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ED can be embarrassing to talk about. However, if it is affecting your relationship, you need to discuss it. Find tips for talking to your partner and getting successful treatment.

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The Sexual Advice Association has factsheets on medicines and other treatments for erectile dysfunction.
Our winner here: for most men, it’s sildenafil. Sildenafil is far more economical and allows for better tailoring of dosage. We recommend BlueChew’s chewable sildenafil. There’s no easier, more convenient way for the uninitiated to explore this option than by starting a free trial month, and it’s a particularly great choice if you want either 30 or 45mg doses. .

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If purchased from a UK registered and regulated pharmacy, all brands of sildenafil will be genuine medication and have the same desired effect. The active ingredient in all of the brands is exactly the same but the other ingredients or ‘excipients’ that make up the bulk of the tablet may vary. Our Mylan brand of sildenafil is lactose free which is very important for those who have an intolerance or are allergic to lactose. The patient information leaflet supplied with each brand of sildenafil gives a full list of all the ingredients of each tablet. Does medication for an enlarged prostate affect erectile dysfunction (ED)?
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

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Research shows that around 3 million men of varying ages in Canada have frequent problems in the bedroom or wherever they choose to get busy. And about 30 million of the men south of the border do too. Many opt for Viagra in Canada, but there are other routes.
Conditions like vascular disease, surgery, diabetes, and medications are some of the top causes of erectile dysfunction. If you suffer from ED, schedule an evaluation with your doctor and get the help you need

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Fully restoring sexual health with treatment of a medical condition (such as high blood pressure with diet and/or exercise or by controlling diabetes or other chronic diseases) may not be possible. Identification and treatment of these conditions may prevent the progression of ED and affect the success of various ED therapies. Nutritional states, including malnutrition, obesity, and zinc deficiency, may be associated with erectile dysfunction, and dietary changes may prove a sufficient treatment. Masturbation and excessive masturbation are not felt to cause ED, however, if one notes weak erections with masturbation, this may be a sign of ED. Some men who masturbate frequently may have troubles with achieving the same degree of stimulation from their partner, but this is not ED.

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Follow your doctor’s instructions when taking ED medicine. Usually, a man takes 1 tablet 30 minutes to 1 hour before he plans to have sex. Sildenafil works for 4-8 hours; vardenafil works for up to 8 hours; and tadalafil works for up to 36 hours.

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    16. Bansal UK, Jones C, Fuller TW, et al. The efficacy of tadalafil daily vs on demand in the treatment of erectile dysfunction: a systematic review and meta-analysis. Urology. 2018;112:6-11.

    Similarly, clinical studies have shown that moderate exercises gradually helped middle aged men improve their performance in the bedroom.
    16. Bansal UK, Jones C, Fuller TW, et al. The efficacy of tadalafil daily vs on demand in the treatment of erectile dysfunction: a systematic review and meta-analysis. Urology. 2018;112:6-11.

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    There are numerous causes of ED. Though it occurs more frequently as men age, this isn’t a condition that’s a natural part of the aging process; erectile dysfunction isn’t something that men or their partners should just accept. And it’s not at all something that should be a source of shame or embarrassment. ED is a common condition, and many roads may lead to it: Hypertension (high blood pressure) Obesity Diabetes Stress Use of alcohol, tobacco, or drugs (recreational or prescription) Exhaustion and sleep disorders Depression and anxiety Considerations when looking for an ED treatment

    Since Pfizer’s patent expired, other drug companies have been able to manufacture generic Sildenafil. There are many companies that make generic medicines to be marketed it the UK. These companies include Mylan, Sandoz, Accord, Teva, Torrent, Ajanta, Dr Reddy’s and Zentiva. Even Pfizer make a generic brand of sildenafil that is cheaper than Viagra but more expensive than other generic equivalents. The tablets may differ in size, shape and colour but they are all medically very similar. Don't suffer in silence - You can dramatically improve your performance by using one of our treatments.
    The association of CVD and ED was noted in 1997 as one analysed the results of the MMAS. In this landmark study, 1709 men aged 40–70 years were enrolled between 1987 and 1989. A follow-up some 10 years later revealed a striking relationship between ED and CVD. In this study, it became clear that the risk factors for ED were very similar to those of CVD, such as diabetes mellitus, smoking and dyslipidaemia.18

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    Promise quick results (within 30 to 40 minutes)Are advertised as alternatives to FDA-approved prescription drugsAre sold in single servingsAdvertise via spam or unsolicited emailsHave labels written primarily in a foreign languageHave directions and warnings that mimic FDA-approved products

    Any of the PDE-5 inhibitors can also cause your blood pressure to drop (though Stendra is less likely to cause this to happen). You might think that’s a good thing, but blood pressure that gets too low is also dangerous. If you get dizzy from taking any of these medications, you should discuss with a healthcare provider; this could indicate a potentially unsafe drop in blood pressure. No planning needed — you take a pill once a day Can be taken with or without food Can also be taken only as needed Proven among the most effective ED treatments Tends to be preferred by men and their partners, compared to sildenafil More affordable than medications like Stendra Far more affordable than brand-name equivalents Costs a little more than sildenafil Risk of mild side effects is slightly higher than Stendra
    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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    But you'll have to have a consultation with the pharmacist to make sure it's safe for you to take it.

    The study protocol was approved by the Ethical Review Committee of the School of Pharmacy, University of Gondar, Ethiopia with an approval number of SoP 826/09. Before the data collection, the purpose of the study and the proceedings were provided to each study participant and verbal consent was obtained. No personal identifiers were included in the questionnaire and confidentiality of the information was assured in such a way that no disclosure of the collected data was made apart from the study purpose.
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Not everyone can use these medicines. Your doctor may talk to you about alprostadil if oral medicines aren’t an option for you. Alprostadil is a synthetic version of prostaglandin E. It can be injected into the penis or inserted as a tiny suppository into the urethra (the hole at the end of the penis). Your doctor will help you decide which treatment is best for you.

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MedicineNet does not provide medical advice, diagnosis or treatment. See additional information. sexual health center/sexual health a-z list/erectile dysfunction ed impotence center /erectile dysfunction (ed, impotence) article Erectile Dysfunction (ED, Impotence) Medical Author: Pamela I. Ellsworth, MD Medical Editor: Melissa Conrad Stöppler, MD Erectile dysfunction or impotence is a man's inability to achieve and maintain a penile erection suitable for sexual intercourse.

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Lewis, R. W., Puyau, F. A., & Bell, D. P. (1986) Another surgical approach for vasculogenic impotence. Journal of Urology, 136, 1210–1212.CrossRefGoogle ScholarPubMed

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Citation: Atsbeha BW, Kebede BT, Birhanu BS, Yimenu DK, Belay WS and Demeke CA (2021) The Weekend Drug; Recreational Use of Sildenafil Citrate and Concomitant Factors: A Cross-Sectional Study. Front. Med. 8:665247. doi: 10.3389/fmed.2021.665247

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