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The pathogenesis of organic ED is related to dysfunction of the endothelium. Endothelial cells can become injured through a variety of mechanisms, most of which cause oxidative stress on the tissues. Many of these causes of oxidative stress are related to lifestyle issues which lead to hypertension, diabetes and dyslipidaemia (figure 1). Endothelial cell dysfunction results in reduction of endothelium-dependent vasorelaxation as well as increased adhesion of leukocytes to the endothelium. Endothelial cell injury then leads to a variety of sequelae, including ED, other types of vasoconstriction, atherosclerosis and thrombus formation.18

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You shouldn’t take Viagra and Revatio together, unless your doctor tells you to do so.
As blood flows into the penis, the corpora cavernosa swell, and this swelling compresses the veins (blood vessels that drain the blood out of the penis) against the tunica albuginea. Compression of the veins prevents blood from leaving the penis. This creates a hard erection. .

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heart failure;angina (chest pain);a heart rhythm disorder;a heart attack or stroke;heart surgery;severe or uncontrolled high blood pressure;low blood pressure;retinitis pigmentosa (an inherited condition of the eye);hearing or vision problems, or vision loss;bleeding problems;a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;a stomach ulcer;liver disease, kidney disease (or if you are on dialysis);priapism (an erection that is painful or lasts longer than 4 hours);a physical deformity of the penis (such as Peyronie's disease); orif you have been told you should not have sexual intercourse for health reasons.
To use sandalwood oil, combine 2–3 drops with equal parts coconut oil (or any carrier oil) and rub it into your abdomen, back of neck and bottoms of your feet.

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Several medications can interfere with the chemical processing of PDE5i medications by the liver. These can include ketoconazole (an antifungal medication known by the brand name Nizoral), erythromycin (an antibiotic), and cimetidine (also known as Tagamet, for reducing stomach acid). A lower dose of PDE5i medications should be used if one is taking any of these medications.
Natural treatments include using certain herbs and remedies. Other than these, you can also manage this condition by using come natural fruits and vegetables as well.

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Your partner may relate his or her own attractiveness and sexual attraction with the ability to get you sexually aroused. He or she can feel vulnerable, rejected, and fear infidelity or abandonment. These feelings may get worse the more often ED prevents you from having fulfilling sexual activity. While treatment to cure ED may solve the physical aspect, the psychological consequences for you and your partner may also need to be dealt with. It could help if you see a therapist.

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A prolonged erection can damage the penis and could cause permanent problems in getting an erection. Therefore, it's important that priapism is treated quickly. What causes priapism?

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    Categories: Family Health, Men, Prevention and Wellness, Seniors, Sex and Birth Control, Sex and Sexuality

    Other things like stopping smoking, eating a healthy diet (heart healthy with adequate vitamin intake), and exercising daily may reduce a person's risk.
    Also, dip theepowder of black gram in onion juice for seven days and then dry the mixture.This mixture is a strong aphrodisiac and can be taken daily for improving sexualperformance.

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    These natural alternatives to ED drugs are widely used. Each comes with its own set of pros and cons.

    6. Yohimbe – Before Viagra, there was the West African Yohimbe herb. Physicians have prescribed Yohimbe in men with erectile dysfunction.
    English (EN) Tests A-Z BiopsyCystoscopyDigital rectal examinationMRI-scanUrodynamic testing Treatments Treatments A-ZTreatments per disease Double J StentPCNL (Percutaneous Nephrolithomy)SWL (Shock-wave Lithotripsy)TURBT (Transurethral resection of the bladder)URS (Ureteroscopy) Side effects Library Leaflets Videos Annual EAU Congress EAU22 EAU21 Newsletters Bladder Cancer NewslettersKidney Cancer NewslettersProstate Cancer Newsletters Erectile dysfunction Download leaflet

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    Lack of interest for sex in bedInfirm erectionEarly ejaculationSign of irritation in the behavior of the partnerLess volume of spermPartner unable to reach orgasms

    More permanent surgical prostheses may be considered, but only after conservative options have been attempted.
    National Center for Complementary and Alternative Medicine: "Aromatherapy May Make Good Scents, But Does It Work?"

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    flushing (warmth, redness, or tingly feeling);headache, dizziness;abnormal vision (blurred vision, changes in color vision)runny or stuffy nose, nosebleeds;sleep problems (insomnia);muscle pain, back pain; orupset stomach.

    Patients may take tadalafil as needed as with sildenafil, vardenafil, and avanafil, or once a day. It is the only ED oral medication that patients can take daily.
    Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain a hard enough erection for satisfactory completion of sexual activity. Erectile dysfunction is different from other health conditions that interfere with male sexual function, such as: lack of sexual desire (decreased libido), problems with ejaculation release of the fluid from the penis (ejaculatory dysfunction), problems with orgasm/climax (orgasmic dysfunction), and penile curvature (Peyronie's disease). Picture of arteries and veins involved in erectile dysfunction (ED); SOURCE: NIH

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Here are some home/natural remedies which can be considered as a healthy alternative to viagra.

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Physical disorders associated with erectile dysfunction can sometimes be related to hormones in the body. Non-hormonal causes include conditions that affect the blood supply to the penis (such as high blood pressure, type 1 or type 2 diabetes and smoking) and those that affect the nerves supplying the penis (such as Parkinson’s disease and damage to the nerves in the body e.g. due to both type 1 or type 2 diabetes). Erectile dysfunction can also be a side-effect of a medical intervention or treatment. Potential treatments that may be implicated in the cause of erectile dysfunction include certain antidepressants and treatment for high blood pressure (antihypertensives).

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ED is usually easy to diagnose. If you are tempted to self-diagnose, talk to your doctor. He or she will want to make sure it isn’t related to another health condition.

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The vacuum device is placed over the penis and draws blood into the sponge-like chambers of tissue that make up a majority of the penis. While effective, this option is dependent on body build and can be painful.

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