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Call your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.

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The central nervous system is responsible for releasing nitric oxide, an essential chemical for producing and maintaining an erection, and heavy alcohol consumption depresses the central nervous system, causing it to function less efficiently. Not enough nitric oxide translates to erectile dysfunction.
Stendra (avanafil)Viagra (sildenafil)Cialis (tadalafil)Levitra or Staxyn (vardenafil) .

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In the past, erectile dysfunction was considered to be a psychological issue about 90 percent of the time. But as physicians learned more about erectile dysfunction — and as effective treatments were developed — today, only about 10 percent of cases are considered to have psychological causes.
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Do not drink grapefruit juice if you're taking tadalafil. It interferes with the way the medicine works.
The production of testosterone and other hormones naturally decreases with age, and this can disrupt erections. Also, in rare instances, kidney failure and liver disease may throw off the balance of hormones necessary for proper erection and intercourse. In most cases, testosterone replacement therapy can bring levels of the hormone back to normal.

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Benign Prostatic Hyperplasia/BPH, Erectile Dysfunction, General Urology, Kidney Stones, Minimally Invasive Surgery, Robotic surgery, UroLift, Urologic Cancers, Vasectomy

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It is important for clinicians prescribing these drugs to make the patient aware of the action of the drugs especially the fact that they do not result in an immediate erection, and that they do not cause an erection without sexual stimulation. There is frequently a great expectation when men begin using these drugs and it is wise to temper their enthusiasm and explain they do not work immediately, and may not work every time, but also let the patient know that if these drugs do not work, there are other options.

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    23. Goldstein I, Young JM, Fischer J, Bangerter K, Segerson T, Taylor T. Vardenafil, a new phosphodiesterase type 5 inhibitor, in the treatment of erectile dysfunction in men with diabetes: a multicenter double-blind placebo-controlled fixed-dose study. Diabetes Care. 2003;26(3):777-783.

    There are many unproven herbals, dietary supplements, and natural remedies for ED. These include panax, propionyl-L-carnitine, L-citrulline, pomegranate, rhodiola rosea, golden root, Indian ginseng, zinc supplements, and ashwagandha.
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    Surgery is an option in some cases of erectile dysfunction. Most surgery cases are performed for one of three reasons: to implant a device to initiate erections; to reconstruct arteries and increase penis blood flow; to block off veins that allow blood to leak from the penile tissues.
    Tadalafil is only available for erectile dysfunction if you have a specific condition such as multiple sclerosis or a spinal cord injury.

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    It may not be safe to breast-feed while using this medicine. Ask your doctor about any risk.

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    Many men prefer to take an ED medication only when they need it, rather than at the start of a day when they may or may not have sex. These men also understandably want that drug to take effect as quickly as possible and with the lowest chance of side effects.

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    Tadalafil is the generic version of Cialis. It can cause the same side effects, including headache, indigestion, back pain, nasal congestion, flushing, muscle aches, and pain in the arms or legs.

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    Some insurance policies cover ED treatment if it’s medically necessary. Check with your insurance provider.

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Almost 400 years ago, English physician Thomas Sydenham wrote that “a man is as old as his arteries.” I can relate. As a practicing cardiologist of more than 30 years, my practice is dedicated to helping arteries stay young. This effort now includes GAINSWave shock wave therapy for repairing the root cause of erectile dysfunction in many men: aging arteries ...

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Call your doctor right away if you take one of these medications and have a prolonged erection that lasts 4 hours or longer. This condition may cause permanent impotence if not treated.

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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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Treatment for erectile dysfunction is aimed at enabling a man to achieve and maintain an erection for sexual intercourse.

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