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Tags: elderly, erectile dysfunction, impotence, male, Men's Health, older adults, senior

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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider. Wake Forest Baptist Health, Medical Center Boulevard, Winston-Salem, NC 27157. All Rights Reserved. Request an Appointment
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. .

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Sometimes, ED happens when your hormones are out of balance. Your doctor can perform a blood test to check your hormones.
Preference for Viagra isn’t just a sugar-pill thing, either; there are differences in dosage to consider. Viagra commonly comes in 25mg, 50mg, and 100mg doses, with a typical dose of 50mg prescribed at the outset for men under 65. Sildenafil, meanwhile, comes in a broader range of options, including 20, 30, 35, 60, 80, and 100 mg. So, it’s the same active ingredient (sildenafil), which acts in the same way in the male body. But you may experience different levels of efficacy and side effects depending on the dosage.

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As is true in so many medical conditions, lifestyle modifications, considered first-line therapy, can have a salutary effect in ED management, and men should be encouraged to make the necessary changes to the benefit of their sexual function and to their overall health as well. Despite the benefits of behaviour modification, men presenting with ED want the physician to help with measures that can have an immediate impact.
Erectile dysfunction, also known as impotence or ED, is the inability to achieve or maintain an erection sufficient for sexual intercourse. Almost all cases of erectile dysfunction are treatable, says Dr. Honig.

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If the reason is physical – you’ve injured your penis, had surgery on your bladder or prostate, or suffer from a disease like MS or diabetes – medical treatment is your best option. There are many different Erectile Dysfunction treatments, including medication, penis pumps, LIST therapy, and surgery.

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No matter what erectile dysfunction treatment or treatments (whether herbal remedies or not) a man ultimately decides upon, experts say it's important to eat healthily and to avoid smoking and heavy drinking. Moreover, adequate exercise, stress reduction, and sleep can improve erection problems in many. In addition, says Lamm, "A loving, receptive, and responsive partner is a home run. After all, this is still a couple's issue." QUESTION Erectile dysfunction (ED) is… See Answer Chen, J. BJU International 83 (1999): 269-273. "Erectile Dysfunction." National Kidney and Urologic Disease Information Clearinghouse. Shabsigh, Ridwan, et al. "A Multicenter, Double-blind, Placebo-controlled Trial to Assess The Efficacy of Sildenafil Citrate in Men With Unrecognized Erectile Dysfunction." Urology 76.2 Aug. 2010: 373-379. Stanislov, R. Journal of Sex & Marital Therapy 29 (2003): 207-213. Tamler, Ronal. Men's Health Program, Mount Sinai Medical Center, New York City.

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    While medications are a common first therapy, they tend to only work in about 50 percent of men with diabetes. Good blood sugar control can help slow the progression of ED and sexual dysfunction in men. Men with diabetes are more likely to move on to other treatment options, such as the: vacuum erection pump, penile injection therapy, and penile implants. ED and Medications

    Tablets for erectile dysfunction are called phosphodiesterase-5 (PDE5) inhibitors such as sildenafil (Viagra, Silvasta, Vedafil), tadalafil (Cialis) and vardenafil (Levitra). These medicines usually enable an erection by relaxing the blood vessels in your penis, but only when you are stimulated or aroused. They are all similarly effective. Read more about PDE5 inhibitors and frequently asked questions about their use.
    It also reduces tiredness and enhances the recovery rate after strenuous exercises.

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    You can find out more about BlueChew’s vardenafil and other treatments by reading our complete BlueChew reviews. Starts working in just 15 minutes Lasts for around six hours (longer than sildenafil) Per-dose cost via Hims is cheaper than Viagra or Cialis Less risk of side effects, according to studies Can take it with or without meals Alcohol won’t reduce efficacy Not as affordable as sildenafil or tadalafil Subject to fewer studies than sildenafil or tadalafil

    Damiana: Its botanical name is Turnera Diffusa. It is a flowering plant with short growth having yellow flowers and fragrant leaves. The plant is found in Central South America, Mexico and in the carribeans. Even the people of Mayan civilization knew the use of the plant as medicine.
    But Erectile Dysfunction can also be caused by emotional issues – like stress, anxiety or depression -- or lifestyle choices – smoking, drinking and inactivity. These often respond well to natural treatment.

