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Tools & Resources How an Erection Occurs Lifestyle Changes to Improve ED ED Myths and Facts Why Can't I Get an Erection? Erections: Use It or Lose It? Protect Your Erection: 11 Tips

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Brüning JC, Gautam D, Burks DJ, et al. Role of brain insulin receptor in control of body weight and reproduction. Science 2000; 289: 2122–5.
The side effects of ED medicine are mostly the same. Sildenafil and vardenafil can cause: Headache. Flushing (face and upper body turning red and warm). Stomach upset. Runny nose (sniffles). vision changes (things look blue). .

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ABSTRACT: Erectile dysfunction (ED) is a common urologic condition that causes distress in men. Risk factors and predictors for ED include age, cardiovascular disease (CVD), hypertension, diabetes, smoking, and certain medications. CVD and ED share several risk factors, and ED may be a predictor of future cardiovascular events. Lifestyle modifications and phosphodiesterase type 5 inhibitors (PDE5Is) are considered first-line therapies for ED. PDE5Is can be less effective in patients with diabetes and should be used cautiously in certain patients with CVD. This review explores treatment options for ED with a focus on those with a history of diabetes or CVD.
Since these medications can interfere with other medications, inform your doctor if you are taking medications for other ailments.

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Take 5 to 10 minutes before planning to have sex; erections last for 30 to 60 minutes.
You can take your tablet in the morning or evening, but it’s best to take it at the same time each day.

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Among the most popular treatment options for erectile dysfunction are pharmaceuticals. Drugs such as Viagra (Sildenafil), Levitra (Vardenafil), and Cialis (Tadalafil) are popular and boast an 80% success rate. These drugs are classified as phosphodiesterase-5 inhibitors (PDE-5) – which enable an erection, temporarily, but are not the best for maintaining an erection over time.

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    If you use sildenafil, tadalfil, or vardenafil and get chest pains, be sure to tell the paramedics, nurses or doctors at the hospital that you use it and when you used it last.

    DHEA (dehydroepiandrosterone) is a hormone that our body’s adrenal glands typically produce. Production of DHEA naturally drops as we age, but DHEA is a precursor to the sex hormones testosterone and estrogen.
    Finally, Dr Montorsi et al found that severe ED was more common in patients with multivessel coronary involvement as compared with those with single-vessel disease (31% vs 12.5%; p<0.01). They also found a significant inverse relationship between the extent of CVD and IIEF scores.31

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    Ginseng: Korean red ginseng is a widely used herbal ED remedy. That’s partly because it’s been shown in studies to do some good -- even though researchers still can’t quite explain how it works.

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    Bacterial vaginosis is a mild infection in the vagina caused by an overgrowth of bacteria. Researchers do not completely…

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    6. Burnett AL, Nehra A, Breau RH, et al. Erectile Dysfunction: AUA guideline. J Urol. 2018;200(3):633-641.

    https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/diagnosis Does Vitamin D Deficiency Contribute to Erectile Dysfunction? (2012).
    Prescription ED medications are safe and effective ways for most men to treat ED. However, not all men want to take prescription medication, and some men cannot take PDE-5 medicine safely.

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Prevalence of erectile dysfunction in men taking part in the Massachusetts male ageing study.

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if you take medicine to treat pulmonary arterial hypertension, such as riociguat (Adempas).

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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

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