Ed medications online

Always check with your

doctor

impotence

Even if the physical cause does not remain, future attempts to have sex may trigger memories of this embarrassment and acute anxiety that it will happen again. This anxiety itself is capable of causing erectile dysfunction, and so a man may get trapped in a self-reinforcing cycle of anxiety and erectile dysfunction.

In these instances, seeing a GP, counsellor or psychologist can be very helpful.

Stress, anxiety, depression and low self-esteem, in fact, almost all significant emotional problems, can have a major effect on sexuality.

So do many chronic physical illnesses, even if they don't directly affect genital function. Counsellors and psychologists can assist with these and a wide range of other sexual and relationship problems and can also help female partners suffering from sexual problems.

They are particularly skilled in helping patients to overcome guilt or anxiety relating to sexual abuse, and in helping couples to sort out relationship difficulties. Simple problems can be dealt with in a few visits, but more complex problems may require several months or even years of therapy.

Your doctor may be able to recommend a psychologist or counsellor who specialises in sexual and

relationship

Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection.

Erectile dysfunction is a very common condition, particularly in older men. It is estimated that half of all men between the ages of 40 and 70 will have it to some degree.

See your GP if you have erectile dysfunction for more than a few weeks. They will assess your general state of health because the

condition

Erectile dysfunction can have a range of causes, both physical and psychological.

Physical causes include: narrowing of the blood vessels going to the penis – commonly associated with high blood pressure (hypertension), high cholesterol or diabetes hormonal problems surgery or injury. Psychological causes of ED include: anxiety depression relationship problems.

Sometimes erectile dysfunction only occurs in certain situations. For example, you may be able to get an erection during masturbation, or you may find that you sometimes wake up with an erection but you are unable to get an erection with your sexual partner.

If this is the case, it is likely the underlying cause of erectile dysfunction is psychological (stress related).

If you are unable to get an erection under any circumstances, it is likely that the underlying cause is physical. Erectile dysfunction can also be a side-effect of using certain medicines.

Although you may be embarrassed, it's important to get a diagnosis so that the cause can be identified. This will involve answering questions about your symptoms, as well as a physical examination and some simple tests.

Erectile dysfunction is primarily treated by tackling the cause of the problem, whether this is sildenafil actavis 100 mg online physical or psychological. The narrowing of the arteries (called atherosclerosis) is one of the most common causes of ED.

In these cases your GP may suggest lifestyle changes, such as losing weight, to try to reduce your risk of cardiovascular disease. This may help to relieve your symptoms as well as improving your general health. You may also be given medication to treat atherosclerosis, such as cholesterol-lowering statins and drugs to reduce your blood pressure.

A number of treatments have been successful in the treatment of erectile dysfunction.

Medication, such as sildenafil (sold as Viagra), can be used to manage it in at least two-thirds of cases. Vacuum pumps that encourage blood to flow to the penis and cause an ed medications online erection are also successful in 90% of cases.

Psychological treatments include cognitive behavioural therapy (CBT) and sex sildenafil online for sale therapy. Overall, treatments for erectile dysfunction have improved significantly in recent years. The main symptom of erectile dysfunction (ED) is the inability to get and maintain an erection for satisfactory intercourse. ED should not be confused with ejaculation problems such as premature ejaculation, which is a condition where the process of arousal, orgasm and ejaculation occurs very rapidly. For example, you may be able to get an erection during masturbation, or you may find that you sometimes wake up with an erection but you are unable to get an erection with your sexual partner. In these circumstances, it is likely that the underlying cause of ED is primarily psychological (stress related). However, if you are unable to get an erection under any circumstances, it is likely that the underlying cause is primarily physical. See your GP if ED persists for more than a few weeks. They will assess your general state of health because the condition can be the first sign of more serious health conditions, such as heart disease (when the heart’s blood supply is blocked or interrupted).

Many websites offer treatments for ED but their use is not recommended.

The medications that are offered by these sites could be fake and may be dangerous.

Even if the medications are genuine, they may not be suitable for you.

It is important that you only take medication for ED that your GP has prescribed for you.

Erectile dysfunction (ED) can have many causes, such as certain medical conditions, medications and stress. It's important to identify the cause of erectile dysfunction and treat any underlying conditions.

When a

man

There are four main types of health conditions that can cause physical problems resulting in erectile dysfunction.

These are: conditions affecting the flow of blood to your penis – vasculogenic conditions affecting your nervous system, which is made up of your brain, nerves and spinal cord – neurogenic conditions affecting your hormone levels – hormonal conditions affecting the physical structure of your penis – anatomical.

Penis injuries or surgical treatment of the penis, pelvis or surrounding areas can sometimes lead to erectile dysfunction.

Erectile dysfunction is also thought to occur in up to 15-25% of people who experience a severe head injury. Examples of vasculogenic conditions that cause erectile dysfunction include: cardiovascular disease – a disease of the heart or blood vessels, such as atherosclerosis (hardening of the arteries) high blood pressure (hypertension) diabetes – a condition caused by high blood sugar levels. This can affect both the blood supply and the nerve endings in your penis, so it is also a neurogenic condition. Erectile dysfunction is strongly associated with cardiovascular disease. For this reason, it may be one of the first causes your GP considers when making a diagnosis and planning your treatment.

