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Statistical analysis was conducted using IBM SPSS version 20. Descriptive analysis was conducted and results were presented using tables. Binary logistic and multi-variable logistic regression analyses were conducted to determine the association between the dependent and independent variables. Variables that were significant at a P-value of <0.05 in the binary logistic regression were selected for multivariable logistic regression and in the multivariable regression analysis, those variables that were significant at a p-value of <0.05 with a 95% confidence interval were regarded as significant factors that contribute to the recreational use of sildenafil citrate.

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Erectile dysfunction is a potential complication following prostate cancer treatments. The nerves that control an erection lie very close to the prostate and may be injured during treatment. However, some men may regain their previous level of erectile function with nerve-sparing procedures. But it may take up to a year while some men may never recover their ability to have a natural erection.
The best way to find out which treatment options are best for your specific sexual health needs is to discuss your symptoms and medical history, and receive a physical examination from a doctor. .

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The mean profiles of the change from baseline in standing systolic blood pressure in subjects treated with doxazosin in combination with 100 mg VIAGRA or matching placebo are shown in Figure 4. Effect of VIAGRA on Blood Pressure When Co-administered with Anti-hypertensives
ED can often occur as a result of diabetes. A study of type-1 and type-2 diabetics with ED found that erectile dysfunction in 30% of the subjects was connected to DHEA deficiency. The results of this study suggest that possibly a third of men with diabetes-related ED could treat their ED using DHEA.

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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.
Always talk to a Doctor if you suffer from Erectile Dysfunction for more than 3 weeks. It can be a sign of serious health problems. To speak to a doctor in confidence, use our discreet online GP here.

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and men: A consensus statement from the fourth international consultation on sexual Our Doctors on the Radio When to Seek Treatment for Erectile Dysfunction: Jim Hotaling, MD, ESPN 700 Video: Erectile Dysfunction Explained, Past Seminar Hear From Our Patients Gene Miluk

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In recent years, the FDA has seized many over-the-counter products for male sex problems because they contained dangerous or undeclared ingredients. Lab tests have discovered these risky ingredients in nearly 300 products.

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    The Sexual Advice Association has factsheets on medicines and other treatments for erectile dysfunction.

    Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure.
    Pregnancy & BreastfeedingCan I take Avanafil (Stendra) if I’m pregnant or breastfeeding?

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    usesWhat is Viagra (Sildenafil (Injection)) used for?Pulmonary HypertensionHeart DiseasePulmonary ImpairmentErectile DysfunctionPulmonary Heart or Vascular DiseaseThromboembolic Pulmonary Hypertension

    Studies in vitro have shown that sildenafil is selective for PDE5. Its effect is more potent on PDE5 than on other known phosphodiesterases (10-fold for PDE6, > 80-fold for PDE1, > 700-fold for PDE2, PDE3, PDE4, PDE7, PDE8, PDE9, PDE10, and PDE11). Sildenafil is approximately 4,000-fold more selective for PDE5 compared to PDE3. PDE3 is involved in control of cardiac contractility. Sildenafil is only about 10-fold as potent for PDE5 compared to PDE6, an enzyme found in the retina which is involved in the phototransduction pathway of the retina. This lower selectivity is thought to be the basis for abnormalities related to color vision [see Pharmacodynamics].
    A cross-sectional survey conducted in undergraduate institutions within the Unites States revealed that participants had recreationally used an Erectile Dysfunction Medication (EDM) at least once in their lives (4%), some with current use (2.2%) (8). The majority of recreational EDM users reported mixing EDMs with illicit drugs and particularly during risky sexual behaviors (8).

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    A weekly guide to the biggest developments in health, medicine and wellbeing delivered to your inbox. Your subscription is confirmed for news related to biggest developments in health, medicine and wellbeing.

    Harvard Health Publishing also notes that ED can be a sign of heart disease. The physical implications of poor lifestyle habits can severely impact the heart’s function, which can, in turn, manifest as impotence. Seeking to improve one’s overall health may not only lead to better sexual performance but also boost their quality of life.
    How much exercise does a man need? The answer depends on his individual health. Seeing a doctor is recommended before starting any exercise program. With a doctor’s guidance, a man can choose the types of exercise that are best for him. Men’s Sexual Health Erectile Dysfunction Public Prev Next Can transgender women have orgasms after gender-reassignment surgery? Sign up here to receive the ISSM Update (our weekly update) and stay up-to-date on ISSM! HomeFor providersFor PublicSexual Health TopicsQ&AHeadlinesFind a ProviderAboutVision and MissionLeadershipCommitteesBylaws CommitteeCommunication CommitteeConsultation and Guidelines CommitteeDeveloping Countries CommitteeEducation CommitteeEthics CommitteeFinance & Audit CommitteeGrants & Prizes CommitteeHistory CommitteeMembership CommitteeNominating CommitteePublication CommitteeScientific CommitteeYoung Researchers CommitteeYoung Trainees CommitteeGovernanceAwardsAffiliated SocietiesPast PresidentsHistoryExecutive OfficeContact

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    But do any of these things really work? Eric Laborde, MD, a spokesman for the American Urological Association, is skeptical.

    GAINSWave - In just a simple 5-10 minute treatment you can literally pump up your sex-life with the GAINSWave technology. With mild audio wave therapy, GAINSWave is able to wake up dormant stem cells and growth factors in the penis to increase blood flow and even penis growth. Avoid pain, oral ED medications, the financial and time costs of other treatments, and best of all avoid failing sexual health with this proprietary treatment option.
    Penile implant surgery can be very effective, provided that precautions are taken to avoid infection. Prosthesis surgery is contraindicated if systemic cutaneous or urinary infection is present. Antibiotics should be provided pre-operatively, and the surgical site should be shaved immediately prior to surgery. We use both Mentor and AMS penile implants with specialized antibiotic coats. Patients are hospitalized overnight for closed suction drainage, and sent home on seven days of post-operative antibiotics. Using these and other precautions, our implant infection rate is comparable to national averages (2-4%, 1-2% for antibiotic coated implants). Vascular surgery is recommended only in healthy individuals with recently acquired erectile dysfunction due to a focal arterial narrowing (usually related to trauma) and in the absence of generalized vascular disease. Sign up for Email Updates Click here Support Urology

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In volunteers with hepatic impairment (Child-Pugh Class A and B), sildenafil clearance was reduced, resulting in higher plasma exposure of sildenafil (47% for C max and 85% for AUC). The pharmacokinetics of sildenafil in patients with severely impaired hepatic function (Child-Pugh Class C) have not been studied. A starting dose of 25 mg should be considered in patients with any degree of hepatic impairment [see DOSAGE AND ADMINISTRATION and CLINICAL PHARMACOLOGY].

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Related: Science Affirms Benefits of Chinese Herbs — But Not in the Way You’d Think

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If you buy sildenafil for erectile dysfunction, it can also be known by the brand names Viagra, Aronix, Liberize and Nipatra.

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Psychosexual counselling, or sex therapy, is an appropriate recommendation especially for men who are experiencing discord with their partner especially if the conflict is related to the man’s ED. Counselling usually consists of 5–20 sessions with counsellor. It is our recommendation that referral doctors treating men with ED make a referral to a psychotherapist or sex therapist who is certified by AASECT (American Association of Sexuality Educators, Counselors and Therapists) of certified sexuality educator.43

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