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The U.S. Food and Drug Administration (FDA) approved this medicine in 1998. It’s marketed by Pfizer.

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Before starting testosterone therapy, a doctor needs to perform a thorough evaluation of the patient.

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Sexual arousal is complex! It involves our brains, hormones, emotions, nerves, muscles, and blood vessels. Erectile dysfunction may be triggered by physical or psychological issues or stressful situations.
If counseling alone does not help treat the psychological issue, medications through a qualified psychiatrist may be prescribed.

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Phosphodiesterase inhibitor medications, such as sildenafil (Viagra) can cause a reduction in blood pressure, and so should not be taken by patients known to have low blood pressure (hypotension), or in those who have recently had a stroke or heart attack. Similarly, they should not be used in patients who take nitrate medication (such as glyceryl trinitrate, GTN, or isosorbide mononitrate) for chest pain. Phosphodiesterase inhibitor medications are associated with some side-effects, which include headaches, hot flushes, and dizziness. More serious side-effects may occur less commonly, including chest pains, prolonged and painful erections (priapism) or a change in vision. If patients experience any of these symptoms, they should seek immediate medical attention.

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If you have long-term ED, a penile implant could help you have sex again. An inflatable implant uses two cylinders you can pump full of pressurized fluid. A malleable implant uses rods that let you adjust the position of your penis.

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    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.

    Mild and moderate ED affects about 10 percent of men per decade of life. That means 50 percent of men in their fifties suffer, 60 percent of men in their sixties, and so on.
    Many conditions are closely related to ED and may contribute to symptoms, including the following:

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    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.

    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.
    Unlike the other PDE5 inhibitors, sildenafil (Viagra) may affect another phosphodiesterase enzyme in the eye, causing transient abnormal vision (a bluish hue or brightness).

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    Ultimately, what works best for you — and what dosage you take — depends on what the consulting physician determines is suitable. They’ll base this determination on your medical background and how you tolerate the medication when you begin using it. You’ll also have some say in the dosage you use to start.

    In particular, pelvic floor exercises improve blood flow to the genitals and may help treat erectile dysfunction when used alone or with other treatments. An experienced pelvic floor therapist can teach these exercises and ensure you’re performing them correctly so that you benefit.
    Erectile dysfunction is the inability to either achieve or maintain an erection. This may happen either occasionally or regularly, but may occur only in certain situations depending on the cause (i.e. patients may still have early morning erections).

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    This herb shows outstanding results by improving sexual function and increasing energy levels and reducing fatigue.

    Also, risk of developing coronary artery disease. Because blood flow into and out of the penis is affected by anything that affects your vascular system, it can influence your capacity to maintain an erection.
    The causes of erectile dysfunction are many, including physical problems like diabetes, heart disease, obesity, high blood pressure, high cholesterol, and even sleep disorders. Medication taken for health conditions can result in erectile dysfunction, as can alcohol and smoking.

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Bacterial vaginosis is a mild infection in the vagina caused by an overgrowth of bacteria. Researchers do not completely…

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Avanafil shares the common PDE5 inhibitor side effects, contraindications, and cautions. No changes in dose are needed for men with mild or moderate kidney disease. Individuals with severe kidney disease, severe liver disease, or those on kidney dialysis should not use avanafil.

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Congestive heart failure with borderline low blood pressure and borderline low blood volume is a contraindication to PDE5 inhibitors, as is high blood pressure requiring multiple medications to treat the blood pressure as PDE5 inhibitors could lead to lowering of the blood pressure and medical problems.

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BHRT provided by Renew Health and Wellness increases low testosterone levels in men without causing side effects attributed to synthetic hormone replacements. Nearly identical in molecule structure to hormones produced by the body, plant-based bioidentical hormones also provide a wide variety of health benefits to men with ED and testosterone loss due to aging or medical conditions.

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