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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.

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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.
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Penile implant is a very reliable method to treat ED, however, it involves surgery and post-surgical recovery. It is not recommended for older men, as the recovery time is a risk.
Medications, such as treatment for high blood pressure, can also play a role. These drugs reduce blood pressure by reducing blood flow, which can affect erections. It is not recommended that men stop their blood pressure medications, of course. But some patients can eliminate their need for the treatment through changes in diet and exercise.

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This involves listening to the heart rate and the lungs. The blood pressure is checked, the testicles and penis are examined. A rectal exam can be done to test for prostate.
Erections that are too soft for sex.Erections that are don’t last long enough for sex.An inability to get an erection.

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warningsWhat is the most important information I should know about Viagra (Sildenafil (Injection))?

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If you use sildenafil, tadalfil, or vardenafil and get chest pains, be sure to tell the paramedics, nurses or doctors at the hospital that you use it and when you used it last.

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    Erectile dysfunction is often associated with a number of common medical conditions, such as diabetes, high blood pressure, heart disease, nervous system disorders, depression, and the medications used to treat these conditions. Psychologic problems such as anxiety and stress can also affect erectile function.

    The side effects of ED medicine are mostly the same. Sildenafil and vardenafil can cause: Headache. Flushing (face and upper body turning red and warm). Stomach upset. Runny nose (sniffles). vision changes (things look blue).
    Do not take avanafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking avanafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.

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    Since these medications can interfere with other medications, inform your doctor if you are taking medications for other ailments.

    If you are on a blood thinner, you must be careful. After injection, patients should pressure the site to minimize bleeding.
    Erectile Dysfunction Devices Market has increased owing to the rising prevalence of erectile dysfunction cases among men. According to the CDC 2021, getting aged does not cause erectile dysfunction, but it does increase the chances of being affected by it. Thereby, the rise in the geriatric population of men is a significant factor that boosts the growth of the Erectile Dysfunction Devices Market.

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    Self-administered injections of prostaglandin E1 (Caverject® or Invicorp®) provide a simple means of obtaining a natural erection. You will be taught how to administer the injections (pictured) and told what to do in the event of problems such as an erection which will not go down.

    Before you conclude that brand-name Viagra is superior for that reason, though, consider how much more leeway sildenafil’s strength gives you and your doctor to dial in the best dosage for you. You’ve got more control over it, and of course, the best dosage of any prescription medication will be the smallest dosage that produces the desired effects. Smaller dosage means less cost to you and less risk of side effects. And sildenafil is already much cheaper than Viagra.
    Mechanical vacuum devices cause an erection by creating a vacuum around the penis that draws blood into the penis, engorging it, and expanding it. The devices have three components: A plastic cylinder, in which the individual places his penis A pump, which draws air out of the cylinder An elastic band is placed around the base of the penis, to maintain the erection after the cylinder is removed and during intercourse by preventing blood from flowing back into the body (see figure 2). The vacuum device may be operated by hand or be battery operated.

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    Bananas are rich in potassium. Potassium keeps your sodium level in control and improves the circulation and ultimately treats ED.

    There are numerous causes of ED. Though it occurs more frequently as men age, this isn’t a condition that’s a natural part of the aging process; erectile dysfunction isn’t something that men or their partners should just accept. And it’s not at all something that should be a source of shame or embarrassment. ED is a common condition, and many roads may lead to it: Hypertension (high blood pressure) Obesity Diabetes Stress Use of alcohol, tobacco, or drugs (recreational or prescription) Exhaustion and sleep disorders Depression and anxiety Considerations when looking for an ED treatment
    Erectile dysfunction can be caused by many factors and may have a gradual or sudden onset. It can be very upsetting and result in a lot of stress and worry. It can feel embarassing to discuss this with your doctor but it is important that you do, so that you can receive the appropriate help. Erectile dysfunction can also be a sign of other illnesses such as heart disease or diabetes, so it is important that you seek medical advice. What are the facts about impotence? Erectile dysfunction becomes commoner with increasing age and is seen in 50 - 55% of men between 40 and 70 years old; It is often associated with obesity, high blood pressure, high cholesterol & diabetes which are all significant risks to health; Investigation is only indicated if both partners wish to pursue treatment; Most treatable causes can be identified by a clinical history, physical examination and routine blood tests; If there is no treatable cause, treatment with tablets is the first option for most men; Other methods of treatment are only indicated if medication proves ineffective, causes side-effects or cannot be used because of specific medical conditions. What should I expect when I visit my GP?

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Additionally, it’s a good idea to share any life changes or stressors that could be affecting your mental health, such as the death of a loved one, a job change, the birth of a child, or trouble in your relationship.

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Defined by an inability to develop and maintain an erection firm enough for sexual relations, erectile dysfunction (ED) affects approximately one in four men during their lifetime. According to research scientists, up to 75 percent of ED cases occur due to medical causes. When functioning normally, neurotransmitters initiate an erection by relaying signals from the brain to the vascular system. The resulting increased blood flow and pressure to the penis allows tube and elastic like tissue within the penis to expand, achieving erection. Blood flow reduction to the penis Scarring of the penile tissues does not allow for a normal erection- Peyronie's disease Nerve damage (may occur directly to the penis or to areas leading to it) Hormonal or metabolic disorders such as diabetes Psychological conditions (mainly seen with ED in males under the age of 40) Vein leakage, also known as a venous leak Trauma, injury, or surgical procedures to the spinal cord or pelvic area Vascular disorders or disease such as high blood pressure Neurologic related conditions such as multiple sclerosis or Parkinson's disease High levels of cholesterol Heart disease Occurrence and/or treatment for enlarged prostate or prostate cancer Obesity Sleep-related disorders Tobacco use Diseases such as alcoholism and other substance abuse disorders Psychological related issues

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But if underlying conditions are a suspected cause for your ED, you may need certain tests, such as:

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Some men familiar with Viagra, having used it before successfully, want to stick with what works. They trust it, and the brain is the largest and most important sex organ after all; psychology can be a potent tool in combating ED.

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