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Avanafil (brand-name Stendra) is a new medication in the landscape of ED treatments. It is more micro-targeted to inhibit the specific PDE-5 enzyme related to a man’s ability to get and keep an erection. Other ED medications like sildenafil affect additional enzymes like PDE-1 and PDE-6. This increases Stendra’s efficacy while reducing its side effect profile. According to FDA data, about 1 in 10 men using the 200mg Stendra (highest dosage) report headaches. Meanwhile, close to 3 in 10 men using the maximum dosage of Viagra report headaches. Only about 4% men using 200mg Stendra experience flushing of the face, compared to 18% of men using the maximum dosage of sildenafil. Heartburn, muscle and back pain, congestion, and vision changes are all less likely with Stendra.

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CHICAGO -- The newest drug for erectile dysfunction (ED) may work in as little as 15 minutes after dosing, researchers said here.
Don't write off anaerobic exercise either, as heavy weight lifting can be effective. .

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Erectile dysfunction (ED) is a medical condition that can affect people of any age, but most commonly impacts men who are middle-aged and older.
In order to provide the best support possible, it is important that partners do the necessary level of research to establish the cause of the ED, to find out whether it is due to a physical condition, psychological or due to medication. . Not only will this improve the partner's understanding of ED, but it will allow them to become more empathetic to the man with the condition.

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If the medicines aren’t right for you, you could try using a penile implant, vacuum pump devices, or have surgery. Your doctor may send you to a urologist to talk about these options. How long will I have to take medicine for erectile dysfunction? What is the difference between tadalafil (Cialis), vardenafil (Levitra), and sildenafil (Viagra)? Are there any lifestyle changes I should make? How can I talk with my partner about my problem? Is there something I can do other than take medicine to help? What other medicines cause this problem?
24. de Tejada IS, Anglin G, Knight JR, et al. Effects of tadalafil on erectile dysfunction in men with diabetes. Diabetes Care. 2002;25(12):2159-2164.

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Sildenafil (Viagra) may affect another phosphodiesterase enzyme in the eye causing transient abnormal vision (seeing a bluish hue or brightness).

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You do not have to be suffering from ED, or any other medical condition to benefit from GAINSWave. If you want to perform your best, and satisfy your lover like you may never have before, GAINSWave can help!

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    If this does not occur, consulting a physician is necessary to rule out any underlying health conditions, such as an enlarged prostate or diabetes. ED is often thought to be a marker of poor blood flow to organs. Hence, every person with ED must be screened for cardiovascular fitness as well.
    Second, there is a range of medically reviewed, evidence-based options for treating ED. The best part? You can start today.

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    You will also be asked a detailed past medical and surgical history as you may have other medical conditions which may be contributing to your erectile dysfunction. It is important to tell your GP about other symptoms such as pain, premature ejaculation (uncontrolled ejaculation before or immediately after penetration) or symptoms of prostatic obstruction because they are often associated with erectile dsyfunction.

    Once you feel comfortable with this feeling, you can incorporate this into a daily routine of performing pelvic floor exercises. It won't take long, and will soon feel like second nature.
    When there is angina or heart failure, the doctor may need to determine whether the heart has enough reserve to carry out the work necessary for sexual activity by performing cardiac treadmill stress testing. What precautions should patients take when using vardenafil (Levitra, Staxyn)?

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    The same concerns regarding the use of sildenafil with nitrates and alpha-blockers apply to vardenafil.

    Erectile dysfunction medications are effective for many men, but these oral medications may not work for everybody. Our team offers numerous other non-invasive and minimally invasive treatments for improved outcomes. Many of these can achieve results faster,with fewer side effects and a quicker recovery. We also offer placement of inflatable penile prostheses for men who have failed other forms of treatment for erectile dysfunction.
    A small percentage of erectile dysfunction cases are related to surgery for prostate cancer. After the operation to remove the prostate, 15 percent to 60 percent of men can have erectile dysfunction, even when newer “nerve sparing” surgery is performed. Often, this side effect is temporary, and improvement can be seen up to one year after surgery.

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    Also use caution if you’re taking alpha-blockers for prostate problems or blood pressure.

    ED doesn't have to be permanent. The most important thing is to identify the cause and then get the right treatment.
    Complete List Top Erectile Dysfunction (ED, Impotence) Related Articles Acupuncture

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Associate Professor of Urology, Director of Newport Beach Urology, Director of Men's Health, Chief, Division of Men's Health and Reconstructive Urology

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https://pubmed.ncbi.nlm.nih.gov/16104916/ Physical Activity to Improve Erectile Function: A Systematic Review of Intervention Studies. (2018). Definition & Facts for Erectile Dysfunction. (2017).

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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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Because ED can be caused, at least partially, by elements of lifestyle - from suffering from anxiety, to poor diet choices, obesity, smoking and substance abuse - the risk of developing the condition can be reduced by making lifestyle changes. Among these improvements are losing weight and keeping to a healthy diet, exercising regularly, stopping smoking, moderating alcohol intake, and taking steps to reducing stress levels by a number of means.

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