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CHICAGO -- The newest drug for erectile dysfunction (ED) may work in as little as 15 minutes after dosing, researchers said here.

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It affects approximately half of all men over age 40. While erectile dysfunction is usually a physical problem, it can also have psychological roots. More often than not, it is a combination of both. And help is available.
In recent years, the FDA has seized many over-the-counter products for male sex problems because they contained dangerous or undeclared ingredients. Lab tests have discovered these risky ingredients in nearly 300 products. .

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But there are also medical devices like the Elator, which is approved by the Food and Drug Administration (FDA) and is custom-made with medical-grade silicone based on a patient’s girth and shaft. The technology, which has no known risk factors, has two thin bars that glide along the bottom of the penis, and hold the organ partially or fully erect with a soft, flexible loop, a sliding latch and a base lock and base ring.

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However, his most recent video delves into erectile dysfunction: a sexual disorder which one in every ten men suffer from at some point in their life, but due to the stigma attached to it, remains largely undiscussed in our society. “It’s time we braved into the topic of sexual health” he wrote in his caption, and then went ahead and demonstrated a range of exercises that will boost the flow of blood and bring sexual energy back to the pelvic region.
A vacuum device (VED) is an external device (not a drug) that goes over the penis. When pumped, it pulls blood into the penis then a special ring is placed over the base of the penis to keep it erect.

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Thankfully, a few of our top recommendations for the best ED treatment include complimentary consultations with a physician who can help you. Here are some topics that you might discuss during a consultation.

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First, you’re not alone (even if it’s not a common topic of conversation with your mates) and there shouldn't be any stigma involved in getting help for this.

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    Don’t hold your breathDon’t push down — instead, squeeze your pelvic muscles together tightly as if you are trying to lift something up with those musclesTry to keep your stomach muscles relaxed throughoutRelax your pelvic floor muscles between each squeeze

    "Medications that create blood flow to the penis can't help when an erection is blocked by the fear or anxiety of the fight-or-flight response,” says Feloney. “This type of erectile dysfunction probably has a lot to do with evolution — men didn't need an erection when a dinosaur was chasing them." The best way to treat erectile dysfunction caused by performance anxiety, depression, a poor relationship, or stress may be with a combination of ED drug treatment and sex therapy, individual therapy, or couples therapy from sexual health professionals.
    Inadequate production of testosterone is not a common cause of erectile dysfunction. But, when ED does occur due to decreased testosterone production, testosterone replacement therapy may improve the problem.

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    The recommended starting dose of tadalafil for use as needed for most patients is 10 mg taken orally approximately one hour before sexual activity. A doctor may adjust the dose higher to 20 mg or lower to 5 mg depending on efficacy and side effects. Doctors recommended that patients take tadalafil no more frequently than once per day. Some patients can take tadalafil less frequently since the improvement in erectile function may last 36 hours. Patients may take tadalafil with or without food. Tadalafil is currently the only PDE5 inhibitor that is FDA-approved for daily use for erectile dysfunction and is available in 2.5 mg or 5 mg dosages for daily use.

    When someone has ED, they cannot achieve or maintain a firm erection long enough to enjoy satisfying sexual activity. The condition is sometimes referred to as erectile disorder or impotence.
    Pelvic floor muscle exercises, or Kegel exercises, help strengthen these muscles.

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    Treatment is only indicated if both partners are troubled by the impotence and they have realistic expectations of what can be achieved by any treatment

    Besides PDE5 inhibitors and among second-line therapies are VCDs which are clear plastic chambers placed over the penis, tightened against the lower abdomen with a mechanism to create a vacuum inside the chamber. This directs blood into the penis. If an adequate erection occurs inside the chamber, the patient slips a small constriction band off the end of the VCD and onto the base of the penis. An erection beyond 30 min is not recommended. These devices can be a bit cumbersome, but are very safe.40
    Yes, erectile dysfunction can be successfully treated and there are many ways to cure this condition. Depending on the causes and your health status, such treatment methods may be applied: lifestyle change: healthy eating, everyday exercises, smoking, and alcohol consumption cessation, etc. natural supplements intake and acupuncture medications, such as Viagra, Tadalafil, and other drugs improving blood flow to the genitals devices use, e.g. penis pumps, rings, etc. surgical methods

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    Here at Advanced Urology Institute, we have a number of resources which can help you along the path to better urological health. AUI TV Blog Forms Participating Insurance Patient Billing Patient Portal Privacy Policy No Surprise Billing Act HealthWatch Home About Us Our Purpose Board of Directors Leadership Team News Conditions We Treat Physicians Locations Patient Resources Advanced Urology Institute TV Blog Forms Insurance Participation List Patient Billing Patient Portal Privacy Policy No Surprise Billing Act HealthWatch Careers AUI Teams Benefits Physician Recruitment Home About Us Our Purpose Board of Directors Leadership Team News Conditions We Treat Physicians Locations Patient Resources Advanced Urology Institute TV Blog Forms Insurance Participation List Patient Billing Patient Portal Privacy Policy No Surprise Billing Act HealthWatch Careers AUI Teams Benefits Physician Recruitment

    While most men will have occasional difficulty achieving a healthy erection during sexual intercourse, ED is only considered a possible medical explanation for these symptoms if erection difficulties have been affecting a man for an extended period of time. When blood flow to the two chambers of the penis, known as the corpora cavernosa, are blocked or restricted for any reason, this can result in ED.
    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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Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex, feeling stressed either at home or at work, or feeling troubled in your current sexual relationship. In these cases, treatment incorporating psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress, leading to further erectile failure. Los of desire or interest in sexual activity can be psychological or due to low testosterone levels.

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The first line treatment for ED is the PDE5 inhibitor medications Viagra, Sildenafil, Cialis, Tadalafil, Levitra and Spedra. They are all recognised as being effective in treating the condition in the majority of cases. Are sex counselling and surgery needed to treat erectile dysfunction (ED)?

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Testosterone and Viagra when taken together do not produce any known reactions or serious complications. Taking testosterone can help treat men with low testosterone to improve sexual drive, but it cannot treat erectile dysfunction. Taking Viagra can help treat erectile dysfunction but does not improve sexual desire. Both testosterone and Viagra can be taken, but they both treat different problems.

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Risks associated with injection therapy include bleeding, pain with injection, penile pain, priapism, and corporal fibrosis (scarring inside of the corpora cavernosa). There is also concern that repetitive injections in the same area could cause scar tissue to build up in the tunica albuginea which could create penile curvature. Thus, doctors recommended that one alternate side with injection and perform injections no more frequently than every other day.

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