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A detailed medical history, sexual history, and physical exam are warranted to identify causative or reversible factors involved in ED.4 Select laboratory tests (e.g., serum testosterone, serum blood glucose, fasting lipid panel, thyroid-stimulating hormone) may be obtained to identify causative factors of ED. Additionally, a detailed medication history is necessary to identify medications that may be contributing to ED (see TABLE 1).4,5

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Many men are unhappy with their ability to get or maintain an erection, but only 5% of these men seek help. This is because most men, in general, are unwilling to discuss their sex life, even when it is going well.
InAyurveda, saffron is used to treat infertility in couples as its fragrance ishighly erotic. It can arouse sexual desire and can have a relaxing effect on thenerves. .

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If you believe your medications might be causing erectile dysfunction, don’t just stop taking the pills! That can be very dangerous. Instead, book an appointment with a GP to discuss whether different treatment might be suitable.
Tablets for erectile dysfunction are called phosphodiesterase-5 (PDE5) inhibitors such as sildenafil (Viagra, Silvasta, Vedafil), tadalafil (Cialis) and vardenafil (Levitra). These medicines usually enable an erection by relaxing the blood vessels in your penis, but only when you are stimulated or aroused. They are all similarly effective. Read more about PDE5 inhibitors and frequently asked questions about their use.

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On average, the alternatives to tadalafil work for up to 4 hours. If you take tadalafil, it can be effective for up to 36 hours.

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    Health Topics Symptoms and Signs Supplements Medications Slideshows Images Quizzes What Is the Fastest Way to Cure Erectile Dysfunction? Medical Author: Shaziya Allarakha, MD Medical Reviewer: Pallavi Suyog Uttekar, MD Causes What Causes Erectile Dysfunction? Is it Normal? Is ED a Normal Part of Aging? 6 Treatment Methods 6 Ways to Treat Erectile Dysfunction Guide What Is the Fastest Way to Cure Erectile Dysfunction? Topic Guide Treatment of erectile dysfunction depends on the underlying cause of the condition. Learn about 6 treatment methods

    warningsWhat is the most important information I should know about Viagra (Sildenafil (Injection))?
    If a medication is causing your ED, your doctor may lower your dose or try a different drug.

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    During the maturation stage of the man, as he grows older, the urge for sex reduces resulting in the extended rate of getting firm when stimulated. More stimulation to the male genitals might be needed to sustain an erection. Patients with obesity. Medical conditions like heart disease or diabetes. Use of tobacco restricting the flow of blood to the arteries and veins which is fatal to the health condition which contributes to erectile dysfunction. Damages to nerves that are responsible for erections. Previous surgery on the pelvic region can result in the condition. Mental conditions can contribute to the reduction in libido. Stress. Anxiety. Low self-confidence. Poor sex life. Inability to impregnate your spouse. Problems in the relationship.

    Top Picks Talking to Your Partner About ED Penis Enlargement: Does It Work? ED: Tips for Talking With Your Doctor Men's Super Foods: Some Fight ED Photos: When Your Body Won't Cooperate 10 Things That Can Deflate Your Erection further reading Sex-Drive Killers Exercises for Better Sex Healthy Sex Life: Better Health Evaluator from WebMD 3 Secrets for a Steamier Sex Life Western Sex Therapists incorporating Ancient Eastern Methods What Happens to Our Bodies During Sex Food to Inspire Lust: Aphrodisiacs Throughout History Sex Therapy Topics
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    If you think you have ED, a good first step is to talk with your doctor. The treatment you need will depend on what’s causing it.

    Banana contains potassium which helps to regulate the flow of blood by dilating arterioles and in turn enhancing erection.
    Before you embark on an ED treatment, it’s good to talk with your healthcare provider. If you hope to use any of the prescription ED treatments, you’ll have to get the prescription from a doctor who will review your medical history and current health to determine if one of these medicines is suitable for you.

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    Viagra usually starts to work within 30 to 60 minutes. You’ll need to be aroused for this medicine to work.

    The pressure applied to the pelvic floor during these activities can result in nerve and vascular damage that may inhibit erections.
    30-50% of hypertensive men also suffer from ED. Hypertension can disrupt erectile tissue function. In addition, some prescriptions for the condition can cause ED. However, there’s evidence that suggests that once adequate blood pressure control is regained – even for those on medication – ED becomes less likely.

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Men with diabetes, radical prostatectomy, and other complicating factors may still benefit from treatment with a phosphodiesterase type-5 inhibitor such as Viagra. Patients who fail a trial of PDE5 inhibitor should be informed of the benefits and risks of other therapies. This of a different PDE5 inhibitor is unlikely to have a profound effect on sexual function and someone who fails a first drug trial, but should be considered in selected cases. Second-line therapies include intra-urethral suppositories, intra-cavernous drug injection, vacuum-constriction devices, and penile prosthesis. Medicated Urethral System for Erection (MUSE). MUSE is an intra-urethral suppository of alprostadil, of vaso-active drug that relaxes smooth muscle in the penis and induces penile erection. Although not as effective as intra-cavernosal penile injection, MUSE is a less invasive treatment option. An initial trial dose of intra-urethral alprostadil should be administered under healthcare provider supervision due to the risk of fainting. The cost of intra-urethral suppositories is high with respect to the overall success and therefore should be used judiciously.

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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.

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More than two drinks a day is considered a risk factor for ED. Alcohol can lower testosterone levels, decrease flowing blood to the penis, and cause nerve and hormonal imbalances. Low testosterone from alcohol or drug abuse can also affect your libido and performance, potentially leading to further psychological ED complications.

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