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Appropriate treatment options should be applied in a step-wise fashion, balancing invasiveness and risk versus efficacy. If possible, the partner should be involved in the decision-making. The decision depends on the patient preferences and expectations as well as the experience and judgment of the physician. Oral phosphodiesterase type-5 inhibitors are first line therapy.

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Viagra is the brand name of the prescription medicine sildenafil. It’s used to treat erectile dysfunction (trouble getting or keeping an erection) in men.
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You are not alone; we offer a discreet, confidential, professional and secure service that gives you all the facts to consider about each treatment so that you can choose and order, the best ED treatment for your own lifestyle. You can do this in the comfort of your own home, without having to take time off work or interrupt your busy daily routine.
Even if you take the medicine, you still need physical and mental stimulation and desire to have an erection. If your first dose doesn’t help, call your doctor. Your doctor may want to change your tablet strength.

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Psychosexual counselling, or sex therapy, is an appropriate recommendation especially for men who are experiencing discord with their partner especially if the conflict is related to the man’s ED. Counselling usually consists of 5–20 sessions with counsellor. It is our recommendation that referral doctors treating men with ED make a referral to a psychotherapist or sex therapist who is certified by AASECT (American Association of Sexuality Educators, Counselors and Therapists) of certified sexuality educator.43
Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, General Urology, Hematuria, Infertility, Kidney Stones, Low Testosterone, Prostate Cancer, Testicular Pain More...

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Tadalafil is the generic version of Cialis. It can cause the same side effects, including headache, indigestion, back pain, nasal congestion, flushing, muscle aches, and pain in the arms or legs.

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The dried roots ofasparagus (or white musli ) are used in Unani medicine as an aphrodisiac.

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    Your penis should swell within five to 15 minutes after injection. It may be erect. However, many men will not achieve an erection until sexual foreplay is started.

    Men who smoke are about twice as likely to develop ED as nonsmokers. Smoking hampers circulation to all areas of the body, including the genitals, making it tougher to get and keep an erection.
    There are a number of oral medications available for ED sufferers with diabetes. These include Viagra, Sildenafil, Cialis, Tadalafil, Levitra and Spedra. The most suitable of these treatments will vary according to the individual although there is some evidence to suggest that Levitra might be the best choice for diabetics. Which erectile dysfunction (ED) pill is the best for people suffering from high blood pressure?

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    It helps to understand how an erection works. Sexual stimulation delivers extra blood to the penis through the arteries, causing an erection.

    The foods you eat can have a direct impact on erectile dysfunction, Dr. Mucher says. A diet rich in fruit, veggies, whole grains, and fish, and with fewer servings of red meat and refined grains, decreases the risk for ED.
    Treatment depends on what is causing it. If it is caused by uncontrolled blood sugar and high blood pressure, take your medicine and follow your doctor’s instructions.

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    Ginseng. Korean red ginseng has long been used to stimulate male sexual function, but few studies have tried systematically to confirm its benefits. In one 2002 study involving 45 men with significant ED, the herb helped alleviate symptoms of erectile dysfunction and brought "enhanced penile tip rigidity." Experts aren't sure how red ginseng might work, though it's thought to promote nitric oxide synthesis. "I would recommend ginseng [for men with ED]," says Espinosa. Discuss with your doctor before taking it since ginseng can interact with drugs you may already be taking and cause allergic reactions.

    There are several potential causes of ED, including underlying health issues such as heart disease or diabetes, so it’s important to speak to your healthcare provider as soon as possible if you’re experiencing symptoms.
    Locations/Contact About Us Testimonials Blog Job Application Privacy Policy Sitemap Racine Location Festival Foods Location MedCare West/Long Term Care Location Larsen Mayer Location Is There Anything Over the Counter That Works Like Viagra? Medical Editor: John P. Cunha, DO, FACOEP Erectile Dysfunction (ED) Treatment Causes of ED What Are Causes of Erectile Dysfunction? Guide Is There Anything Over the Counter That Works Like Viagra? Topic Guide There are several medications and treatments used to treat erectile dysfunction (ED, impotency), including Viagra (sildenafil), testosterone replacement therapy, penile self-injection, and others. Some over-the-counter (OTC) supplements may help with erectile dysfunction, such as L-arginine in combination with pycnogenol, Korean red ginseng (also called panax ginseng), Yohimbe, Carnitine (propionyl-L-carnitine), and Dehydroepiandrosterone (DHEA).

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    Erectile dysfunction can be a sign of a more serious health problem, especially in middle-aged men.

    Erectile dysfunction is the persistent inability to achieve or maintain an erection that allows for sexual activity. This is a common male sexual disorder, especially among older men. Forty-four percent of men between the ages of 60 and 69 years are affected by erectile dysfunction and 70 percent of men over the age of 70 have difficulty maintaining an erection. Among men under the age of 40, only about 5 percent suffer from erectile dysfunction. (3)
    A 2017 systematic review and meta-analysis published in the British Journal of Sports Medicine found that physical activity and exercise, particularly aerobic exercise with moderate-to-vigorous intensity, improves erectile function. (17)

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You can buy extract of the bark of the yohimbe tree – long used as an aphrodisiac in western Africa -- as a dietary supplement. Its promoters claim it can help erectile dysfunction. But the science shows mixed results.

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maintaining a healthy weightquitting smokingcutting down on the amount of alcohol you drinknot taking recreational drugsexercisingreducing stress Can lifestyle changes help symptoms of an enlarged prostate gland?

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Another astounding finding came from a 2014 study in which Canadian adolescents reported that 53 percent of males between the ages of 16 and 21 had symptoms of sexual dysfunction, with erectile dysfunction being the most common. Although lifestyle factors, like obesity, substance abuse and smoking, may cause sexual dysfunction in young adults, researchers found that high exposure to pornography videos resulted in “lower responsivity and an increased need for more extreme, specialized or ‘kinky’ material to become aroused.” (5)

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