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ED isn’t just a natural part of aging that you’re stuck accepting. Guys with ED have several erectile dysfunction treatment options to consider, depending on the reason for their ED. The sooner you online ed prescription learn about ED treatment alternatives, the sooner you can go back to sharing and enjoying intimate moments with your significant other. There are many different body parts that play an essential role for a man to get and maintain an erection during sexual intercourse. Beyond the physical causes that can lead to ED, it has been reported that 20% of ED is related to psychological causes. 2 With so many possibilities leading to erectile dysfunction, it becomes particularly important to find a specialist who can correctly diagnosis the direct cause of your ED and find a treatment option that is right for you. Often, a physical exam and a discussion regarding medical history will be enough to diagnosis erectile dysfunction and start you on your treatment pathway. 22 As discussed in the “Causes of ED” page; however, there can be many different underlying reasons that have led to ED, and additional tests may be needed to determine the exact cause. Physical Exam – an examination of the testicles and penis while also checking nerves for sensation. Blood Tests – Can help to identify signs of heart disease, diabetes, low testosterone, and other health issues. Urine Tests – Similar to a blood test, a urine test can help identify diabetes or other potential causes. Ultra Sound – This test is usually conducted by a specialist to determine if there is a lack of blood flow which is preventing you from getting an erection. There are many different treatment options for ... More

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Exploring any misconceptions patients may have in relation to their treatment could potentially be beneficial to increasing treatment utilisation and therefore something that could help health care professionals when faced with treatment failure." The authors suggest that future research would benefit from using psychological theory to explore barriers and enablers to treatment utilisation, as well as from measuring how treatment is utilised by patients. Taking such steps may lead to interventions aimed at improving treatment utilisation in this patient population, according to the authors. Deborah Kendall Assistant Press Officer Springer Nature T: +44 (0)20 7843 2653 E: deborah.kendall@springernature.com. Research article: "Men's beliefs about treatment for erectile dysfunction--what influences treatment use? A systematic review" IJIR: Your Sexual Medicine Journal 2020 DOI: 10.1038/s41443-020-0249-1. After the embargo lifts, the article will be available here: Please name the journal in any story you write. If you are writing for the web, please link to the article. IJIR: Your Sexual Medicine Journal addresses sexual medicine for both genders as an interdisciplinary field. This includes basic science researchers, urologists, endocrinologists, cardiologists, family practitioners, gynecologists, internists, neurologists, psychiatrists, psychologists, radiologists and other health care clinicians. are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system. Erectile Dysfunction (ED) Erectile Dysfunction (ED) also referred to as impotence, is the inability to attain ... More

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Cialis and generic tadalafil are longer-lasting alternatives to Viagra. Also, Cialis Daily and tadalafil daily are medications that are taken every day so they work continuously. Below is how long different erectile dysfunction (ED) medications last for on average: Viagra and Levitra – around 4 hours Spedra – up to 6 hours Cialis and tadalafil – up to 36 hours Cialis Daily and tadalafil daily - always working. When you're choosing an ED treatment, how often you have sex is also important to consider. If you have sex on more than 2 separate days a week, or have more spontaneous sex than planned, then the daily treatment may be a better option for you. With daily treatment, the actively ingredient that helps you get an erection is always in your bloodstream, and so it can take effect almost immediately when needed. Spedra and generic avanafil get to work the fastest, taking as little as 15 minutes to show results. From the time you take it, Viagra will usually take around 30 minutes to 1 hour to get to work. Pills like Viagra are some of the fastest options available for treating erectile dysfunction (ED). Levitra, Cialis, and tadalafil also take around 30 minutes to start working, too. If you have forgotten to take your medication in time before your sexual encounter, or if you just don’t want to have to plan taking medication before you have sex, there are some medications that will work all day. With Cialis Daily or Tadalafil Daily you just take one tablet per day, and your medication will work continuously throughout the day and night. You can request a prescription for generic sildenafil treatment from your doctor, which may be free if you fall in certain groups, or ... More

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Furthermore, because of the underlying association of ED with cardiovascular disease, clinicians should carefully assess whether these agents are indicated in a particular patient. The Princeton Consensus Conference was developed to stratify ED patients by cardiovascular status into low-, intermediate, and high-risk categories to assist practitioners in determining whether a particular patient can safely engage in sexual intercourse. 20 The Second Princeton Consensus Conference reaffirmed these criteria in 2004. Transient visual changes and disturbances in color vision have been reported rarely with the administration of the PDE 5 inhibitors, because these agents are known to exhibit partial selectivity for the PDE 6 enzyme that is present in rod and cone photoreceptors. 22 More recent postmarketing reports of decreased vision or complete loss of vision as a result of nonarteritic anterior ischemic optic neuropathy (NAION) have led to further investigation of a temporal relationship between the PDE 5 inhibitors and this condition. NAION is an uncommon visual disorder that can lead to decreased visual acuity as a result of a swollen or "crowded optic disc" and is typically more prevalent in patients with a small cup-to-disc ratio and comorbidities such as hypertension, hyperlipidemia, stroke, and coagulation disorders. 22 Given that the risk factors for NAION share a close association with underlying disorders observed in ED patients receiving treatment with PDE 5 inhibitors, it remains unclear whether these agents increase the likelihood of developing NAION. Prior to the market arrival of the oral PDE 5 inhibitors, alprostadil, a prostaglandin E 1 analog that ... More