Examples of neurogenic conditions that cause erectile dysfunction include: multiple sclerosis – a condition that affects the body's actions, such as movement and balance Parkinson’s disease – a condition that affects the way that the brain coordinates body movements, including walking, talking and writing a spinal injury or disorder a stroke – a serious condition that occurs when the blood supply to the brain is interrupted. Examples of hormonal conditions that cause erectile dysfunction include: hypogonadism – a condition that affects the production of the male sex hormone, testosterone, causing abnormally low levels an overactive thyroid gland (hyperthyroidism) – where too much thyroid hormone is produced an underactive thyroid gland (hypothyroidism) – where not enough thyroid hormone is produced Cushing's syndrome – a condition that affects the production of a hormone called cortisol. Peyronie's disease, which affects the tissue of the penis, is an example of an anatomical condition that can cause erectile dysfunction.

In some men, certain medicines can cause erectile dysfunction, including: diuretics – these increase the production of urine and are often used to treat high blood pressure (hypertension), heart failure and kidney disease antihypertensives – such as beta-blockers, that are used to treat high blood pressure fibrates – medicines used to lower cholesterol levels antipsychotics – used to treat some mental health conditions, such as schizophrenia antidepressants – used to treat depression

and

Speak to your GP if you are concerned that a prescribed medicine is causing erectile dysfunction.

However, it is important never to stop taking a prescribed medicine unless you are advised to do so by a qualified healthcare professional who is responsible for your care. Possible psychological causes of erectile dysfunction include: depression – feelings of extreme sadness that last for a long time anxiety – a feeling of unease, such as worry or fear. Erectile dysfunction can often have both physical and psychological causes. For example, if you have diabetes, it may be difficult for you to get an erection, sildenafil teva 50 mg online which may cause you to become anxious about the situation. The combination of diabetes and anxiety may lead to an episode of erectile dysfunction. There are many emotional issues that may also affect your physical ability to get or maintain an erection.

These include: relationship problems lack of sexual knowledge past sexual problems past sexual abuse being in a new relationship. Other possible causes of erectile dysfunction include: excessive alcohol intake tiredness using illegal drugs, such as cannabis, heroin or cocaine. Men who cycle for more than three hours per week may be recommended to try a period without cycling to see if this helps improve erectile dysfunction. Riding in the correct position with a properly fitted seat may also help to prevent regular cycling from leading to erectile dysfunction. Erectile dysfunction (ED) can often be diagnosed by your GP. They will talk to you about your situation and may carry out a physical examination.

Your GP may ask you about: your symptoms your overall physical and mental health your alcohol consumption whether you take drugs whether you are currently taking any medication.

If you do not want to talk to your GP about erectile dysfunction, you can visit a genitourinary medicine (GUM) clinic.

You can buy addyi online find your nearest GUM clinic on the British Association for Sexual Health and HIV (BASHH) website. Try not to be embarrassed because erectile dysfunction is a common problem. You can request a male GP at your surgery if you prefer. You may be asked about: your previous sildenafil citrate tablets 100mg online and current sexual relationships what your sexual orientation is how long you have been experiencing erectile dysfunction whether you can get any degree of erection with your partner, on your own or when you wake up in the morning whether you have been able to ejaculate or orgasm your libido (your level of sexual desire) Erectile dysfunction that happens all the time may suggest an underlying physical cause.

Erectile dysfunction that only occurs when you are attempting to have sex may suggest an underlying psychological (mental) cause. Narrowed blood vessels are a common cause of erectile dysfunction and linked with cardiovascular disease (conditions that affect the heart and blood flow). measure your blood pressure to see if you have high blood pressure (hypertension) listen to your heart rate to check for any abnormalities measure your height, weight and waist circumference to see if you are a healthy weight for your height ask you about your diet and lifestyle, for example, how much exercise you do test a sample of your blood for glucose (sugar) and lipids (fatty substances), as high levels can indicate conditions affecting your heart or blood vessels.

A physical examination of your penis may be carried out to rule out anatomical causes (conditions that affect the physical structure of your penis). If you have symptoms of an enlarged prostate, such as weak or irregular urination, a digital rectal examination (DRE) may be suggested. Blood tests can also check for underlying health conditions.

For example, measuring the levels of hormones such as testosterone can rule out hormonal conditions, such as hypogonadism (an abnormally low level of testosterone).

In some cases you may be referred to a specialist for further testing.

This might be the case if you are unusually young to be experiencing erectile dysfunction as it's rare in men under 40 years of age. An intracavernous

injection

This helps assess any abnormalities in your penis and plan surgery. If the injection doesn't result in an erection it may indicate a problem with the blood supply to your penis. In some cases, you may also need an ultrasound scan.

Arteriography and dynamic infusion cavernosometry or cavernosography. These specialised tests involve injecting dye into the blood vessels of your penis and studying the dye on a scanner. These are likely to be used if you are being considered for surgery or if a problem has been detected with your blood vessels. If the cause of your erectile dysfunction is thought to be psychological, you may be reffered for a psychological assessment.

If

you

The various treatments for erectile dysfunction are outlined below.

If your erectile dysfunction is caused by an underlying health condition, such as heart disease or diabetes, that condition may need to be treated first.

In some cases, treating the underlying cause may also resolve the problem. If you are taking medication that can cause erectile dysfunction, there may be an alternative.

It is important never to stop taking a prescribed medication unless you are advised to do so by your GP or another qualified healthcare professional responsible for your care.

Erectile dysfunction can often be improved by making changes to your lifestyle, such as: losing weight if you are overweight giving up smoking cutting back your alcohol consumption not taking illegal drugs exercising regularly reducing stress.

As well as helping to improve your erectile dysfunction, these changes can also improve your general health and may help to reduce your risk of cardiovascular disease (conditions that affect your heart and blood vessels). Phosphodiesterase-5 (PDE-5) inhibitors are one of the most widely used and effective types of medication for treating erectile dysfunction. They work by temporarily increasing the blood flow to your penis.