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Surgical implantation of a penile prosthesis is the most invasive option. It is typically reserved for men who have failed, are not candidates for, or cannot tolerate nonsurgical therapies.7

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This route typically isn’t recommended for men taking nitrate drugs or alpha-blockers, and all medications, including over-the-counter herbs and supplements, should be shared with your doctor to prevent negative interactions. The commonly reported potential side effects of phosphodiesterase-5 inhibitors include headache, flushing, runny nose, stomach pain, back pain, indigestion, vision changes, and dizziness.
Sildenafil is a solid treatment option, as well. It works reliably, and many doctors recommend it and prescribe it with great efficacy. Vardenafil is nearly identical to sildenafil and makes a good choice for the few men who don’t have success with the latter. .

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Pharmalogic TreatmentPharmacologic options for treatment of ED include oral phosphodiesterase type 5 inhibitors (PDE5Is) or intraurethral or intracavernosal injection alprostadil.6 Intracavernosal nonprostaglandin agents such as papaverine, phentolamine, and atropine have also been used to successfully manage ED, but none are FDA-approved for this indication. Testosterone replacement may also be considered for men with hypogonadism.6
This Dr. Axe content is medically reviewed or fact checked to ensure factually accurate information.

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https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776 Erectile Dysfunction. (2016).
Inquiry into symptoms of ED should be a standard part of the evaluation of adult males presenting to clinical practice. In the same way as a menstrual history can provide valuable information about the general health of young females, ED can be a sensitive marker of systemic disease, be it metabolic, cardiovascular, neurological or otherwise. It is also likely to be of considerable importance to individual patients (having a significant psycho-social impact) and might never have been asked about before. This is especially relevant in the post-Viagra™ age in which several different treatment modalities are now available.

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Inman BA, Sauver JL, Jacobson DJ, et al. A population-based, longitudinal study of erectile dysfunction and future coronary artery disease. Mayo Clin Proc 2009; 84: 108–13.

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    You can take your tablet in the morning or evening, but it’s best to take it at the same time each day.

    While impotence occurs at any age, the chance of developing impotence increases with age.
    Ginseng benefits sexual dysfunction because of its ability to affect the central nervous system, allowing the brain to send the necessary signals that initiate an erection. Red ginseng may also help to relax the penile tissue, allowing blood to rush to the area.

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    All of this is why they require a prescription. Your consulting physician will determine what will be safe and effective for you based on your medical history and any current medications that you use. Thankfully, PDE-5 medications for ED are prescribed very widely, and the healthcare community considers them safe for most men, with rare and mostly mild side effects reported.

    8. Viagra (sildenafil citrate) [Prescribing Information]. New York, NY: Pfizer Labs; December 2017.
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    Erectile Dysfunction Guideline Update Panel: “The management of erectile dysfunction: an update,” American Urological Association Education and Research, Inc., Baltimore, Md., 2005.

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    Do It AtHome: Pounded and mixed with almonds,pistachio nuts, and quince seeds in equal quantities, about 100 gm of drieddates should be taken daily foe excellent results.

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    Do It AtHome: Take 5 to 10 grams of the rootpowder of this vegetable with a glass of milk and two teaspoons of ground mishri(candy sugar) daily. Regular use of this recipe helps in restoration of sexualvigour.

    Surgical treatment mainly consists of penile implants or surgeries to repair damaged blood vessels (revascularization surgery).
    You didn’t wait long enough or you waited too long after taking the medicine before having sex.The dose wasn’t high enough.You’re not sufficiently aroused.

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In recent years, the FDA has seized many over-the-counter products for male sex problems because they contained dangerous or undeclared ingredients. Lab tests have discovered these risky ingredients in nearly 300 products.

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Erectile dysfunction is an extremely important problem, with implications far beyond sexual activity. ED can be both a herald marker and a consequence of several chronic disease states. Early recognition is important because of the opportunities relating to cardiovascular risk modification.

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Even if you take the medicine, you still need physical and mental stimulation and desire to have an erection. If your first dose doesn’t help, call your doctor. Your doctor may want to change your tablet strength.

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Treatments for erectile dysfunction are usually effective and the problem often goes away.

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