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8. Viagra (sildenafil citrate) [Prescribing Information]. New York, NY: Pfizer Labs; December 2017.

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If you enjoy relying on inconvenient meds and injections, love experiencing headaches and blurry vision, or can’t wait to eliminate spontaneity from your sex life, then GAINSWave is not for you.
Defined by an inability to develop and maintain an erection firm enough for sexual relations, erectile dysfunction (ED) affects approximately one in four men during their lifetime. According to research scientists, up to 75 percent of ED cases occur due to medical causes. When functioning normally, neurotransmitters initiate an erection by relaying signals from the brain to the vascular system. The resulting increased blood flow and pressure to the penis allows tube and elastic like tissue within the penis to expand, achieving erection. Blood flow reduction to the penis Scarring of the penile tissues does not allow for a normal erection- Peyronie's disease Nerve damage (may occur directly to the penis or to areas leading to it) Hormonal or metabolic disorders such as diabetes Psychological conditions (mainly seen with ED in males under the age of 40) Vein leakage, also known as a venous leak Trauma, injury, or surgical procedures to the spinal cord or pelvic area Vascular disorders or disease such as high blood pressure Neurologic related conditions such as multiple sclerosis or Parkinson's disease High levels of cholesterol Heart disease Occurrence and/or treatment for enlarged prostate or prostate cancer Obesity Sleep-related disorders Tobacco use Diseases such as alcoholism and other substance abuse disorders Psychological related issues .

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In patients with low testosterone, testosterone treatment can improve libido and erectile dysfunction, but many men still may need additional oral medications such as sildenafil, vardenafil, or tadalafil. Some studies suggest that men with ED and low testosterone may respond better to PDE5 inhibitors when given testosterone therapy; however, this is controversial.
Trauma or injury to the penis and/or the pelvic blood vessels and nerves is another potential factor in the development of ED. QUESTION Erectile dysfunction (ED) is… See Answer

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Usually you’ll only need a handful of sessions. You may want to include your partner, as well.
He discovered that exercises involving pelvic floor muscles were helpful to treat incontinence in women.

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Doing a few of these exercises every day, if not all, can prevent erectile dysfunction. Considering the sedentary and stressful lives of youngsters today, Vidyut recommends men even as young as 20 years old to practise these exercises to protect themselves from this crippling condition. AskMen India shares 6 exercises from Vidyut Jammwal’s kalari sutra workout that improve sexual health:

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As is true in so many medical conditions, lifestyle modifications, considered first-line therapy, can have a salutary effect in ED management, and men should be encouraged to make the necessary changes to the benefit of their sexual function and to their overall health as well. Despite the benefits of behaviour modification, men presenting with ED want the physician to help with measures that can have an immediate impact.

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    National Center for Complementary and Alternative Medicine: "Aromatherapy May Make Good Scents, But Does It Work?"

    Exercise will not only eliminate ED but also change the behaviour, mood, and attitude towards life. By keeping a healthy lifestyle and timely checking on other health conditions, you can easily prevent erectile Dysfunction naturally. Readers can download the Erectile dysfunction exercises pictures and pdf formats of this blog from here.
    Johns Hopkins Bloomberg School of Public Health: “18 Million Men in the United States Affected by Erectile Dysfunction.”

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    In most healthy men, some of the drugs will remain in the body for more than two days after a single dose of tadalafil. Metabolism (clearing of the drug from the body) of tadalafil can be slowed by liver disease, kidney disease, and concurrent use of certain medications (such as erythromycin, ketoconazole, and protease inhibitors). Slowed breakdown allows tadalafil to stay in the body longer and potentially increases the risk for side effects. Therefore, doctors have to lower the dose and frequency of tadalafil in the following examples: Medications such as erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), ritonavir (Norvir), and indinavir (Crixivan) can slow the breakdown of tadalafil. Therefore, men taking these medications should not take more than 10 mg of tadalafil and should not take tadalafil more frequently than every 72 hours. If you have kidney troubles, your doctor may recommend that you try a lower dose of tadalafil or change how often you use tadalafil depending on your kidney function. Men with severe liver disease should not take tadalafil. Men with mild to moderate liver disease should not exceed a tadalafil dose of 10 mg once daily.

    Wiles, P. G. (1988) Successful non-invasive management of erectile impotence in diabetic men. British Medical Journal, 296, 161–162.CrossRefGoogle ScholarPubMed
    11. Levitra (Vardenafil) [Prescribing Information]. Research Triangle Park, NC: GlaxoSmithKline; November 2018.

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    Combination therapy for the treatment of erectile dysfunction has been under investigation. Most of these studies have been small trials, and long-term data regarding their effectiveness and safety are lacking. However, with thorough evaluation and counseling, there may be a use for combination therapy for certain individuals with ED.

    Berg, R., Mindus, P., Berg, G., et al (1984) Penile implants and erectile impotence: outcome and prognostic indicators. Scandinavian Journal of Urology and Nephrology, 18, 277–282.CrossRefGoogle ScholarPubMed
    But Stendra will cost you significantly more than sildenafil or tadalafil — that’s the tradeoff. Hims — our top choice for convenient access to Stendra — offers a monthly subscription for Stendra at $116 per month, billed quarterly. If you can afford the cost, this may be the best choice for you.

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    Schramek, P., Dorninger, R., Waldhauser, M., et al (1990) Prostaglandin E1 in erectile dysfunction. British Journal of Urology, 65, 68–71.CrossRefGoogle ScholarPubMed
    Thankfully, if you’re experiencing these issues, you don’t have to rely solely on expensive medications or complicated and extensive therapies. There are several exercises, specifically Kegel exercises, that can strengthen the core and pelvic area of the body.

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There are a variety of other options to treat erectile dysfunction including medication, surgical options, injections, or vacuum devices:

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Listen to our Superintendent Pharmacist, Margaret Hudson, discuss ED in a recent radio interview

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