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After learning more about your health, our providers perform a physical examination and tests to gather more information.These tests may require blood and urine samples. We also may use a penile Doppler ultrasound device, which is anon-invasive imaging test that lets doctors study blood flow in the penis.

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ED is mainly treated using oral drugs, surgery, vacuum pumps, and implants. Popular ED medication includes Viagra, Levitra and Cialis. These drugs work by increasing blood flow to the penis. .

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For many years’ plants and herbs are the natural ways to treat erectile dysfunction. They naturally cure this problem. There are some nutrients which play their role in treating such condition, and some fruits and vegetables are also there for the cure. Some of them have mild to moderate side effects as well. Most commonly, Ginkgo is considered as the best natural cure of erectile dysfunction by increasing blood flow to the penis.
But the advantages of exercise may be lower in men who have heart disease or other underlying medical conditions.

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Many herbal products such as horny goat weed, ginkgo, yohimbe and ginseng claim to improve sexual function. There is no sound evidence that these herbal products work well for erectile dysfunction. They have not been well studied or tested. Since some erectile dysfunction is related to psychological problems, herbal products may help with anxiety, which may indirectly help sexual function.

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A quality of life (QoL) questionnaire was also used. This assessed eight factors including whole life, vocational and financial situation, and sex life. Responses range from 0 to 5 (very dissatisfying to very satisfying).

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    Benign Prostatic Hyperplasia/BPH, Erectile Dysfunction, General Urology, Kidney Stones, Minimally Invasive Surgery, Robotic surgery, UroLift, Urologic Cancers, Vasectomy

    Smoking, drinking alcohol and the use of recreational drugs such as narcotics, stimulants and hallucinogens can all affect sexual function. Chemicals from smoking can interfere with blood flow to your penis and damage the lining of the blood vessels or lead to atherosclerosis (hardening of the arteries). It can also affect the smooth muscle tissue that needs to relax to allow blood to flow in. Short-term use of alcohol affects sexual desire, reduces performance and delays orgasm and ejaculation.
    “Zinc supplements are not shown to help, but a healthy lifestyle with an excellent diet — anything good for the heart — will be good for the penis,” says Fisch. “Vitamins like A and E won’t hurt, but I always say lose weight, exercise, and stop smoking. Don’t look for a magic bullet like zinc.”

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    Geriatrics: Healthy elderly volunteers (65 years or over) had a reduced clearance of sildenafil, resulting in approximately 84% and 107% higher plasma AUC values of sildenafil and its active N-desmethyl metabolite, respectively, compared to those seen in healthy younger volunteers (18-45 years). Due to age-differences in plasma protein binding, the corresponding increase in the AUC of free (unbound) sildenafil and its active N-desmethyl metabolite were 45% and 57%, respectively [see DOSAGE AND ADMINISTRATION, and Use In Specific Populations]
    Home About Services Blog Contact Register Login Logout My Account Answer 5 Natural Treatments for Erectile Dysfunction

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    For most patients, the recommended dose is 50 milligrams taken approximately one hour before sexual activity.

    Tell your healthcare provider if you have any side effect that bothers you or does not go away.
    Nitric oxide (NO) mediates the vasodilation (widening of blood vessels) in the penis, increasing blood flow. Let’s break that down a bit further. Nitric oxide tells specific muscles in the penis to relax. The relaxation of those muscles allows blood flow to increase to the erectile tissues of the penis, causing the penis to enlarge and grow rigid, forming an erection.

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    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.

    Ginkgo biloba. Known primarily as an herbal treatment for cognitive decline, ginkgo has also been used to treat erectile dysfunction -- especially cases caused by the use of certain antidepressant medications. But the evidence isn't very convincing. One 1998 study published in the Journal of Sex & Marital Therapy found that it did work. But a more rigorous study, published in Human Pharmacology in 2002, failed to replicate this finding. "Ginkgo has come out of fashion in the past few years," says Ronald Tamler, MD, assistant professor of medicine and codirector of the men's health program at Mount Sinai Medical Center in New York City. "That's because it doesn't do much. I can say that in my practice, I have not seen ginkgo work -- ever."
    A vacuum device improves firmness by boosting blood flow to the penis. About 80% of men who use the device correctly get an erection hard enough for sex.

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Adam Revere admits to being a sexual person. Rightfully so, as a man, Adam explored the beautiful world of sex, orgasms, and ejaculation. His failed relationships and unsuccessful ways to hook with a sex partner had frustrated Mr. Revere.

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Most ageing men manage to get erections, but to do so requires more stimulation. It is up to each man to decide whether his erection is adequate. You can consider (with your partner) how important sexual intercourse is to your relationship. There are other aspects to intimacy and not all couples require an active sex life to have a fulfilling relationship.

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Anxiety and depression can be treated with counselling and cognitive behavioural therapy (CBT).

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All authors had contributed to the data analysis, drafting, or revising the article. They gave the final approval of the manuscript to be published and agreed to be accountable for all aspects of the work.

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