Treatment for erectile dysfunction is aimed at enabling a man to achieve and maintain an erection for sexual intercourse.
Over time, your best value will depend a little on the conclusions from your doctor’s consultation. They might think a 45mg dose may be just right for you, and a company like BlueChew offers precisely that. So, even if you can get a better deal on a 40mg dose elsewhere, it may not be as effective. However, different dosage needs – for instance, if you only need 20mg doses of sildenafil – or a desire to use a different medication like Stendra instead might mean a company like Roman or Hims offers better value for you.
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Surgical treatment mainly consists of penile implants or surgeries to repair damaged blood vessels (revascularization surgery).
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:
Currently, three pills (Viagra/sildenafil, Levitra/vardenafil, Cialis/tadalafil) are available and FDA-approved for erectile dysfunction. They are all called phosphodiesterase inhibitors, which means they act by blocking a chemical that stops erections.
The price of sildenafil offered by each pharmacy varies as each supplier decides on their own prices. Some pharmacies mark the product price up more than others.
Besides PDE5 inhibitors and among second-line therapies are VCDs which are clear plastic chambers placed over the penis, tightened against the lower abdomen with a mechanism to create a vacuum inside the chamber. This directs blood into the penis. If an adequate erection occurs inside the chamber, the patient slips a small constriction band off the end of the VCD and onto the base of the penis. An erection beyond 30 min is not recommended. These devices can be a bit cumbersome, but are very safe.40
This medication will not protect you from sexually transmitted diseases--including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases.
The Prostate Cancer Prevention Trial was a landmark study by Thompson et al that prospectively assessed the time to developing CVD after the diagnosis of ED. There were 4247 men with no ED at study entry; 2420 developed incident ED (defined as the first report of ED of any grade) over 5 years. Those men that developed ED had a 1.45-fold higher probability of experiencing a CV event compared with men who did not develop ED.27
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If you have ED often, you’re not alone. An estimated 30 million men in the United States experience erectile dysfunction. Erectile dysfunction isn’t easy to talk about. But it’s nothing to feel embarrassed about, either. If you’re having trouble, your Aurora urologist can treat your ED and help you get back to feeling like your old self.
A detailed medical history, sexual history, and physical exam are warranted to identify causative or reversible factors involved in ED.4 Select laboratory tests (e.g., serum testosterone, serum blood glucose, fasting lipid panel, thyroid-stimulating hormone) may be obtained to identify causative factors of ED. Additionally, a detailed medication history is necessary to identify medications that may be contributing to ED (see TABLE 1).4,5
Erectile dysfunction is very common and so are the misconceptions surrounding it. For instance, erectile dysfunction is not necessarily a result of aging and is often the result of an underlying physical health problem.
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Locations/Contact About Us Testimonials Blog Job Application Privacy Policy Sitemap Racine Location Festival Foods Location MedCare West/Long Term Care Location Larsen Mayer Location Is There Anything Over the Counter That Works Like Viagra? Medical Editor: John P. Cunha, DO, FACOEP Erectile Dysfunction (ED) Treatment Causes of ED What Are Causes of Erectile Dysfunction? Guide Is There Anything Over the Counter That Works Like Viagra? Topic Guide There are several medications and treatments used to treat erectile dysfunction (ED, impotency), including Viagra (sildenafil), testosterone replacement therapy, penile self-injection, and others. Some over-the-counter (OTC) supplements may help with erectile dysfunction, such as L-arginine in combination with pycnogenol, Korean red ginseng (also called panax ginseng), Yohimbe, Carnitine (propionyl-L-carnitine), and Dehydroepiandrosterone (DHEA).
It affects approximately half of all men over age 40 While erectile dysfunction is usually a physical problem, it can also have psychological roots. More often than not, it is a combination of both. And help is available. “We have a treatment for everyone,” says Stanton Honig, MD, a director of the Yale Medicine Male Reproductive Health Program. “It's just a matter of what option you choose.”