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Management of EDOptimal management of ED involves shared decision-making between the patient, his partner, and the treating clinician.6 Underlying disease states and risk factors should be identified and treated or minimized.5 Contributing medications should be discontinued, or the dose should be reduced.5 A variety of nonpharmacologic and pharmacologic treatment options may be considered for ED treatment. Generally, oral medications are trialed first, and more invasive options are reserved for those who fail to respond to initial therapy.5,6

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The first step is identifying what we actually mean by a 'pelvic floor'. Activating pelvic floor muscles can be achieved by trying to stop the flow of urine when you're urinating — those are the same muscles involved in erectile function.
Sexual health clinics treat problems with sexual health. They can provide the same treatment you would get at your GP surgery. .

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Urologists are the doctors that can examine, diagnose and treat your erectile dysfunction (ED).
But studies have shown that aerobic exercise can improve both endothelial function and NO production. This, by contrast, is great news for strong erections. And it gets better.

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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

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Once evaluated, there are a number of treatments for erectile dysfunction, varying from oral therapies that can be taken on demand (for example, sildenafil [Viagra, Revatio], vardenafil [Levitra, Staxyn], avanafil [Stendra], and tadalafil [Cialis, Adcirca]) or once daily (tadalafil), intraurethral therapies (alprostadil [Muse]), injection therapies (alprostadil, combination therapies), the vacuum device, and penile prostheses. Less commonly, arterial revascularization procedures can be performed. It is important to discuss the indications and risks of each of these therapies to determine which is best for you.

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    Other than strengthening the pelvic floor, the most effective workout is aerobic. Aerobic exercise of moderate-to-vigorous intensity can help improve function and reduce other conditions that can contribute to ED such as high blood pressure and excess weight. Even a regular routine of gentle walking can contribute to penis health.

    • The inability to achieve or maintain an erection sufficient for sexual intercourse •Symptoms include erection problems, decreased desire, and psychological distress •Treatments include medications, injection therapy, a vacuum erection device, and penile implant•Involves urology
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1479584/ Mediterranean Diet and Erectile Dysfunction: A Current Perspective. (2017).

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    What are symptoms of low testosterone (low T)? Take this quiz to learn more about causes of low testosterone and how to treat it.

    The good news is that the medically reviewed research suggests physical activity with a moderate to high intensity completed for 40 minutes, four times a week can result in a significant improvement of ED symptoms, as well as preventing cardiovascular disease.
    At Yale Medicine, we take a multidisciplinary approach to determine the underlying causes of your erectile dysfunction, and we understand the relationship between erectile dysfunction and other health issues. We regularly collaborate with colleagues across different areas of medicine to help patients who we treat.

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    Vardenafil (Levitra) is structurally similar to sildenafil but far more biochemically potent. That means you can take lower doses (commonly, 10 milligrams versus 50 with sildenafil) with less risk of side effects and still enjoy similar results.

    A tried and trusted brand, well known by most men. Sildenafil has the same active ingredient as Viagra, but is much cheaper. Also, our Mylan brand is lactose free.
    These include oral medications such as Viagra, Sildenafil, Cialis, Tadalafil, Levitra and Spedra. The most effective treatment will vary from person to person.

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    While ED is not life threatening, the condition may result in withdrawal from sexual intimacy, reduced quality of life, decreased working productivity, and increased healthcare utilization. Patterns of care may shift away from surgical and device therapies provided by urologists and toward pharmacologic treatments and/or multidisciplinary approaches. With men increasingly seeking to preserve sexual function and quality of life as they age, the treatment of ED will take on even greater importance in the years to come.

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    National Center for Complementary and Alternative Medicine: "Ginkgo," "Asian Ginseng."

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Start by lying down with knees bent and feet flat on the floor.Straighten one of your legs by lowering your knee to the floor. Breathe out, contract your pelvic floor muscles, and, without moving your pelvis or back, raise the foot of your straightened leg until your knee gets about as high as your bent knee.Breathe in and lower your foot to its starting position.Repeat for about ten reps before switching to the other leg.

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A number of medical treatment options exist for erectile dysfunction including the following: Oral phosphodiesterase type 5 (PDE5) inhibitors (sildenafil [Viagra], vardenafil [Levitra and the generic formulation Staxyn], tadalafil [Cialis]), and avanafil [Stendra]) Intracavernosal injections (papaverine, phentolamine, and PGE1 [Trimix], Bimix, and alprostadil injection [Caverject, Edex]) Intraurethral suppositories (MUSE) Testosterone in individuals with ED and other signs/symptoms of hypogonadism and an unequivocally low serum testosterone

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Your doctor may tell you to make some day-to-day adjustments. Expect to hear things like:

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Kegel exercises are one of the most effective ways to eliminate ED. For curing ED, it is very important to strengthen the muscles and bones of the pelvic areas. And for getting better and strengthful muscles, Kegels are ideal for a body.

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