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This is a cream applied to the penis. It uses the same drug of alprostadil that some current ED sufferers use with injections now. If the cream is approved, it may take the place of the injection method.

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Strengthening and training the pelvic floor muscles can help also reduce the symptoms of erectile dysfunction. Further informationExercise in pregnancyPelvic organ prolapseUrinary incontinence Home About Us Our Services OUR DOCTORS Refer a Patient News Contact Us Home About Us Our Services OUR DOCTORS Refer a Patient News Contact Us Kegel exercise improves Premature Ejaculation and Erectile Dysfunction Study suggests there might be a natural remedy for erectile dysfunction and premature ejaculation
L-arginine is an amino acid and something we naturally have within our bodies. Under normal circumstances, it plays a role in nitric oxide production, which in turn plays a crucial role in allowing blood to rush into the penis to cause an erection. .

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A penile implant is often recommended for men who have tried other treatments without success. This device, on the market for 30 years, basically gives men an erection at their discretion but does not affect the ability to ejaculate or feel orgasm.
GAINSWave has proven to be a safe and effective alternative treatment to Viagra and other oral ED medications. In fact, GAINSWave has proven to enhance sexual performance, with none of the harmful side effects!>

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Please see your primary care provider before scheduling an appointment with one of our specialists. If you don't have a primary care provider, we can help you find one. Locations Urology - Charlois 336-716-4131 336-713-0328 (FAX) Urology - Foothills 336-786-5108 336-783-6842 (FAX) Urology - Janeway Tower 336-716-3325 336-716-9916 (FAX) View All Locations Urology - Lexington 336-716-2011 Urology - Medical Plaza North Elm 336-713-9164 (FAX) Urology - Gatewood 336-878-6511 336-878-6512 (FAX) Close All Locations Referring Physicians
Since Pfizer’s patent expired, other drug companies have been able to manufacture generic Sildenafil. There are many companies that make generic medicines to be marketed it the UK. These companies include Mylan, Sandoz, Accord, Teva, Torrent, Ajanta, Dr Reddy’s and Zentiva. Even Pfizer make a generic brand of sildenafil that is cheaper than Viagra but more expensive than other generic equivalents. The tablets may differ in size, shape and colour but they are all medically very similar. Don't suffer in silence - You can dramatically improve your performance by using one of our treatments.

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    Strengthening and training the pelvic floor muscles can help also reduce the symptoms of erectile dysfunction. Further informationExercise in pregnancyPelvic organ prolapseUrinary incontinence Home About Us Our Services OUR DOCTORS Refer a Patient News Contact Us Home About Us Our Services OUR DOCTORS Refer a Patient News Contact Us Kegel exercise improves Premature Ejaculation and Erectile Dysfunction Study suggests there might be a natural remedy for erectile dysfunction and premature ejaculation

    Many men experience erectile dysfunction intermittently, especially during times of stress. If it is a recurring event, however, it can signal an underlying medical or emotional issue. This should be addressed by a healthcare professional.
    Causes and risk factors for erectile dysfunction are as follows:StrokeObesityProstate cancerSmokingAlcohol useHigh cholesterol dietLow levels of physical activityCardiovascular disease

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    VEDs are noninvasive devices that are available OTC or by prescription. They are used to generate negative pressure, drawing arterial blood into the corpora cavernosa, thereby promoting erection.5,7 Despite being less discreet than other treatment options, they are effective, low-cost, and associated with high rates of satisfaction.6 Use of VEDs can cause transient penile petechiae or bruising, discomfort or pain, and difficulty with ejaculation.6,7 Men receiving anticoagulants are at increased risk of bruising, and therefore, caution should be observed when considering a VED.7

    Vacuum constriction devices, or penis pumps, may be useful in the treatment of erectile dysfunction (impotence). A penis pump is an acrylic cylinder with a pump that can be attached to the end of the penis. The pump then creates a vacuum to help the penis become erect, while a constriction ring maintains the erection.
    ** Please note that this is not a secure email transmission site. The Urology Associates are committed to protecting your privacy as per the federal HIPPA guidelines. Do not transmit information of a private or personal nature. If you are uncomfortable with this email contact form, please phone us directly at (408) 358-2030. Quick Links Home Meet Dr. Gholami Patient Resources Urologic Conditions Our Services Blog Helpful Links Disclaimer Social Facebook Instagram YouTube Twitter

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    If fully developed and approved, many of these treatments will be safer and more effective for both men who are using traditional treatments and for those seeking a new treatment method.

    Individuals must remove the rubber band immediately after completing intercourse. Leaving the band on too long can harm the penis. Rarely, bruising of the penis or blood in the ejaculate/urine may occur.
    Erectile dysfunction (ED) is a medical condition that affects an individual’s ability to achieve or maintain an erection long enough to enjoy a satisfying sexual experience. Age over 40Alcohol, cigarette smoking, and illegal drug use Alzheimer’s diseaseHigh blood pressure (hypertension) High cholesterolHormone abnormalities Insomnia Mental health issuesMetabolic disordersMultiple sclerosisObesity Parkinson’s diseasePeyronie’s disease PriapismProstate cancer treatment and other prostate-related issues Renal failureSleep apneaType II diabetesVascular disease

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    Fabbri, A., Jannini, E. A., Gnessi, L., et al (1989) Endorphine in male impotence: evidence for naltrexone stimulation of erectile activity in patient therapy. Psychoneuroendocrinology, 14, 103–111.CrossRefGoogle Scholar

    Many men have micro-plaque in their penises without realizing it. Contact sports, other athletic activity, and vigorous sex can cause the formation of micro-plaque. As a man accumulates micro-plaque over time, he can develop conditions like Peyronie’s disease, which can cause erectile dysfunction. Peyronie’s disease leads to painful curvature of the penis that can make sex impossible or unenjoyable. GAINSWave® therapy breaks down micro-plaque to treat or prevent Peyronie’s disease.
    You should not take more than 1 dose in 24 hours. Tadalfil and vardenafil come in tablets of 2.5 mg, 5 mg, 10 mg and 20 mg. Sildenafil comes in tablets of 25 mg, 50 mg and 100 mg.

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Peyronie's disease is a condition that results from a penis injury, causing scar tissue to form and the shaft to curve. Sexual intercourse is often difficult.

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Pelvic area muscles are the ones that help in increasing the blood flow to the groin and helps in maintaining erections. Strengthening the muscles with pelvic floor exercises can actually improve sexual functioning like erections, ejaculations, and orgasm.

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Moul, J. W. & McLeod, D. G. (1986) Experience with the AMS 600 maleable penile prosthesis. Journal of Urology, 135, 929–931.CrossRefGoogle Scholar

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

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