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Men in their 40s with ED have a 50-fold increased risk of CVD and men in their 20s and 30s have a sevenfold increased CV risk.25

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The hardening of the arteries associated with smoking tobacco can reduce flowing blood to the penis. Smoking also results in oxidative stress – another risk factor for erectile dysfunction. Fortunately, quitting smoking has shown to relieve much of the ED risks associated with the habit.
Your doctor may make suggestions to improve your overall health, including the health of your heart and circulatory system. Increasing your amount of exercise, eating well, and ensuring that you get sufficient vitamins and minerals can help with this overall wellbeing. Another recommendation may be reducing or eliminating your use of drugs, tobacco, or alcohol. Your doctor may also recommend losing weight. .

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Dr. Honig is an internationally recognized speaker on issues related to sexual health and conducts research into experimental treatments of erectile dysfunction. Our researchers are studying the links between erectile dysfunction and cardiovascular disease.
Also, it is important to remember that there are psychogenic issues such as performance-related issues, traumatic past experiences, relationship problems, anxiety, depression and stress that can certainly cause or be considered a comorbid condition contributing to ED.

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Sildenafil (our most popular ED treatment) is manufactured in a variety of colours, but most men don’t know that it can...
18. Caverject (Alprostadil) [Prescribing Information]. New York, NY: Pfizer Inc; December 2017.

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Do It AtHome: Take 15 grams of the dried roots ofasparagus and boil it with one cup of milk. Take this mixture twice daily forsatisfactory results. The regular use of this recipe is valuable to cureimpotency and premature ejaculation.

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But Erectile Dysfunction can also be caused by emotional issues – like stress, anxiety or depression -- or lifestyle choices – smoking, drinking and inactivity. These often respond well to natural treatment.

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    We understand your concerns and can answer your questions about male sexual issues. We’ve heard it all before, and we can find the answers—and the treatment—that is personally best for you.

    Experts feel that treating erectile dysfunction on your own, without consulting a doctor, is unsafe. "If you have ED, the first thing you need is a diagnosis," says impotence expert Steven Lamm, MD, a New York City internist and the author of The Hardness Factor (Harper Collins) and other books on male sexual health. He says men with severe erectile dysfunction probably need one of the prescription ED drugs, which include the PDE-5 inhibitors Levitra (vardenafil), Cialis (tadalafil), and Stendra (avanafil), as well as Viagra. But, he says, mild ED -- including the feeling that "you're not as hard as you could be" -- often responds to natural remedies.
    If you are taking a medicine and are worried about its effects, don't stop taking it suddenly. Instead discuss this with your doctor or pharmacist. There might be a different medicine you can take that is less likely to cause sexual problems. Read more about medicines and sexual problems. existing values or attitudes towards sex stress, guilt, depression or fatigue performance-related anxiety about your performance during sex traumatic past experiences including sexual abuse poor body image relationship problems (possible anger, power or control issues with your partner) problems with intimacy and communication intercourse less than once per week (twice the risk of developing erectile dysfunction).

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    K Health provides a simple, accessible option for ED treatment. Chat with a doctor to determine whether you are experiencing ED. Your doctor will then prescribe you medication, which can be picked up at a local pharmacy or shipped discreetly directly to you. They will also provide a longer-term care plan to help you manage your ED. What is the best drug for erectile dysfunction? The best drug to treat your erectile dysfunction is the medication that your doctor recommends. If you are trying to figure out which medication is best for your ED, you can chat with a doctor and get a prescription with K Health. Can you cure erectile dysfunction at home? With the right medication, you can effectively treat erectile dysfunction at home. Depending on the specific cause of your ED, though, the right diagnosis and course of treatment may help cure it without the use of medication. Reach out to your healthcare provider for a consultation. What is the safest erectile dysfunction drug? All FDA-approved ED medications available on the market have undergone thorough clinical testing to ensure that they’re safe to use. However, over-the-counter (OTC) supplements have not been tested or approved by the FDA and therefore can contain ingredients or cause side effects that are unknown or undisclosed. When selecting an OTC medication or supplement, be sure to speak to your doctor about which option is safest and won’t interact with any of your current medications or supplements. Which drugs can cause erectile dysfunction? If you suspect a current medication may be causing your erectile dysfunction, speak to your doctor. Drugs that can cause erection problems include antidepressants, psychiatric medicines, antihistamines, high blood pressure medications, beta blockers, chemotherapy, hormonal medicines, and some recreational drugs. 6 SOURCES l-arginine and Erectile Dysfunction. (2019).

