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These findings suggest that patients who present with ED and CV risk factors should be evaluated for silent CVD and should undergo a thorough CV evaluation.

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In addition to the FDA-approved ED medications and other standard treatment options listed above, the following OTC treatments might help mitigate the symptoms of ED. Always seek medical advice from a healthcare provider before trying any of these, as not everything is effective or safe.
35-90% of diabetic men also experience ED. Hyperglycemia can have a negative impact on several aspects of erectile function. Complications and changes associated with diabetes can compromise macrovascular and microvascular structures, the nervous system, and blood vessel linings. .

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Erectile Dysfunction Guideline Update Panel: “The management of erectile dysfunction: an update,” American Urological Association Education and Research, Inc., Baltimore, Md., 2005.
Studies have shown that for men with stress-related ED, when the partner is involved in the therapy, the problem is resolved 50%–70% of the time. When the man must go through counselling alone, the results are less successful. Psychosexual counselling is unlikely to be effective if a man drops out of treatment after just one or two sessions.44

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Erectile dysfunction treatments (such as sildenafil and tadalafil) are effective medicines that have been clinically proven to treat the symptoms of ED. They increase blood flow to the penis, and in doing so, make it easier to achieve harder, longer-lasting erections.
Erectile dysfunction is an inability to maintain an erection. The fastest way to cure erectile dysfunction is to attend to heart and vascular health, psychological health and to use other treatments.

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This article is based on scientific evidence, written by experts and fact checked by our trained editorial staff. Note that the numbers in parentheses (1, 2, etc.) are clickable links to medically peer-reviewed studies.

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    While the top three prescription ED treatment companies we’ve included here all offer good value, we want to know who has the best. At the outset, the best value can be found at BlueChew because you can’t do better than a free trial month. For those who have never tried an ED medication, you have the opportunity to make sure the medication is effective at treating your ED before you invest more money.

    Use Avanafil (Stendra) 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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    There are lots of treatments that claim to be a "herbal Cialis". In fact, there's no such thing.

    Before you conclude that brand-name Viagra is superior for that reason, though, consider how much more leeway sildenafil’s strength gives you and your doctor to dial in the best dosage for you. You’ve got more control over it, and of course, the best dosage of any prescription medication will be the smallest dosage that produces the desired effects. Smaller dosage means less cost to you and less risk of side effects. And sildenafil is already much cheaper than Viagra.
    InteractionsWhat drugs and food should I avoid while taking Viagra (Sildenafil (Injection))?

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    By clicking "Submit," I agree to the MedicineNet Terms and Conditions and Privacy Policy. I also agree to receive emails from MedicineNet and I understand that I may opt out of MedicineNet subscriptions at any time. Penis Curved When Erect Could I have CAD? Treat Bent Fingers Treat HR+, HER2- MBC Tired of Dandruff? Life with Cancer Current Opinion in Urology: "Testosterone Therapy Improves Erectile Function and Libido in Hypogonadal Men." The Journal of Sexual Medicine: "Effects of Intensive Lifestyle Changes on Erectile Dysfunction in Men." National Institute of Diabetes and Digestive and Kidney Diseases Health Information Center: "Treatment for Erectile Dysfunction." The National Institute of Diabetes and Digestive and Kidney Diseases: "Symptoms and Causes of Erectile Dysfunction."

    This is why a healthy circulatory system is key to maintaining penile health. In addition, stress causes nerve endings to be less receptive to incoming signals, making erection difficult.
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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.

    What causes ED? There are many causes of impotence both medical and psychological. Often, age is a predominant factor in erectile dysfunction; however, your chronological age is not solely responsible for ED’s development. Men over the age of 40 typically experience ED as the result of inadequate blood flow to the penis, most often due to the narrowing of blood vessels. This can arise due to many causes including:
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Men in their 40s with ED have a 50-fold increased risk of CVD and men in their 20s and 30s have a sevenfold increased CV risk.25

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Thankfully, it’s also a condition that is very treatable in 2022. There are several ED treatments proven to work for most men with ED. The question becomes: what is the best ED treatment for you?

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There are hundreds of medications that have the side effect of ED and/or decreased libido. Examples of drugs implicated as a cause of ED include hydrochlorothiazides and beta-blocking agents. Medications used to treat depression, particularly the SSRIs such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Prozac Weekly, Sarafem), fluvoxamine (Luvox, Luvox CR), paroxetine (Paxil, Paxil CR, Pexeva) and sertraline (Zoloft), may also contribute to ED.9 Bupropion (Wellbutrin) which has a predominant effect on blocking the reuptake of dopamine is an antidepressant with lower incidence of ED.10 The side effects of 5ARIs occurring in fewer than 5% of patients can include gynaecomastia, ED, loss of libido and ejaculatory dysfunction.11

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