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Depression can have many sexual side effects, including erectile dysfunction. Medications called selective serotonin reuptake inhibitors (SSRIs) that are used to treat depression can also affect sex drive, erectile function, and the ability to orgasm.

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Stem cell intracavernosal therapy and platelet‐rich plasma (PRP) therapy are both considered investigational.
Access to the following regional pathways is localised for each region and access is limited to health providers. If you do not know the login details, contact your DHB or PHO for more information: Northland Auckland Region Midland Region Hawke’s Bay Whanganui & MidCentral Wairarapa, Hutt Valley, Capital and Coast (3D) Nelson-Marlborough West Coast Canterbury Aoraki (South Canterbury) Southern “ I always recommend Health Navigator resources to my patients. It provides high quality, reliable, NZ relevant information in a clearly organized and easy to understand way. This means people can quickly get the key information or dig deeper when needed. ” Dr Rebecca Grainger “ Health Navigator is such a valuable resource. It’s useful for consumers, health professionals and health students as it covers a diverse range of topics, the explanations are easy to understand, and most importantly is credible and NZ focussed. ” Dr Michelle Honey “ Health Navigator offers people different ways to learn about their health. It’s New Zealand-based and developed by New Zealanders so the information is relevant to us. ” Dr. Jeff Lowe “ I was really impressed because health is covered in its entirety. It’s a very useful site for clinicians or anyone interested in gaining knowledge around the current status of indigenous wellbeing here in Aotearoa. ” Mary Maringikura Campbell (Consumer Consultant) “ Health Navigator provides the whole package of information on a topic. There is a high level of health literacy for the website itself and the information provided. ” Christine Andrews “ Health Navigator helped me understand my medicines in a clear way. ” Website survey, 2016 “ Health Navigator is an excellent 'go-to' site for New Zealanders. The articles are well written and very clear to understand. They provide enough information to make an informed choice as to where to go next. An excellent resource. ” Megan Clark “ I use Health Navigator because my doctor recommended it as the go-to site where the information can be trusted. And because my experience here has supported this. ” 2022 Survey feedback 4 “ I am a practice nurse and it’s important that I can direct my patients to good, reliable sources, so they can educate themselves and therefore improve health outcomes for them and their families/whānau, as well as helping to slow/reduce the risks for us all. ” 2022 Survey feedback 5 “ 10 / 10. User friendly website, language is easy to follow. This enables [my] whānau to manage health related issues as best they can. ” 2022 Survey feedback 1 “ 10 / 10 Love the simple language that you use, but also the strong evidence-based nature of the info you provide. This website is always my go to for trusted information for my patients. ” 2022 Survey feedback 2 “ I don't have time to assess the quality of the many websites out there I would want to refer people to. Health Navigator solves this in one easy step. It is my "go to place" to send people for great information and self-management support. ” Dr David Codyre “ I often refer colleagues, patients and friends to Health Navigator. It is a trusted site with clearly written health information for New Zealanders. It is wonderful to have a good collection of translated resources too. ” Angela Lambie “ 10 / 10 It's informative and interesting, and it's great to see real people sharing real stories and real innovations that work! I love the Māori and Pasifika world views. ” 2022 Survey feedback 6 “ Thanks for the great service. I love that it’s free and doesn’t have heaps of ads popping up everywhere. Overall, a pleasure to use thank you. ” 2022 Survey feedback 3 “ Our nurses, doctors, pharmacists and other professionals find Health Navigator a trustworthy, understandable and up -to -date source of health information that we and our patients and their whanau can access at a time and pace appropriate to them. ” Helen Francis Home About Get involved Contact NZ health system News Copyright © 2022 Health Navigator Accessibility Terms & conditions Privacy policy Cookie policy .

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Alprostadil that is administered by a direct intracavernosal injection is successful in about 85% of men who do not respond to PDE-5 inhibitors.
If someone collapses or isn't breathing after taking Viagra (Sildenafil (Injection)), call 911

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Not only does exercise improve your body’s overall blood flow, but it increases nitric oxide in your blood vessels (like erectile dysfunction medication does) to manage your blood pressure. Several studies have shown that certain exercises like HIIT and weightlifting can also increase your body’s levels of testosterone.
These natural alternatives to ED drugs are widely used. Each comes with its own set of pros and cons.

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To improve sexual function with rose oil, diffuse 5 drops at home or rub 2 drops on your neck before you are planning to engage in sexual activity.

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Men in their 40s with erectile dysfunction (ED) compared with men without a history of ED have an increased risk of developing cardiovascular disease (CVD) in 5 years.

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    This medication will not protect you from sexually transmitted diseases--including HIV and AIDS. Using a condom is the only way to protect yourself from these diseases.

    Low-intensity extracorporeal shock wave therapy is considered investigational. The benefits do not outweigh the risks. There is only a small amount of evidence that it works for the short term and little evidence that normal erectile function returns after treatment..
    Contributors DFM and NB wrote the majority of the manuscript. MK wrote the section on testosterone and made review comments and approved the final manuscript along with the attached figure. ContentLatest content Current issue Archive Browse by collection Most read articles Responses JournalAbout Editorial board Sign up for email alerts Subscribe Thank you to our reviewers AuthorsInstructions for authors Submit an article Editorial policies Open Access at BMJ BMJ Author Hub HelpContact us Reprints Permissions Advertising Feedback form Website Terms & Conditions Privacy & Cookies Contact BMJ Cookie Settings Copyright © 2022 The Fellowship of Postgraduate Medicine. All rights reserved.

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    However, speak to a pharmacist or doctor before taking it if you're trying to get pregnant.

    When men begin to develop heart disease and high cholesterol, fat builds up around the arteries, and the artery becomes hardened by calcification, preventing sufficient blood flow to tissues. As a result, these processes are resulting in: Difficulty getting an erection for men over 40 Difficulty having pleasurable orgasms Decreased sensitivity Increased refractory period Softer, more flaccid erection
    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

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    With this alternative ED treatment, there are no expensive prescriptions to remember to take or refill, and no penile implants or surgery. There are none of the harmful side effects with this ED treatment as with oral drugs.

    It helps reduce symptoms of an enlarged prostate gland, such as difficulty peeing or needing to pee urgently, by relaxing the muscles in the prostate and bladder.
    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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    You could also try a medicine called alprostadil (only available with a prescription). This is a man-made hormone that helps to stimulate blood flow to the penis.
    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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Repair blood vessel blockages to improve blood flow to the penisBlock veins to prevent blood from leaking out of the penis

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Men who have ED should not ignore the ailment. After all, more than 40 percent of men over the age of 40 struggle with ED. Men struggling with ED should talk to their doctor about potential causes and treatment options, as well as make lifestyle changes to reduce incidence. Young men should take preventive steps, including the development of healthy lifestyle habits, like eating a balanced diet and maintaining a healthy weight, which can reduce their risk of ED.

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The cause of erectile dysfunction might be in your jeans. Specifically, in the waistband of your jeans. Men with a waist size higher than 42 inches are 50% more likely to experience erectile dysfunction than men with a 32-inch waist. Larger lads are also more likely to suffer from diabetes, which is another factor in erectile dysfunction.

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Also, dip theepowder of black gram in onion juice for seven days and then dry the mixture.This mixture is a strong aphrodisiac and can be taken daily for improving sexualperformance.

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