Have you ever woken up in the morning and been unsure whether you’ll be having sex that day? Chances are, you have. This is one reason why some men and their partners prefer sildenafil and other ED medications instead of tadalafil. With just a little bit of preparation (making sure you have sildenafil at the ready), you can use a dose of sildenafil once it’s clear that the fun is indeed about to start.
In this article, I’ll describe why blood flow is essential to get and maintain erections, the causes of ED, how to get diagnosed, and natural and medicinal methods to increase blood flow to the penis. Since ED can be a symptom of a more serious underlying condition, I’ll also explain when it’s important to talk to your doctor to determine the cause of your ED and which treatment options might be right for you. What Is Erectile Dysfunction and What Does It Have to Do With Blood Flow to My Penis? .
Men with hypertension are almost twice as likely to have impaired penile blood flow and erectile dysfunction compared to men with normal blood pressure, increasing their risk of heart disease and death. High blood pressure damages artery walls, causing them to harden and narrow, and reducing blood flow to the penis. Erectile dysfunction is an early warning sign of damaged blood vessels.
People whose health habits and lifestyle improved during the study period tended to see an improvement in sexual function, Wittert's team reported. And the reverse was true: those whose health habits and lifestyle deteriorated during the five years were more likely to experience impotence.
10. Stendra (Avanafil) [Prescribing Information]. Freehold, NJ: Metuchen Pharmaceuticals LLC; November 2021.
“Zinc supplements are not shown to help, but a healthy lifestyle with an excellent diet — anything good for the heart — will be good for the penis,” says Fisch. “Vitamins like A and E won’t hurt, but I always say lose weight, exercise, and stop smoking. Don’t look for a magic bullet like zinc.”
There are many potential causes for erectile dysfunction, such as these conditions/circumstances: Vascular conditions: High blood pressure Elevated cholesterol Cardiovascular disease Diabetes Trauma: Spinal cord injury Pelvis injury Neurologic disease: Stroke Parkinson’s disease Alzheimer’s disease Radiation to the pelvis for cancer Endocrine: Hypogonadism (low testosterone) Hyperprolactinemia (high prolactin levels) Pelvis surgery: Radical prostatectomy (a surgical procedure for the partial or complete removal of the prostate) Surgeries for rectal cancer or bladder cancer Medication side effects: Antidepressants Antihypertensives (high blood pressure medicine) Antiandrogens (testosterone blockers) Antiarrhythmics (heart rhythm medicine) Alcohol Cigarette smoking Cocaine and marijuana Diabetes & ED View full infographic.
Do not take this medication with any other product that contains sildenafil or other similar medications for erectile dysfunction-ED or pulmonary hypertension (such as tadalafil, vardenafil).
First line treatment will be medication with a phosphodiesterase inhibitor such as sildenafil (Viagra), tadalafil (Cialis) or avanafil (Spedra). These drugs only work when used together with sexual stimulation and will have no effect on your sex drive. There is no evidence that these drugs are dangerous if you have underlying heart disease. However, they should not be used if you are taking nitrates (e.g. GTN, isosorbide) for angina
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.
The safety of VIAGRA is unknown in patients with bleeding disorders and patients with active peptic ulceration.
The patients in studies had varying degrees of ED. One-third to one-half of the subjects in these studies reported successful intercourse at least once during a 4-week, treatment-free run-in period.
A psychological component, often called "performance anxiety", is common in men with impotence. However, a purely psychological problem is seen in only 10%.
Viagra and the other phosphodiesterase 5 inhibitors are meant to be taken only by men who have erectile dysfunction (ED). Since Viagra was introduced in 1998, the number of men diagnosed with ED has gone up by 250 percent.
If anxiety or stress is causing your ED, it may help to talk to a professional therapist.
It is likely to improve ED management and benefit a large number of men, particularly in terms of recognising ED as a sentinel of vascular disease.