heart failure;angina (chest pain);a heart rhythm disorder;a heart attack or stroke;heart surgery;severe or uncontrolled high blood pressure;low blood pressure;retinitis pigmentosa (an inherited condition of the eye);hearing or vision problems, or vision loss;bleeding problems;a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia;a stomach ulcer;liver disease, kidney disease (or if you are on dialysis);priapism (an erection that is painful or lasts longer than 4 hours);a physical deformity of the penis (such as Peyronie's disease); orif you have been told you should not have sexual intercourse for health reasons.
Pomegranate: Juice and extract from this fruit is known for being packed with nutrients. But Espinosa says it can also help arteries expand and remain supple. While no real proof ties it to erectile dysfunction, he suggests it to his patients for its overall health benefits. .
Even if you’re wary of trying a full-blown male sex toy, don’t be intimidated by small devices that are specifically designed to prevent erectile dysfunction. There are erection rings - little plastic devices that fit snugly at the base of the penis - that help men stay firm. You can’t keep them on for long, but they may be worth trying.
Sildenafil does not protect against sexually transmitted diseases, including HIV.
While most men will have occasional difficulty achieving a healthy erection during sexual intercourse, ED is only considered a possible medical explanation for these symptoms if erection difficulties have been affecting a man for an extended period of time. When blood flow to the two chambers of the penis, known as the corpora cavernosa, are blocked or restricted for any reason, this can result in ED.
Implants, or prostheses, help restore firmness for many men with ED. There are two types:
In cases of underlying conditions resulting in erectile dysfunction, treating the underlying condition can help reverse the dysfunction.
Several non-pharmaceutical methods may help increase blood flow to the penis naturally. You can try these alone or in conjunction with medication.
Patients should be referred to specialists if there is any obvious abnormality, be it endocrine, neurological, cardiovascular or urological.
Sildenafil is sometimes used “off-label” to treat other medical conditions, including:
Algorithm for evaluating and managing the patient with ED. CV, cardiovascular; CVD, cardiovascular disease; ED, erectile dysfunction.
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.
Pomegranate: Juice and extract from this fruit is known for being packed with nutrients. But Espinosa says it can also help arteries expand and remain supple. While no real proof ties it to erectile dysfunction, he suggests it to his patients for its overall health benefits.
1. Overview2. Symptoms3. Causes4. Diagnosis5. Prevention6. Treatment7. Everyday Life8. Questions9. Resources
Schwartz BG, Kloner RA. Clinical cardiology: physician update: erectile dysfunction and cardiovascular disease. Circulation 2011; 123: 98–101. doi:10.1161/CIRCULATIONAHA.110.984179
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You want to avoid eating foods that can cause inflammation, worsen stress, cause fatigue and even impact your hormonal balance. These foods include: Packaged and processed foods Refined vegetable oils Refined and processed grains Artificial sweeteners Sweetened beverages Too much caffeine Too much alcohol