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Getting an erection is a process that includes physical, hormonal, and psychological elements. The penis is made of soft, spongy, elastic tissue that fills with blood to make it grow in size and become rigid. Around the spongy tissue and the prostate, there are nerves that send signals so that the blood vessels supply the blood (Fig. 1). These signals are controlled by the male hormone testosterone.

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Medicines classification committee public consultation – comments on proposed reclassification of sildenafil Medsafe, NZ, 2014
If you think you or someone else may have overdosed on: Avanafil (Stendra), call your doctor or the Poison Control center .

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The type of prescription medication that’s most commonly used in the treatment of erectile dysfunction is phosphodiesterase type 5 inhibitors (including sildenafil, vardenafil and tadalafil). They are used to relax and open the penile tissue, allowing for blood to enter the penis and cause an erection. Intracavernous (base of the penis) injections of vasoactive agents, such as prostaglandin E1, are also used for ED. (32)

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Catuaba bark extract: This is a heb which is found in South America. The males of Brazil and Peru use this extract to improve their sexual performance.

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ED is not a life-threatening disorder, but it can have a negative impact on your quality of life and that of your partner.

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    If you are continuously experiencing side effects, be sure to talk to your doctor. They can provide alternative options to treat your ED.

    Erections are neurovascular events, meaning that nerves and blood vessels (arteries and veins) are involved in the process of an erection and all must work properly to develop a hard erection that lasts long enough. Erection begins with sexual stimulation. Sexual stimulation can be tactile (for example, by a partner touching the penis or by masturbation) or mental (for example, by having sexual fantasies, or viewing porn). Sexual stimulation or sexual arousal causes the nerves going to the penis to release a chemical, nitric oxide. Nitric oxide increases the production of another chemical, cyclic GMP (cGMP), in the muscle of the corpora cavernosa. The cGMP causes the muscles of the corpora cavernosa to relax, and this allows more blood to flow into the penis. The incoming blood fills the corpora cavernosa, making the penis expand.
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    With increased supply of blood more and more oxygen reaches all parts of the body.

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    The cause of priapism is often unknown. It can be due to nerve damage or a side effect of some medicines, such as those for erectile dysfunction (impotence).

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    What's more, focusing on lifestyle change helps ensure an overall healthier and longer life, the researchers added.

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    Erythrocytosis has been noted in men on TRT, and should be monitored every 6–12 months depending upon the patients’ response to changes in haematocrit levels. For mild elevations, the dosage of testosterone can be decreased or the interval of using the medication can be increased. With the haematocrit greater than 50%, decisions to temporarily discontinue the medication or periodic phlebotomy may be indicated.38

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    Viagra and related drugs are not for everybody. Men with high blood pressure should not take Viagra. Viagra is a relatively good drug, as for as prescription drugs for ED go. However, Viagra, and similar pharmaceuticals such as Levitra and Cialis, are not right for every man. For example, these drugs are not indicated for ...
    Often known by the common brand name Cialis, tadalafil is a PDE-5 inhibitor that you take once per day to provide 18-36 hours of effectiveness. This significantly reduces the planning typically involved in using other treatments like sildenafil. That said, some users only take tadalafil as needed, and those dosages can sometimes be different. You and your doctor will decide what’s right for you.

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The duration of ED depends on what causes it and how you respond to your treatment. Many men notice an immediate improvement when they start on medication or another form of treatment.

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This article was published online on http://www.femalefirst.co.uk/health/ten-natural-treatments-for-erectile-dysfunction-525859.html 9/2014.

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Kegel exercises are an easy activity you can engage in to instantly begin to increase your sexual function and health. Normally used by women after giving birth, this exercise helps strengthen muscles that are responsible for holding in blood and maintaining your stamina. When not used, these muscles can become weakened and fail to help ...

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While some studies back up acupuncture’s claim to work for ED, the evidence is rather scant.

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