In men with known CVD, in whom ED is common (prevalence 70%), ED substantially increases cardiovascular risks and is predictive of increased all-cause mortality and of the composite of cardiovascular death, myocardial infarction, stroke and admission for heart failure (hazard ratio 1.42).21
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Thankfully, a few of our top recommendations for the best ED treatment include complimentary consultations with a physician who can help you. Here are some topics that you might discuss during a consultation.
In this article, I’ll describe five of the most common over-the-counter (OTC) ED medications, as well as their risks, potential side effects, and some available brands. Keep in mind that before beginning any OTC ED treatment, it’s important to talk to your doctor to determine which treatment option, if any, is right for you.
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Psychosexual counselling, or sex therapy, is an appropriate recommendation especially for men who are experiencing discord with their partner especially if the conflict is related to the man’s ED. Counselling usually consists of 5–20 sessions with counsellor. It is our recommendation that referral doctors treating men with ED make a referral to a psychotherapist or sex therapist who is certified by AASECT (American Association of Sexuality Educators, Counselors and Therapists) of certified sexuality educator.43
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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Acupuncture is also known to help improve health conditions that are associated with erectile dysfunction, including anxiety, depression, fatigue and inflammation.
The pulsating waves also trigger a healing response that “wakes-up” dormant stem cells and growth factors in the penis for an overall rejuvenation of male erectile tissue.
The following foods can get rid of erectile dysfunction and boost your libido. They include: Banana Watermelon Nuts Avocado Coffee Dark chocolate Leafy greens Pistachios Garlic Onions Shellfish Oysters Carrots Apples Chili peppers Spinach Beets Pomegranate juice.
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Working with erectile dysfunction doesn’t have to be a solo journey. Did you know you can get affordable primary care with the K Health app? Download K to check your symptoms, explore conditions and treatments, and if needed text with a doctor in minutes. K Health’s AI-powered app is HIPAA compliant and based on 20 years of clinical data. Frequently Asked Questions What foods help you get hard? A diet rich in whole grains, fruits, and vegetables, and low in saturated fat, sugar, and red meat may help to support healthy and firm erections. What causes weak erections? The potential causes of erectile dysfunction include underlying health issues such as heart disease, diabetes, mental health problems, and issues affecting blood supply and blood flow. How can I get hard fast without pills? Several natural methods such as improving your diet with healthy foods and engaging in regular exercise may help improve blood flow to the penis. However, these methods are unlikely to provide fast-acting relief for erectile dysfunction. What foods work like Viagra? Viagra works by enhancing the effects of nitric oxide to relax the penile muscles, expand blood vessels that go into the penis, and improve penile blood flow. So far, no studies have found any foods that provide these same benefits for ED. K Health articles are all written and reviewed by MDs, PhDs, NPs, or PharmDs and are for informational purposes only. This information does not constitute and should not be relied on for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. 14 SOURCES
Sildenafil is sometimes used “off-label” to treat other medical conditions, including:
If you're taking tadalafil to treat symptoms of an enlarged prostate gland, you might be able to help the symptoms by making some simple changes to your lifestyle: Related conditions Benign prostate enlargement Ejaculation problems Erectile dysfunction (impotence) Priapism (painful erections) Pulmonary hypertension Useful resources Healthunlocked: tadalafil forum Healthunlocked: Cialis forum Relate: sex therapy Sexual Advice Association 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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Some over-the-counter (OTC) supplements may help increase blood flow to the penis and mitigate the symptoms of ED. Keep in mind that because the FDA doesn’t monitor or approve these supplements, you may not get a consistent dose. Additionally, the supplements may not always contain the ingredient advertised, or they may contain other unlisted ingredients. Ginseng: A small number of studies suggests that red ginseng, or Korean red ginseng, may increase penile blood flow and help treat ED. L-arginine: Some men with ED appear to have low levels of this amino acid. When combined with tadalafil (Cialis) or pycnogenol (a compound found in pine bark), it may help improve ED, but more research is necessary because the studies have been small.Horny goat weed: This herb has long been used in traditional Chinese medicine in the treatment of ED and sexual dysfunction. However, one study from 2017 found that while there is some evidence that it helps increase sexual activity in castrated rats, there is little to no direct evidence it increases penile blood flow in human males. Stretches
In this article, I’ll describe five of the most common over-the-counter (OTC) ED medications, as well as their risks, potential side effects, and some available brands. Keep in mind that before beginning any OTC ED treatment, it’s important to talk to your doctor to determine which treatment option, if any, is right for you.
