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You can pop into your local Superdrug Pharmacy to get Viagra Connect over the counter or you can order it online and have it delivered to your home or pick it up from your nearest Superdrug Pharmacy. Not everyone is happy taking pills to treat their erectile dysfunction (ED) symptoms. If oral treatments aren’t for you, there are several other medical treatment options available. ED creams are topical creams that you apply directly to the tip of the penis using a special applicator. They take about 30 minutes to start working and last for up to 2 getroman cialis price hours. They should only be used once a day, and not more than 2 to 3 times per week. Penile injections use medication (like Alprostadil, Papaverine or Phentolamine) that you can inject into the side or base of the penis. They work by relaxing the muscles in the penis and increasing the blood flow to it. You or your partner can inject the treatment into the shaft of the penis at home, after a doctor has shown you how to do it first. The injections start working within the first 30 minutes and could help you get and keep an erection for up to an hour. Urethral suppositories are very small pellets which go into the urethra of the penis using a special applicator. They start working within 5 to 10 minutes and can last for up to an hour. These suppositories can be used twice a day, but shouldn’t be used more than 7 times a week. Penile implants are small devices which are put into the penis using an operation. There are 3 types of surgical implants – malleable implants, 3-piece inflatable implants, and self-contained implants. All 3 types of implant come with some risks and are only available if other treatments are not safe for you or have not worked. There are a few non-medical alternatives to Viagra, including: Penis pumps (or vacuum pumps) Penis rings Acupuncture. If your erectile dysfunction (ED) is caused by an underlying health condition, it’s important that you’ve been investigated before trying alternative treatment options. In several cases, ED is a symptom of another condition that needs treating. It’s always a good idea to talk to your GP to rule out serious underlying causes before you try ED medication. Penis pumps are small, handheld devices that increase blood flow to the penis. The pump works by using air pressure to draw more blood into the penis. These are sometimes available on the NHS, your GP can give you more info. Always follow the instructions for your pump, and make sure you don’t overuse it, as this can cause permanent damage to the penis. Penis rings are rings placed at the base of the penis and are used to stop blood leaving the penis to help improve sildenafil citrate 100mg lowest price erections. You can use them together with a penis pump so the effects last longer. A penis ring should never be used for more than 30 minutes at a time because using it for longer can cause long-term damage. Acupuncture is when small needles are put into different places on your skin which can help with a range of health benefits. It’s safe, as long as it’s done by a trained professional but there’s currently not enough medical evidence proving that acupuncture can improve ED. Can I make lifestyle changes instead of taking Viagra? In some cases, the symptoms of erectile dysfunction (ED) can be massively improved or even reversed completely just by making a few important lifestyle changes. These can include: Quitting smoking Losing weight by exercising and eating a healthy, balanced diet Managing your stress levels Drinking less Doing pelvic floor exercises, like kegels Seeing a counsellor, or a sex and relationship therapist. If you’re overweight, you smoke, or drink excessively, it may be reducing the amount of blood flow to your penis (one of the main reasons for ED). If you think that your ED might be being caused by anxiety or difficulties in your relationship, try working on your stress levels and talk to your partner about cialis 100mg online how you can work through treatment together. For many people, pelvic exercise is a great way to help treat ED, and to help improve sex lives in general. Pelvic exercise is an easy and free way to help build up the muscles around your penis and improve your erections, the exercises need to be done daily for at least 6 weeks to see good results. Are there any natural or herbal substitutes cialis 100mg online for Viagra? Yes most are not proven to be effective, but others like arginine have been proven to help. There are many natural and herbal substitutes for Viagra that claim to improve erections, but you should always check with your doctor or pharmacist to check they are safe for you to try. Some of the natural or herbal remedies advertised for treating erectile dysfunction include: horny goat weed arginine maca watermelon DHEA cialis 100mg online red ginseng propionyl-L carnitine melatonin vitamin E zinc. Many people feel more comfortable using non-medical or herbal treatments such as these, but they are not necessarily the safest options available.This is because they may not always be regulated properly and may include unsafe amounts of chemicals, medication or other ingredients that could be harmful to your health. Whenever you start a new supplement, treatment, or alternative health product, always speak to you doctor or pharmacist first. Even though people think of herbal supplements as safer than medication, it’s actually the opposite. The risks are very real, and can range from simply wasting your money on expensive products, to serious life-threatening