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In the duration of use, 33 (50.8%) of the users took sildenafil for less than or equal to 1 year, 18 (27.7%) for 2 years and 14 (21.5%) had taken it for more than 2 years. Most of the participants (84.5%) also reported that they have not encountered any negative pressure from society and 83.1% wished to use sildenafil again. Regarding information provision, 69.2% of the participants preferred it in written form, 33.8% through radio and TV, and 10.8% via audiovisual recordings. The most common side-effect experienced by the users due to the use of sildenafil was dizziness (69.2%) followed by headache (49.2%), blurred vision (29.2%), longer erection time (9.2%), and stomachache (4.6%).

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The role of the endothelium in erectile function became clearer with the observation that the phosphodiesterase type 5 (PDE5) inhibitor, sildenafil, enhanced erectile function. Erection occurs with the release of nitric oxide (NO) from the vascular endothelial cells.17 The reduction in endothelial cell production of NO results in the negative impact on the smooth muscles in the corporal bodies and results in less relaxation of the smooth muscle cells with decrease in blood supply and resulting ED. A similar phenomenon is well known to impact the coronary arterial system resulting in CVD. .

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The foods you eat can have a direct impact on erectile dysfunction, Dr. Mucher says. A diet rich in fruit, veggies, whole grains, and fish, and with fewer servings of red meat and refined grains, decreases the risk for ED.
By clicking "Submit," I agree to the MedicineNet Terms and Conditions and Privacy Policy. I also agree to receive emails from MedicineNet and I understand that I may opt out of MedicineNet subscriptions at any time. Current Opinion in Urology: "Testosterone Therapy Improves Erectile Function and Libido in Hypogonadal Men." The Journal of Sexual Medicine: "Effects of Intensive Lifestyle Changes on Erectile Dysfunction in Men." National Institute of Diabetes and Digestive and Kidney Diseases Health Information Center: "Treatment for Erectile Dysfunction." The National Institute of Diabetes and Digestive and Kidney Diseases: "Symptoms and Causes of Erectile Dysfunction."

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VIAGRA, REVATIO, and CARDURA are registered trademarks of Viatris Specialty LLC, a Viatris Company.
The first things doctors usually prescribe to men with erectile dysfunction are pills like:

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If you’re struggling with erectile dysfunction or if one treatment option just isn’t working well for you, talk to our providers at Low T Center. Our goal is to provide quality health care for men. We offer diagnosis and treatment for many common health conditions, including erectile dysfunction. Getting treatment is simple, affordable, and convenient at our locations across the nation. Start living your best life and make an appointment at a clinic near you to address your health.

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L-arginine supplementation is possibly unsafe for men with blood pressure problems or men who have had a heart attack, allergies, or asthma.

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    A medical professional, such as a doctor or urologist, can officially diagnose ED. To do so, they will assess your medical and sexual history and conduct mental and physical health exams.

    The Prostate Cancer Prevention Trial was a landmark study by Thompson et al that prospectively assessed the time to developing CVD after the diagnosis of ED. There were 4247 men with no ED at study entry; 2420 developed incident ED (defined as the first report of ED of any grade) over 5 years. Those men that developed ED had a 1.45-fold higher probability of experiencing a CV event compared with men who did not develop ED.27
    Coronary Artery DiseaseCoronary artery disease (CAD) and ED frequently occur concomitantly due to mutual risk factors such as diabetes, hypertension, and hyperlipidemia. In men with CAD, the incidence of ED is estimated to be 42% to 57%. Because the primary cause of ED is vasculogenic, ED can precede CAD, stroke, and peripheral artery disease by an average of 3 years.27,28 The package insert for PDE5Is cautions providers about using these agents in patients with uncontrolled hypertension (>170/100 mmHg), CAD with unstable angina, or a history of myocardial infarction (MI), stroke, or life-threatening arrhythmia within the past 6 months.8-11 The primary concern with using PDE5Is in these patients is that the physical demands of intercourse could provoke a CV event.

