Tell your doctor if you are pregnant. It is not known whether this medicine will harm an unborn baby. However, having pulmonary arterial hypertension (PAH) during pregnancy may cause complications such as heart failure, stroke, or medical problems in both mother and baby. The benefit of treating PAH with Revatio may outweigh any risks to the baby.
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Another second-line therapy is the use of alprostadil, either intracavernosal or intraurethral. Two products are available for direct injection, Caverject (Pfizer) or Edex (Actient). A small needle is used to inject the medication into the lateral aspect of the penis through a small-gauge needle.
Ginsenosides are the chemical present in panax ginseng extract that provide the artery opening and benefits as well as improvements to overall heart health.
Testosterone replacement in patients with hypogonadism remains controversial. A double-blind placebo controlled study using long-acting testosterone undeconate and involving seven UK general practices showed small changes in glycated haemoglobin (HbA1c) (reduced from 7.61% to 7.52%) over 30 weeks but marked changes after a further 22 weeks (down from 8.3% to 7.3%). Mean weight loss was 2 kg with a 1.5 cm reduction in waist circumference.9 There was no significant increase in mean PSA and mean haematocrit was unchanged. Another meta-analysis showed significant reduction in fasting plasma glucose, HbA1c, fat mass and triglycerides, but no significant change in total and high-density lipoprotein cholesterol, blood pressure or BMI.10
Herbal supplements such as ginkgo biloba, saw palmetto, and yohimbe have been touted as sexual enhancers, and some men have been tempted to try them to treat erectile dysfunction. Bennett warns, however, that none has been approved by the FDA or even shown by any reliable studies to prevent, treat, or improve erectile dysfunction. Moreover, supplements are unregulated and can have many side effects or interfere with prescribed medications you’re already taking. Don’t jeopardize your health by taking a supplement to treat erectile dysfunction without first talking with your doctor.
It's common for ejaculation problems to occur as you age. Ejaculation problems usually don’t pose health concerns, but they can be embarrassing to experience. Learn how to fix ejaculation problems and talk to your doctor.
Clinical studies have generally shown shockwave therapy to be effective and safe, but more research is needed to identify potential risks and the best treatment protocols for someone with erectile dysfunction. How Long Does Shockwave Therapy Take to Work?
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Some medicines, including over-the-counter medicines, can cause sexual problems, including getting and maintaining an erection. Medication is a common cause of erectile dysfunction for 25 out of 100 men using medication. This varies depending on the person and type of medication. Medicines known to cause sexual problems in some people Some antidepressants, particularly SSRIs Antipsychotics Some medicines for heart problems, particularly thiazide diuretics and spironolactone – beta blockers only have a small increased risk of erectile dysfunction (5 per 1000) Some anti-epileptic medicines Opioids such as morphine, oxycodone (thought to be due to reducing testosterone levels) Anti-androgens Some treatments for cancer Some medicines for bladder and prostate problems Corticosteroids such as prednisone, dexamethasone
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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.
During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of avanafil.
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Testing and treatment for these conditions is an important step in developing treatment options for ED, but research has uncovered some natural options that men can use to treat or even prevent the condition— something younger men should also consider.
New research suggests that you might be able to reverse erectile dysfunction without medication.