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Recent research has shown that exercise, specifically moderate to vigorous aerobic physical activity, can improve symptoms of ED.

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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
University of Utah Health offers shockwave therapy as an option for patients suffering from ED. Shockwave therapy is typically recommended for patients who do not respond well to medication or do not want more invasive treatments. .

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Erectile dysfunction can cause stress, self-confidence, and relationship problems. It's no wonder men are embarrassed to talk about it and often seek solutions on their own. Urologist Dr. John Smith says a majority of th... View More in Health Feed Site Links Find an Interpreter About Us Academics & Research Billing Jobs Giving Maps & Directions Newsroom Referring Providers Helpful Links Patient Rights & Responsibilities Disclaimer Privacy Statement DNV GL Public Information Policy Statement Non-Discrimination Policy Surprise Billing Rights Webmaster Facebook Twitter Youtube
17. Muse (Alprostadil) [Prescribing Information]. Somerset, NJ: Meda Pharmaceuticals Inc; April 2018.

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Grapefruit may interact with sildenafil and lead to unwanted side effects. Avoid the use of grapefruit products.

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Erectile dysfunction or ED is the inability to get or keep an erection, preventing a man from having or finishing sexual intercourse. While many men experience erectile dysfunction occasionally because of stress, fatigue, alcohol, or emotional issues, some men have recurring episodes of ED that occur 25% of the time. Unable to get an erection at any time Able to get an erection sometimes but not every time they want to have sex Able to get an erection, but it does not last long enough to complete intercourse Diabetes, especially uncontrolled type 2 diabetes High blood pressure Atherosclerosis (hardening of the walls of the arteries) Chronic kidney disease (CKD) Fatigue Drug abuse Excessive alcohol or tobacco consumption Certain medications (such as antidepressants, blood pressure medications, sedatives, appetite suppressants, or medications to treat prostate cancer) Injury to the brain or spinal cord Psychological issues, such as anxiety, stress, or depression, or relationship problems Radiation therapy to the testicles or pelvic region Hypogonadism (reduced levels of the male hormone testosterone) Multiple sclerosis Stroke Parkinson’s disease Obesity Surgeries on the bladder or prostate Lack of physical activity

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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider. Wake Forest Baptist Health, Medical Center Boulevard, Winston-Salem, NC 27157. All Rights Reserved. Request an Appointment Billing & Insurance MyChart Search Menu Request an Appointment Refer a Patient Request an Appointment Refer a Patient What Is Erectile Dysfunction? Quick Links + Erectile Dysfunction (ED) Injections: Trimix Penile Implant Vacuum Erection Device (VED) Shockwave Therapy for ED

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    Erectile dysfunction is usually a side effect of physical disease, injury, or drugs. Treatment is an option for virtually any man needing to improve the quality of his sex life. Corbin Floyd Hardin La Grange Lexington Louisville Madisonville Paducah Richmond Baptist Health Medical Group العربية Ikirundi 東話 通话 Nederlands Français Deutsch 本語 국어 नेपाली Pennsylvaanisch Deitsch Ρусский Srpski Oromo Español Tagalog Tiếng Việt Sex Therapy Home Medical Reference Features Video Slideshows & Images Quizzes Health Tools Expert Commentary News Archive Erectile Dysfunction Home News Reference Slideshows Quizzes Medications Find a Doctor Erectile Dysfunction Guide Overview Symptoms & Risk Factors Testing &Treatment Living & Managing Related to Erectile Dysfunction Diabetes Drug Interaction Checker Heart Disease Hypertension Living Healthy Low T Assessment Smoking Cessation In this Article Lifestyle Changes Counseling Medications Injections and Suppositories Vacuum Devices Surgery Alternative Treatments Not Recommended for ED Can I Use Insurance?

