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Before we get into why it might not work for you, let’s discuss how Viagra actually works. Viagra is the brand name for the drug sildenafil, which is a PDE5 inhibitor. PDE5 is an enzyme that can make it difficult for your blood vessels and arteries to relax and dilate. This can reduce the amount of blood flow to various parts of the body, including the penis. PDE5 inhibitors reduce the amount of the PDE5 enzyme in your body to increase blood flow for your erections. Therefore, sildenafil and other PDE5 inhibitors address blood flow problems that may cause erectile dysfunction.

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Your GP will take a detailed sexual history to determine why your erections are failing and under what circumstances you are having sexual difficulties. You will also be asked about lifestyle factors (e.g. your job, work pressures, smoking habits, exercise, diet, alcohol intake and drug consumption). It is also normal to ask about your sex drive (libido), whether you still get night-time or early-morning erections and whether your partner is also concerned about your difficulties and whether or not your relationship is being affected. .

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Other research has suggested that specific foods like dark chocolate, pistachios, watermelon, pink grapefruit, and tomatoes may help symptoms.
VIAGRA is contraindicated in patients with a known hypersensitivity to sildenafil, as contained in VIAGRA and REVATIO, or any component of the tablet. Hypersensitivity reactions have been reported, including rash and urticaria [see ADVERSE REACTIONS].

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If a medication is causing your ED, your doctor may lower your dose or try a different drug.
They work for most men and can be used if medicine is not suitable or does not work.

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Also take medications for chest pain called nitratesHave active coronary heart diseaseHave congestive heart failureHave low blood pressureTake several medications for high blood pressureHave exercise intoleranceThe Dangers of Abusing ED Drugs

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Andrology and Genito-Urethral Surgery Endourology Female, Neurological and Urodynamic Urology Oncology

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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.

For other erectile dysfunction resources, check our pages for erectile dysfunction pills, and male impotence natural remedies. Erectile dysfunction (ED) typical treatment is usually as a symptom of other health conditions and not a condition in itself. There are multiple causes of... Is it possible for men to shrink? Is there a cure for shrinkage? In certain cases, your penis will decrease by a few inches for... Are you well-endowed or are you wondering if your package is enough to please your woman? What is the average penis size anyway? For men... Are you familiar with the CAT sex position? Do you want to know how to perform it right? Have you watched Netflix's Sex/Life? There was... Are you aware that many women aren't satisfied in the bedroom? Is your new partner among those unhappy ladies who couldn't reach orgasm after...
Getting an erection is a complicated process. During an erection, the blood vessels that let blood into your penis relax and widen (dilate). This lets more blood in, which causes the sponge-like tissues of your penis to swell and harden. Your thoughts and senses (touch, hearing, smell and sight) influence a part of your brain that can trigger an erection.
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The following foods can get rid of erectile dysfunction and boost your libido. They include: Banana Watermelon Nuts Avocado Coffee Dark chocolate Leafy greens Pistachios Garlic Onions Shellfish Oysters Carrots Apples Chili peppers Spinach Beets Pomegranate juice.

Study identifies network cores of the brain with strong bidirectional connections
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In this article, I’ll describe why blood flow is essential to get and maintain erections, the causes of ED, how to get diagnosed, and natural and medicinal methods to increase blood flow to the penis. Since ED can be a symptom of a more serious underlying condition, I’ll also explain when it’s important to talk to your doctor to determine the cause of your ED and which treatment options might be right for you. What Is Erectile Dysfunction and What Does It Have to Do With Blood Flow to My Penis?

Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction.
For most patients, the recommended dose is 50 milligrams taken approximately one hour before sexual activity.
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I F Hussaina, C M Bradya, M J Swinna, C J Mathiasb, C J Fowlera aUro-Neurology, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK, bAutonomic Unit, National Hospital for Neurology and Neurosurgery Dr C J Fowlerc.fowler{at}ion.ucl.ac.uk

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Clinicians should be aware of these possible detrimental effects of TRT and the possible contraindications, and to prescribe and monitor in an appropriate manner, which may vary from patient to patient.
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Erectile dysfunction (ED) is a common medical condition that primarily affects men older than 40. The most common symptom of ED is difficulty getting and maintaining erections firm enough for satisfactory sexual intercourse.

