Many men find relief through a combination of these treatments. Your doctor will help you decide the fastest and best method for curing your erectile dysfunction. SLIDESHOW Sex-Drive Killers: The Causes of Low Libido See Slideshow
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Managing other health conditions and making the necessary lifestyle changes are important to help overcome erectile dysfunction. That’s why our team at the Male Infertility & Sexual Health Program at UH uses a specialized, team-based approach to deliver expert and highly individual ED care.
Please see your primary care provider before scheduling an appointment with one of our specialists. If you don't have a primary care provider, we can help you find one. Locations Urology - Charlois 336-716-4131 336-713-0328 (FAX) Urology - Foothills 336-786-5108 336-783-6842 (FAX) Urology - Janeway Tower 336-716-3325 336-716-9916 (FAX) View All Locations Urology - Lexington 336-716-2011 Urology - Medical Plaza North Elm 336-713-9164 (FAX) Urology - Gatewood 336-878-6511 336-878-6512 (FAX) Close All Locations Referring Physicians
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Having erectile dysfunction isn't something you just have to live with. Almost all cases of erectile dysfunction are treatable, and treatment can lead to better overall physical and emotional health for nearly every patient as well as improve intimacy for couples.
Can be taken with or without food but must be allowed to dissolve on the tongue without chewing.
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if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas).
There is often a vicious cycle linking performance anxiety and erectile dysfunction. If you still have erections at times and the problem started rapidly (except after surgery), this usually means psychological reasons are involved.
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The Massachusetts Male Aging Study linked a healthier lifestyle, including a healthy diet, to a reduced risk for ED as well as diseases that can contribute to ED such as type 2 diabetes and obesity. A diet rich in whole grains, fruits, vegetables, nuts, and legumes, and low in processed foods, sugar, and red meat may be particularly healthful.
It is recommended that prior to proceeding with other therapies, patients reporting failure of their PDE5 inhibitors should be evaluated to determine whether the trial was adequate. This would include discussion of fatty food ingestion, which is important with sildenafil, and specific patient population such as prostatectomy and diabetes. Furthermore, patients should be encouraged to continue attempts at intercourse up to the eighth to tenth dose of PDE5 inhibitor as improvements in success rate are seen up to the eighth to tenth dose.
Medications may include drugs to manage underlying health conditions such as diabetes, high blood cholesterol, or kidney diseases in addition to medications that specifically target erectile dysfunction. Sildenafil Tadalafil Vardenafil Avanafil Alprostadil (injectable drug or a suppository)
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The inability to achieve an erection is a symptom of an underlying health problem or a result of lifestyle factors that aren’t allowing the physiological mechanisms of an erection to unfold. For some men, this is only an occasional problem, which may be the result of increased stress, drinking alcohol or fatigue. But for men who experience erectile dysfunction more than 50 percent of the time when they are trying to engage in sexual activity, this may indicate that there’s a bigger health problem that needs to be addressed.
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Avanafil (brand-name Stendra) is a new medication in the landscape of ED treatments. It is more micro-targeted to inhibit the specific PDE-5 enzyme related to a man’s ability to get and keep an erection. Other ED medications like sildenafil affect additional enzymes like PDE-1 and PDE-6. This increases Stendra’s efficacy while reducing its side effect profile. According to FDA data, about 1 in 10 men using the 200mg Stendra (highest dosage) report headaches. Meanwhile, close to 3 in 10 men using the maximum dosage of Viagra report headaches. Only about 4% men using 200mg Stendra experience flushing of the face, compared to 18% of men using the maximum dosage of sildenafil. Heartburn, muscle and back pain, congestion, and vision changes are all less likely with Stendra.
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ED can have physical or psychological causes, and occasionally a combination of both. The causes of ED may include: Health conditions: Diabetes, heart disease, obesity, high cholesterol and other conditions can affect blood flow to the penis and contribute to ED. Medications: Drugs prescribed for high blood pressure, heart disease, depression and other mental health problems can cause erectile dysfunction. Lifestyle: Smoking, excessive drinking, drug use and diet can also contribute to ED. Psychological conditions: Stress, anxiety, depression and relationship problems can all cause or worsen ED.
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Erection problems (impotence) are very common, particularly in men over 40. It's usually nothing to worry about, but you should see a GP if it keeps happening. It could be the sign of a more serious problem. Causes of erection problems
For centuries, men have tried all sorts of natural remedies for erectile dysfunction (ED) -- the repeated inability to get or maintain an erection firm enough for sexual intercourse. But do they really work? It is simply not scientifically known at this point. Furthermore, you take these remedies at your own risk, because their safety profiles have not been established. What follows are commentaries by experts and reviews in the field of alternative treatments that are available over the counter for erectile dysfunction and impotence.
