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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.

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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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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

    Get an early start on good lifelong health by learning about the services and advice your family doctor can… © 2022 American Academy of Family Physicians | Privacy Policy | Copyright & Permissions Atrium Health Wake Forest Baptist School of Medicine Innovations Explore Our System Search Pay My Bill Clinical Trials Careers Giving
    Psychotherapy and psychoactive medications may be recommended for men who have erectile dysfunction due to depression and/or anxiety. Counseling with a sex therapist may be helpful for men with performance anxiety. SLIDESHOW Sex-Drive Killers: The Causes of Low Libido See Slideshow Men's Health Resources When Prostate Cancer Spreads12 Devices That Can Help Your Low VisionHow to Choose a Doctor https://www.uptodate.com/contents/sexual-problems-in-men-beyond-the-basics?search=Erectile%20Dysfunction&source=search_result&selectedTitle=5~150&usage_type=default&display_rank=5 https://www.uptodate.com/contents/overview-of-male-sexual-dysfunction?search=Erectile%20Dysfunction&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2#H2095608 https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction/symptoms-causes https://www.medscape.com/answers/444220-69976/what-is-the-role-of-yohimbine-in-the-treatment-of-erectile-dysfunction-ed https://www.fda.gov/drugs/medication-health-fraud/public-notification-herb-viagra-contains-hidden-drug-ingredient-0 Health guides > Erectile Dysfunction > Over The Counter Treatment... Can You Get ED Medication Over the Counter? By Terez Malka, MD April 5, 2021 Table of contents What is ED? Standard Treatments OTC Treatments Warnings & Risks Is OTC Treatment Right for You? When to See a Doctor What is ED? Standard Treatments OTC Treatments Warnings & Risks Is OTC Treatment Right for You? When to See a Doctor

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    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

    Erectile dysfunction is a type of sexual dysfunction that’s characterized by the inability to develop or sustain a penile erection. Normally, an erection occurs when blood vessels in the penis relax and open up, allowing blood to rush through and fill the area. The blood is then trapped because of the added pressure, which causes an erection. An erection is reversed when the muscles in the penis begin to contract, which stops the inflow of blood and pressure.
    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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    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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