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Stress, both in and out of the bedroom, can make it difficult for a man to achieve an erection. Depression, anxiety, and the medications to treat them may also contribute to impotence.

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Side effects of intraurethral alprostadil include pain in the penis and sometimes in the testicles, mild urethral bleeding, dizziness, and vaginal itching in the sex partner. Patients rarely report syncopal (fainting) episodes with initial use, and thus the first trial of this medication should be performed in the physician's office.
Exercises have helped many with erectile problems. For a normal erection to happen, .

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Drugs & Vitamins Drugs A-Z Generic Drugs A-Z Drugs by Classification Drugs Comparison (Drug Vs. Drug) Vitamins & Supplements Drug Interaction Checker Pill Identifier Tools & Resources Diseases & Conditions Medical Dictionary Medical Editor: Charles Patrick Davis, MD, PhD
K Health has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. Dietary Flavonoid Intake and Incidence of Erectile Dysfunction. (2016).

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Testosterone is a primary male sex hormone. It is responsible for the development of male reproductive organs, secondary sexual characteristics, increased bone/muscle mass, and sexual drive (libido).
ED is a treatable condition and most men are able to return to healthy sexual function.

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Treatment options vary widely according to the specific diagnosis. Regardless, common treatment includes referral for counseling or therapy due to residual effects ED has to strip the man of confidence and self-esteem.

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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.

    ED treatments don’t require taking medicine along with a meal. In fact, sometimes a heavy meal high in fats can slow down the drug’s effect. But do you have a hard time swallowing pills? Many people do. This slight additional stress can get in the way of fun times. And if there isn’t a convenient glass of water around at the height of passions, you could unintentionally ruin the mood. This is where chewable ED treatment options like those from BlueChew would come in handy. What to discuss with a healthcare provider
    Tadalafil (Cialis) is the third oral medicine approved by the U.S. FDA for the treatment of erectile dysfunction. Like sildenafil (Viagra) and vardenafil (Levitra), tadalafil inhibits PDE5 (as described earlier). Unlike the other PDE 5 inhibitors, patients should take tadalafil once daily which is approved for the treatment of BPH (benign enlargement of the prostate).

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    Learn about the symptoms of erectile dysfunction, treatment options, and the quickest way to help you resolve the condition. Health Categories Medical Slideshows Diseases & Conditions Symptoms & Signs Procedures & Tests Medications Healthy Living Vitamins & Supplements Image Collection Quizzes MedTerms Dictionary MedicineNet Privacy Policy About Us Contact Us Site Map WebMD Corporate WebMD WebMDRx Medscape Medscape Reference eMedicineHealth RxList OnHealth

    Trazodone. This is an antidepressant. It’s still uncertain whether it works for ED. It’s not recommended.
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    PDE 5 inhibitors are broken down primarily by the enzyme, cytochrome P450enzyme CYP3A4. Medications that decrease or increase the activity of CYP3A4 may affect the levels and effectiveness of PDE 5 inhibitors. Such drugs include medications for the treatment of HIV (protease inhibitors) and the antifungal medications ketoconazole and itraconazole. Thus caution is recommended.

    Diet rich in vitamins and minerals is essential. Also, you must cut down on junk, caffeine, alcohol, and cigarettes.
    Patient Safety is a top priority. We are following all CDC safety recommendations for COVID-19 and require all of our staff and patients to wear masks in our facilities, at this time. Our Purpose Board of Directors Leadership Team News

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    The pathogenesis of organic ED is related to dysfunction of the endothelium. Endothelial cells can become injured through a variety of mechanisms, most of which cause oxidative stress on the tissues. Many of these causes of oxidative stress are related to lifestyle issues which lead to hypertension, diabetes and dyslipidaemia (figure 1). Endothelial cell dysfunction results in reduction of endothelium-dependent vasorelaxation as well as increased adhesion of leukocytes to the endothelium. Endothelial cell injury then leads to a variety of sequelae, including ED, other types of vasoconstriction, atherosclerosis and thrombus formation.18

    The role of the endothelium in ED has been noted for a number of years and the overlapping of ED and other conditions, especially coronary heart disease, CVD, affecting endothelial function/dysfunction, is clearly present. The endothelial cell is now known to affect vascular tone and impact the process of atherosclerosis, and impacting ED, CVD and peripheral vascular disease.16
    Because of the social embarrassment associated with erectile dysfunction, some men may not feel comfortable discussing their symptoms, especially with their regular doctors or with family members.

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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?

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Men who suffer from clinical depression, anxiety, chronic stress, or who are experiencing challenges in their relationship with their partner, may have erectile difficulties. Some of the medications that treat depression can also contribute to the problem. The inability to perform sexually can cause further anxiety and depression, creating a downward spiral.

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A number of treatments help reduce swollen prostate tissues. UroLift is a new, minimally invasive procedure for men with benign prostatic hyperplasia.

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