    Keeping yourself hydrated is one of the factors for maintaining a firm penis. Undergoing stress maintenance is also good for healthy sex life alongside exercises.
    chest pains – if this happens during or after sex, get into a semi-sitting position and try to relax (remember do not use nitrates for chest pain while taking tadalafil)prolonged and sometimes painful erections – if you have an erection that lasts for more than 4 hours, contact a doctor immediatelya sudden problem with your eyesight or hearinga serious skin reaction – symptoms may include red raised patches on your skin or red spots (hives), a swollen face and swelling around the eyesseizures or fitsSerious allergic reaction Immediate action required: Call 999 or go to A&E now if: you get a skin rash that may include itchy, red, swollen, blistered or peeling skinyou're wheezingyou get tightness in the chest or throatyou have trouble breathing or talkingyour mouth, face, lips, tongue or throat start swelling

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    It is more likely that you’ll develop ED as you get older, but aging itself does not cause erectile dysfunction. Many factors can cause erectile dysfunction, including those that affect your endocrine, vascular and nervous systems.

    It's also important to know that drinking alcohol won't help you maintain an erection. In fact, excessive alcohol use can be a cause of erectile dysfunction.
    Testosterone replacement in patients with hypogonadism remains controversial. A double-blind placebo controlled study using long-acting testosterone undeconate and involving seven UK general practices showed small changes in glycated haemoglobin (HbA1c) (reduced from 7.61% to 7.52%) over 30 weeks but marked changes after a further 22 weeks (down from 8.3% to 7.3%). Mean weight loss was 2 kg with a 1.5 cm reduction in waist circumference.9 There was no significant increase in mean PSA and mean haematocrit was unchanged. Another meta-analysis showed significant reduction in fasting plasma glucose, HbA1c, fat mass and triglycerides, but no significant change in total and high-density lipoprotein cholesterol, blood pressure or BMI.10

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    Please see your primary care provider before scheduling an appointment with one of our specialists. If you don't have a primary care provider, we can help you find one. Locations Urology - Charlois 336-716-4131 336-713-0328 (FAX) Urology - Foothills 336-786-5108 336-783-6842 (FAX) Urology - Janeway Tower 336-716-3325 336-716-9916 (FAX) View All Locations Urology - Lexington 336-716-2011 Urology - Medical Plaza North Elm 336-713-9164 (FAX) Urology - Gatewood 336-878-6511 336-878-6512 (FAX) Close All Locations Referring Physicians

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    For some men, vacuum pump devices, rigid or inflatable surgical penile implants or testosterone replacement (only for men with unequivocally low levels of this hormone) may also be options. Constriction bands at the base of the penis can be a treatment option for men with non-sustained erections. Discuss these options with your doctor.

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Erectile dysfunction can be diagnosed by physical examination alongside previous medical conditions.

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Research shows that saw palmetto extract has been used extensively in the treatment of lower urinary tract symptoms and improves prostate health. And although the results are mixed, studies have shown that saw palmetto is also effective in improving erectile dysfunction. An animal study, for instance, evaluated the erectile functions of rats and rabbits that received saw palmetto extract. Researchers found that saw palmetto caused a relaxant response within the erectile tissue of the animals, allowing for increased blood flow. (22, 23).

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