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ABSTRACT: Erectile dysfunction (ED) is a common urologic condition that causes distress in men. Risk factors and predictors for ED include age, cardiovascular disease (CVD), hypertension, diabetes, smoking, and certain medications. CVD and ED share several risk factors, and ED may be a predictor of future cardiovascular events. Lifestyle modifications and phosphodiesterase type 5 inhibitors (PDE5Is) are considered first-line therapies for ED. PDE5Is can be less effective in patients with diabetes and should be used cautiously in certain patients with CVD. This review explores treatment options for ED with a focus on those with a history of diabetes or CVD.

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In general, the cause of erectile dysfunction is divided into two types. Many men will have both
This speed makes Stendra a great treatment choice for men who are happy to take something shortly before sex and who don’t always know when they’ll want to have sex. If this describes you, then we recommend Hims Stendra. .

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Hims is a great telemedicine company where, after a free consultation with a doctor, you can access a few different ED treatments proven to be effective: sildenafil (and brand-name Viagra), tadalafil (and brand-name Cialis), and Stendra. As a company, Hims impresses us very much, and there are circumstances in which we recommend Hims above all others for ED treatment providers.
Liver toxicity has generally been associated with oral forms of TRT, but does not appear to be a risk in injection or transdermal therapy.39 In patients with marked obstructive sleep apnoea or untreated severe congestive heart failure, these issues should be resolved before initiating TRT.37

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Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain a hard enough erection for satisfactory completion of sexual activity. Erectile dysfunction is different from other health conditions that interfere with male sexual function, such as: lack of sexual desire (decreased libido), problems with ejaculation release of the fluid from the penis (ejaculatory dysfunction), problems with orgasm/climax (orgasmic dysfunction), and penile curvature (Peyronie's disease). Picture of arteries and veins involved in erectile dysfunction (ED); SOURCE: NIH
Over the years, the medical management of erectile dysfunction has evolved greatly. For instance, before oral phosphodiesterase inhibitors (PDESi) like Cialis, Standra, Viagra, Levitra and related medications were introduced, doctors could administer one of only two effective treatments for erectile dysfunction: surgical penile revascularization and implantation of a penile prosthesis.

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Trauma or injury to the penis and/or the pelvic blood vessels and nerves is another potential factor in the development of ED. QUESTION Erectile dysfunction (ED) is… See Answer

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NOTE: Some of the information provided contains graphic, medical images which individuals may find upsetting

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    It is more likely that you’ll develop ED as you get older, but aging itself does not cause erectile dysfunction. Many factors can cause erectile dysfunction, including those that affect your endocrine, vascular and nervous systems.

    Nearly 1000 years later, the Egyptian Papyrus Ebers, a medical Egyptian document dated 1600 BC, describes a cure for impotence in which baby crocodile hearts were mixed with wood oil and applied topically to the penis.4
    The content contained in this article is for informational purposes only. The content is not intended to be a substitute for professional advice. Reliance on any information provided in this article is solely at your own risk. Read More On: UROLOGY/NEPHROLOGY August 2022 In This Issue Digital Magazine Archives Subscription Infection in Kidney Transplantation BPH Medications Linked to Increased Type 2 Diabetes Risk Sifting Through Dialysis Risks and Benefits ADT for Prostate Cancer Linked to Higher Dementia Risk Advertising Contacts Editorial Staff Professional Organizations Submitting a Manuscript Media Kit About Us Contact Us Privacy Policy Do Not Sell My Personal Information Careers Classifieds Copyright © 2000 - 2022 Jobson Medical Information LLC unless otherwise noted. All rights reserved. Reproduction in whole or in part without permission is prohibited. About Menu Toggle What is GAINSWave ? What to Expect? How it Works? Comparing Treatments FAQs Medical Advisory Board Expected Results Menu Toggle Erectile Dysfunction Treatment Peyronie’s Disease Treatment Sexual Enhancement Clinical Research Testimonials Am I a Candidate? Testimonials Resources Menu Toggle Men’s Health Guide Provider Resources Magazine Press Become a Provider Find A Provider About Menu Toggle What is GAINSWave ? What to Expect? How it Works? Comparing Treatments FAQs Medical Advisory Board Expected Results Menu Toggle Erectile Dysfunction Treatment Peyronie’s Disease Treatment Sexual Enhancement Clinical Research Testimonials Am I a Candidate? Testimonials Resources Menu Toggle Men’s Health Guide Provider Resources Magazine Press Become a Provider Find A Provider

