in the U.S. It’s been used to boost endurance and sexual function in Russian folk medicine for decades.

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Treatment depends on what is causing it. If it is caused by uncontrolled blood sugar and high blood pressure, take your medicine and follow your doctor’s instructions.

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Many conditions are closely related to ED and may contribute to symptoms, including the following:

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ED can be related to mental or emotional distress which may require other types of treatment such as counseling, but in most cases it is a matter of poor blood flow that could be related to diabetes, heart disease, hypertension, or metabolic syndrome.

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