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There are hundreds of medications that have the side effect of ED and/or decreased libido. Examples of drugs implicated as a cause of ED include hydrochlorothiazides and beta-blocking agents. Medications used to treat depression, particularly the SSRIs such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Prozac Weekly, Sarafem), fluvoxamine (Luvox, Luvox CR), paroxetine (Paxil, Paxil CR, Pexeva) and sertraline (Zoloft), may also contribute to ED.9 Bupropion (Wellbutrin) which has a predominant effect on blocking the reuptake of dopamine is an antidepressant with lower incidence of ED.10 The side effects of 5ARIs occurring in fewer than 5% of patients can include gynaecomastia, ED, loss of libido and ejaculatory dysfunction.11. Men being treated for prostate cancer with treatments such as radical prostatectomy, radiation therapy or the use of Lutenizing hormone-releasing hormone (LHRH) agonists and antagonists can expect that ED may accompany these treatments.12. Smoking, excessive use of alcohol and illicit drugs are also associated with ED.13 A study in 2005 suggests that ED is not only more likely among men who smoked compared with those who never did, but that in younger men with ED, cigarette smoking is very likely the cause of their impotence.14 15. Also, it is important to remember that there are psychogenic issues such as performance-related issues, traumatic past experiences, relationship problems, anxiety, depression and stress that can certainly cause or be considered a comorbid condition contributing to ED. Bullet point: Ageing and comorbidities as well as polypharmacy factor greatly influence the development of ED. The role of the ... More

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Newswise — Statistically speaking, 50% of all men, have experienced erectile dysfunction (ED) at some time or another, and the chance of developing ED increases as you age. The medical management of ED has evolved greatly over the past several decades. Prior to the introduction of oral phosphodiesterase inhibitors (PDE5i) such as Viagra, Cialis and related medications, doctors could offer patients one of only two definitive treatments for ED: implantation of penile prosthesis and surgical penile revascularization. The introduction of Viagra and related oral ED medications have ushered in a new era of non-invasive treatments for erectile dysfunction. While these drugs can be very effective, we know they are not indicated for all men suffering from ED. An alternative to oral ED medications has been introduced. It is called the GAINSWave™, and it uses high-frequency acoustical waves to treat the root cause of ED. As a man ages, the blood vessels that supply the blood needed for good erectile function, begin to collapse or break down. The pulsating soundwaves of the GAINSWave™ improve blood flow by opening existing blood vessels and stimulating the growth of new blood vessels. Increased blood flow results in improved sexual performance. Shockwave, or acoustical wave therapy represents the latest in an evolution of alternative treatments to oral ED medications that began with pumps and penial injections. The GAINSWave uses technology that is known as “Extracorporeal Shock Wave Therapy,” also known as ESWT. The treatments are also sometimes referred to as Linear Shockwave Therapy, or LSWT, or simply “acoustical wave therapy.” ESWT has been used for several years for the ... More

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If you feel dizzy or faint after taking Viagra, lie down until this feeling passes. If you have a heart problem or low blood pressure, talk with your doctor about whether Viagra is safe for you. For more information about taking Viagra with other medications, see the “Viagra interactions” section below. And for more information about taking Viagra if you have heart or blood pressure problems, see the “Viagra precautions” section below. On rare occasions, some people taking Viagra have had heart attack, stroke, or irregular heartbeat. These conditions mainly occurred in people who already had a heart problem. But sometimes these conditions occurred in people who didn’t have a heart problem. It’s not known for sure if Viagra caused the side effects. If you have chest pain after taking Viagra, you should stop having sexual activity right away. But call 911 if your symptoms feel life threatening, or if you think you’re having a medical emergency. And if you have a heart problem, talk with your doctor before starting Viagra. They can discuss with you whether it’s safe for you to use this drug. For more information about taking Viagra if you have heart problems, see the “Viagra precautions” section below. Headaches, as well as flushing and dizziness, occur because Viagra widens certain blood vessels in your body. (The drug doesn’t just affect the blood vessels in your penis.) In clinical studies, headaches were reported in 16% to 28% of people who took Viagra. (This percentage varied depending on the dose of Viagra used and how often the drug was taken.) In comparison, headaches were reported in 4% to 7% of people who took a placebo (no active drug). If you have a headache ... More

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When the pump is activated, fluid flows from the reservoir into the tubes, which harden and become erect. Pressing a valve on the pump mechanism deactivates it, and the fluid returns to the reservoir, resulting in a flaccid penis. Complications can include infection, bleeding, pain and discomfort, mechanical failure, or extrusion of part of the prosthesis through a weakened wall of the erectile chambers. Penile implant surgery is a major surgery that is usually invasive and expensive. Nonetheless, it can benefit men who do not respond to any other form of treatment. These surgical procedures are not performed by Boston Medical Group physicians. A VSD is a battery or manually-operated cylindrical pump which fully encloses the penis. When activated, it creates a vacuum by sucking air out of the sealed chamber, which draws blood to the penis. A firm rubber ring is placed around the base of the penis to trap the blood in the erectile chamber, which keeps the penis firm. Disadvantages can include incomplete erections, discomfort, and the time required for operation, but VSDs are often valuable when used along with other treatments, like ICP. Approximately 2% to 5% of patients are candidates for vascular reconstructive surgery, which includes arterial bypass and venous ligation. Risks include those related to other major surgical procedures. Boston Medical Group physicians do not perform these surgeries. Some men experience a condition called andropause, similar to menopause in women, which can be caused by low testosterone. Symptoms can include, but are not limited to, feelings of sluggishness, fatigue, poor sleeping habits, weight gain, low sex drive, or erectile ... More

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