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Older men are more likely to take medication for health problems, which could influence their risk.

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30-50% of hypertensive men also suffer from ED. Hypertension can disrupt erectile tissue function. In addition, some prescriptions for the condition can cause ED. However, there’s evidence that suggests that once adequate blood pressure control is regained – even for those on medication – ED becomes less likely.
Sildenafil (Viagra) is a medication prescribed for the treatment of impotence (erectile dysfunction, ED) caused by medical or psychological conditions. Side effects, drug interactions, warnings and precautions, and patient safety information should be reviewed prior to taking any medication. .

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Serum testosterone levels should be followed during treatment. An initial 3 months trial is most often recommended. Prostate specific antigen testing or PSA (for prostate cancer) must be done before treatment and periodically after that. Liver functions test and lipid profiles should also be monitored.
When a man has an erection blood flows to the penis, which makes it hard. Many men have erection problems (erectile dysfunction, impotence) as they get older. Some of these problems include: trouble getting an erection the penis isn’t as hard as it used to be with an erection erections don’t last as long as they used to

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This route typically isn’t recommended for men taking nitrate drugs or alpha-blockers, and all medications, including over-the-counter herbs and supplements, should be shared with your doctor to prevent negative interactions. The commonly reported potential side effects of phosphodiesterase-5 inhibitors include headache, flushing, runny nose, stomach pain, back pain, indigestion, vision changes, and dizziness.
Visit NAM’s other websites: clinic.nam.org.uk | infohep.org | prepineurope.org | about-hiv.info | pro-vich.info | hiv-lens.org

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Not everyone can use these medicines. Your doctor may talk to you about alprostadil if oral medicines aren’t an option for you. Alprostadil is a synthetic version of prostaglandin E. It can be injected into the penis or inserted as a tiny suppository into the urethra (the hole at the end of the penis). Your doctor will help you decide which treatment is best for you.

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If it happens more often, it may be caused by physical health or emotional problems. Non-urgent advice: See a GP or go to a sexual health clinic if:

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    Only a small subset of men with ED benefit from vascular testing, which can identify specific arterial or venous dysfunction amenable to surgical reconstruction. For the vast majority, such testing is unlikely to change management strategy. Thus, specialized testing is now limited to PDE-I non-responders, young men with post-traumatic or primary ED, men with Peyronie’s Disease, and legal investigations.

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    It’s important to tell your doctor about all the drugs you take, including nonprescription ones, so they can determine if any of your meds could be responsible for your symptoms.

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    Moderate exercise can help reduce a man’s risk of erectile dysfunction (ED) and improve his sexual function. Also, specific exercises can help him to build a strong pelvic floor to enhance his sexual performance.

    Some men may be able to gain an erection by self-injecting drugs into the penis, causing it to become engorged with blood. The advantage of injection therapy that it can easily be self-administered and in most patients leads to a strong erection when given the right dose. Potential side effects of injection therapy include: fibrosis (scarring) and long-lasting painful erections. Injections are shown to have a long-term dropout rate of about 37% – 76%. Reasons for dropping out of drug therapy include: Desire for a permanent treatment alternative Inadequate response Return of spontaneous erections Fear of needles Concern over side effects
    Elevated homocysteine levels in the blood called hyperhomocysteinemia, is a sign that the body isn't producing enough of the amino acid homocysteine. is a rare and serious condition that may be inherited (genetic). People with homocystinuria die at an early age. Symptoms of hyperhomocysteinemia include developmental delays, osteoporosis, blood clots, heart attack, heart disease, stroke, and visual abnormalities.

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    To diagnose erectile dysfunction, the doctor will ask questions about the symptoms and medical history. A complete physical exam is done to detect poor circulation or nerve trouble. The physician will look for abnormalities of the genital area that could cause problems with erections.

    Dr. Chirag Bhandari– is a very popular sexologist with an experience of more than 8 years in the field of male sexual health and wellness. After so many years of practice, Dr. Chirag has found the positive impact of exercise on erectile dysfunction. He says, “ Erectile Dysfunction is a sexual issue that takes home in the pelvic area of a man and makes it weak not to perform an ideal erection. But, taking proper exercises that strengthen the pelvic region will make you get your erection back”.
    Anxiety and depression can be treated with counselling and cognitive behavioural therapy (CBT).

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    If so, there might be a (nonerotic) solution to these surgical woes: extreme oxygen therapy. A study published in January in the Journal of Sexual Medicine found that rats that spent time in a hyperbaric oxygen chamber at three times atmospheric pressure -- including 90 minutes of breathing pure oxygen -- kept their erectile function better than rats that didn’t get this special treatment. Before we trigger a run on the oxygen bars or doctors offering hyperbaric chamber sessions, a note of caution: More research is needed before bringing the technique to humans, the investigators say.

    These drugs should also be taken with care if you are using ketoconazole, itraconazole or erythromycin (drugs used to treat some infections). In these instances, doses of sildenafil and other medications need to be modified or they may need to be avoided altogether.
    However, it can be a sign of an underlying medical condition such as high blood pressure or cholesterol, side effects of medication, or hormonal issues.

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Our doctors, including Dr. Honig, are leaders in the field and stand at the forefront of research in men's health issues.

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Oral phosphodiesterase type 5 (PDE5) inhibitors (sildenafil [Viagra], vardenafil [Levitra and the generic formulation Staxyn], tadalafil [Cialis]), and avanafil [Stendra])Intracavernosal injections (papaverine, phentolamine, and PGE1 [Trimix], Bimix, and alprostadil injection [Caverject, Edex])Intraurethral suppositories (MUSE)Testosterone in individuals with ED and other signs/symptoms of hypogonadism and an unequivocally low serum testosterone

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News24 Careers24 Property24 Autotrader Superbalist Subscribe Sign in Im my previous relationship i experienced rough, forceful sex.i feel this has weakened my bladder and pelvic floor muscles although i have heard that rough sex shouldnt damage these muscles.my current partner feels that he cannot mould into me properly as i am too wide.he has weak erections sometimes.could the fact that he is not fully erect make my vagina feel too stretched for him? Answer 2,128 views The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content. Please select an option Oops! Something went wrong, please try again later. Editorial Complaints Tip-Offs Press Code Advertise on News Jobs at 24.com About us FAQs

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Alprostadil should not be used in men with urethral stricture (scarring and narrowing of the tube that urine and the ejaculate pass through), balanitis (inflammation/infection of the glans [tip] of the penis, severe hypospadias (a condition where the opening of the urethra is not at the tip of the penis, rather on the underside of the penis), penile curvature (abnormal bend to the penis), and urethritis (inflammation/infection of the urethra).

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