*If you develop a full erection that lasts more than three hours, call us immediately at 801-213-2700.
18. Caverject (Alprostadil) [Prescribing Information]. New York, NY: Pfizer Inc; December 2017. .
12. Berner MM, Kriston L, Harms A. Efficacy of PDE-5-inhibitors for erectile dysfunction. A comparative meta-analysis of fixed-dose regimen randomized controlled trials administering the International Index of Erectile Function in broad-spectrum populations. International Journal of Impotence Research. 2006;18(3):229-235.
PDE-5 inhibitors work by blocking the activity of PDE-5, an enzyme that plays a role in the contraction of smooth muscles around blood vessels. PDE-5 inhibitors prevent the PDE-5 enzyme from stimulating PDE-5 receptors, a type of protein molecule that is abundant in the smooth muscles of pulmonary blood vessels and the penis.
Yohimbine comes from the bark of a West African evergreen tree and it has been used as ED treatment for 70 years already. The herb activates the penile nerves to release more nitric oxide. It also widens the blood vessels to improve blood flow in your penis to achieve quality erections.
In one study, a third of men reported that they experienced significant improvement in sexual function while using L-arginine.
L-arginine opens or widens the blood vessels to improve the blood flow to the penis and hence improve erectile dysfunction. But, there are some side effects associated with this like nausea, cramps, and diarrhea.
While there aren’t any stretches proven to increase penis blood flow, research suggests that some exercises may help strengthen the muscles of the pelvic floor. These muscles are crucial to sustaining blood flow to the penis and facilitating erections.
Watts and coworkers, in their review article, make several points about this ED/CAD nexus. Endothelial dysfunction is present in both CVD and ED, and is linked through the NO mechanism. The authors note that PDE5 inhibitors improve endothelial function and have a salutary effect on both CVD and ED. Both ED and cardiac disease respond to modifications in lifestyle as well as pharmacologic manipulation. These authors also report that the presence of ED gives the clinician an opportunity to assess CVD and prevention as well.20
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.
The first things doctors usually prescribe to men with erectile dysfunction are pills like:
Also, men who have a chronic vitamin B12 deficiency and eat more processed meats and refined grains are more likely to develop ED.
Several medications are not recommended for the treatment of erectile dysfunction. These include trazadone, yohimbine, and herbal therapies, as there is no evidence to support their safe use for the treatment of erectile dysfunction. It is important to note that testosterone therapy is not indicated for the treatment of erectile dysfunction in the patient with a normal serum testosterone level.
The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.
A meta-analysis of 36 744 men with ED in 12 prospective cohort studies found that the presence of ED significantly increased the risk of CVD, CAD, stroke and all-cause mortality, and the presence of ED was an independent risk factor for CVD. Ponholzer et al found that men with moderate to severe ED had a 65% increased relative risk for developing symptomatic CAD compared with men who did not have ED.26
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A general physical examination will be performed to assess the development of your male sexual characteristics and to detect any abnormality of your penis or testicles. Your blood pressure, height and weight will normally be measured as part of this examination.