complications. Remember, just because something is ‘natural’, doesn’t mean that it’s necessarily safe. Will any new alternatives to Viagra become available in future? There are new treatments that are already being tested today, and could hit the market soon. shockwave treatment – using low-energy electrical shocks to encourage blood flow to the penis gene therapy (injecting DNA into the penis), which has already been shown to improve erections in mice stem cell transplant therapy (injecting stem cells into the penis), which is also still being tested on animals drugs that work on your central nervous system to improve sexual arousal – Bremelanotide and Melanotan II cialis 100mg online drugs that reverse any nerve damage that could be causing ED – BAY 63-2521, BAY 60-4552, and BAY 58-2667 drugs that make the muscles used in erections stronger – Fasudil and Y-27632. Keep an eye out cialis 100mg online in the news for any new developments in ED treatment. Although a treatment might still be in its testing stage, and is not yet being offered, many researchers are keen to share the knowledge of their new findings and experiments. Are there any Viagra alternatives in other countries that are not available in the UK? There are a number of alternatives to Viagra that are not currently available in the UK, but which are available elsewhere (usually the US). Kamagra – Viagra in an oral jelly form Uprima – another aphrodisiac. If you see any of these products being advertised for sale in the UK, online or in the shops, you should avoid them. The company selling them will be working illegally, and the medications they sell could put your health at serious risk. You’ve seen those erectile-dysfunction drug ads on TV and online—even former Bears coach Mike Ditka barks at you to “get back in the game” in a Levitra commercial. Erection issues are plenty common, even in guys who aren’t as old as the famous Viagra pitchman, former senator Bob Dole. Seven percent of 18- to 29-year-old men and 9 percent of 30- to 39-year-olds are unable to achieve orgasm, according to a study in the Journal of the American Medical Association . The class of drugs that Levitra, Viagra, Stendra, and Cialis belong to are called PDE5 inhibitors. They work by relaxing tight blood vessels, allowing more blood to surge into the penis and cause an erection, says Gregory Bales, M.D., an associate professor of urology at the University of Chicago. The little pills do the trick for more than two-thirds of men with erectile dysfunction (ED). They also work for guys who simply need them for a short time to get their “confidence back,” says Michael Eisenberg, M.D., director of male reproductive medicine and surgery at Stanford University. (To determine whether you have ED—and for step-by-step instructions on how to fix it with or without medicine—check out The Men ’ s Health Guide To Erectile Dysfunction.) ED drugs also reduce the recovery period between bouts of sex, which can be helpful for the 40 percent of men who suffer from premature ejaculation and come in 1 to 2 minutes, says Harry Fisch, M.D., clinical professor of urology and reproductive medicine at Weill Cornell Medical College/New York Presbyterian Hospital, and author of Size Matters . “Even if it is premature [the second time], at least it’s another 2 minutes. You can have overall more erections.” And guys who take the long-acting Cialis, particularly if they get the daily dose, can have them with more spontaneity, says Dr. “You don’t have to take a pill two hours before you have sex.” What Are the Side Effects Of Erectile Dysfunction Drugs? Viagra, Cialis, Stendra, and Levitra may cause headaches, dizziness, facial flushing, a runny nose, and indigestion. But many men either don’t experience side effects or don’t mind them. Fisch says, “you’ll put up with nasal congestion.” To decrease the risk of potential side effects, take the lowest dose that works for you. Your doctor will probably start you on a low dose, and then up it until it works. “You’re not going to form dependency.” What Causes Erectile Dysfunction? The big culprits to blame for erectile dysfunction: heart disease, diabetes, hypertension, and high cholesterol. With these diseases, vessels are constricting rather than opening to let blood flow to extremities, such as the penis, says Dr. In fact, men with severe erectile dysfunction are 35 percent more likely to be hospitalized for cardiovascular disease in a 2-year period compared to men without erection issues, according to a study released January 29 in PLOS Medicine . “There’s always a way.” The easiest ones: Throw out your cigarettes. “It affects the ability of the vessels to relax,” which is necessary for an erection, says Kevin T. McVary, M.D., chairman of urology at Southern Illinois University School of Medicine. “Stopping smoking is better than any ED drug,” says Dr. “With hypertension, you lose the ability of the blood vessels to dilate appropriately,” says Dr. “Losing weight is the best, least costly method to control high blood pressure.” For a fat-burning workout you can do right at home, try THE 21-DAY METASHRED, the latest fitness DVD from Men’ s Health . Have you ever heard the term “whiskey dick?” “Alcohol increases the desire to have sex but decreases the ability,” says Dr. The nasal decongestant, which contains the blood vessel-constricting chemical pseudoephedrine, can kill erections. (In fact, doctors inject epinephrine into the penis if a man suffers from a prolonged erection.) Check your other medications. A long list of drugs—including anti-hypertension meds such