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A series of blood tests helps determine many medical conditions known to cause ED. A urinalysis indicates any positive signs of kidney problems, testosterone levels or diabetes. Using a nocturnal penile tumescence (NPT) procedure is common. Ultrasound testing and injections may be useful when diagnosing erectile dysfunction. .

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A study published in May 2014 in The Journal of Sexual Medicine found that some men can reverse erectile dysfunction with healthy lifestyle changes, such as exercise, weight loss, a varied diet, and good sleep. The Australian researchers also showed that even if erectile dysfunction medication is required, it's likely to be more effective if you implement these healthy lifestyle changes.
27. Rodriguez JJ, al Dashti R, Schwarz ER. Linking erectile dysfunction and coronary artery disease. International Journal of Impotence Research 2005 17:1. 2005;17(1):S12-S18.

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Discuss your health with your doctor to ensure that you are healthy enough for sex. If you experience chest pain, dizziness, or nausea during sex, seek immediate medical help an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penissudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). Stop taking Sildenafil and call your healthcare provider right away if you have any sudden vision losssudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking Sildenafil and contact a doctor right away have or have had heart problems such as a heart attack, irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failurehave had heart surgery within the last 6 monthshave pulmonary hypertensionhave had a strokehave low blood pressure, or high blood pressure that is not controlledhave a deformed penis shapehave had an erection that lasted for more than 4 hourshave problems with your blood cells such as sickle call anemia, multiple myeloma, or leukemiahave retinitis pigmentosa, a rare genetic (runs in families) eye diseasehave ever had severe vision loss, including an eye problem called NAIONhave bleeding problemshave or have had stomach ulcershave liver problemshave kidney problems or are having kidney dialysis have any other medical conditions
The bark of the African evergreen yohimbe tree contains a compound called yohimbine, which has been traditionally used as an aphrodisiac.

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Yohimbe. Before Viagra and the other prescription erectile dysfunction drugs became available, doctors sometimes prescribed a derivative of the herb yohimbe (yohimbine hydrochloride) to their patients suffering from ED. But experts say the medication is not particularly effective, and it can cause jitteriness and other problems. "It's not a great drug," says McCullough. "And I suspect the herb is not as potent as the pharmaceutical version." What's more, evidence shows that yohimbe is associated with high blood pressure, anxiety, headache, and other health problems. Experts discourage its use.

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have sickle cell anaemia (an abnormality of red blood cells), leukaemia (cancer of blood cells) or multiple myeloma (cancer of bone marrow)have Peyronie's disease (curved penis) or a similar problem with your penishave liver or kidneys problemshave a heart problem – your doctor will advise you whether your heart can take the additional strain of having sex

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Grant PS, Lipscomb D. How often do we ask about erectile dysfunction in the diabetes review clinic? Development of a neuropathy screening tool. Acta Diabetol 2009; 46: 285–90. doi:10.1007/s00592-008-0084-1

flushing (warmth, redness, or tingly feeling);headache, dizziness;abnormal vision (blurred vision, changes in color vision)runny or stuffy nose, nosebleeds;sleep problems (insomnia);muscle pain, back pain; orupset stomach.
Good Value Pharmacy is pleased to announce that we now carry the generic versions of Viagra and Cialis to treat erectile disfunction. Read the breakdown below to see which medication will fit your lifestyle.
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A vacuum constriction device (VCD) is an external pump with a band on it that a man with erectile dysfunction can use to get and maintain an erection.

These drugs work in response to sexual stimulation and must be taken at least half an hour to two hours before sexual activity. Drawbacks include a loss of spontaneity and cost. In addition, high-fat meals can delay the onset of action. A vacuum erection device Urethral suppositories Penile injections
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These diseases include high blood pressure, diabetes, clogged arteries, heart and blood vessel disease, high cholesterol, and chronic kidney disease. Other possible causes include: Nerve injury: The penis, spinal cord, prostate, bladder or pelvis may have sustained a physical injury that needs to be treated. This includes a large group of men who have had surgery or radiation treatment for prostate cancer. Unhealthy lifestyle: This includes smoking, excessive alcohol use, obesity and not exercising. Mental health: Depression, stress and anxiety surrounding sexual failure can all lead to erectile dysfunction. Medications: Some medications, including antidepressants, can cause sexual side-effects. Hormones: A small number of erectile dysfunction cases result from low levels of the male hormone testosterone.

Inquiry into symptoms of ED should be a standard part of the evaluation of adult males presenting to clinical practice. In the same way as a menstrual history can provide valuable information about the general health of young females, ED can be a sensitive marker of systemic disease, be it metabolic, cardiovascular, neurological or otherwise. It is also likely to be of considerable importance to individual patients (having a significant psycho-social impact) and might never have been asked about before. This is especially relevant in the post-Viagra™ age in which several different treatment modalities are now available.
Smoking, drinking alcohol and the use of recreational drugs such as narcotics, stimulants and hallucinogens can all affect sexual function. Chemicals from smoking can interfere with blood flow to your penis and damage the lining of the blood vessels or lead to atherosclerosis (hardening of the arteries). It can also affect the smooth muscle tissue that needs to relax to allow blood to flow in. Short-term use of alcohol affects sexual desire, reduces performance and delays orgasm and ejaculation.
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Getting an erection is a complicated process. During an erection, the blood vessels that let blood into your penis relax and widen (dilate). This lets more blood in, which causes the sponge-like tissues of your penis to swell and harden. Your thoughts and senses (touch, hearing, smell and sight) influence a part of your brain that can trigger an erection.

