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Erectile dysfunction or ED is the inability to get or keep an erection, preventing a man from having or finishing sexual intercourse. While many men experience erectile dysfunction occasionally because of stress, fatigue, alcohol, or emotional issues, some men have recurring episodes of ED that occur 25% of the time. Unable to get an erection at any time Able to get an erection sometimes but not every time they want to have sex Able to get an erection, but it does not last long enough to complete intercourse Diabetes, especially uncontrolled type 2 diabetes High blood pressure Atherosclerosis (hardening of the walls of the arteries) Chronic kidney disease (CKD) Fatigue Drug abuse Excessive alcohol or tobacco consumption Certain medications (such as antidepressants, blood pressure medications, sedatives, appetite suppressants, or medications to treat prostate cancer) Injury to the brain or spinal cord Psychological issues, such as anxiety, stress, or depression, or relationship problems Radiation therapy to the testicles or pelvic region Hypogonadism (reduced levels of the male hormone testosterone) Multiple sclerosis Stroke Parkinson’s disease Obesity Surgeries on the bladder or prostate Lack of physical activity .
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.
https://pubmed.ncbi.nlm.nih.gov/26391406/ Biological Activities of Ginseng and Its Application to Human Health. (2011).
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It is recommended that prior to proceeding with other therapies, patients reporting failure of their PDE5 inhibitors should be evaluated to determine whether the trial was adequate. This would include discussion of fatty food ingestion, which is important with sildenafil, and specific patient population such as prostatectomy and diabetes. Furthermore, patients should be encouraged to continue attempts at intercourse up to the eighth to tenth dose of PDE5 inhibitor as improvements in success rate are seen up to the eighth to tenth dose.
https://pubmed.ncbi.nlm.nih.gov/15383186/ Pharmaceutical quantities of yohimbine found in dietary supplements in the USA. (2016).
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Psychological factors, like increased stress and anxiety, can certainly lead to erectile dysfunction and other sexual dysfunction symptoms. Research shows that reducing stress and anxiety levels can help to improve erectile dysfunction.
Erectile dysfunction occurs when sexual stimulation or arousal does not result in enough blood flow to your penis, even though you may still have the urge. For some men there is a physical or medical reason for this. For others the problem is related to thoughts or emotions.
Some companies tailor their supplements to target ED and increase sex drive and performance. Unfortunately, you have to shop very carefully because these can be highly sketchy products from disreputable companies. The safest first step may be to try supplements of single ingredients like the ones detailed above, but that also requires patience and a higher budget for trial and error. When it comes to broader, multi-ingredient supplementation for ED, we can recommend these three:
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.
Espinosa says it can ease symptoms of exhaustion and ED. And it’s less likely to leave you feeling wired than some other products. The side effects are minimal, he says, both in his experience and in the studies he’s seen.
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.
When you take erectile dysfunction tablets, you can expect to experience stronger, longer-lasting erections. However, this won’t be instantaneous. Each ED treatment takes a certain amount of time to take effect, so you should take this into account when you’re planning to have sex. Time to take effectLasts for up to Sildenafil 50mg1 hour4 hours Viagra Connect 50mg1 hour4 hours Tadalafil 10mg30 minutes36 hours Tadalafil Daily 2.5mg3-5 daysContinuous effect
Tablets for erectile dysfunction are called phosphodiesterase-5 (PDE5) inhibitors such as sildenafil (Viagra, Silvasta, Vedafil), tadalafil (Cialis) and vardenafil (Levitra). These medicines usually enable an erection by relaxing the blood vessels in your penis, but only when you are stimulated or aroused. They are all similarly effective. Read more about PDE5 inhibitors and frequently asked questions about their use.
https://pubmed.ncbi.nlm.nih.gov/15213209/ Erectile Dysfunction. (n.d.).