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Lifestyle changes are one of the most effective treatments. Weight loss, increased physical activity, cutting out smoking, getting enough sleep and reducing alcohol can all have a big effect on erectile dysfunction. If you have obstructive sleep apnoea, make sure you are using your CPAP machine.

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Can be taken with or without food but must be allowed to dissolve on the tongue without chewing.
A number of treatments help reduce swollen prostate tissues. UroLift is a new, minimally invasive procedure for men with benign prostatic hyperplasia. .

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If you have symptoms like needing to pee more often, you may also need to have an examination of your prostate. Treatment for erection problems depends on the cause
DHEA (Dehydroepiandrosterone). Testosterone is essential for a healthy libido and normal sexual function, and erectile dysfunction sufferers known to have low testosterone improve when placed on prescription testosterone replacement therapy. Similarly, studies have shown that taking over-the-counter supplements containing DHEA, a hormone that the body converts to testosterone and estrogen, can help alleviate some cases of ED. But DHEA can cause side effects, including suppression of pituitary function, acne, hair loss and its long-term safety is unknown, says McCullough. For this reason, many experts discourage use of the supplements.

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Psychological therapies are important as ED can be both the cause and a consequence of a variety of mental health problems. Sex therapies such as sensate focus are available on the NHS.
Benign Prostatic Hyperplasia/BPH, Erectile Dysfunction, General Urology, Kidney Stones, Male Sexual Health, Overactive Bladder (OAB), Prostate Cancer, Scrotal/Testicular/Penile Surgeries, Urinary Incontinence, Varicoceles More...

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Use Viagra (Sildenafil (Injection)) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

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The pressure applied to the pelvic floor during these activities can result in nerve and vascular damage that may inhibit erections.

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    Having 1 beer or glass of wine is not likely to stop or delay tadalafil from working.

    Can we develop a simple yet accurate method to distinguish organic from psychogenic ED?
    It is more likely that you’ll develop ED as you get older, but aging itself does not cause erectile dysfunction. Many factors can cause erectile dysfunction, including those that affect your endocrine, vascular and nervous systems.

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    https://journals.sagepub.com/doi/full/10.1177/2631831818822018 Treatment of erectile dysfunction with pycnogenol and L-arginine. (2003).

    There are several different forms of therapy that can help. Cognitive Behavioural Therapy (CBT) is a simple way of breaking out of mental ruts (for example, expecting not to be able to achieve an erection, which becomes a self-fulfilling prophesy) whereas Psychosexual Therapy can help with erectile dysfunction caused by stress, trauma or relationship problems. Or Couples Counselling can address ongoing issues between you and your other half.
    Some herbal products and supplements can cause side effects or interact with other medicines. Talk to your doctor or pharmacist before you try an alternative treatment for erectile dysfunction, especially if you're taking medications or you have a chronic health problem such as heart disease or diabetes.

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    Sildenafil (our most popular ED treatment) is manufactured in a variety of colours, but most men don’t know that it can...

    A wealth of research has gone into finding effective treatments for male sexual health issues. Evidence-based methods of treatment for both erectile dysfunction and premature ejaculation are widely available and can even be purchased online.
    Can’t or don’t want to take ED drugs? The vacuum pump method is the next most common choice among men with erectile dysfunction who pass on pills, says Dr. Bennett. To create an erection, you place a plastic cylinder over the penis and pump the air out of the cylinder to force blood to flow into the penis. An elastic ring that you slide onto the base of your penis holds the erection. This ED treatment device is effective for about 75 percent of men. Side effects include numbness, bruising, and weak ejaculation — and the ring must be removed after 30 minutes.

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    DHEA (Dehydroepiandrosterone). Testosterone is essential for a healthy libido and normal sexual function, and erectile dysfunction sufferers known to have low testosterone improve when placed on prescription testosterone replacement therapy. Similarly, studies have shown that taking over-the-counter supplements containing DHEA, a hormone that the body converts to testosterone and estrogen, can help alleviate some cases of ED. But DHEA can cause side effects, including suppression of pituitary function, acne, hair loss and its long-term safety is unknown, says McCullough. For this reason, many experts discourage use of the supplements.

    L-arginine is an essential amino acid that improves blood flow and circulation. It’s converted into nitric oxide in the body, which causes your blood vessels to open wider. This is especially helpful for men with erectile dysfunction because the opening of the blood vessels in the penis is what allows for an erection to occur. L-arginine may also help to improve conditions that often lead to sexual dysfunction, including high blood pressure, cardiovascular disease and inflammation.
    Several FDA-approved phosphodiesterase-5 (PDE5) inhibitor medications exist to treat ED in men. These medications work by enhancing the effects of nitric oxide to relax the penile muscles, expand blood vessels that go into the penis, and improve penile blood flow. This helps improve the ability to get and maintain erections.

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The stress of erectile dysfunction and its toll on self-confidence and/or a relationship can be hard to deal with. Speaking to a psychologist or counselor about how to cope emotionally can be of great benefit to some people.

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“If someone really wants an herbal supplement, I’ll recommend ginseng,” Laborde says. “At least it’s not going to hurt you.”

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Phosphodiesterase-5 (PDE-5) inhibitors, such as sildenafil, tadalafil and vardenafil, are among the most widely used and effective drugs for the treatment of ED. They work by temporarily increasing the blood supply to the penis (Table 4).

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