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Understanding that erectile dysfunction could have a medical cause, just as asthma or arthritis do, can help you to feel more at ease in mentioning it to your doctor. Your doctor is used to talking about these issues. By opening up this discussion, which is confidential, your doctor can help you in a number of ways.

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The Department of Urology brings together the best of patient care, education and research. Urology Research
ED happens when enough blood either doesn’t flow to the penis, or it doesn’t stay inside the penis long enough to do the job. There are several different reasons this may happen. .

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This treatment for ED has the quickest onset of action. It can have the desired effect just 15 mins after taking it. It contains the active ingredient Avanafil.
When you’re living with erectile dysfunction (ED), you’ll consider doing just about anything to get your sex life back on track. Eating roots like ginseng -- fine. Drinking special juices like pomegranate -- tasty. Even becoming a human pin-cushion for a treatment like acupuncture -- bring it on.

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17. Muse (Alprostadil) [Prescribing Information]. Somerset, NJ: Meda Pharmaceuticals Inc; April 2018.
A small percentage of erectile dysfunction cases are related to surgery for prostate cancer. After the operation to remove the prostate, 15 percent to 60 percent of men can have erectile dysfunction, even when newer “nerve sparing” surgery is performed. Often, this side effect is temporary, and improvement can be seen up to one year after surgery.

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15. Tsertsvadze A, Fink HA, Yazdi F, et al. Oral phosphodiesterase-5 inhibitors and hormonal treatments for erectile dysfunction: a systematic review and meta-analysis. November 3, 2009. Annals of Internal Medicine. www.acpjournals.org/doi/10.7326/0003-4819-151-9-200911030-00150. Accessed May 6, 2022.

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Hypertension (high blood pressure) is associated with ED and is seen more commonly among aging men. In addition, medications prescribed for hypertension, such as beta blockers and thiazide diuretics, have been shown to have detrimental effects on erectile function.

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    Erectile dysfunction (ED) is a common condition. Although it is not life-threatening, it can negatively affect your quality of life. Because it can be related to other conditions, such as heart disease, it is important that you get the right treatment. There are various treatment options for ED, discuss with your doctor which option is best for your individual situation.

    Erectile dysfunction isn’t caused only by unhealthy eating or nights on the lash. In fact, it’s been estimated that 10-20% of all cases of erectile dysfunction are caused by psychological problems. Issues like stress, PTSD, poor body image, relationship issues and depression can all impact your ability to enjoy a fulfilling, satisfying sex life.
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    Avanafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking sildenafil (Viagra) or other drugs similar to avanafil. Most of these people also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 50 years old. It is not clear whether avanafil is the actual cause of vision loss.

    If you have erectile dysfunction, there are many ways your doctor can help you treat it. But you may want to consider complementary or alternative therapies, such as nutritional supplements, herbal remedies, acupuncture, and talk therapy. Just be sure to talk to your doctor first.
    There are several treatments for erectile dysfunction. Your doctor can advise you on the benefits and drawbacks of each.

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    “Ginseng is thought to increase nitric oxide production, leading to improved blood flow," he says. "Pomegranate juice is a potent antioxidant and can help prevent atherosclerosis." Always talk to your doctor before taking any supplements, as they might interfere with other medication you're taking.

    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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    It affects approximately half of all men over age 40 While erectile dysfunction is usually a physical problem, it can also have psychological roots. More often than not, it is a combination of both. And help is available. “We have a treatment for everyone,” says Stanton Honig, MD, a director of the Yale Medicine Male Reproductive Health Program. “It's just a matter of what option you choose.”

    Dehydroepiandrosterone (DHEA)L-arginineGinsengPropionyl-L-carnitineYohimbeGinkgoHorny goat weed (epimedium)ZincAcupuncture and Erectile Dysfunction
    If the pills don’t work or aren’t safe for you to take, your doctor may prescribe a drug called alprostadil. It helps boost blood flow to the penis, triggering an erection within minutes.

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ED can have a negative impact on self-esteem, intimacy, and relationships, and contribute to increased stress levels. Difficulty getting an erection during sexual activityDifficulty keeping an erection during sexual activityDifficulty achieving an orgasm during sexual activityDifficulty with ejaculationReduced interest and sexual desire

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In younger men, the most frequent cause of ED is anxiety due to worrying about causing a pregnancy, nervousness about having sex or about using a condom.

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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.

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Sexualimpotence in men is a common problem whose frequency tends to increase with age.So before you start losing your sexual power, understand that being impotentdoesn't mean you have to suffer the problem forever.

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