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    Ask your healthcare provider or pharmacist for a list of these medicines, if you are not sure.

    Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction.
    If your erection problems have a medical cause, your doctor can explain the treatment options, the techniques needed to make them work and their suitability for your needs based on your overall health.

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    Other factors that “stress” the body can also increase your risk for ED. These include: substance abuse, using marijuana, smoking cigarettes, depression, anxiety and low self esteem. Cigarette smoking — or using nicotine — leads to constricted blood vessels, which has negative effects for sexual health. Other mental/emotional obstacles can cause less desire for sex and decrease testosterone. Several ways to help manage stress include: Popular Posts All Time This Week More Health Researchers Try to Nail Down Ideal Amount of Sleep One of the most underrated aspects of health is sleep despite the ... Read More Dangerous Cleaning Products Emit Radiation 3,000 Times Above Safe Level Usually when we talk about dangerous cleaning products, things like bleach and ... Swimmer’s Ear Causes & Natural Remedies Although children most often develop swimmer’s ear from swimming outdoors in oceans ... Research Examines Optimal Time of Day for Exercise for Women, Men The benefits of exercise are undeniable, no matter when you decide to ... Dr. Axe on Facebook 2.8M Dr. Axe on Instagram 761K Dr. Axe on Youtube 2M Dr. Axe on Pinterest 585K

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    Contributors DFM and NB wrote the majority of the manuscript. MK wrote the section on testosterone and made review comments and approved the final manuscript along with the attached figure. ContentLatest content Current issue Archive Browse by collection Most read articles Responses JournalAbout Editorial board Sign up for email alerts Subscribe Thank you to our reviewers AuthorsInstructions for authors Submit an article Editorial policies Open Access at BMJ BMJ Author Hub HelpContact us Reprints Permissions Advertising Feedback form Website Terms & Conditions Privacy & Cookies Contact BMJ Cookie Settings Copyright © 2022 The Fellowship of Postgraduate Medicine. All rights reserved. Home Medicines A to Z Back to Medicines A to Z Other brand names: Aronix, Liberize, Nipatra, Revatio, Grandipam. Find out how sildenafil treats erection problems and pulmonary hypertension and how to take it. Ejaculation problems Erectile dysfunction (impotence) Priapism (painful erections) Pulmonary hypertension HealthUnlocked: sildenafil forum HealthUnlocked: viagra forum Relate (sex therapy): charity Sexual Advice Association: charity Home Medicines A to Z Sildenafil (Viagra) Back to Sildenafil (Viagra)

    Use Viagra (Sildenafil (Injection)) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
    Erectile dysfunction is not new in either medicine or human experience, but it is often not easily or openly discussed. Cultural expectations of male sexuality inhibit many men from seeking help for a disorder that can usually benefit from medical treatment.

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Written documentation from the patient's family doctor was required to ensure that they were not on any nitrate medication, and lipid abnormality and thyroid, renal, hepatic, and haematological disease were excluded by screening blood tests.

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If you have a neurological disorder or spinal cord injury and other erectile dysfunction treatments aren’t effective, two types of surgical implants could offer solutions to your ED. “An implantable pump can be used to manually create an erection by pumping fluid into cylinders placed inside the penis,” explains Feloney. “The other option is a malleable prosthesis that works like a gooseneck lamp to direct the penis into position for intercourse." Risks for these ED treatments include infection and mechanical breakdown.

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"For men who are unwilling or unable to self-inject alprostadil, the FDA has approved this dissolvable pellet that can be inserted directly into the urethra, the opening of the penis," says Dr. Feloney. MUSE, with an inspiring name that actually stands for medicated urethral system for erection, will trigger an erection in about 10 minutes that may last as long as an hour. Using MUSE to treat ED can result in somewhat unpleasant side effects, however — including an aching sensation, burning, redness, and minor bleeding.

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Tadalafil is the generic version of Cialis. It can cause the same side effects, including headache, indigestion, back pain, nasal congestion, flushing, muscle aches, and pain in the arms or legs.

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