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If your doctor suspects that you may have an underlying condition, however, you might need further tests or a consultation with a specialist. Tests for underlying conditions can include: A physical exam: Your doctor will examine your penis and testicles for signs of abnormalities and will test sensation. Blood tests: Blood tests can show if you may have heart disease, diabetes, low testosterone levels, or other issues. Urine tests: Urinalysis is used to look for signs of diabetes and other health conditions. An ultrasound: A specially trained technician will use a wand-like device (transducer) over the blood vessels that supply the penis to analyze for blood flow issues. A psychological exam: Your doctor may want to evaluate you for depression or other mental illnesses that may cause erectile dysfunction. Why Do Men Often Die Before Women Groan-Up Humor of 'Dad Jokes' No Sign Testosterone Supplements Cause Heart Issue Men Think They're Healthier Than They Are Frozen Testes Tissue in Mice Viable After Decades Daily Health News Forever Chemicals Linked to Liver Cancer Stretching the Monkeypox Vaccine Infectious Diseases Getting Worse Salt Substitutes Slash Heart Risks Deadly Hepatitis C Infection More Health News » Trending on MedicineNet Triple-Negative Breast Cancer Causes of Stool Color Changes Good Heart Rate By Age Laminectomy Recovery Time Normal Blood Pressure By Age

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Most men start MUSE suppositories at 125 mcg (micrograms), and Caverject injections at 2.5 mcg. Avoid taking more than twice within a 24-hour period.
You could also try a medicine called alprostadil (only available with a prescription). This is a man-made hormone that helps to stimulate blood flow to the penis. .

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Do not take sildenafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.
Penile erection is a complex process in which the brain, nerves, muscles and blood vessels play a major role. The main causes of erectile dysfunction include psychological and health conditions, medications, trauma and lifestyle factors. Health Categories Medical Slideshows Diseases & Conditions Symptoms & Signs Procedures & Tests Medications Healthy Living Vitamins & Supplements Image Collection Quizzes MedTerms Dictionary MedicineNet Privacy Policy About Us Contact Us Site Map WebMD Corporate WebMD WebMDRx Medscape Medscape Reference eMedicineHealth RxList OnHealth

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Stendra also acts quicker in the body than others — 15 minutes is all it typically takes before the drug acts to help you.
Benign Prostatic Hyperplasia/BPH, Erectile Dysfunction, General Urology, Kidney Stones, Penile Prosthesis, UroLift, Urologic Cancers, Vasectomy

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But even if a prescription treatment isn’t the best course of action, it’s still wise to consult with a healthcare provider. This is because there are so many possible causes of ED, and your erection difficulties might signal an underlying condition that requires medical attention.

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    Losing weight, eating better, getting more active, drinking less alcohol and getting better sleep can all help reverse problems that contribute to impotence, according to a new study published recently in the Journal of Sexual Medicine.

    ED tablets should not be taken more than once a day. Taking any ED treatment more than once a day will increase the risk of experiencing side effects. If you'd prefer the freedom to have more frequent sex, you may want to try tadalafil or Tadalafil Daily. These ED medications last for a long period of time and give you more flexibility to enjoy spontaneous sex without needing to wait 24 hours to take another tablet.
    If impotence affects you or someone you love, don’t lose hope. You may be suffering from a medical or emotional issue that is causing low libido or impotence — possibly interfering with both your confidence and relationship — but the good news is there are effective natural remedies for impotence that can help reverse this problem in most men. Around 70 percent of ED cases are resolved with natural impotence remedies that can help restore your sexual health.

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    Tell your doctor about all medications you’re taking, including over-the-counter drugs, herbs, and supplements.

    Easy Home Remedies for Male Impotency (Erectile Dysfunction)Contact lens cases can be harmfulWestern diet causes maximum strokesExercise may prevent severe stroke
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    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3427191/ Effect of Lifestyle Changes on Erectile Dysfunction in Obese Men: A Randomized Controlled Trial. (2004).

    A very rare but more serious visual complication is shared by all PDE5 inhibitors. This would be non-arteritic anterior ischemic optic neuropathy (NAION). A number of cases have been reported and generally risk factors for this very rare form of blindness are severe cardiovascular conditions. In summary, men at high-risk for cardiovascular disease with congestive heart failure or unstable angina should not receive treatment for sexual dysfunction until their cardiac condition has stabilized. The FDA advises patients to stop taking these medicines and call a doctor immediately, if they experience sudden or decrease vision loss in one or both eyes. Furthermore, patients taking or considering taking these products should inform their healthcare professionals if they have ever had severe loss of vision, which may reflect a prior episode of NAION. Such patients are at an increased risk of developing NAION again.
    Future treatments for erectile dysfunction focus on providing medications that are more effective, work rapidly, and have fewer, if any, side effects than currently available treatments.

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

    For the study, data was collected from more than 800 randomly selected Australian men, 35 to 80 years old at the beginning of the study, with follow-up five years later. Sexual desire was assessed using a standard questionnaire that addressed interest in engaging with another person in sexual activity, interest in engaging in sexual behavior by oneself, and no interest in sexual intimacy.
    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.

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U.S. Food and Drug Administration. FDA Drug Safety Communication: fda cautions about using testosterone products for low testosterone due to aging; requires labeling change to inform of possible increased risk of heart attack and stroke with use. www.fda.gov/Drugs/DrugSafety/ucm436259.htm. Bassil N , Alkaade S , Morley JE . The benefits and risks of testosterone replacement therapy: a review. Ther Clin Risk Manag 2009;5:427–48. Søe KL , Søe M , Gluud C . Liver pathology associated with the use of anabolic-androgenic steroids. Liver 1992;12:73–9. doi:10.1111/j.1600-0676.1992.tb00560.x Randrup E , Baum N , Feibus A . Erectile dysfunction and cardiovascular disease. Postgrad Med 2015;127:166–72. doi:10.1080/00325481.2015.992722 Wrishko R , Sorsaburu S , Wong D , et al . Safety, efficacy, and pharmacokinetic overview of low-dose daily administration of tadalafil. J Sex Med 2009;6:2039–48. doi:10.1111/j.1743-6109.2009.01301.x Seftel AD , Sun P , Swindle R . The prevalence of hypertension, Hyperlipidemia, diabetes mellitus and depression in men with erectile dysfunction. J Urol 2004;171:2341–5. doi:10.1097/01.ju.0000125198.32936.38

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We understand your concerns and can answer your questions about male sexual issues. We’ve heard it all before, and we can find the answers—and the treatment—that is personally best for you.

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A recent study published in the Journal of Sexual Medicine reported that men with severe periodontal disease were three times more likely to have consistent difficulties having an erection. While this may be a case of correlation rather than causation, poor dental health has long been associated with vascular disease, which is known to contribute to ED.

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Erectile dysfunction or ED (also known as impotence) is when a man cannot achieve or sustain an erection for sexual intercourse. This can be: a total inability, inconsistent ability, or a tendency to sustain only brief erections.

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