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Risk exposure is important to consider in the PDE5 inhibitors. Cardiovascular diseases may be a contraindication to treatment, as severely impaired patients may run the risk of a cardiac complication related to vigorous sexual activity. Likewise, patients actively taking nitrates, including nitroglycerine and other agents, are contraindicated from receiving prescriptions for PDE5 inhibitor. Relative contraindications to the use of PDE5 inhibitor include alpha-adrenergic antagonists. Visual disturbances can be seen with sildenafil (blue haze to the visual field) as a result of inhibition of the PDE6 enzyme.

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Surgical treatment mainly consists of penile implants or surgeries to repair damaged blood vessels (revascularization surgery).
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 .

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Medication is administered into the penis to prompt an erection. This permits the doctor to analyze the erection capabilities of the patient and how long it takes to return to the ground state.
Only a small subset of men with ED benefit from vascular testing, which can identify specific arterial or venous dysfunction amenable to surgical reconstruction. For the vast majority, such testing is unlikely to change management strategy. Thus, specialized testing is now limited to PDE-I non-responders, young men with post-traumatic or primary ED, men with Peyronie’s Disease, and legal investigations.

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

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    Picture of urethral suppository. The Medicated Urethral System for Erections (MUSE) is a small suppository that is placed into the urethra with this device. The suppository is very small, and users often question whether anything is in the device.

    In general, PDE5i works successfully in about 65%-70% of all men with erectile dysfunction (impotence). The greater the degree of damage to the normal erection mechanism and severity of the ED, the lower the overall success rate. Men with diabetes and those with spinal cord injury reported between 50%-60% responding successfully to treatment with oral PDE5i medications. The lowest success rate has been in men who developed ED (impotence) after prostate cancer surgery (radical prostatectomy) for more advanced prostate cancer that required removal of both sets of nerves around the prostate. In men who did not have the nerves removed/damage, there is a better chance of response to PDE5 inhibitors.
    Ginseng benefits sexual dysfunction because of its ability to affect the central nervous system, allowing the brain to send the necessary signals that initiate an erection. Red ginseng may also help to relax the penile tissue, allowing blood to rush to the area.

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    It is important to understand that ED is frequently, if not usually, directly related to endothelial dysfunction, and that the release of NO by the vasculature of the penile arteries is directly related to the function of intact, healthy endothelium. In the face of endothelial dysfunction, the process of erection fails to occur in a normal fashion.16
    Other tests, if indicated, are normally arranged by the urology specialist clinic and will be discussed with you.

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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.

    Mayo Clinic reports that these are some of the physical conditions that can lead to erectile dysfunction: Cardiovascular issues like heart disease, high blood pressure, and atherosclerosis (a clogging in blood vessels) Parkinson’s disease Multiple sclerosis Diabetes High levels of cholesterol Metabolic syndrome (high blood pressure, cholesterol, and insulin levels with excess fat at the waistline) Being very overweight Surgeries, treatments, or injuries to the prostate, pelvic area, or spinal cord Peyronie’s disease (an accumulation of scar tissue under the skin of the penis, causing painful curvature of the organ)
    Some men experience symptoms of sexual disorders that are related to erectile dysfunction, including: Ejaculation happens too fast — this is called premature ejaculationEjaculation happens too slowly (a man needs stimulation for more than 30 minutes) — this is called delayed ejaculationEjaculation doesn’t happen, or a man doesn’t orgasm — this is called anorgasmia What Causes ED?

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    Even when ED has a physical cause, psychotherapy can help. A therapist can teach the man and their partner techniques to reduce performance anxiety and improve intimacy. Therapy can also help couples adjust to the use of vacuum devices and implants.

    Hims is a great telemedicine company where, after a free consultation with a doctor, you can access a few different ED treatments proven to be effective: sildenafil (and brand-name Viagra), tadalafil (and brand-name Cialis), and Stendra. As a company, Hims impresses us very much, and there are circumstances in which we recommend Hims above all others for ED treatment providers.
    DHEA (dehydroepiandrosterone) is a hormone that our body’s adrenal glands typically produce. Production of DHEA naturally drops as we age, but DHEA is a precursor to the sex hormones testosterone and estrogen.

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It is one of the pleasant experience for the patients as it uses only sound vibration due to which it is a painless procedure.

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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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The American Academy of Cardiology defines high blood pressure slightly differently. The AAC considers 130/80 mm Hg. or greater (either number) stage 1 hypertension. Stage 2 hypertension is considered 140/90 mm Hg. or greater.

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