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    There are contraindications for each drug (i.e., reasons why a person should not try to use it). Men with certain liver, kidney, or cardiovascular conditions may not be able to take ED medications safely. Men taking nitrates and alpha-blockers to treat hypertension may need to find other ways to treat their ED. Other health conditions could make PDE-5 medications unsafe for men.

    Pilot can help you on your journey with erectile dysfunction, with a prescription plan that is personalised for you by one of our Australian doctors and delivered to your door discreetly.
    Kiely, E. A., Ignotus, P. & Williams, G. (1987a) Penile function following intracavernosal injection of vasoactive agents or saline. British Journal of Urology, 59, 473–476.CrossRefGoogle ScholarPubMed

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    *Comments from all success stories and reviews are the expressed opinions of those patients and their experience and do not represent guaranteed results. All before and after photo results vary and are not guaranteed.

    All Saints' Hospital London Leicester Urology Department Norfolk and Norwich Hospital St Paul's Hospital London St Peter's Hospital for Stone London St Phillip's Hospital London The Shaftesbury Hospital
    Cameron, L. & Woodruff, P. (1985) Cavernosal alpha blockade: a treatment for erectile impotence. British Journal of Psychiatry, 147, 107.Google Scholar

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    Sorry, your browser does not support playing audio.Erectile dysfunction, or impotence, is a very common condition that can distress men of all ages.

    Some doctors may prescribe more than one medication, depending on a patient's response and ability to tolerate the various medications. Medically reviewed by Michael R. Wolff, MD; Board Certification in Urology "The management of erectile dysfunction (2005)." American Urological Association. . Scranton, R.E., et al. "Erectile dysfunction diagnosis and treatment as a means to improve medication adherence and optimize comorbidity management." Journal of Sexual Medicine 10.2 (2013): 551-61. Health Categories First Aid & Emergencies Topics A-Z Slideshows Images Quizzes Medications eMedicineHealth About Us Privacy Terms of Use Advertising Policy Site Map Contact Us WebMD Network WebMD Medscape Reference Medscape MedicineNet RxList OnHealth WebMDRx
    Psychosexual counselling, or sex therapy, is an appropriate recommendation especially for men who are experiencing discord with their partner especially if the conflict is related to the man’s ED. Counselling usually consists of 5–20 sessions with counsellor. It is our recommendation that referral doctors treating men with ED make a referral to a psychotherapist or sex therapist who is certified by AASECT (American Association of Sexuality Educators, Counselors and Therapists) of certified sexuality educator.43

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There are hundreds of medications that have the side effect of ED and/or decreased libido. Examples of drugs implicated as a cause of ED include hydrochlorothiazides and beta-blocking agents. Medications used to treat depression, particularly the SSRIs such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Prozac Weekly, Sarafem), fluvoxamine (Luvox, Luvox CR), paroxetine (Paxil, Paxil CR, Pexeva) and sertraline (Zoloft), may also contribute to ED.9 Bupropion (Wellbutrin) which has a predominant effect on blocking the reuptake of dopamine is an antidepressant with lower incidence of ED.10 The side effects of 5ARIs occurring in fewer than 5% of patients can include gynaecomastia, ED, loss of libido and ejaculatory dysfunction.11

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The population included diabetics, non-diabetics, and men who'd had bilateral, nerve-sparing radical prostatectomy, and about a third of patients had severe ED.

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Finally, there are NO-releasing polymers that are capable of delivering NO in a pharmacologically useful way. Such compounds include compounds that release NO upon being metabolised and compounds that release NO spontaneously in aqueous solution. Initial animal studies suggest that cavernosal injections of NO polymers can significantly improve erectile function.48

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