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4. Yafi FA, Jenkins L, Albersen M, et al. Erectile dysfunction. Nature Reviews Disease Primers 2016 2:1. 2016;2(1):1-20.

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Citation: Atsbeha BW, Kebede BT, Birhanu BS, Yimenu DK, Belay WS and Demeke CA (2021) The Weekend Drug; Recreational Use of Sildenafil Citrate and Concomitant Factors: A Cross-Sectional Study. Front. Med. 8:665247. doi: 10.3389/fmed.2021.665247
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Based on the severity of the ED issue, your doctor will suggest treatments from least to most invasive. Something as simple as making healthy lifestyle changes (such as quitting smoking, reducing alcohol consumption, and losing weight) may help to solve the issue.
Without adequate blood flow, erection problems can occur. In some cases, the erection is weak. In others, the man is unable to have an erection at all.

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Viagra (sildenafil) is usually the first-line therapy for erectile dysfunction in the United States and is available only on prescription. Although Viagra is the most effective medication for men with ED, some may not want to use it or cannot use it due to their side effects or the risk of reactions with other drugs they consume.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5510347/ A Multinational Population Survey of Intravaginal Ejaculation Latency Time. (2005).

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You can also inject drugs directly by inserting a tiny needle into the penis. Several drugs and drug combinations are available, including alprostadil (Edex, Caverject), phentolamine, and papavarine (usually given in combination as Bimix or Trimix).

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    This is where Kegels come in: they are pelvic floor exercises that help strengthen these muscles, leading to pelvic floor activation, and can improve erectile function.

    Pelvic floor muscle exercises, or Kegel exercises, help strengthen these muscles.
    Kiely, E. A., Williams, G. & Goldie, L. (1987b) Assessment of the immediate and long-term effects of pharmacologically induced penile erections in the treatment of psychogenic and organic impotence. British Journal of Urology, 59, 164–169.CrossRefGoogle ScholarPubMed

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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

    Erectile dysfunction (ED) is a common problem a problem among many men especially as they get older.
    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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    Every case is individual, so in order to find out what causes problems with your sexual vigor, you need to schedule a meeting with a doctor.

    There are a number of oral medications available for ED sufferers with diabetes. These include Viagra, Sildenafil, Cialis, Tadalafil, Levitra and Spedra. The most suitable of these treatments will vary according to the individual although there is some evidence to suggest that Levitra might be the best choice for diabetics. Which erectile dysfunction (ED) pill is the best for people suffering from high blood pressure?
    National Center for Complementary and Alternative Medicine: "Aromatherapy May Make Good Scents, But Does It Work?"

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    Health care professionals and especially pharmacists should counsel sildenafil users on how and when to use the medication and the common side effects associated with the drug. Users should also be aware of the impact of using sildenafil concomitantly with other illicit drugs and advised to use it when it is only necessary to avoid its addiction and minimize adverse effects. The regulatory body should control the availability of sildenafil and other PDE5Is in places other than pharmacies, monitor the sale of prescription-only medications on an OTC basis, and monitor their utilization.

    © UROLOGY ASSOCIATES OF SILICON VALLEY - SHARAM SHAWN GHOLAMI, MD - All rights reserved.
    You can start by lying down, standing, or sitting down as per your preferences. After that, clench your bulbocavernosus muscles and pause for like 2 3 minutes. Repeat this routine four to five times. Doing this three times for better results. If you do Kegels every day you will surely see some positive after-effects on ED issues. There are also some mistakes that need to be avoided while performing kegel exercises.

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Only 10 percent of men seek treatment and many (50 percent) discontinue treatment once they start it because they are too embarrassed to discuss their sexual health issues with a doctor. There is no need to suffer in silence.

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While erectile dysfunction can occur at any age, the risk of developing erectile dysfunction increases with age. According to the Massachusetts Male Aging Study, the prevalence of erectile dysfunction was 52% in men 40-70 years of age and the prevalence of complete erectile dysfunction increases from 5% at 40 years of age to 15% among men 70 years of age and older.

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If your ED is caused by low levels of testosterone, your doctor may prescribe testosterone supplementation. If certain medications are causing your erectile dysfunction, your doctor may stop or lower dosages or prescribe an alternative medication. Do not change or stop taking medications without consulting your doctor.

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