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When used as advised by a medical professional, these treatments are safe and may help men secure more satisfying sex lives.
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ED can have physical or psychological causes, and occasionally a combination of both. The causes of ED may include: Health conditions: Diabetes, heart disease, obesity, high cholesterol and other conditions can affect blood flow to the penis and contribute to ED. Medications: Drugs prescribed for high blood pressure, heart disease, depression and other mental health problems can cause erectile dysfunction. Lifestyle: Smoking, excessive drinking, drug use and diet can also contribute to ED. Psychological conditions: Stress, anxiety, depression and relationship problems can all cause or worsen ED.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999494/ Pelvic Floor Awareness for Psychosexual Therapy. (2020).

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Prescription ED medications can potentially lower blood pressure. If you already have low blood pressure or are being treated for high blood pressure, there is a possibility that ED treatments could lead to hypotension, which is a serious risk. The doctor will be able to advise you on safe treatment options. You may need blood pressure results to acquire a prescription for certain ED medications.
Anxiety and depression can be treated with counselling and cognitive behavioural therapy (CBT).

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Drugs A-Z provides drug information from Everyday Health and our partners, as well as ratings from our members, all in one place. Cerner Multum™ provides the data within some of the Overview, Uses, Warnings, Side Effects, Pregnancy, Interactions, Dosage, Overdose, and Images sections. The information within all other sections is proprietary to Everyday Health. Read more

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There are also specific treatments for some of the causes of erectile dysfunction. Treatments for some causes of erectile dysfunction Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol Medicine to lower blood pressure, statins to lower cholesterol Hormone problems Hormone replacement (for example, testosterone) Side effects of prescribed medicine Change to medicine after discussion with GP

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    Making positive alterations to lifestyle can also put men on the path to improving their ED condition. These steps can include healthy changes which can lead to improved erections and lessen the need for mediciation. Maintaining a healthy diet is one of the ways to improve ED symptoms, avoiding fried foods and sugary snacks, in favour of fresh foods with a higher nutritional value.

    If a medication is causing your ED, your doctor may lower your dose or try a different drug.
    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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    Erectile dysfunction (ED) is a common medical condition that primarily affects men older than 40. The most common symptom of ED is difficulty getting and maintaining erections firm enough for satisfactory sexual intercourse.
    What causes ED? There are many causes of impotence both medical and psychological. Often, age is a predominant factor in erectile dysfunction; however, your chronological age is not solely responsible for ED’s development. Men over the age of 40 typically experience ED as the result of inadequate blood flow to the penis, most often due to the narrowing of blood vessels. This can arise due to many causes including:

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    And if you need support in the process of reducing stress and anxiety, try cognitive behavioral therapy that will help you to work through tough situations that would normally leave you in a state of stress.

    Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Do not take Viagra more than once per day.
    The pathogenesis of organic ED is related to dysfunction of the endothelium. Endothelial cells can become injured through a variety of mechanisms, most of which cause oxidative stress on the tissues. Many of these causes of oxidative stress are related to lifestyle issues which lead to hypertension, diabetes and dyslipidaemia (figure 1). Endothelial cell dysfunction results in reduction of endothelium-dependent vasorelaxation as well as increased adhesion of leukocytes to the endothelium. Endothelial cell injury then leads to a variety of sequelae, including ED, other types of vasoconstriction, atherosclerosis and thrombus formation.18

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    Doumanian, Leo MD, associate professor of clinical urology at Keck School of Medicine at the University of Southern California.

    Drinking alcohol can increase certain side effects of avanafil. Avoid drinking more than 3 alcoholic beverages while you are taking avanafil.
    Treatment for erectile dysfunction is aimed at enabling a man to achieve and maintain an erection for sexual intercourse.

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When you get aroused, your body produces a molecule called cGMP which helps to stimulate an erection by increasing blood flow to the penis.

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For men with lower levels of DHEA, one study suggests that oral DHEA treatment may help reduce the symptoms of ED. However, experts agree that we need more research on the effectiveness of DHEA for treating ED. eVitaminsNatrolNature’s LabSuperior LabsTheralogixZhou Nutrition L-arginine

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If you think your medication might be causing ED, talk to your doctor, but don't discontinue using it on your own. Some medication must be tapered off under a doctor's supervision.

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