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Complications of ED can arise when the root cause is not identified or addressed and the ED is left untreated. These complications can include: Anxiety or stressLow self-esteemAn unsatisfying sex lifeRelationship problemsInfertilityHigher risk of cardiovascular diseaseHigher risk of heart attackHigher risk of strokeHigher risk of premature death if the ED is left untreated When to See a Doctor
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Sildenafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking sildenafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 50 years old. It is not clear whether sildenafil is the actual cause of vision loss.

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If you’re experiencing symptoms of ED, it’s important to talk to a medical professional to help identify the cause. They can then help determine which, if any, natural treatment method, medication, or combination of the two is right for you.

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Yale Medicine Urology offers many advanced medical and surgical options to address erectile dysfunction. The department is guided by personalized care to treat the patient.

GAINSWave therapy is effective and safe for men who cannot take oral ED medicine, such as those with heart disease, diabetes, or high blood pressure. GAINSWave can be used to treat Peyronie’s Disease, which Viagra and other oral ED drugs cannot. About Menu Toggle What is GAINSWave ? What to Expect? How it Works? Comparing Treatments FAQs Medical Advisory Board Expected Results Menu Toggle Erectile Dysfunction Treatment Peyronie’s Disease Treatment Sexual Enhancement Clinical Research Testimonials Am I a Candidate? Testimonials Resources Menu Toggle Men’s Health Guide Provider Resources Magazine Press Become a Provider Find A Provider
If ignored, erectile dysfunction can lead to complications, such as an unsatisfactory sex life, low self-esteem, high anxiety, and relationship problems. Getting a partner pregnant also becomes difficult if a man suffers with erectile dysfunction.
Erectile dysfunction is defined as the condition when men are unable to achieve an erection hard or long enough in order to have sexual intercourse, and is common in men over 40 and those with chronic stress and anxiety.
Ginseng, also known as panax ginseng, Korean red ginseng, or Chinese ginseng, has long been a popular herbal remedy in alternative medicine, especially Traditional Chinese Medicine (TCM).
Monday:9:00 AM - 6:00 PMTuesday:9:00 AM - 6:00 PMWednesday:9:00 AM - 6:00 PMThursday:9:00 AM - 6:00 PMFriday:9:00 AM - 6:00 PMSaturdayClosedSundayClosed HealthGAINS works closely with our patients to create custom-tailored, medically guided treatment plans that optimize their mental acuity, body composition and and performance. HealthGAINS can only provide prescriptions or therapy services to patients who have a clinical need. To determine a clinical need, patients must complete any required lab work, physician consultations, examinations and a medical history review. Please note that even if you complete these steps, a clinical necessity for our prescriptions or hormone therapy may not be found. Any claims or opinions stated within our HealthGAINS website should not be constructed as medical advice or as a diagnostic. These products are not intended to diagnose, treat, cure or prevent any disease. Please be advised that the statements on this informational website have not been evaluated by the Food and Drug Administration. © Copyright 2022. HealthGains. Contact us Sitemap Terms of Use & Privacy Policy !

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Yohimbe bark is an herbal supplement that’s used to improve erectile dysfunction, hormone imbalances and low libido. It’s known to increase blood flow to the penis by promoting the relaxation of the penile tissue and opening of the blood vessels. This helps a man to get and sustain an erection.

Commercials for drugs to improve “low T,” or testosterone, the male hormone, are now vying for airtime, but they address desire, not performance. "Male hormone is not an approved treatment for erectile dysfunction," notes Bennett. "It may be used to increase desire in men who have low testosterone, but it doesn’t improve blood flow to an erection." A doctor can do a blood test to check you for low testosterone, but it is a rare cause of ED. Hormone therapy with injections, patches, or gels applied to the skin may improve mood and sex drive, but it likely won’t fix any mechanical issues. Also, testosterone drugs should not be used by men with prostate cancer. Side effects include acne, breast enlargement, prostate enlargement, and fluid retention.
But you'll have to have a consultation with the pharmacist to make sure it's safe for you to take it.
GAINSWave™, the latest ED treatment breakthrough, produces healthier, fuller, and more sustained erections for men with and without erectile dysfunction using this proven method.
Hypogonadism is common in patients with type 2 diabetes, more so if ‘metabolic syndrome’ or obesity is present. The Endocrine Society recommends routine measurement of testosterone levels in patients with type 2 diabetes, but even diabetologists can be tardy in checking this.2 Studies to date have demonstrated strong benefits resulting from testosterone replacement, but this treatment should be individualised and under specialist supervision until long-term studies fully establish its benefits and risks.
Erectile dysfunction (ED) is the inability to get or maintain an erection hard enough for satisfactory sex. The causes of ED can be psychological or physical and usually result in reduced blood flow to the penis - making it harder to get an erection.

