Once it is determined that ED is an issue, your doctor will ask you for a detailed medical history to help determine the cause. When did ED start, and did it begin gradually or suddenly?Frequency of the intercourseQuality of erectionsAssessment of the psychological and lifestyle factors (tobacco, alcohol consumption, stress level, history of depression)Current medicationsPrevious treatment for EDAny previous trauma or surgery
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Click here to watch a short video about erectilel dysfunction from the NHS Health & Care Video Library.
It is important for clinicians prescribing these drugs to make the patient aware of the action of the drugs especially the fact that they do not result in an immediate erection, and that they do not cause an erection without sexual stimulation. There is frequently a great expectation when men begin using these drugs and it is wise to temper their enthusiasm and explain they do not work immediately, and may not work every time, but also let the patient know that if these drugs do not work, there are other options.
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Thejuice extracted from ginger is a valuable aphrodisiac and beneficial in thetreatment of sexual weaknesses.
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Though you're the one with ED, your partner is also affected. Talking openly about ED will help your partner understand the diagnosis and treatment options. This can reassure them that you haven't lost interest.
Unfortunately, people who take nitrates for cardiovascular conditions may not be suitable candidates for PDE-5 inhibitor ED treatments. They will likely have to pursue alternative ED treatments.
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This speed makes Stendra a great treatment choice for men who are happy to take something shortly before sex and who don’t always know when they’ll want to have sex. If this describes you, then we recommend Hims Stendra.
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Many conditions are closely related to ED and may contribute to symptoms, including the following:
Tadalafil (active ingredient in Cialis) is a FDA-approved PDE5 inhibitor used for the treatment of erectile dysfunction (ED). Tadalafil lasts up to 36 hours and food does not affect the effectivness of Tadalafil. It can be taken on a as-needed basis or daily (depending on which dosage you take). Tadalafil does not increase your sex drive. Tadalafil is not recommended for men who have uncontrolled blood pressure (high or low), or have had a heart attack or stroke within the past 6 months. Please see the detailed drug safety information for all the risks and side effects of using Tadalafil. Dose Price2.5mg$0.50 per tablet5mg$0.50 per tablet10mg$1 per tablet20mg$1 per tablet Drug Safety Information – Tadalafil Tadalafil – IMPORTANT SAFETY INFORMATION take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension. Your blood pressure could drop to an unsafe levelare allergic to Tadalafil or any of the ingredients in Tadalafil an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penissudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). Stop taking Tadalafil and call your healthcare provider right away if you have any sudden vision losssudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking Tadalafil and contact a doctor right away have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failurehave had heart surgery within the last 6 monthshave pulmonary hypertensionhave had a strokehave low blood pressure, or high blood pressure that is not controlledhave a deformed penis shapehave had an erection that lasted for more than 4 hourshave problems with your blood cells such as sickle cell anemia, multiple myeloma, or leukemiahave retinitis pigmentosa, a rare genetic (runs in families) eye diseasehave ever had severe vision loss, including an eye problem called NAIONhave bleeding problemshave or have had stomach ulcershave liver problemshave kidney problems or are having kidney dialysis have any other medical conditions
Can we develop a simple yet accurate method to distinguish organic from psychogenic ED?
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Phytoestrogens, which is quite similar to the estrogens, also is found in this plant. Phytoestrogens are called epimedium icariin. Epimedium icariin helps in the movement of nitric oxide which is helpful in enhancing the production of testosterone.
Not all men with erectile dysfunction want to be treated - it is a personal decision. For those who do, there are many options. The best-known treatment is medication. Viagra®, Levitra® and Cialis® all increase blood flow to the penis.
Erectile dysfunction (ED), or impotence, is a major challenge for many men today regardless of their age — young, middle-aged, or old. Because erectile dysfunction may be caused by many factors — a health condition, emotional or relationship problems, some kinds of medication, smoking, drugs, or alcohol — an erectile dysfunction cure is possible.
Erectile dysfunction is sometimes influenced by the actions in the brain that triggers several events causing an erection, beginning with the feelings of sexual urge. Stress. Poor communication with a partner. Depression. Anxiety. Several mental health conditions. Fear of intimacy. Guilt. Medication
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 some cases, ED may simply be as a result of stress. Exercise is a good stress reliever and allows you to maintain a healthy lifestyle. You don’t have to engage is a serious workout, a simple daily walk routine is enough. For men who are obese, sexual performance may be affected by the weight and therefore, exercising will do you some good.
