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Erectile dysfunction (ED) is a common problem a problem among many men especially as they get older.

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You can buy sildenafil (Viagra) over the internet. Be very careful if you do this as many websites sell fake medicines.
28. Jackson G, Boon N, Eardley I, et al. Erectile dysfunction and coronary artery disease prediction: evidence-based guidance and consensus. Int J Clin Pract. 2010;64(7):848-857. .

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Erectile dysfunction, also known as ED or impotence, is defined as the inability to maintain a penile erection sufficient for successful sexual intercourse. Achieving an erection is a complex process involving the brain, hormones, nerves, muscles, and blood circulation. If something interferes with this process, the result can be erectile dysfunction. Current Opinion in Urology: "Testosterone Therapy Improves Erectile Function and Libido in Hypogonadal Men." The Journal of Sexual Medicine: "Effects of Intensive Lifestyle Changes on Erectile Dysfunction in Men." National Institute of Diabetes and Digestive and Kidney Diseases Health Information Center: "Treatment for Erectile Dysfunction." The National Institute of Diabetes and Digestive and Kidney Diseases: "Symptoms and Causes of Erectile Dysfunction."
Therefore, the most common causes of ED are high blood pressure, high cholesterol, diabetes, medications for depression, heart disease, prostate problems, and anxiety. It is always best to check with your GP, to rule out the possibility, that your ED may be related to a medical condition that may need another course of treatment. Your lifestyle can also be a factor that causes ED as it’s more commonly caused in men who drink excessively, are overweight, those who smoke or use illegal drugs.

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The treatment for your ED will depend on what's causing it, as well as what you and your partner think will work best. Your doctor can help you decide. Treatments include:
Evaluation should include a breast examination, rectal examination of the prostate, and a PSA level (prostate-specific antigen) blood test. Patients who have breast and prostate cancers should not use testosterone.

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Steege, J. F., Stout, A. L. & Carsen, C. C. (1986) Patient satisfaction in Scot and Small carrion penile implant recipients: a study of 52 patients. Archives of Sexual Behaviour, 15, 393–399.CrossRefGoogle Scholar

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Premature ejaculation is the unwanted or uncontrollable early release of semen during sexual intercourse. While premature ejaculation is not considered a medical condition, it can have negative effects on a male’s self-confidence and can affect his sexual relationships.

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    To strengthen your pelvic floor muscles, sit comfortably and squeeze the muscles 10 to 15 times.

    Vacuum pumps are a physical, non-medical ED treatment which serve to improve the quality of erections by improving blood flow and providing a firmer erection.
    Please complete the form below and a member of our staff will contact you with detailed information.

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    At one time, it was thought that ED only affected older men but it is much more common among younger men than previously believed.

    In most cases, erectile dysfunction can be treated completely if the diagnosis is right and proper support and treatment are provided. ED can be reversed if its cause can be eliminated. E.g., if it has appeared as a side effect after some medications or is a result of excessive smoking, alcohol and drug consumption, unhealthy diet, excess weight, hormonal issues, stress, relationship difficulties, etc., you can get rid of the dysfunction simply by fighting these factors. In case ED is caused by factors that can’t be reversed or treated, you may require implants, surgery, or injections to get relief. physical issues (various penis tissues and damages), emotional and psychological issues: stress, anxiety, low self-esteem, depression medical conditions, such as problems with arterial flow, atherosclerosis, diabetes, cardiovascular disease, Peyronie’s disease, etc. lifestyle: smoking, alcohol, drugs intake, excessive weight, and low physical activity some medications intake metabolic syndrome
    According to one study, people who took a 30-minute walk every day were 41% less likely to develop ED.

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    In one study, researchers enrolled 28 men in an intervention group that engaged in pelvic exercises regularly.

    But moderation is key: it's not necessary (or recommended!) to suddenly launch into a workout program that's designed for an Olympic athlete.
    Side effects of intraurethral alprostadil include pain in the penis and sometimes in the testicles, mild urethral bleeding, dizziness, and vaginal itching in the sex partner. Patients rarely report syncopal (fainting) episodes with initial use, and thus the first trial of this medication should be performed in the physician's office.

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    “ED (the inability to get or keep an erection firm enough to have sexual intercourse) in men can be caused due to a physical or psychological condition. It is becoming increasingly common due to our sedentary lifestyle, increased stress etc. Even men in their 20s can experience ED,” he said.

    Cameron, L. & Woodruff, P. (1985) Cavernosal alpha blockade: a treatment for erectile impotence. British Journal of Psychiatry, 147, 107.Google Scholar
    Research shows that around 3 million men of varying ages in Canada have frequent problems in the bedroom or wherever they choose to get busy. And about 30 million of the men south of the border do too. Many opt for Viagra in Canada, but there are other routes.

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Because PDE-5 medications sometimes cause significant problems for men, researchers continue to develop new methods for helping men overcome ED.

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https://pubmed.ncbi.nlm.nih.gov/17275456/ Restoration of Couple's Intimacy and Relationship Vital to Reestablishing Erectile Function. (2004).

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ED can have a range of causes but the main culprits are physical problems, psychological factors and the side effects of certain medications.

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The most common side-effects associated with the use of sildenafil as reported by the study participants were dizziness and headache. From the extensive clinical trials, the most commonly reported adverse events in patients treated with sildenafil were headache and flushing (2). These symptoms are evident since sildenafil alone can cause mean peak reductions in systolic/diastolic blood pressure of 10/7 mm Hg that are not dose-related (4, 5). This reduction in blood pressure could lead to hypotension which may be the cause for the symptoms of headache, dizziness, and flushing.

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