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Treatments for erectile dysfunction are usually effective and the problem often goes away.

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Although there is limited data on lifestyle modification, intuitively, decreasing risk factors for erectile dysfunction may help prevent the progression of the disease.
At the present time, our clinic only offers treatments that may alter or modify the biological and psychological process causing your erectile dysfunction. These include: .

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Shockwave therapy is a medical treatment that has been around for many years. It is often used as a non-invasive treatment option for kidney stones and orthopedic injuries. Recently, urologists have begun using this therapy to treat erectile dysfunction (ED).
Aortoiliac or aortofemoral bypassAbdominal perineal resection, low anterior resectionProctocolectomyRadical prostatectomyRadiation therapy for prostate cancer as well as for other cancers, such as bladder cancer, colon cancer, or rectal cancerBrachytherapy (seed implants) for prostate cancerCryosurgery of the prostateCystectomy (removal of the urinary bladder)

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The benefits of exercise for your blood vessels last only as long as you keep exercising on a regular basis. Experts recommend that men who want to prevent impotence make a long-term commitment to exercise. Here are some tips to remember:
Abozeid, M., Juenemann, K. P., Luo, J. A., et al (1987) Chronic papaverine treatment: the effect of repeated injections on the simian erectile response and penile tissue. Journal of Urology, 138, 1263.CrossRefGoogle ScholarPubMed

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Your prescription is issued by our GMC registered doctor and dispensed from our UK registered pharmacy. So, you can be sure of receiving genuine medication.

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Bullet point: The relationship between the risk factors for CVD and ED are intimately interwoven, one with the other. Clinicians need to factor this in when counselling the man with ED.

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    This route typically isn’t recommended for men taking nitrate drugs or alpha-blockers, and all medications, including over-the-counter herbs and supplements, should be shared with your doctor to prevent negative interactions. The commonly reported potential side effects of phosphodiesterase-5 inhibitors include headache, flushing, runny nose, stomach pain, back pain, indigestion, vision changes, and dizziness.

    Our physicians are experienced in treating the complete range of urologic conditions and diseases, from kidney stones and sexual dysfunction to prostate cancer, incontinence and infertility. Male Urology > Erectile Dysfunction Erectile dysfunction is a challenging and embarrassing problem for men.
    The tests performed will be left to your doctor's discretion. It is common to measure kidney function, liver function, cholesterol, as well as checking your blood cells for anaemia or other problems. A fasting blood sugar measurement will be performed to exclude diabetes. A PSA (prostate specific antigen) blood test may also be carried out if necessary.

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    The hardening of the arteries associated with smoking tobacco can reduce flowing blood to the penis. Smoking also results in oxidative stress – another risk factor for erectile dysfunction. Fortunately, quitting smoking has shown to relieve much of the ED risks associated with the habit.

    Other medical therapies under evaluation include ROCK inhibitors and soluble guanyl cyclase activators. Melanocortin receptor agonists are a new set of medications being developed in the field of erectile dysfunction. Their action is on the nervous system rather than the vascular system. PT-141 is a nasal preparation that appears to be effective alone or in combination with PDE5 inhibitors. The main side effects include flushing and nausea. These drugs are currently not approved for commercial use.
    In the majority of cases, erectile dysfunction occurs when blood flow to the penis is inhibited either by cardiovascular problems or poor nerve signalling. Healthy arousal engorges the penile tubes (corpora cavernosum) with arterial blood causing it to stiffen and become erect. The engorged corpora occlude the venous outflow of blood, creating a rigid or full erection. Erection dysfunction occurs when there is either poor influx of arterial blood or efflux of venous blood (venous leak).

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    No. You should never take two types of ED medication at the same time as it could lead to a dangerous overdose.

    For many men, experiencing erectile dysfunction can feel like a crushing blow to your ego and it may be common to feel as if you will experience erectile dysfunction for the rest of your life. That couldn’t be further from the truth. With American Male Wellness, you can treat erectile dysfunction and recover fully leaving you feeling like the strong young buck you were in your 20s. Our knowledgeable team works with you to find the root causes for your ED and find the right treatment from our proprietary ED male performance solutions.
    All of the ED medications belong to a group of drugs called ‘PDE5 inhibitors’ and work in the same way. They dilate the blood vessels leading to the penis resulting in a firm, longer lasting erection.

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    There are numerous causes of ED. Though it occurs more frequently as men age, this isn’t a condition that’s a natural part of the aging process; erectile dysfunction isn’t something that men or their partners should just accept. And it’s not at all something that should be a source of shame or embarrassment. ED is a common condition, and many roads may lead to it: Hypertension (high blood pressure) Obesity Diabetes Stress Use of alcohol, tobacco, or drugs (recreational or prescription) Exhaustion and sleep disorders Depression and anxiety Considerations when looking for an ED treatment

    Erectile dysfunction (ED, impotence) varies in severity; some cannot have an erection at all, whereas other men sometimes have trouble getting a hard erection, and others get a hard erection but it only lasts for a short period of time. Approximately 50% of men over the age of 40 have trouble with erectile dysfunction.
    Treatment of erectile dysfunction depends on the underlying cause of the condition. For fastest results, it’s best to consult a doctor to get appropriate treatment recommendations, which may include: 1. Lifestyle changes Maintaining a healthy weight Staying physically active (running, walking, stretching) Quitting smoking, excessive alcohol consumption and any drug abuse Stress management through meditation, sports, music, or yoga Getting adequate sleep and rest 2. Counseling

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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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Injection: The medication is put into the side of the penis by a needle. This raises your risk for dangerously prolonged erections and scarring.

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Another potential new treatment consists of penile low-intensity shock wave lithotripsy. This consists of 1500 shocks twice a week for 3–6 weeks. The purpose is to stimulate neovascularisation to the corporal bodies with improvement in penile blood flow and endothelial function. The use of low-intensity shock wave lithotripsy may convert PDE5 inhibitor non-responders to responders.47

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Nadig, P. W., Catesby-Ware, J. & Blumoff, R. (1986) Noninvasive device to produce and maintain an erection-like state. Urology, 11, 126–131.CrossRefGoogle Scholar

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