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When your question is: do I have erectile dysfunction? We can answer it by examining the risk factors of ED:

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Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
Bad sleep patterns can be a factor for erectile dysfunction. If you will get proper sleep, the level of testosterone levels will increase. Hormone secretion is also controlled by the body’s internal clock and the sleep patterns help the body to determine when to release the hormones. Sticking to a sleep schedule is a natural erectile dysfunction remedy. .

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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.
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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All PDE5i medication does not improve erections in normal men, only in those with difficulty in achieving or maintaining erections sufficient for sexual intercourse due to a true medical problem.
Although other issues such as nerve damage and hormone abnormalities can also lead to erectile dysfunction, the failure of the blood vessels to dilate properly is one of the more common causes, Wittert said. "This is an early abnormality in the pathway to more serious heart disease."

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A psychological component, often called "performance anxiety", is common in men with impotence. However, a purely psychological problem is seen in only 10%.

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    Get an early start on good lifelong health by learning about the services and advice your family doctor can… © 2022 American Academy of Family Physicians | Privacy Policy | Copyright & Permissions

    It is recommended that prior to proceeding with other therapies, patients reporting failure of their PDE5 inhibitors should be evaluated to determine whether the trial was adequate. This would include discussion of fatty food ingestion, which is important with sildenafil, and specific patient population such as prostatectomy and diabetes. Furthermore, patients should be encouraged to continue attempts at intercourse up to the eighth to tenth dose of PDE5 inhibitor as improvements in success rate are seen up to the eighth to tenth dose.
    Sex is very important for any married couple. While a satisfied sexual life goes to make a happy and creative family, the opposite can have disastrous effects.

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    Complications of ED can arise when the root cause is not identified or addressed and the ED is left untreated. These complications can include: Anxiety or stressLow self-esteemAn unsatisfying sex lifeRelationship problemsInfertilityHigher risk of cardiovascular diseaseHigher risk of heart attackHigher risk of strokeHigher risk of premature death if the ED is left untreated When to See a Doctor

    This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
    Instead, Espinosa suggests taking L-citrulline, which helps your body make more arginine. But, he warns, high doses can lower your blood pressure.

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    To understand the functioning of the medicine, you have to know the basics about the erection. In fact the body system achieves erection by increasing the flow of blood into the penis and holding on to it.

    If ignored, erectile dysfunction can lead to complications, such as an unsatisfactory sex life, low self-esteem, high anxiety, and relationship problems. Getting a partner pregnant also becomes difficult if a man suffers with erectile dysfunction.
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    The ability to achieve and sustain erections requires the following:A healthy nervous system that conducts nerve impulses from the brain, spinal column, and the penisHealthy arteries in and near the corpora cavernosa of the penis so that when stimulated there is an increase in blood flow to the penisHealthy smooth muscle and fibrous tissue within the corpora cavernosa so that it can fill with bloodAn adequate amount of nitric oxide (NO) in the penis to help with the stimulation of blood flow into the penisNormal functioning of the tunica albuginea, the layer of tissue surrounding the corpora cavernosa and responsible for the compression of the veins to keep blood in the penisAppropriate psychosocial interactions to enhance sexual stimulation/arousal and decrease anxiety/stress

    The AASECT aims to promote the understanding of human sexuality and healthy sexual behavior. The organization certifies sex therapists and lets you search for professionals in your area.
    Side effects with tadalafil are about as common as with sildenafil and are similarly mild. Dose for dose, tadalafil is also a little bit more expensive than sildenafil. In our opinion, tadalafil is the better value, however: In studies, men and their partners prefer tadalafil to sildenafil. Tadalafil has superior psychological outcomes to sildenafil, providing more sexual confidence. The larger window for sexual activity (18-36 hours, compared to 4-6 hours with sildenafil) for many people justifies the slightly higher expense.

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Smoking is harmful to your heart and contributes to vascular disease, which reduces blood supply to vital organs such as the genitals. To get maximal blood flow in all of the proper places, you must give up all tobacco products.

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Sildenafil (Viagra) 50 mg and 100 mg on demandTadalafil (Cialis) 10 mg and 20 mg on demand; 2.5 mg and 5 mg once dailyVardenafil (Levitra) 10 mg and 20 mg on demandAvanafil (Stendra) 50 mg, 100 mg, and 200 mgHow Do PDE5 Inhibitors Work?

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