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In the Ethiopian context, due to the lack of strong regulations, sildenafil can be easily accessed from pharmacies without a prescription (1, 9–11). A qualitative study conducted in Addis Ababa, Ethiopia revealed that there was a widespread use of sildenafil citrate and the main reasons for the utilization were to gain sexual confidence and suppress anxieties associated with a feeling of loss of manhood (12).

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GAINSWave is one of the safest erectile dysfunction treatments available for men. It is a non-invasive and drug-free therapy that works to help treat symptoms of erectile dysfunction and Peyronie’s disease.
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And BlueChew is our Editors’ Choice for best ED treatment in 2021 for several very compelling reasons: BlueChew’s medications are chewable, which means no more scrambling for a glass of water to swallow a pill. BlueChew’s monthly tadalafil subscriptions come in several subscription levels, and all of them are considerably more affordable than competitors You can try it for free for a month using our INNERBODY coupon code. Taking tadalafil once per day, as if it were a multivitamin, is less potentially disruptive than taking sildenafil, Stendra, or vardenafil an hour before you intend to have sex. Tadalafil is taken in this easy fashion because it stays active in your body for 18-36 hours, unlike sildenafil, vardenafil, or Stendra. Tadalafil poses effectively the same low risk level of mild side effects as sildenafil and vardenafil.
Be sure that you aren’t contracting any leg, abdominal, or gluteal muscles while engaging in pelvic floor activation.

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Side effects, when they happen, tend to be mild and commonly include some of the following: Headache A sensation of flushing in the face Nasal congestion Nausea or indigestion Muscle pain Dizziness
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960035/ Prevalence and Risk Factors for Erectile Dysfunction in the US. (2006).

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22. Shindel AW, Lue TF. Sexual Dysfunction in Diabetes. Endotext. June 8, 2021. www.ncbi.nlm.nih.gov/books/NBK279101/. Accessed March 22, 2022.

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    If the lining of the blood vessels (known as the endothelium) becomes damaged and inflamed, this can also disrupt nitric oxide (NO) production.

    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.
    These oral medications fit in the phosphodiesterase-5 inhibitors (also called PDE-5 or PDE inhibitors). They allow the man to have an erection, but they do not work as well for maintaining an erection.

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    A series of blood tests helps determine many medical conditions known to cause ED. A urinalysis indicates any positive signs of kidney problems, testosterone levels or diabetes. Using a nocturnal penile tumescence (NPT) procedure is common. Ultrasound testing and injections may be useful when diagnosing erectile dysfunction.

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

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    When people feel overly anxious or stressed, drink too much alcohol, or take certain medications, it can affect sexual performance.

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    If you use sildenafil, tadalfil, or vardenafil and get chest pains, be sure to tell the paramedics, nurses or doctors at the hospital that you use it and when you used it last.

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    Smith, A. D. (1981) Causes and classification of impotence. Urology Clinics of North America, 8, 79–89.Google ScholarPubMed

    As your body becomes more familiar and used to these exercises, consider increasing the length of time you squeeze and hold the different pelvic muscles. You can also increase the number of repetitions or sets of exercises you do.
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Traditional treatments for erectile dysfunction have centered on medications given orally. The brand names of these drugs include Cialis, Levitra, Stendra, Staxyn, and Viagra®.

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It’s best to avoid drinking alcohol when taking sildenafil. If you do choose to drink, then you should limit the quantity to one or two units as alcohol can reduce the effectiveness of sildenafil. Also, as both alcohol and sildenafil can lower blood pressure you may find that you feel dizzy and ruin your enjoyment of the experience.

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