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.
Since endothelial dysfunction, CVD and ED are closely associated in epidemiological studies, the question for clinicians is whether to recommend the man presenting with ED undergo a cardiovascular (CV) evaluation. Clearly, based on numerous studies, ED can be considered at least a ‘marker’ for possible further vascular disease or CVD.15 In their report, Vlachopoulos and coworkers make the point that the man presenting with ED, the clinician, is offered an opportunity to attempt to improve the health of the man by addressing lifestyle modification, and consider further vascular evaluation owing to the clear relationship between endothelial dysfunction, ED and CVD.19
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1. Overview2. Symptoms3. Causes4. Diagnosis5. Prevention6. Treatment7. Everyday Life8. Questions9. Resources
It is important to first schedule a comprehensive consultation with a Oakdale erectile dysfunction specialist in order to determine if any of the available treatment options are right for you. Meet with your local clinician for a full physical exam and medical history evaluation, and find out what the best treatment options are for your specific case.
Oral drugs or pills are often prescribed for ED (Viagra, Cialis, Levitra, Stendra)Testosterone Therapy (if blood tests indicate low testosterone)Penile Injections (ICI, intracavernosal Alprostadil)Intraurethral medication (IU, Alprostadil)Vacuum Erection DevicesPenile ImplantsSurgery to bypass penile artery damage for some younger men with a history of severe pelvic trauma (this procedure is not recommended for older men with hardened arteries)
Most people who get shockwave therapy for ED will often see benefits within one to three months. The initial results (within the first several weeks) can be dramatic. There is still not enough long-term research and data to say how long the treatment might last, whether the effects of the treatment could wear off, or whether you will need additional treatment at a later time. Schedule a Consult with Our Specialists
29. Andersson DP, Landucci L, Lagerros YT, et al. Association of phosphodiesterase-5 inhibitors versus alprostadil with survival in men with coronary artery disease. J Am Coll Cardiol. 2021;77(12):1535-1550.
The recent shift in the management and evaluation of ED, with primary care physicians replacing urologists in the forefront of ED diagnosis and therapy, has been a welcome and timely change.
Sildenafil is available on the NHS to those who meet very strict eligibility criteria and then only in limited amounts. If you meet the criteria you may still wish to buy extra if you find that you are not being prescribed a sufficient quantity.
Pomegranate juice. Drinking antioxidant-rich pomegranate juice has been shown to have numerous health benefits, including a reduced risk for heart disease and high blood pressure. Does pomegranate juice also protect against ED? No proof exists, but results of a study published in 2007 were promising. The authors of this small-scale pilot study called for additional research, saying that larger-scale studies might prove pomegranate juice's effectiveness against erectile dysfunction. "I tell my patients to drink it," says Espinosa. "It could help ED, and even if it doesn't, it has other health benefits."
CookieDurationDescription_gat_gtag_UA_33423500_11 minuteNo description_hjAbsoluteSessionInProgress30 minutesNo description_hjid1 yearThis cookie is set by Hotjar. This cookie is set when the customer first lands on a page with the Hotjar script. It is used to persist the random user ID, unique to that site on the browser. This ensures that behavior in subsequent visits to the same site will be attributed to the same user ID._hjIncludedInPageviewSample2 minutesNo description_hjTLDTestsessionNo descriptionCONSENT16 years 9 months 1 day 14 hours 1 minuteNo description Male Urology > Erectile Dysfunction Erectile dysfunction is a challenging and embarrassing problem for men.
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Panax ginseng (red ginseng) is sometimes called “herbal Viagra”. There have been more than a handful of studies providing evidence that Panax ginseng can help with ED. However, the studies leave a fair bit to be desired in their methodologies and size. The evidence thus far points to the need for more research and the alluring potential of red ginseng as an effective treatment.
It's common for ejaculation problems to occur as you age. Ejaculation problems usually don’t pose health concerns, but they can be embarrassing to experience. Learn how to fix ejaculation problems and talk to your doctor.
Sildenafil is available on the NHS to those who meet very strict eligibility criteria and then only in limited amounts. If you meet the criteria you may still wish to buy extra if you find that you are not being prescribed a sufficient quantity.
If you think you have ED, a good first step is to talk with your doctor. The treatment you need will depend on what’s causing it.
Many men find relief through a combination of these treatments. Your doctor will help you decide the fastest and best method for curing your erectile dysfunction. SLIDESHOW Sex-Drive Killers: The Causes of Low Libido See Slideshow