    It starts with your mind. To get hard, the arteries and tissue surrounding the penis need to be relaxed. But the human body is complex and we have what’s termed a ‘fight or flight response’. This is triggered by the sympathetic nervous system as a result of feeling distressed. Although historically, this was a useful tool for humans vulnerable to attack, these days, the physiological response is often a nuisance.
    Your dosage will depend on your medical condition, your overall health, and other factors.

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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

    ED can be experienced intermittently and can be related to the efficiency of blood flow which typically improves with treatment. ED can sometimes come back without warning, after its symptoms appear to have gone.
    The erectile dysfunction treatment you use largely depends on your lifestyle and preferences. Although all the erectile dysfunction tablets we offer encourage stronger erections, each ED treatment works in a slightly different way - giving you the freedom to find a treatment that suits you best. Sildenafil and Viagra Connect: if you have a more spontaneous sex life, sildenafil or Viagra Connect may be the best erectile dysfunction treatment options for you as these can be taken on an as-and-when basis. They both take around one hour to kick in and can last for up to four hours. Tadalafil: tadalafil takes about 30 minutes to kick in and lasts for up to 36 hours. This is ideal if you prefer having a more flexible ED treatment that allows you to experience harder erections for a longer period of time (for example, over the course of a weekend). Tadalafil Daily: if you don’t like planning when to take an ED treatment before sex, Tadalafil Daily keeps you topped up with a steady level of tadalafil in your system every day so you can get erections whenever you need them. It takes three to five days to take effect, but once it does its effects are continuous.

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    How common is impotence? According to findings from several studies, including “The Massachusetts Male Aging Study,” overall prevalence for men between 40–70 years old is around 52 percent (or around 30 percent of all men between 18–60 years old). That’s right — nearly half of all men over 40 experience erectile dysfunction symptoms at some point. Not surprisingly, research demonstrates that impotence is increasingly prevalent with age. Around 40 percent of men in their 40s experience sexual dysfunction. Up to 70 percent of men in their 70s experience ED. (1) Every year more than 617,000 new cases of impotence occur in the United States alone.

    For some men, vacuum pump devices, rigid or inflatable surgical penile implants or testosterone replacement (only for men with unequivocally low levels of this hormone) may also be options. Constriction bands at the base of the penis can be a treatment option for men with non-sustained erections. Discuss these options with your doctor.
    Clinically proven to help erections stay harder for longer, tadalafil gives you greater flexibility when planning to have sex. It lasts for 36 hours (9 times longer than sildenafil), so you can enjoy sex without needing to take a tablet immediately beforehand.

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    To help you find the right treatment for your lifestyle, our ED tablets come in a variety of doses. The dose you receive will depend on the answers you give in your online consultation, as our clinicians will select the most appropriate dose for you based on your health and history with erectile dysfunction. Sildenafil 50mg. Sildenafil 100mg. The recommended starting dose for sildenafil is 50mg and it is our most commonly prescribed ED treatment. Viagra Connect is an over the counter ED medication (meaning that you don’t need a prescription to purchase it) so it’s only available in one dose. Viagra also comes in a 100mg dose (Viagra 100mg) and a 25mg dose (Viagra 25mg), but you need a prescription before you can purchase these variants.

    If you have a private prescription for tadalafil, read the information that comes with your medicine carefully. The strength and dosage instructions can vary.
    During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of avanafil.

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It is important to understand that ED is frequently, if not usually, directly related to endothelial dysfunction, and that the release of NO by the vasculature of the penile arteries is directly related to the function of intact, healthy endothelium. In the face of endothelial dysfunction, the process of erection fails to occur in a normal fashion.16

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Prolonged erection (priapism) — This is an easily managed but potentially serious complication. If you ignore it, you could have severe pain and may need a small operation. It could even make you completely impotent (meaning you cannot respond to injections). Therefore, only make SMALL adjustments to your dose, if needed.

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The central nervous system is responsible for releasing nitric oxide, an essential chemical for producing and maintaining an erection, and heavy alcohol consumption depresses the central nervous system, causing it to function less efficiently. Not enough nitric oxide translates to erectile dysfunction.

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