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It may not be safe to breast-feed while using this medicine. Ask your doctor about any risk.

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Erectile dysfunction (ED, or impotence) is a condition that causes men to be unable to acquire or maintain an erection.
Ultimately, what works best for you — and what dosage you take — depends on what the consulting physician determines is suitable. They’ll base this determination on your medical background and how you tolerate the medication when you begin using it. You’ll also have some say in the dosage you use to start. .

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Poor sleep patterns can be a contributing factor for erectile dysfunction, Mucher says. One review published in the journal Brain Research emphasized the intricate relationship between the level of sex hormones like testosterone, sexual function, and sleep, noting that testosterone levels increase with improved sleep, and lower levels are associated with sexual dysfunction. Hormone secretion is controlled by the body’s internal clock, and sleep patterns likely help the body determine when to release certain hormones.
Usually you’ll only need a handful of sessions. You may want to include your partner, as well.

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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.
The major cause of erectile dysfunction is restricted blood flow to the penis because of narrowed blood vessels. In fact, because the vessels in the penis are very small compared to other parts of the body, problems with erectile dysfunction can be a warning sign that other vessels, such as those leading to the heart, may eventually be affected. Diabetes, which also can affect the blood vessels, also is linked to erectile dysfunction.

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It's also sometimes used to treat pulmonary hypertension (high blood pressure in the blood vessels that supply the lungs).

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Erectile dysfunction is an inability to maintain an erection. The fastest way to cure erectile dysfunction is to attend to heart and vascular health, psychological health and to use other treatments.

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    Another second-line therapy is the use of alprostadil, either intracavernosal or intraurethral. Two products are available for direct injection, Caverject (Pfizer) or Edex (Actient). A small needle is used to inject the medication into the lateral aspect of the penis through a small-gauge needle.

    With self-injection, a medication is injected directly into the penis to increase blood flow. It is very effective (about 75 percent to 85 percent) and works whether the nerve that controls erections is intact or not. It can be more costly than oral therapies and results in scarring in 5 percent to 30 percent of users (depending on the drug used). To ensure proper dosing, the first dose is generally administered in the doctor’s office.
    Call your doctor right away if you take one of these medications and have a prolonged erection that lasts 4 hours or longer. This condition may cause permanent impotence if not treated.

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    In their extensive review, Bassil and coworkers summarise the benefits and risks, with benefits such as improvement of sexual function, bone density, muscle strength, cognition and overall improvement in quality of life. Among the risks that have been suggested include erythrocytosis, liver toxicity, worsening of sleep apnoea and cardiac function, possibly increasing symptoms of benign prostatic hyperplasia (BPH). They also note that although a possibility of stimulation of prostate cancer has been hypothesised, no scientific or clinical evidence exists to this possible risk.38

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    The information in our articles is NOT intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

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    Link between oxidative stress, endothelial dysfunction and ED. CVD, cardiovascular disease; ED, erectile dysfunction.

    ED can be related to mental or emotional distress which may require other types of treatment such as counseling, but in most cases it is a matter of poor blood flow that could be related to diabetes, heart disease, hypertension, or metabolic syndrome.
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    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.

    Testing and treatment for these conditions is an important step in developing treatment options for ED, but research has uncovered some natural options that men can use to treat or even prevent the condition— something younger men should also consider.
    Clinicians should be aware of these possible detrimental effects of TRT and the possible contraindications, and to prescribe and monitor in an appropriate manner, which may vary from patient to patient.

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Erectile dysfunction can be treated at any age. Treatment depends on your overall health and the underlying cause of the problem.

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All of the ED cases have one thing in common: they result in either decreased blood flow, or atherosclerosis (hardening of the arteries).

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Inflatable implants are a pair of tubes placed in the penis and connected to a squeezable pump inside the scrotum. You squeeze the pump to get an erection. Inflatable implants can also help slightly increase length and width.

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