Certain over-the-counter (OTC) supplements may help with erectile dysfunction, such as: L-arginine in combination with pycnogenol Has been shown in studies to improve sexual function in men with ED Korean red ginseng (also called panax ginseng) Studies have shown improvements in erections Yohimbe Some studies have shown it to be slightly more effective than placebo for ED Carnitine (propionyl-L-carnitine) May improve erectile dysfunction Also used to enhance the effectiveness of sildenafil (Viagra) Dehydroepiandrosterone (DHEA) Declines in DHEA are associated with increased incidence of ED DHEA supplements are often promoted to improve sexual health, though more study is needed
Exercise is also a great way to manage stress, boost mental health and prevent obesity. Like eating a healthy diet, regular exercise is one of the natural remedies for impotence that will improve your overall health.
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Do not take sildenafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate. Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking sildenafil with a nitrate medicine can cause a sudden and serious decrease in blood pressure.
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The best way to find out which treatment options are best for your specific sexual health needs is to discuss your symptoms and medical history, and receive a physical examination from a doctor.
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Erectile dysfunction treatments (such as sildenafil and tadalafil) are effective medicines that have been clinically proven to treat the symptoms of ED. They increase blood flow to the penis, and in doing so, make it easier to achieve harder, longer-lasting erections.
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Psychological factors can contribute to erectile dysfunction and make it difficult for a consulting physician to pinpoint the cause of your ED. You should still respond well to ED medications, but if you’ve exhausted possible physical causes, you may want to speak with a counselor to rule out psychological conditions. Generic available? Brand name(s) Sildenafil Cialis, Adcirca Avanafil Stendra Vardenafil
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Geo Espinosa, ND, director, Integrative Urological Center, NYU Langone Medical Center.
AbstractIntroductionEvaluation of the patient with EDBaseline investigationsDiabetes mellitusSignificance of ED and cardiovascular riskLifestyle modification and aggressive management of risk factorsOffering treatmentConclusionsAcknowledgmentsReferences
No matter what erectile dysfunction treatment or treatments (whether herbal remedies or not) a man ultimately decides upon, experts say it's important to eat healthily and to avoid smoking and heavy drinking. Moreover, adequate exercise, stress reduction, and sleep can improve erection problems in many. In addition, says Lamm, "A loving, receptive, and responsive partner is a home run. After all, this is still a couple's issue." SLIDESHOW Erectile Dysfunction (ED) Causes and Treatment See Slideshow Chen, J. BJU International 83 (1999): 269-273. "Erectile Dysfunction." National Kidney and Urologic Disease Information Clearinghouse. Shabsigh, Ridwan, et al. "A Multicenter, Double-blind, Placebo-controlled Trial to Assess The Efficacy of Sildenafil Citrate in Men With Unrecognized Erectile Dysfunction." Urology 76.2 Aug. 2010: 373-379. Stanislov, R. Journal of Sex & Marital Therapy 29 (2003): 207-213. Tamler, Ronal. Men's Health Program, Mount Sinai Medical Center, New York City.
ED treatments are becoming safer and more effective than ever. With advances in treatment options including our effective treatment, side effects of erectile dysfunction treatments are limited to the less legitimate and non-FDA approved treatments that one may find in stores or infomercials.
The usual dose is 10mg. Your doctor may increase or decrease your dose, depending on how well it works and how often you take it.
The association of CVD and ED was noted in 1997 as one analysed the results of the MMAS. In this landmark study, 1709 men aged 40–70 years were enrolled between 1987 and 1989. A follow-up some 10 years later revealed a striking relationship between ED and CVD. In this study, it became clear that the risk factors for ED were very similar to those of CVD, such as diabetes mellitus, smoking and dyslipidaemia.18
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Certain exercises help control blood pressure and improve blood flow. Your doctor will advise you on the type of exercises that can improve your condition.
