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Erection problems (impotence) are very common, particularly in men over 40. It's usually nothing to worry about, but you should see a GP if it keeps happening. It could be the sign of a more serious problem. Causes of erection problems .
There are different types of treatment ED including medication such as the popular Viagra pill. However, pills do not work for everyone and will normally cure the effects of ED and not the underlying cause of ED. Experts are continuously encouraging ED patients to explore natural treatments for the condition.
If purchased from a UK registered and regulated pharmacy, all brands of sildenafil will be genuine medication and have the same desired effect. The active ingredient in all of the brands is exactly the same but the other ingredients or ‘excipients’ that make up the bulk of the tablet may vary. Our Mylan brand of sildenafil is lactose free which is very important for those who have an intolerance or are allergic to lactose. The patient information leaflet supplied with each brand of sildenafil gives a full list of all the ingredients of each tablet. Does medication for an enlarged prostate affect erectile dysfunction (ED)?
Medications may include drugs to manage underlying health conditions such as diabetes, high blood cholesterol, or kidney diseases in addition to medications that specifically target erectile dysfunction. Sildenafil Tadalafil Vardenafil Avanafil Alprostadil (injectable drug or a suppository)
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National Kidney & Urologic Diseases Information Clearinghouse: "Erectile Dysfunction," "Treatment for Erectile Dysfunction."
There is growing interest in SWT and other regenerative therapies that seek to "cure" ED, rather than simply treat it. Although some early data support this line of research, there is a lack of high-quality evidence supporting the widespread use of SWT (or other treatments like plasma-rich protein or stem cell injections) for treatment of ED. In the absence of clinical trials showing its long-term effectiveness, SWT has not been approved by the FDA for treatment of ED and is not covered by insurance. In its guidelines for ED treatment, the AUA designates SWT as an "investigational" treatment that should be limited to research trials. "Our results show that real-world practice does not adhere to these recommendations," Drs. Weinberger, Eleswarapu, and colleagues write. They believe that patients exploring treatment for ED "should be evaluated by urologists who are equipped to conduct a formal men's health evaluation and provide a data-driven and patient-centric discussion of treatment options."
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
Alprostadil is an FDA-approved erectile dysfunction drug that can be injected directly into the penis to trigger an automatic erection. "Penile injection is the most effective type of ED treatment for men who can't take oral treatment," says Nelson Bennett, MD, a urologist at the Lahey Clinic in Burlington, Mass. In fact, it has an 85 percent success rate. Possible side effects include a burning sensation and priapism, an erection that lasts more than four hours and requires medical treatment.
Feelings of inadequacy or failure may complicate ED symptoms. ED may result in an inability to maintain an erection sometimes, but not every time. Other signs are the ability to get an erection but unable to maintain it to complete sexual relations, or an inability to attain an erection at all.
Shockwave therapy for ED is still considered an experimental treatment option. There is some data to support its efficacy, but research is ongoing to determine how well it works long-term and whether it can replace or be offered along with other proven ED treatments. What Is Shockwave Therapy?
The emergence of Viagra and related oral drugs for ED ushered in a new age of non-invasive treatment of the condition. These drugs relax the muscles in the penis and increase blood flow, allowing patients to have an erection. However, while these drugs are helpful for many men, they are not safe for men with high blood pressure, severe liver disease, kidney disease, or who take nitrate drugs. The drugs also come with side effects such as a runny or stuffy nose, dizziness, fainting and blurred vision. Because of these limitations, doctors have continuously looked for new treatment options for erectile dysfunction.
This treatment for ED has the quickest onset of action. It can have the desired effect just 15 mins after taking it. It contains the active ingredient Avanafil.
Men with ED without hypogonadism (a low testosterone level and symptoms related to this) should not use testosterone therapy.
According to the Mayo Clinic, oral medications are usually the first-line treatment for ED. Those medications include Sildenafil (Viagra), vardenafil (Levitra, Staxyn), tadalafil (Cialis) and avanafil (Stendra). They operate by helping relax muscles in the penis by strengthening the effects of nitric oxide, a naturally occurring chemical in the body. The drugs increase blood flow to allow patients to get an erection.
Psychological causes of ED can include; emotional problems rooted in past sexual abuse, lack of sexual knowledge or even unease with a new relationship; and mental conditions from anxiety to clinical depression.