21. Kouidrat Y, Pizzol D, Cosco T, et al. High prevalence of erectile dysfunction in diabetes: a systematic review and meta-analysis of 145 studies. Diabet Med. 2017;34(9):1185-1192.
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headachesfeeling sick (nausea)red or flushed faceindigestionstuffy nosemuscle achesSerious side effects
Even when there is an initial physical reason, when this has passed you may still feel anxious about having sex and this can add to the problem.
Ilsley C, Grant P. A primary care approach to erectile dysfunction. In: Grant P (eds), Erectile dysfunction: causes, risk factors and management. Hauppauge: Nova Science Publishers, 2012. BibTeX Bookends EasyBib EndNote (tagged) EndNote 8 (xml) Medlars Mendeley Papers RefWorks Tagged Ref Manager RIS Zotero
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The Sexual Advice Association has factsheets on medicines and other treatments for erectile dysfunction.
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Some complementary therapies, such as acupuncture, have claimed to treat erectile dysfunction. But there's little evidence they work. Are there any other medicines for an enlarged prostate?
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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Dr. Honig is an internationally recognized speaker on issues related to sexual health and conducts research into experimental treatments of erectile dysfunction. Our researchers are studying the links between erectile dysfunction and cardiovascular disease.
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Other medicines are usually taken on demand, 30 to 60 minutes before sexual activity.
These options target specific areas of the body linked to the affected part and ED and conduct relief and rejuvenating therapies on them, and with time, the condition can be corrected.
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Response is dose related and usually occurs within 10–15 min, and does not require stimulation. The intraurethral preparation, medicated urethral suppository for erection (MUSE), consists of a tiny pellet of drug inserted into the urethral meatus. Response is also dose related, and onset similar to the cavernosal preparations.
ED is usually easy to diagnose. If you are tempted to self-diagnose, talk to your doctor. He or she will want to make sure it isn’t related to another health condition.
Most people who get shockwave therapy for ED will often see benefits within one to three months. The initial results (within the first several weeks) can be dramatic. There is still not enough long-term research and data to say how long the treatment might last, whether the effects of the treatment could wear off, or whether you will need additional treatment at a later time. Schedule a Consult with Our Specialists
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Side effects will usually go away when you stop taking the tablets. Talk to a doctor if you have taken too much tadalafil and you're worried about these side effects.
vision changes, sudden vision loss;ringing in your ears, or sudden hearing loss;pain, swelling, warmth, or redness in one or both legs;shortness of breath, swelling in your hands or feet;a light-headed feeling, like you might pass out; orpenis erection that is painful or lasts 4 hours or longer.
All of this is why they require a prescription. Your consulting physician will determine what will be safe and effective for you based on your medical history and any current medications that you use. Thankfully, PDE-5 medications for ED are prescribed very widely, and the healthcare community considers them safe for most men, with rare and mostly mild side effects reported.
If the issue you’re facing is mild or you don’t like the idea of taking medication, you might want to start by trying natural techniques for treating your sexual health.
ED medicines can be pills, drugs inserted into the tip of the penis, or injections into the penis.
Tadalafil (5mg only) is the only medicine in it’s group (phosphodiesterase 5 (PDE5) inhibitors) that treats an enlarged prostate.
Erectile dysfunction for some cases can be attributed to health conditions present in the patient. These health conditions are: High level of cholesterol in the system. Atherosclerosis, which is the clogging of the blood vessels, thereby, impeding flow. Disease in the heart. Obesity. Presence of high blood pressure. Diabetes. Series of sclerosis. Parkinson’s disease. A metabolic syndrome involving high levels of insulin, spiked blood pressure, and excess body fat. Peyronie’s disease. Low testosterone. Previous surgeries around the pelvic region. Sleeping disorders. Psychological Cause
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ED has the same risk factors as both coronary artery disease (CAD) and generalised vascular disease.14 These include hypertension, diabetes, hyperlipidaemia, obesity, lack of physical exercise, excess alcohol intake, poor diet and psychological stress, in particular depression. As mentioned earlier, ED is now recognised as an marker of increased cardiovascular disease (CVD) that is independent of conventional risk factors.15
If you have tried all of these natural remedies for treating erectile dysfunction with no results, contact HealthGAINS today to receive a consultation and begin your path to sexual wellness!