as thiazines and beta blockers, and antidepressants such as Prozac—can reduce blood flow and contribute to ED. Don’t ever go off your medications on your own, but mention the sex life-busting side effects to your doctor. “It’s a physical activity, and you’re better rested, and your testosterone level tends to spike in the morning.” Best ed drugs. If you are a man with diabetes, we’ve got good news and bad news about your sex life. The bad news: Men with diabetes are three times more likely to report having problems with sex than non-diabetic men. The most common sexual problem is Erectile Dysfunction, or ED, sometimes called impotence. Even worse, because ED is such a private issue, many men feel embarrassed to discuss the problem with their doctor, or even their partner, so the problem is never addressed. The good news: ED is one of the most treatable complications of diabetes. In fact, over 95 percent of cases can be successfully treated. With proven treatments available, diabetic men with ED have options. It isn’t something you—or your partner—should have to live with. What ED Is—and What It Isn’t ED means the repeated inability to achieve or sustain an erection sufficient for sexual intercourse. Although sexual vigor generally declines with age, a man who is healthy, physically and emotionally, should be able to produce erections, and enjoy sexual intercourse, regardless of his age. ED does not mean: • An occasional failure to achieve an erection. The adage is true: It really does happen to everyone. All men experience occasional difficulties with erection, usually related to fatigue, illness, alcohol or drug use, or stress. ED occurs when a man is interested in sex, but still cannot achieve or maintain an erection. Many men with diabetes also experience a decreased sex drive, often as a result of hormone imbalances or depression. Decreased sex drive is quite treatable, but it is treated differently from ED. Such problems often indicate a structural problem with the penis. How Diabetes Causes ED Human sexual response requires several different body functions to work properly and together: nerves, blood vessels, hormones, and psyche. Unfortunately, diabetes—and even the treatment for diabetes—can affect many of these functions. • Nerves: One of the most common complications of diabetes is neuropathy, or nerve damage. Erection is a function of the parasympathetic nervous system, but orgasm and ejaculation are controlled by the sympathetic system. • Blood Vessels: Diabetes damages blood vessels, especially the smallest blood vessels such as those in the penis. Diabetes can also cause heart disease and other circulatory problems. Proper blood flow is absolutely crucial to achieving erection. “Erection is a hydraulic phenomenon that occurs involuntarily,” says Arturo Rolla, MD, of Harvard University School of Medicine. “Nobody can will an erection!” Anything that limits or impairs blood flow can interfere with the ability to achieve an erection, no matter how strong one’s sexual desire. • Hormones: Diabetes often causes kidney disease, and kidney disease, in turn, can cause chemical changes in the type and amount of hormones one’s body secretes, including the hormones involved in sexual response. • Psyche: Psychological issues can cause a diminished sex drive, but they can also lead to ED even when sex drive is fine. ED can follow major life changes, stressful events, relationship difficulties, or even the fear of ED itself. The physiological changes associated with fear can themselves cause ED! • Medications: About 25 percent of ED cases are caused by drugs. Many medications, including common medicines prescribed for diabetes and its complications, can cause ED. The most common offenders are blood pressure drugs, antihistamines, antidepressants, tranquilizers, appetite suppressants, and cimetidine (an ulcer drug). In addition, over-the-counter medications, including certain eye drops and nose drops, have been associated with ED. That does not mean you should stop taking these medications! Rather, you should discuss them with your doctor to determine whether a different dosage, an alternate medicine, or additional treatments will resolve the ED. Treatments for ED ED is easily and successfully treated! If your sex drive is unaffected, but you experience problems achieving or sustaining erection for a period of four to five weeks, you may have ED. Don’t delay—erectile dysfunction doesn’t “just go away!” Additionally, ED could be a sign of a serious, even life-threatening complication, such as congestive heart failure or kidney disease. Ignoring your ED because it’s embarrassing could jeopardize your health. Most men seek treatment from their family doctor, who may or may not be familiar with the range of treatment options. Specialists include urologists and doctors practicing at ED treatment centers. A thorough physical exam and medical history, along with certain laboratory tests, can help your doctor determine what is causing ED, and then choose an appropriate treatment. The most common treatments for ED fall into four categories: medications, external mechanical devices, counseling, and surgery. Medications: Oral medicines: The best known ED medications are the Big Three: Viagra (sildenafil citrate, made by Pfizer, Inc.), Levitra (vardenafil HCl, made by Bayer and GlaxoSmithKline), and Cialis (tadalafil, made by Eli Lilly). The three are chemically very similar, and all have proven very effective. Because they are effective, convenient, and relatively inexpensive (about nine dollars per pill), these medicines have become