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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. erectile-dysfunction-treatment-over-the-counter

Propionyl-L-carnitine (PLC) is a naturally occurring amino acid related to the amino acid derivative L-carnitine. A handful of studies suggest that when used as with sildenafil (Viagra), PLC may enhance the effects of the prescription drug.
If you do not meet the NHS criteria for tadalafil you can get a private prescription from a doctor. This means you'll need to pay the full cost of the medicine.
Often known by the common brand name Cialis, tadalafil is a PDE-5 inhibitor that you take once per day to provide 18-36 hours of effectiveness. This significantly reduces the planning typically involved in using other treatments like sildenafil. That said, some users only take tadalafil as needed, and those dosages can sometimes be different. You and your doctor will decide what’s right for you.
Our doctors, including Dr. Honig, are leaders in the field and stand at the forefront of research in men's health issues.
Complications of ED can arise when the root cause is not identified or addressed and the ED is left untreated. These complications can include: Anxiety or stressLow self-esteemAn unsatisfying sex lifeRelationship problemsInfertilityHigher risk of cardiovascular diseaseHigher risk of heart attackHigher risk of strokeHigher risk of premature death if the ED is left untreated When to See a Doctor

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In recent years, the FDA has seized many over-the-counter products for male sex problems because they contained dangerous or undeclared ingredients. Lab tests have discovered these risky ingredients in nearly 300 products.

The most common side effects of Tadalafil: headache; flushing; upset stomach; abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash.
severe shortness of breath, cough with foamy mucus;ringing in your ears, or sudden hearing loss;irregular heartbeat;swelling in your hands, ankles, or feet;a seizure; or (convulsions); ora light-headed feeling, like you might pass out.
Drumstick is very useful asa sexual tonic in the treatment of sexual debility and functional sterility inboth males and females. The powder of the dry bark is also valuable inimpotency, premature ejaculation, and thinness of semen.
When you login first time using a Social Login button, we collect your account public profile information shared by Social Login provider, based on your privacy settings. We also get your email address to automatically create an account for you in our website. Once your account is created, you'll be logged-in to this account. MedShadow Foundation is an independent nonprofit health & wellness journalism organization focused on helping to protect lives from the side effects of medication and lower risk alternative health options.
What causes ED? There are many causes of impotence both medical and psychological. Often, age is a predominant factor in erectile dysfunction; however, your chronological age is not solely responsible for ED’s development. Men over the age of 40 typically experience ED as the result of inadequate blood flow to the penis, most often due to the narrowing of blood vessels. This can arise due to many causes including:

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Liver toxicity has generally been associated with oral forms of TRT, but does not appear to be a risk in injection or transdermal therapy.39 In patients with marked obstructive sleep apnoea or untreated severe congestive heart failure, these issues should be resolved before initiating TRT.37

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Coronary Artery DiseaseCoronary artery disease (CAD) and ED frequently occur concomitantly due to mutual risk factors such as diabetes, hypertension, and hyperlipidemia. In men with CAD, the incidence of ED is estimated to be 42% to 57%. Because the primary cause of ED is vasculogenic, ED can precede CAD, stroke, and peripheral artery disease by an average of 3 years.27,28 The package insert for PDE5Is cautions providers about using these agents in patients with uncontrolled hypertension (>170/100 mmHg), CAD with unstable angina, or a history of myocardial infarction (MI), stroke, or life-threatening arrhythmia within the past 6 months.8-11 The primary concern with using PDE5Is in these patients is that the physical demands of intercourse could provoke a CV event.
Avanafil (Stendra)Sildenafil (Viagra)Tadalafil (Cialis)Vardenafil (Levitra, Staxyn)
According to the Cleveland Clinic, “because erectile dysfunction is caused by a complex set of psychosocial, neurologic, and vascular factors, a specific cause in a patient may remain ambiguous.” The root causes are often related to a blockage or dysfunction of blood vessels. For example, ED can be due to conditions like atherosclerosis or diabetes, hormonal imbalances or problems related to mental health. It’s been found that common causes typically include one or more of the following factors: (2)
Seidman SN, Roose SP. The relationship between depression and erectile dysfunction. Curr Psychiatry Rep 2000; 2: 201–5. doi:10.1007/s11920-996-0008-0

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Grant PS, Lipscomb D. How often do we ask about erectile dysfunction in the diabetes review clinic? Development of a neuropathy screening tool. Acta Diabetol 2009; 46: 285–90. doi:10.1007/s00592-008-0084-1

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Grant PS, Lipscomb D. How often do we ask about erectile dysfunction in the diabetes review clinic? Development of a neuropathy screening tool. Acta Diabetol 2009; 46: 285–90. doi:10.1007/s00592-008-0084-1

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