Erectile dysfunction (impotence) is defined as an inability to obtain or maintain an erection sufficient for penetration and for the satisfaction of both sexual partners.
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Looking for an easy way to get some aerobic exercise? Start with jumping jacks. They get your blood pumping and warm your muscles. When you feel comfortable, add interval training to your daily routine.
Other home remedies for reducing ED symptoms include diet changes such as eating blueberries and citrus fruits and drinking red wine.
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Surgery, including treatments for prostate cancer, bladder cancer, or BPH, can sometimes damage nerves and blood vessels near your penis. If the nerve damage is permanent, you’ll need treatment to get an erection. But sometimes surgery causes temporary ED that gets better on its own after 6 to 18 months.
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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If you’re battling ED, you’ll want to arm yourself with credible information. Here are some of Everyday Health’s top resources.
Pumpkin seeds are the rich source of polyunsaturated acids that stimulate the production of prostaglandins, hormone-like substances that play a vital role in sexual desire or libido. Zinc and magnesium are also present abundantly in pumpkin seeds which increase the levels of testosterone and hence improve the sexual function and erectile dysfunction.
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Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Do not take Viagra more than once per day.
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Penile erection is a complex process in which the brain, nerves, muscles and blood vessels play a major role. The main causes of erectile dysfunction include psychological and health conditions, medications, trauma, and lifestyle factors. avanafil (Stendra) Cialis (tadalafil) vs. Levitra (vardenafil) Cialis (tadalafil) vs. Viagra (sildenafil) horny goat weed Levitra (vardenafil) Side Effects, Warnings, and Drug Interactions Lutetium Lu 177 vipivotide tetraxetan Side Effects of Cialis (tadalafil) Side Effects of Viagra (sildenafil) tadalafil, Cialis, Adcirca testosterone vardenafil (Levitra, Staxyn ODT) Viagra (sildenafil) yohimbine A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015. Medical Author: Pamela I. Ellsworth, MD Medical Editor: John P. Cunha, DO, FACOEP What Is Impotence/Erectile Dysfunction? What Are Impotence Symptoms and Signs? What Causes Impotence/Erectile Dysfunction? How Do Health Care Professionals Make a Diagnosis of Erectile Dysfunction? What Specialized Tests Do Doctors Use to Investigate Erectile Dysfunction? What Are Impotence/Erectile Dysfunction Treatment Options and Medications? What Are Surgical Treatments for Impotence? What Is the Prognosis of Erectile Dysfunction? Illustrations: Methods of Diagnosing the Cause of Erectile Dysfunction Illustrations: Other Nonsurgical Interventions for Erectile Dysfunction Illustrations: Surgical Interventions for Erectile Dysfunction Erectile Dysfunction (Impotence) Topic GuideDoctor's Notes on Impotence/Erectile Dysfunction Symptoms
Another second-line therapy is the use of alprostadil, either intracavernosal or intraurethral. Two products are available for direct injection, Caverject (Pfizer) or Edex (Actient). A small needle is used to inject the medication into the lateral aspect of the penis through a small-gauge needle.
The reactions of the supplement on the males were recorded including all improvements in sexual performances.
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Pomegranate: Juice and extract from this fruit is known for being packed with nutrients. But Espinosa says it can also help arteries expand and remain supple. While no real proof ties it to erectile dysfunction, he suggests it to his patients for its overall health benefits.
Physicians make a diagnosis of erectile dysfunction in men who complain of trouble having a hard enough erection or a hard erection that does not last long enough. It is important as you talk with your doctor that you be candid in terms of when your troubles started, how bothersome your erectile dysfunction is, how severe it is, and discuss all your medical conditions along with all prescribed and nonprescribed medications that you are taking. Your doctor will ask several questions to determine if your symptoms are suggestive of erectile dysfunction and to assess its severity and possible causes. Your doctor will try to get information to answer the following questions:
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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The role of the endothelium in erectile function became clearer with the observation that the phosphodiesterase type 5 (PDE5) inhibitor, sildenafil, enhanced erectile function. Erection occurs with the release of nitric oxide (NO) from the vascular endothelial cells.17 The reduction in endothelial cell production of NO results in the negative impact on the smooth muscles in the corporal bodies and results in less relaxation of the smooth muscle cells with decrease in blood supply and resulting ED. A similar phenomenon is well known to impact the coronary arterial system resulting in CVD.
