With self-injection, a medication is injected directly into the penis to increase blood flow. It is very effective (about 75 percent to 85 percent) and works whether the nerve that controls erections is intact or not. It can be more costly than oral therapies and results in scarring in 5 percent to 30 percent of users (depending on the drug used). To ensure proper dosing, the first dose is generally administered in the doctor’s office.
Before you conclude that brand-name Viagra is superior for that reason, though, consider how much more leeway sildenafil’s strength gives you and your doctor to dial in the best dosage for you. You’ve got more control over it, and of course, the best dosage of any prescription medication will be the smallest dosage that produces the desired effects. Smaller dosage means less cost to you and less risk of side effects. And sildenafil is already much cheaper than Viagra.
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Some insurance policies cover ED treatment if it’s medically necessary. Check with your insurance provider.
There are a number of accepted alternative treatments which can be effective for ED. They include:
They’re often used for penis rehabilitation, usually after prostate surgery. Your doctor will put you on a regimen designed to restore normal blood flow to the penis. This will allow you to get a spontaneous erection.
An erection occurs when blood flows into the corpora cavernosa (erection bodies) and gets trapped there. If the blood has problems getting to or staying in those erection bodies, you may have erectile dysfunction.
14. Evans JD, Hill SR. A comparison of the available phosphodiesterase-5 inhibitors in the treatment of erectile dysfunction: a focus on avanafil. Patient Preference and Adherence. 2007;9:1159-1164.
ERECTIONS ∙ 2 minutes read 6 natural remedies for erectile dysfunction and premature ejaculation
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Certain over-the-counter (OTC) supplements may help with erectile dysfunction, such as: L-arginine in combination with pycnogenol Has been shown in studies to improve sexual function in men with ED Korean red ginseng (also called panax ginseng) Studies have shown improvements in erections Yohimbe Some studies have shown it to be slightly more effective than placebo for ED Carnitine (propionyl-L-carnitine) May improve erectile dysfunction Also used to enhance the effectiveness of sildenafil (Viagra) Dehydroepiandrosterone (DHEA) Declines in DHEA are associated with increased incidence of ED DHEA supplements are often promoted to improve sexual health, though more study is needed
In many situations, identifying an underlying minor physical problem relieves the anxiety component of erectile dysfunction, and many patients see improvement without further intervention.
Erectile dysfunction is an inability to maintain an erection. The fastest way to cure erectile dysfunction is to attend to heart and vascular health, psychological health and to use other treatments.
DHEA (Dehydroepiandrosterone). Testosterone is essential for a healthy libido and normal sexual function, and erectile dysfunction sufferers known to have low testosterone improve when placed on prescription testosterone replacement therapy. Similarly, studies have shown that taking over-the-counter supplements containing DHEA, a hormone that the body converts to testosterone and estrogen, can help alleviate some cases of ED. But DHEA can cause side effects, including suppression of pituitary function, acne, hair loss and its long-term safety is unknown, says McCullough. For this reason, many experts discourage use of the supplements.
Recently, the US Food and Drug Administration (FDA) has issued a safety announcement regarding TRT. In part it reads ‘The benefit and safety of these medications have not been established. We are also requiring these manufacturers to add information to the labeling about a possible increased risk of heart attacks and strokes in patients taking testosterone.’37
Even if you take the medicine, you still need physical and mental stimulation and desire to have an erection. If your first dose doesn’t help, call your doctor. Your doctor may want to change your tablet strength.
If you have failed to penetrate the erectile tissues after injection, you will feel a burning sensation. This should go away within an hour and no erection will result.
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