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Blood in the semen (haematospermia) Blood in the urine (haematuria) Erectile dysfunction (impotence) Fertility problems Incontinence of urine Kidney stones Male menopause (androgen deficiency in the ageing male) Premature ejaculation Prostate symptoms (bladder outlet obstruction) Raised PSA Testicle missing Testicular lump Tight foreskin (phimosis) Urinary infection (adult) Urinary infection (child)

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Physicians should discuss with patients the potential cardiac risk of sexual activity in patients with preexisting cardiovascular risk factors. Patients who experience symptoms (e.g., angina pectoris, dizziness, nausea) upon initiation of sexual activity should be advised to refrain from further activity and should discuss the episode with their physician [see WARNINGS AND PRECAUTIONS].
World Breastfeeding week (Aug 1-7): Common issues mothers face during breastfeeding and how to manage it .

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*Promotion available through participating providers only. Minimum purchase required. About Menu Toggle What is GAINSWave ? What to Expect? How it Works? Comparing Treatments FAQs Medical Advisory Board Expected Results Menu Toggle Erectile Dysfunction Treatment Peyronie’s Disease Treatment Sexual Enhancement Clinical Research Testimonials Am I a Candidate? Testimonials Resources Menu Toggle Men’s Health Guide Provider Resources Magazine Press Become a Provider Find A Provider
Impotence treatments were discussed in the oldest Chinese text, The Yellow Emperor’s Classic of Internal Medicine, which describes traditional Chinese medicine during the time of the Yellow Emperor’s rule which ended around 2600 BC. One of the treatments for impotence discussed is a potion with 22 ingredients.4

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Since the arteries in the penis are very small, often ED is one of the first signs of damage resulting from other medical conditions like diabetes and heart disease.
Improvements in your lifestyle, such as a eating healthy diet, reducing alcohol intake, losing weight and increasing your exercise can dramatically improve erectile dysfunction. More specific treatment usually involves: weight loss and increased exercise (this may reduced the risk of erectile dysfunction by up to 70%) treatment of any hormone abnormality (testosterone treatment is only indicated if your testosterone levels are low and may be harmful if your the levels are normal); lifestyle modification (e.g. reduce stress, stop smoking, reduce alcohol consumption & stop illicit drugs); treatment of any anatomical abnormality if present (e.g. circumcision, frenuloplasty, penile straightening); psychological support if necessary.

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This medication can be taken with or without food. However, if Viagra is taken with a high-fat meal, it will take longer for its effects to work. Adjusted Dosing for Certain Conditions CYP3A4 Inhibitors A recommended starting dose of 25 milligrams is suggested for patients being treated with strong CYP3A4 inhibitors, including certain anti-infective medications such as ketoconazole, itraconazole, saquinavir, and erythromycin . CYP3A4 is an important enzyme in the body, mainly found in the intestines and liver. Clinical data showed that patients taking saquinavir or erythromycin in conjunction with Viagra were found to have significantly increased levels of Viagra’s active ingredient sildenafil in their blood. Ritonavir In patients being treated with ritonavir (brand name Norvir), an antiretroviral medication used alongside other drugs to treat HIV/AIDS, the recommended maximum dose of Viagra should not exceed 25 milligrams in a 48-hour period. Alpha-Blockers A starting dose of 25 milligrams is recommended for patients being treated with alpha-blocker medications. Alpha-blocker medications, such as terazosin and doxazosin, are used to treat high blood pressure and a condition called benign prostatic hypertrophy (BPH), where the prostate is enlarged. Viagra and alpha-blocker medications can both lower blood pressure, so taking Viagra with alpha-blocker medications can result in low blood pressure. Other Health Conditions A starting dose of 25 milligrams is also recommended for patients who are 65 years of age or older, have liver impairment (cirrhosis), or suffer from severe kidney impairment.

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Taking one of these medications should not result in an instant erection, thankfully — stimulation is still required. But when stimulation occurs, the medicine gives a helping hand to boost nitric oxide and its effects.

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    Men who have ED should not ignore the ailment. After all, more than 40 percent of men over the age of 40 struggle with ED. Men struggling with ED should talk to their doctor about potential causes and treatment options, as well as make lifestyle changes to reduce incidence. Young men should take preventive steps, including the development of healthy lifestyle habits, like eating a balanced diet and maintaining a healthy weight, which can reduce their risk of ED.

    Though erectile dysfunction treatment options may include ED medication and surgery, there are also noninvasive erectile dysfunction remedies that may help.
    Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice.

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    If impotence affects you or someone you love, don’t lose hope. You may be suffering from a medical or emotional issue that is causing low libido or impotence — possibly interfering with both your confidence and relationship — but the good news is there are effective natural remedies for impotence that can help reverse this problem in most men. Around 70 percent of ED cases are resolved with natural impotence remedies that can help restore your sexual health.

