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Do not take sildenafil if you:

Take

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Your blood pressure could drop to an unsafe level Are allergic to sildenafil, as contained in VIAGRA ® and REVATIO ® You’ve ever had blockage of veins in your lungs, which is called pulmonary veno-occlusive disease Are a women or a child.

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Have

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Low blood pressure may cause you to feel faint or dizzy.

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Most of these happened in men who already had heart problems. Tell your doctor right away if you have an erection that lasts more than 4 hours.

The most common side effects with sildenafil 20 mg tablets (Revatio) include: Nosebleed Headache upset stomach getting red or hot in the face (flushing) trouble sleeping Fever erection increased respiratory infection Nausea Vomiting Bronchitis Pharyngitis runny nose pneumonia in children.

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General information about sildenafil 20 mg tablets (Revatio) Medicines are sometimes prescribed for purposes that are not in the patient leaflet.

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Erectile dysfunction (ED) is often a symptom of poor circulation for men. ED refers to the consistent inability to achieve or maintain an erection.

For an erection to occur, a specific sequence of event needs to take place, allowing blood to enter the penis while restricting the outflow of blood. The pressure created by this “trapped” blood is what maintains an erection. If there is a consistent breakdown in any steps in the sequence, erectile dysfunction is the result. Erectile dysfunction may occur at any age, however, the occurrence of ED is increasingly common as men age.

However, it should not be considered a natural part of aging. In older men, there may be physical or medical conditions that contribute to erectile dysfunction. Erectile dysfunction may be caused by a combination of medical, physical, hormonal, and psychological factors including: High blood pressure Heart disease Diabetes Physical injury Side effects from prescription medications Drug or alcohol use Low Testosterone Smoking Obesity Anxiety and stress Guilt and fear of poor sexual performance. We will help you zero in on the problem and assist to design a corrective treatment plan.

Erectile dysfunction is diagnosed by evaluating a patient’s medical and psychological history, performing a physical evaluation, and conducting a series of laboratory and radiological tests that may include: Blood tests Lipid profiles Urinalysis Thyroid function tests Testosterone measurements Vascular Ultrasounds. Medication Psychological therapy Arterial or Venous Revascularization Penile implants Hormonal treatments. Not all cases of erectile dysfunction can be prevented, however, Dr.

Dormu may recommend the following lifestyle changes as a precaution: Eat a healthy diet Exercise regularly Stop use of tobacco products Cut back on alcohol use Reduce stress Control of diabetes Manage high blood pressure. GAINSWave ™ Revolutionizes Treatment of Erectile Dysfunction (ED) GAINSWave ™ is the premium brand of extracorporeal shockwave therapy for ED .

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All four medications enhance the effects of nitric oxide — a natural chemical your body produces that relaxes muscles in the penis. This increases blood flow to the

penis

and helps the penis to become erect. Sildenafil (Viagra) Tadalafil (Adcirca, Cialis) Vardenafil (Levitra, Staxyn) Avanafil (Stendra) Sexual stimulation or physical stimulation of the penis will cause the release of nitric oxide from your penile nerves. These medications amplify the amount of nitric oxide, the penis to become erect normally. The side effects include: Flushing Nasal congestion Headache Muscle aches Visual changes Backache Stomach upset. Your doctor will help you find the right medication and proper dosage.

DO NOT these medications if you: Take nitrate drugs — usually given

for

chest pain — like Minitran, Nitro-Dur, Nitrostat, isosorbide mononitrate, and isosorbide dinitrate Have heart disease or heart failure Have very low blood pressure (hypotension) Other Medications. With this

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Some examples of the different medications that can be injected include papaverine, alprostadil and phentolamine. Often these combination medications are known as bimix (if two medications are included) or trimix (if three are included).

Side effects of the injection can include mild bleeding from the injection site, prolonged erection called priapism which is an emergency and scar tissue at the injection site.

Alprostadil intraurethral therapy called MUSE involves placing a tiny suppository inside your the opening of the penis called the urethra. Side

effects

can include urethral or penile pain, rarely bleeding at urethra and formation of scar tissue inside your penis. Some men have erectile dysfunction because of low testosterone. Testosterone replacement therapy or other treatments to raise testosterone

levels

may be given by injection, patch or gel applied to the skin.

Penis pumps or vacuum erection device is a hollow tube with a hand-powered or battery-powered pump to pull blood into the penis.

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Once you

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You remove the ring at the base of the penis after intercourse. side effects include bruising of the penis and decreased ejaculation.

A device is placed surgically inside the penis to make it erect. These implants consist of either inflatable or bendable rods. Inflatable devices allow you to control when and how long you have an erection. The malleable rods keep your penis firm but bendable.

Penile implants are a surgery, there’s a risk of complications, such as infection or mechanical failure of the device.

Usually we like to try all other options before proceeding to the device.

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Ohio State urologists treat conditions related to difficulty attaining or sustaining an erection.

Home Healthcare Services Urology Erectile Dysfunction.

Erectile Dysfunction, sometimes referred to as ED, is a common type of male sexual dysfunction. The term ED describes difficulty attaining or sustaining an erection. This condition can happen to any man from time to time.

It is estimated that between 15 to 30 million American men experience ED, although not all men are equally affected by the condition. Erectile Dysfunction can result from medical, physical or psychological factors. ED risk factors include: Age over 50 Diabetes High blood pressure High cholesterol Smoking Cardiovascular disease Depression.

Men who experience repeated Erectile

Dysfunction

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Some men may have difficulty speaking with a doctor about sexual activities.

Ohio State urologists

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ED sometimes results in a lack of interest in sexual activity, also known as low libido. To diagnose this disorder, your Ohio State urologist will ask you questions about your medical and sexual history and conduct a physical examination.

Based upon your individual condition, additional tests may be considered, such as blood tests, neurological testing or a psychological evaluation.

After a diagnosis has been made, you and your Ohio State urologist can determine a personalized treatment plan. Lifestyle Changes – Quitting smoking, better nutrition and controlling blood pressure and cholesterol through diet, exercise and medication are behavior changes that can increase overall health and lessen risk factors for ED.

Medications – Several medications are available to support erection.

Most work by relaxing blood vessels for increased blood flow. Your Ohio State urologist will work with you to select the medication that provides you with the best results. Surgery/Other Options – Additional treatments include: A surgically implanted penile prosthesis to support erection Use of a vacuum erection device to pull blood into the penis Penile injection therapy to deliver drugs that expand blood vessels and increase blood flow Revascularization or ligation to correct blood flow to the penis ? New Treatment for Erectile Dysfunction Uses Soundwaves.



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