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In cases of overdose, standard supportive measures should be adopted as required. Renal dialysis is not expected to accelerate clearance as sildenafil is highly bound to plasma proteins and it is not eliminated in the urine.

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Persistent or recurring ED is typically a problem of middle or old age, but doctors say it affects an increasing number of younger men. A 2013 study published in the Journal of Sexual Medicine noted that 1 in 4 men under the age of 40 who sought help for ED actually suffered from the condition. Almost half had severe ED. We try to involve the partner as much as possible. This relieves much anxiety for the patients and makes for a more personal touch for the couple. Stanton Honig, MD

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heart attack symptoms--chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating;vision changes or sudden vision loss; orerection is painful or lasts longer than 4 hours (prolonged erection can damage the penis).

On the horizon is gene therapy that would deliver genes that produce products or proteins that may not be functioning properly in the penile tissue of men with ED. Replacement of these proteins may result in improvement in erectile function. Experimental animal models have demonstrated improvement in erectile function with gene therapy. Human studies may also demonstrate success with this therapy. Gene therapy may take a long time for regulatory approval and public acceptance.
Branded versions of sildenafil such as Viagra are not available on the NHS, except in special circumstances.
Medicine such as sildenafil (sold as Viagra) is also often used by doctors to treat erectile dysfunction. It's also available from pharmacies.
It is not known if VIAGRA is safe and effective in women or children under 18 years of age. take medicines called nitrates (such as nitroglycerin) use street drugs called “poppers” such as amyl nitrate or amyl nitrite, and butyl nitrate take any medicines called guanylate cyclase stimulators such as riociguat (Adempas) are allergic to sildenafil, as contained in VIAGRA and REVATIO, or any of the ingredients in VIAGRA. See the end of this leaflet for a complete list of ingredients in VIAGRA.
Erectile dysfunction is the inability to achieve or maintain an erection that is sufficiently rigid for sexual intercourse. Sexual drive and the ability to have an orgasm are not necessarily affected. Because all men have erection problems from time to time, doctors diagnose erectile dysfunction if a man fails to maintain an erection satisfactory for intercourse on at least 25% of attempts. Worldwide, erectile dysfunction occurs in close to 20% of men.

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Men with diabetes, radical prostatectomy, and other complicating factors may still benefit from treatment with a phosphodiesterase type-5 inhibitor such as Viagra. Patients who fail a trial of PDE5 inhibitor should be informed of the benefits and risks of other therapies. This of a different PDE5 inhibitor is unlikely to have a profound effect on sexual function and someone who fails a first drug trial, but should be considered in selected cases. Second-line therapies include intra-urethral suppositories, intra-cavernous drug injection, vacuum-constriction devices, and penile prosthesis. Medicated Urethral System for Erection (MUSE). MUSE is an intra-urethral suppository of alprostadil, of vaso-active drug that relaxes smooth muscle in the penis and induces penile erection. Although not as effective as intra-cavernosal penile injection, MUSE is a less invasive treatment option. An initial trial dose of intra-urethral alprostadil should be administered under healthcare provider supervision due to the risk of fainting. The cost of intra-urethral suppositories is high with respect to the overall success and therefore should be used judiciously.

In one study, a third of men reported that they experienced significant improvement in sexual function while using L-arginine.
Drumstick is very useful asa sexual tonic in the treatment of sexual debility and functional sterility inboth males and females. The powder of the dry bark is also valuable inimpotency, premature ejaculation, and thinness of semen.
VEDs are generally safe (although there have been some very rare but serious complications). Pros Cons Works Well No drug effects Cheapest option Cumbersome Unnatural erection Bruising or burst blood vessels Penile pain Pain with ejaculation Numbness "Hinging" or instability of erection Penis may feel cold to partner Poor overall satisfaction ED Injections
The majority of the study participants (58.4%) reported that they have at least once experienced unsafe sexual practices. Thirty-nine (60%) of the participants had one stable partner while 26 (40%) had occasional or multiple partners. The respondents also reported the use of alcohol and multiple illicit drugs with sildenafil in which more than half of the respondents reported that they use alcohol (63.1%) followed by cigarettes (36.9%) and khat (23.1%).
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