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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 test involves injecting a man-made (synthetic) hormone into your penis to increase the blood flow. 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 sildenafil cream female 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 have erectile dysfunction (ED), treatment will depend on what's causing it. 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 sildenafil 100mg price walgreens 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 sildenafil 20 mg online 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. In England, four PDE-5 inhibitors are available for treating erectile dysfunction. They are: sildenafil – sold under the brand name Viagra tadalafil – sold under the brand name Cialis vardenafil – sold under the brand name Levitra avanafil – sold under the brand name Spedra. Sildenafil, vardenafil and avanafil work for about eight hours and they are designed to work 'on demand'. Tadalafil lasts for up to 36 hours and is more suitable if you require treatment for a longer period of time, for example, over a weekend. Depending on the type of PDE-5 inhibitor you are taking and the dose, it should take about 30-60 minutes before it starts to work. With sildenafil, vardenafil and avanafil, you should be able to have sex from one to 10 hours after taking the medicine. After taking tadalafil, the effects will last for up to 36 hours. It may take longer to notice the effects if the tablet is taken with food, so it's best to take it on an empty stomach. You can then eat after an hour without affecting the medicine. Your GP should explain the benefits of each medication and how it works. The choice may depend on: how often you are sexually active whether you have tried any of the medications before. There have been many studies to test the effectiveness of these medications. In general, at least two-thirds of men report having improved erections after taking one of these medicines. If you do not find that PDE-5 inhibitors are effective it may be because: you have not waited long enough after taking the dose you have waited too long after taking the dose the dose is not high enough you have not had enough sexual stimulation. These medications are triggered by sexual stimulation, so you also need to be aroused for it to work. PDE-5 inhibitors should be used with caution in men who have cardiovascular disease, such as coronary heart disease. However, sexual activity is also likely to be beneficial for your cardiovascular health. You should discuss the risks and benefits with your GP. PDE-5 inhibitors should also be used with caution in men who have anatomical problems with their penis, such as Peyronie's disease (a condition that affects the tissue of the penis). PDE-5 inhibitors should also be used with caution in men who: are at risk of priapism – a painful erection that lasts for several hours are also taking long lasting alpha-blockers – a medication used to treat a number of conditions, such as high blood pressure (hypertension) Do not take PDE-5 inhibitors if you are sildenafil cream female also taking medicines or recreational drugs that contain nitrates.
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