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DHEA (dehydroepiandrosterone) is a hormone that our body’s adrenal glands typically produce. Production of DHEA naturally drops as we age, but DHEA is a precursor to the sex hormones testosterone and estrogen.

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If you’re interested in not having to bring those pesky little blue pills with you everywhere you go, don’t want to experience any negative side-effects and want to enjoy results that last for years instead of just a few hours, then GAINSWave is for you.
23. Goldstein I, Young JM, Fischer J, Bangerter K, Segerson T, Taylor T. Vardenafil, a new phosphodiesterase type 5 inhibitor, in the treatment of erectile dysfunction in men with diabetes: a multicenter double-blind placebo-controlled fixed-dose study. Diabetes Care. 2003;26(3):777-783. .

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Besides PDE5 inhibitors and among second-line therapies are VCDs which are clear plastic chambers placed over the penis, tightened against the lower abdomen with a mechanism to create a vacuum inside the chamber. This directs blood into the penis. If an adequate erection occurs inside the chamber, the patient slips a small constriction band off the end of the VCD and onto the base of the penis. An erection beyond 30 min is not recommended. These devices can be a bit cumbersome, but are very safe.40
Williams, G., Mulcahy, M. J., Hartnell, G., et al (1988) Diagnosis and treatment of venous leakage: a curable cause of impotence. British Journal of Urology, 61, 151–155.CrossRefGoogle ScholarPubMed

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You should avoid websites which offer to supply prescription only medicines without a prescription as registered pharmacies are required to check that a medicine is suitable for a patient before selling it. Therefore, if you are not asked to provide information about your health before making a purchase then you would be wise to go elsewhere.
A vacuum constriction device (VCD) is an external pump with a band on it that a man with erectile dysfunction can use to get and maintain an erection.

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Diabetes mellitus can cause ED. Thankfully those with diabetes-induced ED (DMED) tend to respond very well to ED treatments. If you’re prediabetic or your family has a history of diabetes, this is something you should bring up in your consultation.

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2. Strengthen the pelvic floor muscles: Once you have located your pelvic floor muscles, try squeezing them for three seconds, then relax for three seconds. Try it in your seat now.

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    Morales, A., Condra, M., Owen, J. A., et al (1988) Oral and transcutaneous pharmacological agents for the treatment of impotence. In Contemporary Management of Impotence and Infertility (eds. Tanagho, E. A., Lue, T. F. & McClure, R. D.). Baltimore: Williams & Wilkins.Google Scholar

    Alprostadil is an FDA-approved erectile dysfunction drug that can be injected directly into the penis to trigger an automatic erection. "Penile injection is the most effective type of ED treatment for men who can't take oral treatment," says Nelson Bennett, MD, a urologist at the Lahey Clinic in Burlington, Mass. In fact, it has an 85 percent success rate. Possible side effects include a burning sensation and priapism, an erection that lasts more than four hours and requires medical treatment.
    You can buy extract of the bark of the yohimbe tree – long used as an aphrodisiac in western Africa -- as a dietary supplement. Its promoters claim it can help erectile dysfunction. But the science shows mixed results.

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    For an algorithm to facilitate evaluation and treatment of patients with ED, see figure 2.

    The options for management beyond behaviour modification include TRT, PDE5 inhibitors, intracavernosal injection therapy, vacuum constriction devices (VCDs), intraurethral prostaglandin suppositories and surgical placement of a penile prosthesis.40
    Nadig, P. W., Catesby-Ware, J. & Blumoff, R. (1986) Noninvasive device to produce and maintain an erection-like state. Urology, 11, 126–131.CrossRefGoogle Scholar

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    The patient can inject medications directly into the corpora cavernosa to help attain and maintain erections. Medications such as papaverine hydrochloride, phentolamine, and prostaglandin E1 (alprostadil) can be used alone or in combinations to attain erections. All of these medications are vasodilators and work by increasing blood flow into the penis. Prostaglandin E1 (Caverject, Edex) is easier to obtain; however, it is associated with penile pain in some individuals. The use of combinations of two or three of these medications can decrease the risk of having penile pain.

    At Webmed Pharmacy we choose to keep the prices as low as possible while still offering the best service with guaranteed next working day tracked delivery as standard.
    The Urology Associates of Silicon Valley and Dr. S. Shawn Gholami, M.D. of San Jose and Los Gatos California is a multi-specialty urology practice providing the San Francisco Bay Area with advanced techniques in urologic medical care. Northern California urologist, Dr. Gholami, provides experience and excellence in minimally invasive urology, robotics, and laparoscopy. Dr. Gholami also specializes in testosterone and hormone replacement in men and women, erectile dysfunction, prostate cancer therapy, BPH diagnosis and treatment, as well as vasectomy.

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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.

    Wiles, P. G. (1988) Successful non-invasive management of erectile impotence in diabetic men. British Medical Journal, 296, 161–162.CrossRefGoogle ScholarPubMed
    If regular exercise doesn’t resolve the issue, consult with your doctor. There are other options available to treat erectile dysfunction. Your doctor may suggest any of the following:

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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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Based on the severity of the ED issue, your doctor will suggest treatments from least to most invasive. Something as simple as making healthy lifestyle changes (such as quitting smoking, reducing alcohol consumption, and losing weight) may help to solve the issue.

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Resistance training (which includes weightlifting) has also been shown to help improve cardiovascular health. And as we’ve mentioned, cardiovascular health is intrinsically linked to erectile health.

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