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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.
The medical name for having an erection that will not go down is priapism. It happens when the blood that fills the penis to make it erect gets trapped and cannot flow back out again. Priapism can cause severe pain.
Other alternative therapies that may help reduce stress, and in turn, ease ED symptoms, include:
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When the blood reaches the penis it results in harder and lasting erection. The female partner gets repeated pleasurable and intense orgasms.
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Sildenafil and tadalafil, the active ingredients in Viagra and Cialis, remain the most reliable treatments for erectile dysfunction. Sanofi — the pharmaceutical giant that makes Cialis — is currently designing a study that would put them on track to alter Cialis’ designation from a prescription drug to over-the-counter medication.
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A quick web search will reveal dozens of "dietary supplements" that claim to treat ED. But the FDA warns that many of these are not what they seem. These pills often contain prescription drugs not listed on the label, including the active ingredient in sildenafil (Viagra). This can cause problems if the medication interacts with something else you take.
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8. Pomegranate Juice – Improvements in ED, has been proven in men who drank antioxidant rich pomegranate juice, which supplies blood to vital organs like the penis.
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Prior to starting with treatment of erectile dysfunction, it is important to make sure that it is safe from a medical standpoint to participate in sexual activity. Sexual activity is physical exertion, and in some men with significant heart disease, this increase in physical exertion can increase the risk of a heart attack. Thus, it is very important to discuss your cardiovascular risks with your doctor prior to trying any medication or treatment for erectile dysfunction.
Erectile dysfunction is when you’re unable to get and maintain an erection. If you have trouble with ED every once in a while, it’s probably nothing to worry about. But if it happens frequently, it could be a sign of other health problems.
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.
Vardenafil is effective in men of all ages, different nationalities, and in men with such medical conditions as diabetes mellitus and erectile dysfunction after prostate surgery.
“There are many herbal remedies that tout improvement in erectile function, but most have little effect and may actually have detrimental side effects,” Mucher says. Two natural erectile dysfunction treatments that have shown promise are red ginseng and pomegranate juice.
Medicines classification committee public consultation – comments on proposed reclassification of sildenafil Medsafe, NZ, 2014
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Though it can be difficult to discuss this intimate subject with someone, the more your doctor knows about your health, lifestyle, and history, the more likely they can help determine the cause of your ED and the right course of treatment.
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In the past, doctors tended to blame erectile dysfunction on psychological problems or, with older men, on the aging process. Medical opinion has changed. While it takes longer to get aroused as you age, regular erectile dysfunction deserves medical attention. Also, the problem isn't usually psychological. Urologists now think physical problems contribute to most long-lasting cases of ED in men over 50.
Blood drawn from a patient’s body is centrifuged to extract tiny blood cells and plasma containing proteins that encourage new cellular and tissue growth and stimulate blood flow within the penis. It’s rapidly becoming a popular alternative to ED drugs because of its long-term benefits to a man’s sexual health. Most men continue achieving and sustaining erections for as long as 18 months before they need another therapy. Call Renew Health and Wellness to learn more about this innovative, effective treatment for erectile dysfunction.6 An essential amino acid found in meats, dairy products and seafood, L-arginine is critical for supporting protein synthesis, vascular functioning, cell division, wound healing and bone growth. It is also needed to create nitric oxide; the gaseous chemical men require to get erections. Nitric oxide has been proven to improve vascular health throughout the body as well as the penis.7
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.
Did you know that certain medical condition may be responsible for ED? Some causes of impotence are medically treatable and reversible. Learn more about what can be done about erectile dysfunction with the Impotence Quiz.
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A series of blood tests helps determine many medical conditions known to cause ED. A urinalysis indicates any positive signs of kidney problems, testosterone levels or diabetes. Using a nocturnal penile tumescence (NPT) procedure is common. Ultrasound testing and injections may be useful when diagnosing erectile dysfunction.
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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.
Our physicians are experienced in treating the complete range of urologic conditions and diseases, from kidney stones and sexual dysfunction to prostate cancer, incontinence and infertility. Male Urology > Erectile Dysfunction Erectile dysfunction is a challenging and embarrassing problem for men.
