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Furthermore, certain medications can lead to erectile dysfunction including antiandrogens (testosterone blockers) used in conjunction with prostate cancer therapy, certain antidepressants, blood pressure medications, sedatives or tranquilizers, some ulcer medications, and appetite suppressants. .

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Harvard Health. 2021. Benefits of exercise for the prostate and erectile dysfunction help – Harvard Health. [online] Available at:  [Accessed 14 October 2021].
It is recommended that the first trial of intraurethral prostaglandin be performed in the doctor's office due to the risk of hypotension with this medication.

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These exercises, when combined into a regimen that you do on a daily basis, help strengthen the muscles that are used to achieve and maintain an erection. Pharmaceuticals are always going to be popular, but if you set aside some time everyday for the above erectile dysfunction exercises, you will targeting the root cause of the problem and improving your chances of better erectile health.
Half of men with diabetes will experience ED within 10 years of their diagnosis. High blood sugar levels can damage the nerves that control sexual stimulation. They can also damage the blood vessels needed to provide adequate blood flow to the penis in order to have and maintain an erection.

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New research suggests that you might be able to reverse erectile dysfunction without medication.

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MetS is a combination of maladies that can cause ED. The five hallmarks of MetS are: hypertension, elevated fasting glucose levels, elevated triglycerides, central obesity, and reduced high density lipoprotein levels of cholesterol. MetS causes inflammation and hormonal imbalances that can lead to ED. Treatment for MetS can include lifestyle changes, testosterone replacement, pharmaceuticals, and bariatric surgery – such as gastric bypass.

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    The third and final exercise which may be of benefit if you have erectile dysfunction is pelvic floor exercise (Kegels).

    Some companies tailor their supplements to target ED and increase sex drive and performance. Unfortunately, you have to shop very carefully because these can be highly sketchy products from disreputable companies. The safest first step may be to try supplements of single ingredients like the ones detailed above, but that also requires patience and a higher budget for trial and error. When it comes to broader, multi-ingredient supplementation for ED, we can recommend these three:
    You can also inject drugs directly by inserting a tiny needle into the penis. Several drugs and drug combinations are available, including alprostadil (Edex, Caverject), phentolamine, and papavarine (usually given in combination as Bimix or Trimix).

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    There are a variety of other options to treat erectile dysfunction including medication, surgical options, injections, or vacuum devices:

    It is likely to improve ED management and benefit a large number of men, particularly in terms of recognising ED as a sentinel of vascular disease.
    In most healthy men, some of the drugs will remain in the body for more than two days after a single dose of tadalafil. Metabolism (clearing of the drug from the body) of tadalafil can be slowed by liver disease, kidney disease, and concurrent use of certain medications (such as erythromycin, ketoconazole, and protease inhibitors). Slowed breakdown allows tadalafil to stay in the body longer and potentially increases the risk for side effects. Therefore, doctors have to lower the dose and frequency of tadalafil in the following examples: Medications such as erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), ritonavir (Norvir), and indinavir (Crixivan) can slow the breakdown of tadalafil. Therefore, men taking these medications should not take more than 10 mg of tadalafil and should not take tadalafil more frequently than every 72 hours. If you have kidney troubles, your doctor may recommend that you try a lower dose of tadalafil or change how often you use tadalafil depending on your kidney function. Men with severe liver disease should not take tadalafil. Men with mild to moderate liver disease should not exceed a tadalafil dose of 10 mg once daily.

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    Some companies tailor their supplements to target ED and increase sex drive and performance. Unfortunately, you have to shop very carefully because these can be highly sketchy products from disreputable companies. The safest first step may be to try supplements of single ingredients like the ones detailed above, but that also requires patience and a higher budget for trial and error. When it comes to broader, multi-ingredient supplementation for ED, we can recommend these three:

    The pulsating waves of GAINSWave improves blood flow to the penis by dissolving plaque build-up and stimulating the growth of new blood vessels. The improvement results in stronger, harder, and more sustainable erections.
    Sorry, your browser does not support playing audio.Erectile dysfunction, or impotence, is a very common condition that can distress men of all ages.

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    13. Yuan J, Zhang R, Yang Z, et al. Comparative effectiveness and safety of oral phosphodiesterase type 5 inhibitors for erectile dysfunction: A systematic review and network meta-analysis. European Urology. 2013;63(5):902-912.
    Max Performer is very similar to Male Extra, but it contains many more ingredients (learn more about them at our full review of the product). This can increase the chances of Max Performer working for you, but it will decrease your ability to know which ingredients are effective. More ingredients mean more potential for side effects, as well.

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5. Lee M, Sharifi R. Chapter 99: Erectile Dysfunction. Pharmacotherapy: A Pathophysiologic Approach, 11e. McGraw Hill; 2020. Accessed March 31, 2022. https://accesspharmacy.mhmedical.com/content.aspx?bookid=2577§ionid=230460622

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Susset, J. G., Tessier, C. D., Wincze, J., et al (1989) Effect of yohimbine hydrochloride on erectile impotence: a double-blind study. Journal of Urology, 141, 1360–1363.CrossRefGoogle ScholarPubMed

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The symptoms of erectile dysfunction can vary from person to person. If you have ED, you might:

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