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Blood vessel repair is best for men with a small blockage. It usually doesn’t work well for men who have more widespread blockages.

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There are contraindications for each drug (i.e., reasons why a person should not try to use it). Men with certain liver, kidney, or cardiovascular conditions may not be able to take ED medications safely. Men taking nitrates and alpha-blockers to treat hypertension may need to find other ways to treat their ED. Other health conditions could make PDE-5 medications unsafe for men.
If you have kidney or liver problems your doctor might decrease the starting dose to 10mg or 20mg. .

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“Alcohol is a depressant and can cause both temporary and long-term erectile dysfunction,” Mucher cautions.
With urethral suppositories, a small medicated pellet, about the size of a grain of rice, is inserted into the urine passage. While fast and relatively easy, it is only about 30 percent to 65 percent effective. Known as MUSE (medicated urethral system for erection), this option takes five to 20 minutes to achieve an erection and is often used in men who take blood thinners and who cannot use the self-injection option.

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In many situations, identifying an underlying minor physical problem relieves the anxiety component of erectile dysfunction, and many patients see improvement without further intervention.
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Another placebo-controlled study showed that taking two 800 milligram tablets for two weeks improved erectile function in men with minimal erectile dysfunction. There’s also research that suggests using l-arginine in combination with l-glutamate and yohimbine hydrochloride is more effective than using l-arginine alone. (27)

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In recent years, there has been more and more research pertaining to the rise of pornography-related sexual dysfunction. Researchers believe that the unique properties of internet pornography, including its easy accessibility, limitlessness, variety and format, may be conditioning younger men’s sexual arousal to aspects of sexuality that do not easily transition to their real-life partners. It’s possible that for men who are constantly exposed to internet pornography, sexual activity with their real-life partners often doesn’t meet their expectations, which can lead to arousal declines.

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    Viagra is usually taken only when needed, 30 minutes to 1 hour before sexual activity. You may take it up to 4 hours before sexual activity. Do not take Viagra more than once per day.

    Take 5 to 10 minutes before planning to have sex; erections last for 30 to 60 minutes.
    Supplement companies market yohimbe as a natural remedy to support weight loss and treat conditions like ED, high blood pressure, angina, and diabetes-related nerve damage (diabetic neuropathy).

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    The idea of using low-energy shock waves to treat erectile dysfunction comes from studies that show that these types of shocks help heart blood vessels regrow, a process called revascularization. Shock wave therapy may also work on the penis, and there have been some promising results, but it’s not currently an approved ED treatment. "It’s similar to the type of shock waves used to break up kidney stones, and it may cause revascularization,” says Bennett. “However, there are not yet any good controlled studies to recommend it to patients."

    Several erectile dysfunction patients have overcome the condition in ways that do not include medicine. As a result, a major means of treatment advised for patients with erectile dysfunction is the use of natural alternative methods. Dehydroepiandrosterone (DHEA). Asparagus racemosus. Ginseng. Yohimbe. Horny goat weed. Zinc. L-carnitine. L-arginine.
    Viagra usually starts to work within 30 to 60 minutes. You’ll need to be aroused for this medicine to work.

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    In the Health Professionals Study, smoking increased the risk of developing ED by 50%.25 In the Massachusetts Male Aging Study, men who smoked at baseline increased their risk of developing moderate or total ED to 24%, compared with 14% of non-smokers (p=0.01).26 When considering overall vascular health, advice and support to enable individuals to stop smoking are essential lifestyle interventions.

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    Stem cell intracavernosal therapy and platelet‐rich plasma (PRP) therapy are both considered investigational.

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    There are several potential causes of ED, including underlying health issues such as heart disease or diabetes, so it’s important to speak to your healthcare provider as soon as possible if you’re experiencing symptoms.

    Take 5 to 10 minutes before planning to have sex; erections last for 30 to 60 minutes.
    Did you know that diabetes can contribute to erectile dysfunction and other men’s health conditions? Find out more about why treating your diabetes is important. Get more education on diabetes awareness.

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May be taken with or without food, and with a moderate amount of alcohol (three drinks). Drinking more than that can increase the chances of side effects like rapid heart rate, low blood pressure, dizziness, and headaches. Grapefruit juice should be avoided

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Erectile dysfunction, also known as ED or impotence, is defined as the inability to maintain a penile erection sufficient for successful sexual intercourse. Achieving an erection is a complex process involving the brain, hormones, nerves, muscles, and blood circulation. If something interferes with this process, the result can be erectile dysfunction.

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Sildenafil does not protect against sexually transmitted diseases, including HIV.

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