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.
Stendra, the newest PDE5 inhibitor on the market, has fewer side effects and drug interactions than the older, more established prescription drugs. It is the only drug on this list that is not available in a generic form. .
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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ED medicines can be pills, drugs inserted into the tip of the penis, or injections into the penis.
Did you know that diabetes can contribute to erectile dysfunction and other men’s health conditions? Find out more about why treating your diabetes is important. Get more education on diabetes awareness.
Other tests, if indicated, are normally arranged by the urology specialist clinic and will be discussed with you.
Because of its structure, tadalafil (Cialis) metabolizes more slowly in your body, which means you can take it well before engaging in any sexual activity. The effects may last 36 to 72 hours.
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Physicians make a diagnosis of erectile dysfunction in men who complain of trouble having a hard enough erection or a hard erection that does not last long enough. It is important as you talk with your doctor that you be candid in terms of when your troubles started, how bothersome your erectile dysfunction is, how severe it is, and discuss all your medical conditions along with all prescribed and nonprescribed medications that you are taking. Your doctor will ask several questions to determine if your symptoms are suggestive of erectile dysfunction and to assess its severity and possible causes. Your doctor will try to get information to answer the following questions:
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Injections do require training and it may be tricky to get the right dose initially. We always do the first injection in the office to show you how to do it and to give us a good idea about the proper dose. Our patients are usually anxious about injecting their penis but are almost always surprised by how painless the process is. Pros Cons Very effective (85%) Mimics normal erection Discreet Risk of prolonged erection (priapism) Risk of penile scarring Pain with injection (usually mild) Bruising or bleeding Hard to use if have tremor or poor vision or severe obesity Poor long-term satisfaction (less than 40%)
ED treatments are not considered to be addictive, although they can result in psychological dependence where men with performance anxiety come to rely on them.
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Many men find relief through a combination of these treatments. Your doctor will help you decide the fastest and best method for curing your erectile dysfunction. SLIDESHOW Sex-Drive Killers: The Causes of Low Libido See Slideshow
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In addition, research shows that physical activity, particularly pelvic floor exercises (kegel exercises), can help restore normal erectile function in some patients with ED.