the treatment of choice for most men experiencing ED. The main difference among the three is in how long they last. Viagra is supposed to work for between 30 minutes and four hours; Levitra for 30 minutes to two hours, and Cialis for up to 36 hours. In addition, Viagra is slightly less effective if taken with food; Viagra can also cause temporary abnormalities of color vision. In some cases, however, these drugs may be unsuitable for patients with heart disease. If you are considering one of these drugs and you have heart disease, as many diabetics do, be sure to tell your doctor. In rare cases, the pills may create “priapism,” a prolonged and painful erection lasting six hours or more (although reversible with prompt medical attention). Topical medicines: When the problem is insufficient blood flow, vasodilators (such as nitroglycerine ointment) can be applied to the penis to increase penile blood flow and improve erections. The main side effect of nitroglycerine ointment is that it may give the partner headaches. Penile Injection Medication: This is just what it sounds like. Injected at home directly into the penis, the medication alprostadil produces erection by relaxing certain muscles, increasing blood flow into the penis and restricting outflow. Although some sources report an 80 percent success rate, the therapy has disadvantages, such as risks of infection, pain, and scarring—fibrosis—in the penis, and it may also cause priapism. A popular version of this medication is Upjohn Corporation’s Caverject. The MUSE System, by VIVUS, involves the same medicine (a pellet of alprostadil) applied with an eye-dropper-like applicator, directly into the urethra. External Mechanical Devices: This category of treatments includes external vacuum therapies: devices that go around the penis and produce erections by increasing the flow of blood in, while constricting the flow out. Such devices imitate a natural erection, and do not interfere with orgasm. External vacuum therapy mechanisms are approximately 95 percent successful in causing and sustaining an erection. All are portable, and costs range between $200-$500, covered under most insurance plans and Medicare Part B. The vacuum constriction device consists of a vacuum cylinder, various sizes of tension rings, and a vacuum pump, either hand-operated or electric. The penis is placed in a cylinder to which a tension ring is attached. Air is evacuated from the cylinder by means of the pump, creating a vacuum, which produces the erection. The cylinder is removed, leaving the tension ring at the base of the penis to maintain the erection. You must use the correct-size tension ring and remove it, to prevent penile bruising, after sustaining the erection for 30 minutes. Such devices may be unsuitable for men with certain bleeding disorders. In general, vacuum constriction devices are successful in management of long-term ED. “Rejoyn” is an inexpensive, nonprescription alternative to the vacuum-actuated devices. Described by its manufacturer as a “support sleeve,” it does not “cause” an erection, but rather supports the flaccid penis as if it were erect (one wears it under a condom). Counseling: The great majority of ED cases in diabetic men have a physical cause, such as neuropathy or circulatory problems. In some cases, however, the cause of ED is psychological, including depression, guilt, or anxiety. With a thorough exam, the doctor should be able to determine whether the ED is psychological or physical in nature. If the cause is psychological, your doctor may refer you to a psychiatrist, psychologist, sex therapist, or marital counselor. Most psychologically-based ED is easily and successfully treated. Surgery: There are two kinds of surgery for ED: one involves implantation of a penile prosthesis; the other attempts vascular reconstruction. Expert opinion about surgical implants has changed during recent years; today, surgery is no longer so widely recommended. There are many less-invasive and less-expensive options, and surgery should be considered only as a last resort. The obvious risks are the same that accompany any surgery: infection, pain, bleeding, and scarring. If for some reason the prosthesis or parts become damaged or dislocated, surgical removal may be necessary. With a general success rate of about 90 percent, any of the devices will restore erections, but they will not affect sexual desire, ejaculation, or orgasm. Prostheses: Many different types of penile prostheses are available, in three categories: rods, inflatable prostheses, and self-contained prostheses. Semi-rigid or malleable rods are the simplest and least expensive of all. Their main disadvantage is that the penis remains constantly erect, which may cause problems with concealment. Inflatable prostheses are complex mechanical devices that imitate the natural process of erection. Parts are inserted surgically into the penis and scrotum, and activated by squeezing. When erection is no longer desired, a valve on the pump is pressed, and the penis becomes flaccid. Self-contained single-unit prostheses are similar to the inflatable types, but more compact. When erection is desired, the unit is activated by either squeezing or bending, depending on which of the two types of self-contained prostheses is used. Vascular Reconstructive Surgery corrects defects in penile blood vessels. The surgeon may reconstruct the arterial blood supply, or remove veins when the cause is due to leakage. Less than five percent of men with ED may benefit from vascular surgery.
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