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    Your doctor might prescribe testosterone if your levels of this hormone are low. It won't help if circulation or nerve problems cause your ED.

    Injections, however, are uncomfortable for some men and may cause swelling, minor bleeding, and possibly scaring of the penis over the long term. Talk to your doctor about these side effects and whether injections might be right for you.
    One must understand that sex is one of the vital functions in the life of any man. Unsuccessful sex may ruin family relations, make the persons irritating and eccentric. It may even force your partner to search for some other relationship to satiate her sexual urge.

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    While in the ancient times the people knew about the wonderful properties of the herbs through trial and error. But now scientists have analyzed the properties of those herbs through scientific studies.

    Buy this male enhancement pill from the official website of the medicine. A 6 month supply containing 360 tablets costs you $200. There are many sex pills in the market which give an exhaustive list of ingredients. But you can hardly rely on most of them as they are in the field of adulteration.
    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.

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Nitric oxide in excess quantity helps the corpora cavernosa to relax and expand. Thus your penis becomes excitingly large and hard to the extreme pleasure of your partner.

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Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex, feeling stressed either at home or at work, or feeling troubled in your current sexual relationship. In these cases, treatment incorporating psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress, leading to further erectile failure. Individuals suffering from psychogenic ED may benefit from psychotherapy, treatment of the ED, or a combination of the two. Also, medications used to treat psychologic troubles may cause ED; however, it is best to consult with your physician prior to stopping any medications that you are taking. Althof, S.E., E.W. Corty, S.B. Levine, et al. "EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction." Urology 53.4 April 1999: 793-799. American Foundation for Urologic Disease. American Foundation for Urologic Disease. American Urological Association. "Erectile Dysfunction." 2011. . Andersson, K.E., and G. Wagner. "Physiology of Penile Erection." Physiol Rev 75.1 January 1995: 191-236. Cheitlin, M.D., A.M. Hutter Jr., R.G. Brindis, et al. "ACC/AHA Expert Consensus Document. Use of Sildenafil (Viagra) in Patients With Cardiovascular Disease. American College of Cardiology/American Heart Association." J Am Coll Cardiol 33.1 January 1999: 273-282. The European Alprostadil Study Group. "The Long-Term Safety of Alprostadil (Prostaglandin-E1) in Patients With Erectile Dysfunction. Br J Urol 82.4 October 1998: 538-543. Feldman, H.A., I. Goldstein, D.G. Hatzichristou, et al. "Impotence and Its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study." J Urol 151.1 January 1994: 54-61. Laumann, E.O., A. Paik, and R.C. Rosen. "Sexual Dysfunction in the United States: Prevalence and Predictors." JAMA 281.6 Feb. 10, 1999: 537-544. National Kidney and Urologic Diseases Clearinghouse. National Kidney and Urologic Diseases Clearinghouse. Available at http://kidney.niddk.nih.gov/. NIH Consensus Conference. Impotence. NIH Consensus Development Panel on Impotence. JAMA 270.1 July 7, 1993: 83-90. The Process of Care Consensus Panel. "The Process of Care Model for Evaluation and Treatment of Erectile Dysfunction." Int J Impot Res 11.2 April 1999: 59-70; discussion 70-74. Segraves, R.T., M. Bari, K. Segraves, and P. Spirnak. "Effect of Apomorphine on Penile Tumescence in Men With Psychogenic Impotence." J Urol 145.6 June 1991: 1174-1175. United States. FDA Center for Drug Evaluation and Research. FDA Center for Drug Evaluation and Research. Available at http://www.fda.gov/cder/.

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MUSE offers an alternative route for administration of prostaglandin using a small pellet inserted using an applicator into the tip of the urethra (water pipe opening). Once massaged the prostaglandin is released and helps the blood to flow into the penis to gain an erection. Some men experience a mild burning sensation afterwards in the water pipe but this is a good alternative option for men who do not like the idea of using injection therapy.

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