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Sildenafil (sildenafil citrate) is prescription medicine used to treat erectile dysfunction (ED).

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Viagra Connect is the over-the-counter version of Viagra. It is the first non-prescription medication available in the UK to treat erectile dysfunction. It works by establishing reliable blood flow to the penis, ensuring a strong erection, when you need it.
Erectile dysfunction, or being unable to maintain an erection firm enough to have sexual intercourse, affects a majority of men between the ages of 40 and 70. Appointments Request an Appointment .

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In this article, I’ll describe five of the most common over-the-counter (OTC) ED medications, as well as their risks, potential side effects, and some available brands. Keep in mind that before beginning any OTC ED treatment, it’s important to talk to your doctor to determine which treatment option, if any, is right for you.
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.

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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.
Erectile dysfunction is defined as the condition when men are unable to achieve an erection hard or long enough in order to have sexual intercourse, and is common in men over 40 and those with chronic stress and anxiety.

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Communication is the central pillar of any relationship. There’s nothing like opening up with your partner, and with a professional too perhaps, to help reduce your anxiety.

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The pressure applied to the pelvic floor during these activities can result in nerve and vascular damage that may inhibit erections.

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    The penile implant allows men to achieve an erection through an implanted device. These devices can be effective in restoring sexual activity for a man and his partner. At Yale Medicine, our doctors have specialized experience with placing the penile prosthesis.

    The most common cause of ED is a lack of flowing blood to erectile tissue. Plaque and damaged vessels can restrict circulation enough to disrupt function. Typically, symptoms begin with difficulty maintaining an erection before advancing to a complete inability to obtain one.
    If you miss a dose of Revatio, take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.

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    usesWhat is Viagra (Sildenafil (Injection)) used for?Pulmonary HypertensionHeart DiseasePulmonary ImpairmentErectile DysfunctionPulmonary Heart or Vascular DiseaseThromboembolic Pulmonary Hypertension

    DiabetesDiabetes is a known risk factor for ED, and its prevalence in patients with diabetes is estimated to be greater than 50%. When compared to a healthy control group, men with diabetes were found to be 3.5 times more likely to have ED than those without diabetes.21 While PDE5Is have proven to be highly efficacious in the treatment of ED, men with diabetes tend to have a poorer response with this drug class compared with those without, although some of the evidence is mixed. Because the release of NO is mediated by neuronal and endothelial NO synthase, it is postulated that neuropathy and endothelial disease (commonly diagnosed in patients with diabetes) diminish the effects of PDE5Is.22
    In a 2014 pilot study, 31 men between the ages of 20 and 55 years old, who were newly diagnosed with erectile dysfunction, received either tadalafil (a medication used to treat impotence) for a five-month period or tadalafil and an eight-week stress management program. Both groups showed statistical significant improvement, but researchers found that the men practicing stress management showed a significant reduction in perceived stress scores and lower daily cortisol levels compared to the men who only received medication. (19)

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    ED can be seen as the result of an interruption - either medicinal, physical or psychological - of the natural process which causes an erection when sexual excitement is felt.

    The Sexual Advice Association has factsheets on medicines and other treatments for erectile dysfunction.
    L-arginine is an amino acid and something we naturally have within our bodies. Under normal circumstances, it plays a role in nitric oxide production, which in turn plays a crucial role in allowing blood to rush into the penis to cause an erection.

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    It is well-known that smoking cigarettes can lead to physiological impairments that lead to erectile dysfunction. Research also indicates that this damage is not permanent and can even be reversed if smoking is stopped prior to middle age. For these reasons, it’s imperative that men who smoke cigarettes need to stop in order to maintain their health and sexual function. Having trouble quitting smoking? Consider trying some mind-body practices like reiki, acupuncture and spinal manipulation to help. (20)

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    You didn’t wait long enough or you waited too long after taking the medicine before having sex.The dose wasn’t high enough.You’re not sufficiently aroused.

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The most common side effects of Tadalafil: headache; flushing; upset stomach; abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash.

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Andrology, Artificial Urinary Sphincter, Benign Prostatic Hyperplasia/BPH, Complex Penile Surgeries, Erectile Dysfunction, Male and Female Sexual Dysfunction, Male and Female Stress Urinary Incontinence, Male Pelvic Pain, Medical and Surgical Management of Male Infertility, Medical and Surgical Management of Peyronie's Disease More...

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

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