Side effects are not very common with ED medications. However, when they occur, they typically include: vision changespriapism, or an erection that last over 4 hours or does not go away Take nitrates, which are medications commonly prescribed for chest pain Have heart disease or heart failureOr have very low blood pressure (hypotension)
Because erectile dysfunction is strongly linked to cardiovascular disease, researchers suggest that men with ED should always be screened for cardiovascular disease. Studies show that there’s a two- to five-year interval between the development of erectile dysfunction symptoms and the onset of cardiovascular problems. ED is also a risk factor for peripheral arterial disease and stroke.
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The recommended starting dose of tadalafil for use as needed for most patients is 10 mg taken orally approximately one hour before sexual activity. A doctor may adjust the dose higher to 20 mg or lower to 5 mg depending on efficacy and side effects. Doctors recommended that patients take tadalafil no more frequently than once per day. Some patients can take tadalafil less frequently since the improvement in erectile function may last 36 hours. Patients may take tadalafil with or without food. Tadalafil is currently the only PDE5 inhibitor that is FDA-approved for daily use for erectile dysfunction and is available in 2.5 mg or 5 mg dosages for daily use.
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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.
Be aware that you take these treatments on your responsibility as their safety ratings haven’t been established. Additionally, certain medications could provide claims that are not true or contain insufficient doses of prescribed medication, such as sildenafil. It could work differently.
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Categories: About BHRT, BHRT for Men, BHRT for Women, Erectile Dysfunction, Hormone Therapy, Low Sex DriveJune 21, 2019 Share on FacebookShare on Facebook TweetShare on Twitter Pin itShare on Pinterest Share on WhatsAppShare on WhatsApp Share on LinkedInShare on LinkedIn
If this does not occur, consulting a physician is necessary to rule out any underlying health conditions, such as an enlarged prostate or diabetes. ED is often thought to be a marker of poor blood flow to organs. Hence, every person with ED must be screened for cardiovascular fitness as well.
ED not only affects the sex life of men in a committed relationship. Single men with ED often avoid dating because of the condition.
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There’s some evidence, from the few well-controlled studies that have evaluated yohimbe bark, that this herb can help patients with ED, especially when it’s used in combination with other treatments or herbal therapies. You can find yohimbe bark in capsule and tablet forms in health food stores. For erectile dysfunction, most studies have found positive results from taking 10–20 milligrams per day. (24)
Depending on the cause of impotence, there may be other signs and symptoms present. For example, where hypogonadism (low testosterone) is the cause, patients may additionally describe reduced sex-drive (low libido), reduced need to shave facial hair and reduced muscle mass. If diabetes has caused damage to the nerve or blood supply to the penis, patients may also describe other symptoms suggestive of damage to other blood vessels or nerves, such as numbness and tingling of the feet.
A trained professional will be able to help you work through many of the psychological effects of ED.
Medical News Today states that performing Kegel exercises may strengthen a man’s pelvic region and help with symptoms relating to ED. The pelvic floor can increase rigidity during erections. This muscle keeps blood from leaving the penis by pressing on a key vein. Kegel exercises can strengthen these muscles and can possibly lead to improved sexual performance.
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Dr. Sayeed is the Medical Director of ViOS, Inc. He is a deeply committed physician entrepreneur & medical blog writer. While building the global infrastructure of the VIOS Clinic, he is dedicated to educate people on the potential of specialist telemedicine for managing chronic diseases.
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Medicine such as sildenafil (sold as Viagra) is also often used by doctors to treat erectile dysfunction. It's also available from pharmacies.