There have been rare reports of priapism (prolonged and painful erections lasting six or more hours) with the use of PDE5 inhibitors. Patients with blood cell diseases such as sickle cell anemia, leukemia, and multiple myeloma have higher than normal risks of developing priapism. Untreated priapism can cause injury to the penis and lead to permanent impotence. Therefore, if your erection lasts four hours, you should seek emergency care.
This section lists the different tests your doctor may need to assess your situation. It offers general information about the diagnosis of ED. Keep in mind that situations can vary in different countries.
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Erectile dysfunction (ED, impotence) is the failure to achieve or maintain an erection. There are many potential underlying... SLIDESHOW Erectile Dysfunction (ED) Causes and Treatment See Slideshow
Viagra’s active ingredient is sildenafil, but you might not know it from looking around at your ED options. Why would Viagra be so much more expensive than sildenafil (the active ingredient in Viagra)? Why does anyone opt for the more expensive Viagra if both have the same ingredient?
There is often a vicious cycle linking performance anxiety and erectile dysfunction. If you still have erections at times and the problem started rapidly (except after surgery), this usually means psychological reasons are involved.
Erectile dysfunction can occur if a man doesn't meet one or more of these requirements. The following are 13 common causes of erectile dysfunction, and many men have more than one potential cause:
This herb shows outstanding results by improving sexual function and increasing energy levels and reducing fatigue.
Stendra is also our top choice for couples who enjoy morning sex. Why? Tadalafil taken in the morning can sometimes require about an hour before it is fully effective. This experience with tadalafil varies — some men find tadalafil to be effective for a full 36 hours (which would make the prior morning’s dose still effective), while others find its effects wear off in closer to 18 hours. If you are in the latter camp, Stendra will be better for your morning rituals because you can take a dose as you wake up and then be ready for fun in as little as 15 minutes.
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According to Harvard Health Publishing, some of these wellness habits can include: Losing weight Walking Performing Kegel exercises Improving vascular health Cutting out calorically dense foods Quitting smoking Reducing or eliminating alcohol intake
Risks associated with injection therapy include bleeding, pain with injection, penile pain, priapism, and corporal fibrosis (scarring inside of the corpora cavernosa). There is also concern that repetitive injections in the same area could cause scar tissue to build up in the tunica albuginea which could create penile curvature. Thus, doctors recommended that one alternate side with injection and perform injections no more frequently than every other day.
First line treatment will be medication with a phosphodiesterase inhibitor such as sildenafil (Viagra), tadalafil (Cialis) or avanafil (Spedra). These drugs only work when used together with sexual stimulation and will have no effect on your sex drive. There is no evidence that these drugs are dangerous if you have underlying heart disease. However, they should not be used if you are taking nitrates (e.g. GTN, isosorbide) for angina
Erectile dysfunction can be a difficult problem to discuss with your partner or even your doctor. However, it needn't be because erectile dysfunction, which causes sexual performance issues for men, is a very common and highly treatable condition.
Erectile dysfunction or ED (also known as impotence) is when a man cannot achieve or sustain an erection for sexual intercourse. This can be: a total inability, inconsistent ability, or a tendency to sustain only brief erections.
Recent research has shown that exercise, specifically moderate to vigorous aerobic physical activity, can improve symptoms of ED.
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.
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.
But even if a prescription treatment isn’t the best course of action, it’s still wise to consult with a healthcare provider. This is because there are so many possible causes of ED, and your erection difficulties might signal an underlying condition that requires medical attention.
L-arginine is an amino acid produced by the body naturally. The amino acid helps in making nitric oxide that then helps hold an erection by relaxing the blood vessels relax. Relaxed blood vessels pump more blood which helps to hold an erection. You can take an oral dose of L-arginine daily for at least six weeks for significant improvement in sexual function. This has made L-arginine one of the most popular go-to natural treatments for ED.
Causes of ED are usually a side effect of physical disease, injury, or drugs. While there are many causes, the most common physical causes include: Diabetes High Blood Pressure Heart Disease Obesity Atherosclerosis Prescription Medications Smoking Alcoholism or Substance Abuse Relationship Issues Stress Depression or Anxiety Diagnosis
On the other hand, Geo Espinosa, director of the Integrative Urological Center at NYU Langone Medical Center, says there are some natural alternatives to popular ED medicines. Take them with your doctor’s OK, and they can help you get and keep an erection.
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Do you know about all the serious issues with Viagra and their generic substitutes? Check out how a lot of informed men are able to regain full function without pills, shots, or surgery and go back to being intimate the natural way.
