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For example, they could try a lower dose or switch to generic bupropion, since some research suggests it's less likely to interfere with your sex life than are other antidepressants. There are currently no drugs approved for treating premature ejaculation, the most common form of sexual dysfunction in men. But some doctors do prescribe antidepressants such as fluoxetine ( Prozac and generic), paroxetine ( Paxil and generic), and sertraline ( Zoloft and generic) for premature ejaculation, since one of their common side effects is to inhibit orgasm. Unfortunately, they probably have to be taken daily, not just before sex, and can cause a number of side effects.

Some other doctors prescribe topical

anesthetics

What to do: You may be able to ease the anxiety and overexcitement that often underlie premature ejaculation by having sex more often, prolonging foreplay, and trying not to worry during or after sex, regardless of the outcome. Or talk with a sex therapist about other approaches that may train men to gain physical control over ejaculation.

Before resorting to medication or hormones to treat sexual problems, you and your doctor should first consider whether the problem stems from an underlying disorder or a medication you take.

In some cases your doctor could ease or eliminate the problem by changing the prescription or treating the disorder. Note that some side effects listed here may be only theoretical, particularly in women, or based on limited evidence, and that the list may not be complete. If you experience a sexual side effect soon after starting any new medication, ask your doctor if the drug could be contributing to the problem. Note that many of the brand-name drugs listed below are also available as generics.

It’s the truth: You reach a certain age where having sex isn’t as easy or satisfying as it used to be. Many factors can contribute to erectile dysfunction (ED) — anything from smoking to cardiovascular disease to general stress — and you shouldn’t be shy about discussing any erectile problems with your doctor.

If there’s an underlying health condition causing your troubles, treating the cause may get you back to top form in no time. Of course, these days we also have a variety of medication available to help men achieve and maintain an erection.

But before you pop a pill, try these natural tips for sexual health. Smoking causes arteries to become stiff, which can have the opposite effect on your erection. Decreased blood flow to your sexual organs can make it difficult to achieve an womens viagra buy erection. It can’t be stressed enough — a healthy diet and lifestyle has numerous benefits, including in the bedroom. ED is linked to cardiovascular disease and diabetes, so eating a Mediterranean-style diet rich in fresh fruits and vegetables, healthy fats, and whole grains can reduce your chance of developing heart problems and, in turn, can

alleviate

While there isn’t a lot of scientific evidence that supports using herbs to increase sexual urges, most of these supplements won’t hurt you.

Try classic libido-enhancing herbs like maca, tribulus, rhodiola, ginseng, omega-3s, DHEA, and L-arginine. But be sure to consult your doctor first if you take blood thinners or other medications for heart health.

Choose a setting that promotes intimacy and communication with your partner, which can reduce performance anxiety.

We live in a society that expects high performance in every aspect of life — including sex.

If you’re having erectile dysfunction issues, practice stress-reducing techniques every day so you can

relax

Sometimes low libido or sexual dysfunction can occur due to low testosterone levels. But that doesn’t necessarily mean you need a testosterone supplement. Your body usually can produce adequate testosterone, but it needs downtime to convert precursor hormones into testosterone.

If you’re burning the candle at both ends, your body will convert those precursors into cortisol instead. So rest, relax, and allow your body to build up its testosterone stores. I mentioned taking herbs and supplements to treat erectile dysfunction, so I want to add a note of caution about using so-called “natural male enhancement” pills.

The Food and Drug Administration (FDA) recalls dozens (if not hundreds) of these products each year for containing the active ingredient in medications used to treat ED.

When you buy those products from the internet, or even from a retail store, you have no real way of knowing what you’re ingesting.

The active ingredient in drugs like Viagra, Cialis, and Levitra can negatively interact with other medications, so it’s essential that you take them with medical supervision. The One Medical blog is published by One Medical, an innovative primary care practice with offices in Boston, Chicago, Los Angeles, New York, Phoenix, Portland, the San Francisco Bay Area, Seattle, and Washington, DC.

Any general advice posted on our blog, website, or app is for informational purposes only and is not intended to replace or substitute for any medical or other advice.

The One Medical Group entities and 1Life Healthcare, Inc.

make no representations or warranties and expressly disclaim any and all liability concerning any treatment, action by, or effect on any person following the general information offered or provided within or through the blog, website, or app.

If you have specific concerns or a situation arises in which you require medical advice, you should consult with an appropriately trained and qualified medical services provider.

Share All sharing options for: Hims’ on-demand Viagra doesn’t guarantee good sex. “[Forty] percent of men by age 40 struggle from not being

able

the

With a “sensitive and uncomfortable topic” like erectile dysfunction, seeking help can feel especially intimidating. The Hims model allows users to upload photos and chat with a physician remotely. Instead of having a face-to-face conversation with your physician (or a sex therapist), you can submit your info online and sign up for a monthly subscription of erectile dysfunction medications.

You don’t even have to worry about whether or not your insurance company will cover your prescription: Hims sells low-priced generic medications directly to consumers, taking insurance out the equation entirely. Cialis and Levitra are not currently available as generics.) Yet in their attempt to help men sidestep awkward conversations about erectile embarrassment, Hims is aggressively promoting the idea that a healthy sex life is one where erections occur on demand and last as long as you want.

That’s a message some sexual health professionals find disturbing.

Hims might help you maintain your erection, but it won’t help you understand your body, your sexuality, or give you a more expansive understanding of pleasure. Destigmatizing men’s erectile woes is a noble mission, but the company’s claim that it’s “weird” to leave a frustratingly flaccid member unmedicated does far more harm than good.

Although many of us assume that instantly hard, long lasting erections are not just desirable, but a sign of healthy, “normal” sexuality, the reality is much more complicated. Chris Donaghue, author of Sex Outside the Lines: Authentic Sexuality in a Sexually Dysfunctional Culture , tells me that much of what we label “dysfunctional” about erectile performance is just a

natural

“When you’re in your forties, you should expect erectile frustration about 40 percent of the time,” says Donaghue, noting that the figure increases about 10 percent with each passing decade. That’s normal.” Even when erectile dysfunction is an accurate diagnosis, medication is rarely warranted as a first-line treatment, particularly among the young men Hims is targeting, explains Donaghue.

Younger men’s erectile issues often have mental and emotional causes, says TT Baum, a San Francisco-based sex educator who does hands-on work with clients who struggle with sexual issues.

For those men, Hims’ promise of embarrassment-free treatment could seem particularly appealing: If you’re overwhelmed by the idea of talking about your anxiety-induced erectile dysfunction, a pill you order online can feel like an easy out.

But that doesn’t address the underlying anxiety — and in some cases, pills may make it worse, making users feel their sexual fulfillment requires medication. A post on the Hims blog does note that erectile dysfunction can have psychological causes that aren’t readily resolved by popping a pill, but you have to search to find this information.

Its impact is somewhat lessened by the coupon code for Hims that appears at the top of the page.

Also, sildenafil is a prescription medication — one that has side effects.

Painful, hours-long erections occasionally land users in the hospital (and, in the worst cases, destroy their ability to ever get an erection again).

But headaches, loss of vision, indigestion, and diarrhea are also fairly common; rarer side effects include facial swelling, renal problems, laryngitis, and, perversely, an inability to experience orgasm.

Those are just the physical side effects; mental ones can occur, too.

Using sildenafil regularly can cause a kind of disconnection, where the erection isn’t tied to the “emotional/psychological arousal state,” but is instead fueled by chemical assistance, Donaghue says.