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If your doctor rules out other causes, he or she may prescribe Sildenafil (brand name: Viagra), tadalfil (brand name Cialis), and vardenafil (brand name Levitra). These medicines are taken by mouth to help you maintain an erection.
Learn about the symptoms of erectile dysfunction, treatment options, and the quickest way to help you resolve the condition. It is more likely that you'll develop erectile dysfunction as you get older, but aging itself does not cause erectile dysfunction. Many factors can cause erectile dysfunction, including those that affect your endocrine, vascular, and nervous systems. What is erectile dysfunction, and what are the signs and symptoms? Learn about the risks and causes of erectile dysfunction and what treatments are available for erectile dysfunction.
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A significantly larger proportion of patients had successful sexual encounters within 15 minutes of taking avanafil (Stendra) compared with placebo (P≤0.05), John Mulhall, MD, of Memorial Sloan Kettering Cancer Center in New York, and colleagues reported here at the World Meeting on Sexual Medicine.
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Picture of penile vacuum pump. A vacuum device can be used to produce an erection. Elements of the device include the cylinder, a pump to create a vacuum, and a constriction ring to be placed at the base of the penis after an erection has been obtained in order to maintain the erection.
Picture of vasodilator injection into penis. A vasodilator such as prostaglandin E1 can be injected. If the blood vessels are capable of dilating, a strong erection should develop within five minutes.
“The downside is: It just doesn’t work,” Laborde says. Meanwhile the possible side effects can include increased bleeding, convulsions, diarrhea, and upset stomach.
The common PDE5 inhibitor drugs approved in the United States are sildenafil (Viagra), vardenafil (Levitra and Staxyn, the generic form), tadalafil (Cialis), or avanafil (Stendra). All of the currently approved PDE5 inhibitors work in the same way. They differ in the number of available doses, how quickly they work and last in your system, the dosing, and to some extent in the side effects. However, they generally share the same indications and contraindications. Currently, tadalafil is the only medication that patients can take daily and is approved for the treatment of both ED and BPH (benign enlargement of the prostate).
If there seems to be a psychological cause contributing to your erectile dysfunction, the doctor may ask the patient questions to help determine stressors, events, and relationship issues that may be causing your erectile troubles. It may be helpful to have your sexual partner involved in this assessment.
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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.
vision changes, sudden vision loss;ringing in your ears, or sudden hearing loss;pain, swelling, warmth, or redness in one or both legs;shortness of breath, swelling in your hands or feet;a light-headed feeling, like you might pass out; orpenis erection that is painful or lasts 4 hours or longer.
Surgery provides the only true cure, but men typically want to explore other, less invasive options first.
Psychological conditions can also be a cause of erectile dysfunction. Undergoing therapy from a professional can aid recovery when stress or anxiety is experienced.
Your doctor will also ask you questions about your sex life, which could be very personal but are necessary for proper diagnosis and treatment. Some of the questions could be: The status of your previous sexual relationships Your current sexual relationships Your current emotional state When the erectile problems started How long have the erectile problems lasted If you have seen another doctor specifically for ED If you have received treatment for ED before
Do It AtHome: Boil 15 gm of drumstick flowers in250 ml milk. This soup is an effective sexual tonic for both men and women.Alternately, boil 120 gm of powdered dry bark in �� litre of water for 30minutes and then mix 30 gm of this powder with 1 tablespoon of honey in it. Takethis recipe 3 times daily for good results.
DHEA (Dehydroepiandrosterone). Testosterone is essential for a healthy libido and normal sexual function, and erectile dysfunction sufferers known to have low testosterone improve when placed on prescription testosterone replacement therapy. Similarly, studies have shown that taking over-the-counter supplements containing DHEA, a hormone that the body converts to testosterone and estrogen, can help alleviate some cases of ED. But DHEA can cause side effects, including suppression of pituitary function, acne, hair loss and its long-term safety is unknown, says McCullough. For this reason, many experts discourage use of the supplements.
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