Our patients often undergo a full body exam to determine whether they have early cardiovascular disease, vascular disease or a metabolic condition such as diabetes. Treatment is addressed with a multi-disciplinary approach.
In our opinion, tadalafil beats sildenafil and vardenafil, which makes it the best choice for most men. But most importantly, scientific research leads to the same conclusion. In a meta-analysis of numerous studies, couples preferred tadalafil to sildenafil — and it wasn’t very close. In one study, nearly 80% of women preferred their sexual partners to use tadalafil, compared to sildenafil (15% preference). Therefore, the chances are pretty good that tadalafil will be best for you, too. .
We understand your concerns and can answer your questions about male sexual issues. We’ve heard it all before, and we can find the answers—and the treatment—that is personally best for you.
As with most other organ system in the human body, changes and loss of function is normal consequence of the ageing process. This is also true of the endocrine system, specifically the levels of testosterone production from the Leydig cells of the testicle. Accompanying the decrease in testosterone is a decrease in erections which also has a component in decrease in the blood supply to the penis making erection not as frequent and not as rigid compared with a young man’s erectile function. Although these changes are in itself not life threatening, they can impact a man’s relationship with his partner, and also ED may be a harbinger of other undiagnosed conditions such as coronary artery disease (CAD), hypercholesterolaemia or diabetes mellitus.6
DHEA (Dehydroepiandrosterone). Testosterone is essential for a healthy libido and normal sexual function, and erectile dysfunction sufferers known to have low testosterone improve when placed on prescription testosterone replacement therapy. Similarly, studies have shown that taking over-the-counter supplements containing DHEA, a hormone that the body converts to testosterone and estrogen, can help alleviate some cases of ED. But DHEA can cause side effects, including suppression of pituitary function, acne, hair loss and its long-term safety is unknown, says McCullough. For this reason, many experts discourage use of the supplements.
you have not waited long enough after taking it before trying to have sexyou have waited too long after taking it to have sexthe dose is not high enoughyou're not sexually aroused enough
Tell your doctor or pharmacist if you're taking any other medicines, including herbal remedies, vitamins or supplements.
If you have erectile dysfunction, it works by temporarily increasing blood flow to the penis when you get sexually excited.
Sildenafil may affect the way other medicines work, and other medicines may affect the way Sildenafil works, causing side effects. Especially tell your healthcare provider if you take any of the following:
Espinosa says the herb generally boosts energy, and he recommends it more to balance out your whole body as opposed to targeting ED. It has been linked to low blood pressure.
Tomar R, Dhindsa S, Chaudhuri A, et al. Contrasting testosterone concentrations in Type 1 and Type 2 diabetes. Diabetes Care 2006; 29: 1120–2.
Compared to other erectile dysfunction treatment pills, the GAINSWave procedure is revolutionary. The therapy is the quickest, safest, and most effective treatment available and does not require any chemicals or erectile dysfunction surgery.
American association of sexuality educators,counselors and therapists https://www.aasect.org/certification Randrup E , Wilson S , Mobley D , et al . Clinical experience with Mentor Alpha I inflatable penile prosthesis. Report on 333 cases. Urology 1993;42:305–8. doi:10.1016/0090-4295(93)90620-P Khera M , Albersen M , Mulhall JP . Mesenchymal stem cell therapy for the treatment of erectile dysfunction. J Sex Med 2015;12:1105–6. doi:10.1111/jsm.12871 Frey A , Sønksen J , Fode M . Low-intensity extracorporeal shockwave therapy in the treatment of postprostatectomy erectile dysfunction: a pilot study. Scand J Urol 2016;50:1–5. doi:10.3109/21681805.2015.1100675 Soni SD , Song W , West JL , et al . Nitric oxide-releasing polymeric microspheres improve diabetes-related erectile dysfunction. J Sex Med 2013;10:1915–25. doi:10.1111/jsm.12216
Acupuncture: This traditional Chinese needle therapy is said to boost blood flow. It’s most often used to treat chronic headaches and back pain. But some men have found it works for erectile dysfunction.
Online medicines are not always regulated and the ingredients in them can vary from one pack to another. They can cause unpleasant side effects, or may not be suitable for you.
Avanafil (Stendra)Sildenafil (Viagra)Tadalafil (Cialis)Vardenafil (Levitra, Staxyn)
But Erectile Dysfunction can also be caused by emotional issues – like stress, anxiety or depression -- or lifestyle choices – smoking, drinking and inactivity. These often respond well to natural treatment.