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A very rare side effect of sildenafil is an alteration in color perception due to the drug’s inhibition of PDE-6 in addition to PDE-5. Vardenafil is somewhat more selective in this regard, having no known effect on PDE-6, and thus no known effect on color perception. And while vardenafil is less thoroughly researched than sildenafil, there are still numerous studies looking at thousands of users over nearly two decades, so its safety and efficacy are without question.

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By making some of the changes mentioned above, it is possible to enhance general health, and decrease the chance of developing the conditions which are known to cause ED; including cardiovascular disease and diabetes. By achieving a good level of health, the risk of needing medicine which has the potential to cause ED as one of its side effects can also be reduced.
Strengthening your pelvic floor muscles can help urinary incontinence, treat pelvic organ prolapse, and make sex better too. Find your pelvic floor muscles .

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Dr Arnold Kegel introduced his programme of pelvic floor muscle exercises in 1948. Since then, it has been in use by both men and women with proven results to their sexual life and beyond that. Kegel’s programme not only improves the urinary incontinence, bowel and bladder control but also contributes greatly in sexual problems such as anorgasmy, a particularly usual sexual problem of women. As for men the health benefits include treating prostate pain, prostatitis, premature ejaculation, and erectile dysfunction. In the case you don’t have one of the above problems you can still use these exercises to boost your erectile function and improve your sexual performance.
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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The most important thing to remember is that if one ED medication doesn’t work for you then it’s worthwhile trying another. Ultimately, an individual's diet and their daily habits can be a factor in which tablet suits them best. It can be wise to try different treatments until an effective treatment is determined, or the most effective is identified. Each treatment should be tried at least four times before it can be deemed effective or otherwise. Brand nameGeneric nameStrengths available (mg)Time to arousalEffect durationEffect of food Viagra / Sildenafil Sildenafil 25, 50, 100 30-60 mins 4-5hrs Reduced effectiveness Cialis on demand Tadalafil 10, 20 15-30 mins Up to 36 hrs None Cialis daily Tadalafil 2.5, 5 Continuous after first 5 days All day, when taken every day None Levitra Vardenafil 5, 10, 20 30 mins approx 4-6hrs Fatty food may reduce effectiveness Spedra Avanafil 50, 100, 200 15 mins up to 6 hours May take longer to work
ED does not typically require counselling and surgery, although forms of psychological treatment such as counselling can help address the problem if the ED is caused by anxiety or depression. Surgery can help in cases where physical defects can be corrected.

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Causes and risk factors for erectile dysfunction are as follows:StrokeObesityProstate cancerSmokingAlcohol useHigh cholesterol dietLow levels of physical activityCardiovascular disease

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The same concerns regarding the use of sildenafil with nitrates and alpha-blockers apply to vardenafil.

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    Viagra is available in tablet form, commonly in doses of 25mg, 50mg or 100mg. Tablets of 50mg are considered the usual starting dose, which can then be decreased to tablets of 25mg if you suffer any side-effects. Tablets of 50mg are typically tested for effectiveness, and if you have not experienced the desired effects after four separate tries, dosage can be upped to 100mg. In cases where adverse side effects have been seen, increasing dosage to 100mg may not be advised.

    REFERENCES1. McCabe MP, Sharlip ID, Lewis R, et al. Incidence and prevalence of sexual dysfunction in women and men: a consensus statement from the fourth international consultation on sexual medicine 2015. The Journal of Sexual Medicine. 2016;13(2):144-152.
    GAINSWave is a proven protocol for men that improves sexual performance and keeps the penis healthy.

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    Since then, it's been discovered that men can benefit from these exercises to improve erectile function, and they are now recommended by a range of medical associations and experts for people developing ED.

    Quitting smoking, exercising regularly, losing excess weight, curtailing excessive alcohol consumption, controlling hypertension, and optimizing blood glucose levels in patients with diabetes are not only important for maintaining good health but also may improve or even prevent progression of erectile dysfunction. It is unclear if such lifestyle changes can reverse erectile dysfunction. However, lifestyle improvements may prevent progression of the erectile dysfunction. Some studies suggest that men who have made lifestyle improvements experience increased rates of success with oral medications.
    If you have trouble achieving or maintaining an erection, you’re not alone. According to one study, roughly 18 million men in America have at least some difficulty getting hard enough to engage in sexual activity. While men who are older or have heart disease, hypertension, or diabetes are at a greater risk of erection problems, anyone can experience them.

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    To be able to get the best benefits from the Kegel exercises you should allow your body a break from the exercises and it is recommended that you only do the exercises 3 to 4 days per week.

    Vacuum pumps are a physical, non-medical ED treatment which serve to improve the quality of erections by improving blood flow and providing a firmer erection.
    In the Ethiopian context, due to the lack of strong regulations, sildenafil can be easily accessed from pharmacies without a prescription (1, 9–11). A qualitative study conducted in Addis Ababa, Ethiopia revealed that there was a widespread use of sildenafil citrate and the main reasons for the utilization were to gain sexual confidence and suppress anxieties associated with a feeling of loss of manhood (12).

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    There are other similar medicines called tadalafil (Cialis), vardenafil (Levitra) and avanafil (Spedra) that work in a similar way. Buying Viagra online

    Alprostadil, available as an injection or a suppository, is a drug that makes the blood vessels expand. That boosts blood flow throughout the body, including the penis, so it helps men with ED have an erection.
    What causes low testosterone (low T)? Learn about low testosterone symptoms in men. Discover low testosterone treatment and the signs of low testosterone.

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Erythrocytosis has been noted in men on TRT, and should be monitored every 6–12 months depending upon the patients’ response to changes in haematocrit levels. For mild elevations, the dosage of testosterone can be decreased or the interval of using the medication can be increased. With the haematocrit greater than 50%, decisions to temporarily discontinue the medication or periodic phlebotomy may be indicated.38

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The EU common logo is a legal requirement across Europe that applies to all retailers of medicines whilst the GPhC voluntary logo is applicable only to UK registered pharmacies.

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ED medicines can be pills, drugs inserted into the tip of the penis, or injections into the penis.

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They reported that 160 minutes of exercise a week for 6 months “contributes to a decrease of ED” for men experiencing ED due to physical inactivity, obesity, and cardiovascular disease.

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