In a double-blind, randomized, placebo-controlled study, researchers found that oral administration of l-arginine in high doses (5 grams per day for a six-week period) significantly improved sexual function in men with erectile dysfunction, but only if the dysfunction was caused by decreased nitric oxide excretion. (26)
If counseling alone does not help treat the psychological issue, medications through a qualified psychiatrist may be prescribed.
During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of avanafil.
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The clinical term for this treatment used by urologists is low-intensity shockwave therapy (LiSWT). During the treatment, a small wand-like device uses targeted sound waves to stimulate penile tissue and encourage blood flow, which can also speed up the healing process. Low-intensity shockwaves have also been shown to grow new blood vessels and improve blood flow in the penis, which is essential for erections.
Never take 2 doses at the same time. Never take an extra dose to make up for a forgotten one.
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The dried roots ofasparagus (or white musli ) are used in Unani medicine as an aphrodisiac.
For some men, vacuum pump devices, rigid or inflatable surgical penile implants or testosterone replacement (only for men with unequivocally low levels of this hormone) may also be options. Constriction bands at the base of the penis can be a treatment option for men with non-sustained erections. Discuss these options with your doctor.
The association of CVD and ED was noted in 1997 as one analysed the results of the MMAS. In this landmark study, 1709 men aged 40–70 years were enrolled between 1987 and 1989. A follow-up some 10 years later revealed a striking relationship between ED and CVD. In this study, it became clear that the risk factors for ED were very similar to those of CVD, such as diabetes mellitus, smoking and dyslipidaemia.18
ED can be related to mental or emotional distress which may require other types of treatment such as counseling, but in most cases it is a matter of poor blood flow that could be related to diabetes, heart disease, hypertension, or metabolic syndrome.
stimulants like MDMA (ecstasy) or cocainehallucinogens like LSDnovel psychoactive substances (which used to be known as legal highs) like mephedrone
Smoking, drinking alcohol and the use of recreational drugs such as narcotics, stimulants and hallucinogens can all affect sexual function. Chemicals from smoking can interfere with blood flow to your penis and damage the lining of the blood vessels or lead to atherosclerosis (hardening of the arteries). It can also affect the smooth muscle tissue that needs to relax to allow blood to flow in. Short-term use of alcohol affects sexual desire, reduces performance and delays orgasm and ejaculation.
Here’s a breakdown of the type of foods that are best for improving erectile dysfunction and health conditions that can lead to sexual dysfunction symptoms: Organic grass-fed beef, wild-caught salmon, organic chicken and other organic meats High fiber foods, including fresh fruits and vegetables sources of healthy fats, including nuts, seeds, avocados and coconut oil Gluten-free grains, including oats, amaranth, brown rice, quinoa and teff 6. Avoid Inflammatory Foods
Erection problems are common in men and the likelihood of experiencing ED increases with age. However, young men can also experience erectile issues and may need help to treat their symptoms. Thankfully, erectile dysfunction symptoms are relatively easy to treat with the help of ED medication.
The Erectile Dysfunction Test Kit is an easy-to-use home blood test that can show if your ED is caused by an underlying health condition such as high cholesterol or low testosterone. It also includes a free review from a UK clinician who can offer personalised health advice based on the outcome of your test.
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DHEA (dehydroepiandrosterone) is a hormone that our body’s adrenal glands typically produce. Production of DHEA naturally drops as we age, but DHEA is a precursor to the sex hormones testosterone and estrogen.
Our doctors, including Dr. Honig, are leaders in the field and stand at the forefront of research in men's health issues.
GAINSWave is a new, cutting edge advancement in erectile dysfunction treatment. As more and more men are experiencing impotence, ED specialists at GAINSWave have addressed the key cause of ED: decreased blood flow and atherosclerosis (hardening of the arteries). GAINSWave provides quick and effective treatment options to accommodate all lifestyles and patients, and provides a safe erectile dysfunction solution. Call your local ED health doctor if you experience any of the symptoms of erectile dysfunction.
The patient considering prosthesis implantation, should be aware of the different types of prosthesis, risks of infection and erosion, mechanical failure and resulting re-operations, differences from the normal flaccid and erect penis including the possibility of penile shortening, and the potential reduction in the effectiveness of other therapies if the device is subsequently removed.
Feldman HA, Johannes CB, Derby CA, et al. Erectile dysfunction and coronary risk factors: prospective results from the Massachusetts male aging study. Prev Med 2000; 30: 328–38. doi:10.1006/pmed.2000.0643
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Do you know about all the serious issues with Viagra, Cialis, and all their generic substitutes? Learn how men are able to regain full function without pills, shots, or surgery and go back to being intimate the natural way.
