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Sophia Antipolis, France – 28 Aug 2020: Men with untreated high blood pressure have poorer penile blood flow than those with normal blood pressure, according to research presented today at ESC Congress 2020.1 The differences disappeared with blood pressure medication. The results provide reassurance to men concerned about the effects of blood pressure-lowering medications.

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Your GP will arrange a re-assessment after an initial period of drug usage. If the drugs prove ineffective, there are significant side-effects (seen in 15%) or they cannot be used, other measures may need to be considered. This will entail referral to your local Erectile Dysfunction Clinic where the available treatments include:
Our Network of WebsitesArizona Urology Specialists Chesapeake Urology Chesapeake Urology For Children Colorado Urology diVa Laser Vaginal Therapy Endourology Fellowship Energy Wave Therapy Erectile Dysfunction Kidney Stone Program Penile Implant Program Prostate Cancer Care Tennessee Urology United Urology Group Women’s Personal Health Zero Prostate Cancer Challenge .

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PAH PDE-5 inhibitors are administered orally as tablets or suspensions, or as intravenous injections in the treatment of the following conditions: Pulmonary arterial hypertension: To improve exercise ability and slow down the progression of disease in patients with: Idiopathic PAH Inherited PAH PAH caused by connective tissue diseases Erectile dysfunction Benign prostatic hyperplasia (prostate enlargement) SLIDESHOW How to Lower Blood Pressure: Exercise Tips See Slideshow
The most common reasons to use sildenafil in the present study were to increase erectile sensation and penile rigidity. Similar reasons were reported in a study conducted in Argentina in which a desire to increase penile rigidity, coital frequency, erection duration and to prevent sexual failure were the common reasons for PDE5Is use (6).

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Call your doctor right away if you take one of these medications and have a prolonged erection that lasts 4 hours or longer. This condition may cause permanent impotence if not treated.
In the 14 years or so since Viagra was introduced in 1998, the number of men diagnosed with erectile dysfunction (ED) has increased by a whopping 250 percent. Men are realizing more and more that they’re not alone and that they have options. Aside from pills like Viagra, Levitra, and Cialis, for example, there are surgical, therapeutic, even do-it-yourself treatments that can bring back that lovin’ feeling. "Some older ED treatments are actually being used more than ever, especially for men who can't take the pill," says Michael Feloney, MD, a urologist at the Nebraska Medical Center in Omaha. Read on to find out about nine common remedies for ED, plus the truth about which ones live up to the hype and which fall flat.

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There are currently several clinics around the country that perform LI-SWT, but no at-home device has been approved yet.

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Some men familiar with Viagra, having used it before successfully, want to stick with what works. They trust it, and the brain is the largest and most important sex organ after all; psychology can be a potent tool in combating ED.

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    Men with new onset ED and no signs or symptoms of CVD are at increased risk for experiencing a CV event in the subsequent 3–5 years.24

    “The arteries in the penis are the smallest, so we can see the beginning of arterial hardening and heart disease in the penis before we see it in the coronary arteries or the heart,” Dr. Walker says. “So if you’re a younger man who is going to have a heart attack in your 50s or 60s, we’re going to see it in the penis first.”
    Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor.

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    Hepatic Impairment: In volunteers with hepatic impairment (Child-Pugh Class A and B), sildenafil clearance was reduced, resulting in increases in AUC (85%) and Cmax (47%) compared to age-matched volunteers with no hepatic impairment. The pharmacokinetics of sildenafil in patients with severely impaired hepatic function (Child-Pugh Class C) have not been studied [see DOSAGE AND ADMINISTRATION, and Use in Specific Populations].

    The dose can be adjusted as needed for effectiveness and tolerability. Viagra may be taken anywhere from 30 minutes to four hours before engaging in sexual intercourse.
    In 2016, the FDA approved the first-ever generic version of Viagra to be manufactured and distributed by Teva, a Pennsylvania-based pharmaceutical company. The drugs entered the market in December 2017.

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    University of Utah Health offers shockwave therapy as an option for patients suffering from ED. Shockwave therapy is typically recommended for patients who do not respond well to medication or do not want more invasive treatments.

    For the 17 subjects who received VIAGRA 25 mg and matching placebo, the placebo-subtracted mean maximum decreases from baseline (95% CI) in systolic blood pressure were as follows: Placebo-subtracted mean maximum decrease in systolic blood pressure (mm Hg) VIAGRA 25 mg Supine 7.4 (-0.9, 15.7) Standing 6.0 (-0.8, 12.8)
    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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    https://www.ouh.nhs.uk/patiena-guide/leaflets/files/29164Ppelvic.pdf Penile Blood Change After Oral Medication of Korean Red Ginseng in Erectile Dysfunction Patients. (2003).

    Erectile dysfunction can be an indicator of a larger problem. It may be uncomfortable, but it is important to discuss it with your doctor. With your doctor’s assistance, you can get to the cause of the problem by pursuing treatment for your ED. Feeling nervous about sex due to a bad experience or anxiety around your erectile dysfunction Feeling stressed by other factors, like work or family issues Feeling depressed or overwhelmed Feeling self-conscious about your body or performance Thinking your partner is reacting negatively toward you SLIDESHOW Sex-Drive Killers: The Causes of Low Libido See Slideshow
    Erectile dysfunction (ED) is the inability to hold an erection long enough to enjoy sexual activities. It’s extremely common – research shows that up to half of men over the age of 40 experience some level of ED.

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Horny Goat Weed: Extracts from the leaves of this herb have long been used as an ED remedy in traditional Chinese medicine. At least one study on rats showed promise, but it has yet to be tested on people.

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If you're taking it for erection problems you're unlikely to get side effects as you're only taking it for a short time.

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Consult your doctor about your erectile dysfunction (ED) because treating it on your own may be unsafe. Get a proper diagnosis and identify the root cause of the condition.

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Erectile dysfunction can occur as a side effect of medication taken for another health condition. Common culprits are high blood pressure meds, antidepressants, some diuretics, beta-blockers, heart medication, cholesterol meds, antipsychotic drugs, hormone drugs, corticosteroids, chemotherapy, and medication for male pattern baldness, among others.

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