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Take a free online consultation, choose your preferred ED treatment, and our clinicians will review your request. If approved, your ED tablets will be swiftly and discreetly delivered to your door (usually within 24 hours). Each month you’re with us, we’ll send you a refill of your erectile dysfunction treatment so you can receive it without needing to see a doctor in person. We also provide free support for as long as your treatment plan is active and you can email our clinical team at any time for help with ED or if you need advice on how to get the most out of your ED medication. “Taking medicine as prescribed is important for treating conditions and overall long-term health and wellbeing. Erectile dysfunction symptoms can be effectively treated with ED tablets, but it’s important to address the underlying causes of ED as well.” Once complete, your consultation will be reviewed by our clinicians. Most prescriptions are approved the same day. Have any questions or want to change your medication? Speak to our clinicians and they’ll be able to help. If your treatment is approved, it’ll be posted to you discreetly within 24 hours. If you’re not happy with the service, or simply don’t need treatment anymore, you can cancel anytime.

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If you have erectile dysfunction, there are many ways your doctor can help you treat it. But you may want to consider complementary or alternative therapies, such as nutritional supplements, herbal remedies, acupuncture, and talk therapy. Just be sure to talk to your doctor first.
Psychological conditions can also be a cause of erectile dysfunction. Undergoing therapy from a professional can aid recovery when stress or anxiety is experienced. .

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The urology specialists at University Hospitals understand the sensitive nature of your concerns. We provide empathetic and professional care, along with erectile dysfunction treatment options that can restore function and ease anxiety. Please contact us to schedule an appointment at 1-866-844-2273.
flushing (warmth, redness, or tingly feeling);headache, dizziness;abnormal vision (blurred vision, changes in color vision)runny or stuffy nose, nosebleeds;sleep problems (insomnia);muscle pain, back pain; orupset stomach.

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If you think your medication might be causing ED, talk to your doctor, but don't discontinue using it on your own. Some medication must be tapered off under a doctor's supervision.
Tadalafil from our top choice, BlueChew, is considerably more affordable than the brands like Cialis that rely on it as their active ingredient. You save money by buying tadalafil from BlueChew compared to buying Cialis from any source. Additionally, the chewable format of BlueChew’s tadalafil allows it to take effect slightly faster than standard pills because some of the medication begins entering your bloodstream from your mouth as you chew.

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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.

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Chesapeake Urology is home to leading urology specialists in Maryland. With fellowship-trained urologists, 25 convenient locations, and comprehensive telehealth services, we’re here as a knowledgeable and caring source of trusted advice, treatment, and support.

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    We understand your concerns and can answer your questions about male sexual issues. We’ve heard it all before, and we can find the answers—and the treatment—that is personally best for you.

    Did you know that certain medical condition may be responsible for ED? Some causes of impotence are medically treatable and reversible. Learn more about what can be done about erectile dysfunction with the Impotence Quiz.
    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.

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    This depends on whether you know what it is causing your ED. There are some things you can do that may help prevent ED, including: Avoid drinking too much alcohol, smoking, or abusing drugs. Ask your doctor if ED is a side effect of a new or current medicine you are taking. He or she may have an alternative medicine. Control your blood sugar and blood pressure. Try to relax and avoid stress.

    Appropriate treatment options should be applied in a step-wise fashion, balancing invasiveness and risk versus efficacy. If possible, the partner should be involved in the decision-making. The decision depends on the patient preferences and expectations as well as the experience and judgment of the physician. Oral phosphodiesterase type-5 inhibitors are first line therapy.
    If the pills don’t work or aren’t safe for you to take, your doctor may prescribe a drug called alprostadil. It helps boost blood flow to the penis, triggering an erection within minutes.

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    Benign Prostate Disease, Erectile Dysfunction, General Urology, Kidney Stones, Minimally Invasive Surgery, UroLift, Vasectomy

    Sildenafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking sildenafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 50 years old. It is not clear whether sildenafil is the actual cause of vision loss.
    Surgery is an option in some cases of erectile dysfunction. Most surgery cases are performed for one of three reasons: to implant a device to initiate erections; to reconstruct arteries and increase penis blood flow; to block off veins that allow blood to leak from the penile tissues.

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    Shiri R, Koskimaki J, Tammela TL, et al. Bidirectional relationship between depression and erectile dysfunction. J Urol 2007; 177: 669–73. doi:10.1016/j.juro.2006.09.030

    Banana contains potassium which helps to regulate the flow of blood by dilating arterioles and in turn enhancing erection.
    But Stendra will cost you significantly more than sildenafil or tadalafil — that’s the tradeoff. Hims — our top choice for convenient access to Stendra — offers a monthly subscription for Stendra at $116 per month, billed quarterly. If you can afford the cost, this may be the best choice for you.

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Clinically proven to help erections stay harder for longer, tadalafil gives you greater flexibility when planning to have sex. It lasts for 36 hours (9 times longer than sildenafil), so you can enjoy sex without needing to take a tablet immediately beforehand.

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Taking poppers (amyl nitrite) with tadalafil can have a dangerous effect on your heart.

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Erectile dysfunction (ED, impotence) is the failure to achieve or maintain an erection. There are many potential underlying causes of erectile dysfunction, including stress and emotional problems, brain dysfunction, problems with blood supply to the penis, and structural problems with the penis.

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Erectile dysfunction (ED) is a common medical condition that primarily affects men older than 40. Among other symptoms, ED can make it difficult to get and maintain erections during sexual activity, placing an unwanted burden on your intimate relationships as well as on your physical and emotional health. While you can’t get standard prescription ED pills over the counter, some supplementary treatments do not require a prescription.

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