    If you think vitamin D may be an issue for you, talk to your doctor. They can do blood work to check your levels and, if necessary, recommend a supplement.
    Submit this form we'll process your request within 24-48 hours. Cancelling your ED program membership also means you'll lose access to unlimited primary care ($9/month value) which allows you to chat with a doctor about your or your child's health concerns anytime for free. What To Know About Erectile Dysfunction (ED) Erectile dysfunction (ED) is the inability to get or keep an erection that is firm enough to have sexual intercourse. While it may sound scary, this condition is incredibly common – studies have estimated that it affects up to one-third of the total male population. This article will go over the basics of ED, discussing […] What to Know About Generic Viagra & Cialis Viagra and Cialis have helped millions of men with erectile dysfunction (a.k.a. impotence) achieve firmer erections and improved sexual experiences. Still, not everyone can afford these prescription medications. That doesn’t mean you have to choose between going broke or having an unsatisfying sex life. Generic Viagra, called sildenafil, and generic Cialis, tadalafil, are cheaper alternatives […] Erectile Dysfunction in Younger Men: Symptoms, Causes & Treatment Options Erectile dysfunction, which causes difficulty or inability with achieving or maintaining an erection for satisfying sex, affects about 30 million men in the United States. While erectile dysfunction (ED) is typically more common among older men (primarily due to aging-related diseases like diabetes and cardiovascular diseases), many younger men also experience it. Young men with […] How Long Should an Erection Last? Many of us want to know if we’re “normal” when it comes to anything related to sex. For those with a penis, it’s common to wonder about penis size and how long you can stay hard. The truth is, erections are like sex––every person and every experience is different. For example, while erections often occur […] Can You Get Erectile Dysfunction Medication Online? Erectile dysfunction (ED) can be discouraging. Although the main symptom of ED is sexual dysfunction, people can also experience anxiety, depression, and strained relationships. Several things—ranging from underlying health conditions to lifestyle factors—can cause this inability to achieve or maintain an erection, and the condition is more common in older than younger men. Luckily, treatment […] All articles GET ED MEDS IN PRIVATE START FREE ASSESSMENT

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    Understanding that erectile dysfunction could have a medical cause, just as asthma or arthritis do, can help you to feel more at ease in mentioning it to your doctor. Your doctor is used to talking about these issues. By opening up this discussion, which is confidential, your doctor can help you in a number of ways.

    Erectile dysfunction can be a mystery, with no clear-cut cause. It can have vascular, neural, hormonal, and psychological components, depending on the man. Pharmacies sell a little blue pill that can help with performance, but sometimes you don’t want to rely on a drug — you want to find a natural “cure,” something that doesn’t shout “erectile dysfunction” when found in the medicine cabinet.
    Professor Vlachopoulos said: “These results imply that hypertensive patients already have significant structural damage in the penile arteries and adding antihypertensive drugs does not further reduce penile blood flow. But in men with normal or high-normal blood pressure, the penile arteries have minimal structural damage and medications could have a negative impact on penile blood flow.”

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    If you have a blockage of one of the larger arteries supplying the area of the pelvis or penis then microsurgical reconstruction of the arteries or anangioplasty to re-establish erections may be indicated. The blockage in these situations normally follows traumatic injuries to the pelvis.

    Our winner here: for most men, it’s sildenafil. Sildenafil is far more economical and allows for better tailoring of dosage. We recommend BlueChew’s chewable sildenafil. There’s no easier, more convenient way for the uninitiated to explore this option than by starting a free trial month, and it’s a particularly great choice if you want either 30 or 45mg doses.
    The most common side effects of Tadalafil: headache; flushing; upset stomach; abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash.

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Erectile dysfunction is the inability to get or keep an erection during sexual activity. This occurs when the penile erection chambers are unable to create and maintain high pressures of blood that enable an erection. Men with ED have trouble staying firm through ejaculation. Age, high blood pressure, heart disease, stress, and more can contribute to the cause of ED.

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Sildenafil at steady state, at a dose not approved for the treatment of erectile dysfunction (80 mg t.i.d.) resulted in a 50% increase in AUC and a 42% increase in C max of bosentan (125 mg b.i.d.).

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All sildenafil citrate users that fulfilled the inclusion criteria and that were available (visited the community pharmacies) during the study period were included and thus no sample size calculation was needed. All of the available community pharmacies in the town were approached, but only seven of them were volunteer to allow the data collectors to meet with patients (collect data). Drug stores were not included in the study as it is illegal for them to sell phosphodiesterase inhibitors (such as sildenafil) in Ethiopia, though there were rumors that claim these drugs are sold illegally in these outlets.

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