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Innerbody Research does not provide medical advice, diagnosis, or treatment. You must consult your own medical professional.
ED is a common health condition with many possible underlying causes. One of these potential causes happens to be low testosterone. A testosterone test can help you determine if this is what’s behind your ED. Thankfully these days, you have the option of testing your testosterone at home, with no lab order and no waiting in a medical office. We recommend you check out the high-quality at-home Testosterone Test from LetsGetChecked.
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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.
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ED is a common health condition with many possible underlying causes. One of these potential causes happens to be low testosterone. A testosterone test can help you determine if this is what’s behind your ED. Thankfully these days, you have the option of testing your testosterone at home, with no lab order and no waiting in a medical office. We recommend you check out the high-quality at-home Testosterone Test from LetsGetChecked.
How can you reduce stress and improve erectile dysfunction? Try practicing breathing exercises that can lower your blood pressure, increase your mindfulness and reduce your anxiety levels. Physical activity will also help to reduce stress, especially practicing yoga, and running or walking outdoors. Did you know that yoga changes your brain and can actually impact your GABA (the “chill out” neurotransmitter) levels?
Despite the tremendous success of currently available PDE-5 inhibitors like sildenafil and tadalafil, research continues into additional treatments that could have greater efficacy, fewer side effects, or both. Some of these are additional oral medications, while others involve new medical devices applied to the penis directly.
Response is dose related and usually occurs within 10–15 min, and does not require stimulation. The intraurethral preparation, medicated urethral suppository for erection (MUSE), consists of a tiny pellet of drug inserted into the urethral meatus. Response is also dose related, and onset similar to the cavernosal preparations.
Clinically proven to help erections stay harder for longer, tadalafil gives you greater flexibility when planning to have sex. It lasts for 36 hours (9 times longer than sildenafil), so you can enjoy sex without needing to take a tablet immediately beforehand.
Research shows that taking Korean red ginseng can help to improve erectile dysfunction and other symptoms of sexual dysfunction. When researchers conducted a systematic review evaluating the efficacy of red ginseng in treating erectile dysfunction, using doses ranging from 600 to 1,000 milligrams for a four–12 week period, they found that the herb was associated with significantly better response rates than placebo in all patients. (25)
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Blood vessels in the penis are examined to observe any problem in the penile blood flow.
Dehydroepiandrosterone (DHEA) is an important hormone for sexual function that’s naturally produced in the body. Generally DHEA levels peak when a person is in their 20s and gradually decrease thereafter.
Erythrocytosis has been noted in men on TRT, and should be monitored every 6–12 months depending upon the patients’ response to changes in haematocrit levels. For mild elevations, the dosage of testosterone can be decreased or the interval of using the medication can be increased. With the haematocrit greater than 50%, decisions to temporarily discontinue the medication or periodic phlebotomy may be indicated.38
If you think you or someone else may have overdosed on: Viagra (Sildenafil (Injection)), call your doctor or the Poison Control center
Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
How well does the company deliver their core services or products to the customer? Is the quality of the product or service high enough that we would recommend it to loved ones without hesitation? The prescription medications in this guide are highly regulated, so their quality is extremely high. That said, we found BlueChew to offer the highest quality and most user-friendly product. Their chewable tablets are both convenient and effective.
If your erection problems have a medical cause, your doctor can explain the treatment options, the techniques needed to make them work and their suitability for your needs based on your overall health.
Erectile dysfunction is the inability to achieve or maintain an erection that is sufficiently rigid for sexual intercourse. Sexual drive and the ability to have an orgasm are not necessarily affected. Because all men have erection problems from time to time, doctors diagnose erectile dysfunction if a man fails to maintain an erection satisfactory for intercourse on at least 25% of attempts. Worldwide, erectile dysfunction occurs in close to 20% of men.
Like all medicines, tadalafil can cause side effects in some people. Many people have no side effects or only minor ones.
4. Yafi FA, Jenkins L, Albersen M, et al. Erectile dysfunction. Nature Reviews Disease Primers 2016 2:1. 2016;2(1):1-20.
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Do you know about all the serious issues with Viagra, Cialis, and all their generic substitutes? Learn how men are able to regain full function without pills, shots, or surgery and go back to being intimate the natural way.
