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L-arginine is an amino acid and something we naturally have within our bodies. Under normal circumstances, it plays a role in nitric oxide production, which in turn plays a crucial role in allowing blood to rush into the penis to cause an erection.
If stress, anxiety, or other emotional issues are causing the condition, counseling may help. Some men experience erectile dysfunction because of past experiences that cause a lack of self-esteem, fear, or guilt, and counseling can help you overcome those negative feelings. Couple counseling can also help improve mutual understanding and acceptance in a relationship, allowing you to feel more comfortable during intimacy. .

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Know the medicines you take. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine. Take VIAGRA exactly as your healthcare provider tells you to take it. Your healthcare provider will tell you how much VIAGRA to take and when to take it. Your healthcare provider may change your dose if needed. Take VIAGRA about 1 hour before sexual activity. You may take VIAGRA between 30 minutes to 4 hours before sexual activity if needed. VIAGRA can be taken with or without food. If you take VIAGRA after a high fat meal (such as a cheeseburger and french fries), VIAGRA may take a little longer to start working Do not take VIAGRA more than 1 time a day. If you accidentally take too much VIAGRA, call your doctor or go to the nearest hospital emergency room right away. an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away. If it is not treated right away, priapism can permanently damage your penis. sudden vision loss in one or both eyes. Sudden vision loss in one or both eyes can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (NAION). Stop taking VIAGRA and call your healthcare provider right away if you have sudden vision loss in one or both eyes. sudden hearing decrease or hearing loss. Some people may also have ringing in their ears (tinnitus) or dizziness. If you have these symptoms, stop taking VIAGRA and contact a doctor right away. headache flushing upset stomach abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision stuffy or runny nose back pain muscle pain nausea dizziness rash
3. Push the needle through the rubber stopper, then flip the ampule (the glass container of medication) upside down. Pull on the plunger until you withdraw 1.0 cc of the medicine.

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Men being treated for prostate cancer with treatments such as radical prostatectomy, radiation therapy or the use of Lutenizing hormone-releasing hormone (LHRH) agonists and antagonists can expect that ED may accompany these treatments.12
Keep in mind that these medications are amplifiers, not magic pills; you must have sexual stimulation for them to work. These pills also typically do not work the first few times. Here are instructions for how to properly take Viagra, Levitra, or Cialis: Take your medication one hour before sexual activity. Take the pills prior to a meal or after a light snack, especially for Viagra. They do not absorb well if you have a full stomach.

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23. Goldstein I, Young JM, Fischer J, Bangerter K, Segerson T, Taylor T. Vardenafil, a new phosphodiesterase type 5 inhibitor, in the treatment of erectile dysfunction in men with diabetes: a multicenter double-blind placebo-controlled fixed-dose study. Diabetes Care. 2003;26(3):777-783.

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Sildenafil is the generic version of Viagra, the first-line medication offered by many doctors because it’s been on the market longest and its side effects and drug interactions are well known. Sildenafil works exactly as Viagra does and can cause the same side effects, including dizziness, nausea, rash, pain in the arms or legs, and abnormal vision.

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    Viagra can cause some serious side effects. These can include an erection that will not go away (priapism), sudden vision loss in one or both eyes, and sudden hearing decrease or hearing loss. Some men have also experienced heart attack, stroke, irregular heartbeats and even death after taking Viagra. Most, but not all, of these men were found to have had heart problems prior to taking Viagra. It is unknown if Viagra caused or exacerbated these problems. Priapism This is a condition that involves an erection lasting for several hours, typically more than four hours, without stimulation or after stimulation has ended. If not immediately treated, priapism can result in permanent damage to the penis. Sudden Vision Loss This can be a sign of a serious eye problem called non-arteritic anterior ischemic optic neuropathy (or NAION). This condition is due to impaired circulation of blood to the front of the optic nerve. The vision loss remains fairly stable once it has occurred, without any real noticeable improvement or worsening. Sudden Hearing Loss This may also be experienced as tinnitus (or ringing in the ears) and may be accompanied by dizziness. More common side effects of Viagra include: Headache Flushing (feeling of warmth) Upset stomach Muscle pain Nausea Dizziness Abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision Stuffy or runny nose Back pain Rash

    Men who have ED should not ignore the ailment. After all, more than 40 percent of men over the age of 40 struggle with ED. Men struggling with ED should talk to their doctor about potential causes and treatment options, as well as make lifestyle changes to reduce incidence. Young men should take preventive steps, including the development of healthy lifestyle habits, like eating a balanced diet and maintaining a healthy weight, which can reduce their risk of ED.
    The market is filled with erectile dysfunction (ED) pumps, so if you are planning to buy one, you should consult your doctor about the type and brand. Also, always read the label before you start using the device. Inappropriate usage can result in minor accidents and bruises of the penis.

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    Experts feel that treating erectile dysfunction on your own, without consulting a doctor, is unsafe. "If you have ED, the first thing you need is a diagnosis," says impotence expert Steven Lamm, MD, a New York City internist and the author of The Hardness Factor (Harper Collins) and other books on male sexual health. He says men with severe erectile dysfunction probably need one of the prescription ED drugs, which include the PDE-5 inhibitors Levitra (vardenafil), Cialis (tadalafil), and Stendra (avanafil), as well as Viagra. But, he says, mild ED -- including the feeling that "you're not as hard as you could be" -- often responds to natural remedies.

    Bad sleep patterns can be a factor for erectile dysfunction. If you will get proper sleep, the level of testosterone levels will increase. Hormone secretion is also controlled by the body’s internal clock and the sleep patterns help the body to determine when to release the hormones. Sticking to a sleep schedule is a natural erectile dysfunction remedy.
    Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

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    Branded versions of sildenafil such as Viagra are not available on the NHS, except in special circumstances.

    Before you embark on an ED treatment, it’s good to talk with your healthcare provider. If you hope to use any of the prescription ED treatments, you’ll have to get the prescription from a doctor who will review your medical history and current health to determine if one of these medicines is suitable for you.
    It is important to first schedule a comprehensive consultation with a Oakdale erectile dysfunction specialist in order to determine if any of the available treatment options are right for you. Meet with your local clinician for a full physical exam and medical history evaluation, and find out what the best treatment options are for your specific case.

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    The most common side effects of Tadalafil: headache; flushing; upset stomach; abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash.

    Make sure your doctor checks your cholesterol levels and blood pressure. You might also want to check your blood pressure between doctor visits. Some stores and fire stations offer free screenings. Blood pressure monitors are also sold for home use.
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In many cases, erectile dysfunction is caused by something physical. Common causes include:

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5. Lee M, Sharifi R. Chapter 99: Erectile Dysfunction. Pharmacotherapy: A Pathophysiologic Approach, 11e. McGraw Hill; 2020. Accessed March 31, 2022. https://accesspharmacy.mhmedical.com/content.aspx?bookid=2577§ionid=230460622

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He continues to visit Yale Medicine every six months. He and his wife, Leah, are expecting their second child this fall. Click here to contact Yale Medicine's reproductive health and sexual medicine specialists . [3873,8726,510,2449]{"namedChunks":["modules-news-news-details-components-NewsDetails-newsDetails"]} [3873,6696,6126,2449]{"namedChunks":["modules-news-news-details-components-NewsDetails-newsDetails"]}

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