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Even in healthy men, testosterone levels often begin falling sharply around age 50. Every year after age 40, a man's testosterone level typically falls about 1.3%.

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Men with new onset ED and no signs or symptoms of CVD are at increased risk for experiencing a CV event in the subsequent 3–5 years.24
Physicians should warn patients that prolonged erections greater than 4 hours and priapism (painful erections greater than 6 hours in duration) have been reported infrequently since market approval of VIAGRA. In the event of an erection that persists longer than 4 hours, the patient should seek immediate medical assistance. If priapism is not treated immediately, penile tissue damage and permanent loss of potency may result [see WARNINGS AND PRECAUTIONS]. .

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Read the Patient Information Leaflet provided by your pharmacist before you start taking sildenafil and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
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ED commonly referred to as “impotence” is a condition that causes problems in achieving or maintaining an erection during sex. The patient could also experience low libido or reduced sexual desire.
A sedentary lifestyle can have detrimental effects on erectile function as well as testosterone levels.

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Some insurance policies cover ED treatment if it’s medically necessary. Check with your insurance provider.

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    Doit at home: Chew two to three cloves ofraw garlic daily. Regularly chewing two or three cloves of raw garlic helpstreating sexual impotence. In addition, eating garlic bread prepared with wholegrains helps in the production of healthy sperms.

    No matter what erectile dysfunction treatment or treatments (whether herbal remedies or not) a man ultimately decides upon, experts say it's important to eat healthily and to avoid smoking and heavy drinking. Moreover, adequate exercise, stress reduction, and sleep can improve erection problems in many. In addition, says Lamm, "A loving, receptive, and responsive partner is a home run. After all, this is still a couple's issue." SLIDESHOW Erectile Dysfunction (ED) Causes and Treatment See Slideshow Chen, J. BJU International 83 (1999): 269-273. "Erectile Dysfunction." National Kidney and Urologic Disease Information Clearinghouse. Shabsigh, Ridwan, et al. "A Multicenter, Double-blind, Placebo-controlled Trial to Assess The Efficacy of Sildenafil Citrate in Men With Unrecognized Erectile Dysfunction." Urology 76.2 Aug. 2010: 373-379. Stanislov, R. Journal of Sex & Marital Therapy 29 (2003): 207-213. Tamler, Ronal. Men's Health Program, Mount Sinai Medical Center, New York City.
    While ED medication works for most patients, there are other treatment options. These include external vacuum devices that draw blood into the penis and injections that men administer themselves to dilate the arteries of the penis and allow blood to flow in. Another option is penile implants, which Dr. Walker calls the “gold standard” for men who cannot tolerate the drugs and for whom other treatments fail. Flexible cylinders are embedded in the penis. The man pumps fluid into them from a reservoir when he wants to perform sexually.

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    Bullet point: Ageing and comorbidities as well as polypharmacy factor greatly influence the development of ED.

    This Patient Information has been approved by the U.S. Food and Drug Administration.
    Working with erectile dysfunction doesn’t have to be a solo journey. Did you know you can get affordable primary care with the K Health app? Download K to check your symptoms, explore conditions and treatments, and if needed text with a doctor in minutes. K Health’s AI-powered app is HIPAA compliant and based on 20 years of clinical data. Frequently Asked Questions What foods help you get hard? A diet rich in whole grains, fruits, and vegetables, and low in saturated fat, sugar, and red meat may help to support healthy and firm erections. What causes weak erections? The potential causes of erectile dysfunction include underlying health issues such as heart disease, diabetes, mental health problems, and issues affecting blood supply and blood flow. How can I get hard fast without pills? Several natural methods such as improving your diet with healthy foods and engaging in regular exercise may help improve blood flow to the penis. However, these methods are unlikely to provide fast-acting relief for erectile dysfunction. What foods work like Viagra? Viagra works by enhancing the effects of nitric oxide to relax the penile muscles, expand blood vessels that go into the penis, and improve penile blood flow. So far, no studies have found any foods that provide these same benefits for ED. K Health articles are all written and reviewed by MDs, PhDs, NPs, or PharmDs and are for informational purposes only. This information does not constitute and should not be relied on for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. 14 SOURCES

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    This comes from the fruit of a small palm tree and has been used to treat symptoms in men with enlarged prostate gland like difficulty urinating. Most experts recommend Saw Palmetto to treat ED caused by an enlarged prostate.

    For example, in some cases another PDE5 inhibitor may work better for you than sildenafil. Tadalafil (the generic name for Cialis) is another common erectile dysfunction pill that inhibits the PDE5 enzyme. However, this medication can last longer and may be taken as a daily pill instead of on an as-needed basis like sildenafil. This treatment option may work better for you if you’re not satisfied with your results from Viagra.
    This information does not contain all possible interactions or adverse effects. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share this information with your doctor and pharmacist. Check with your health care professional or doctor for additional medical advice, or if you have health questions, concerns or for more information about this medicine. Elicits vasodilatory properties, resulting in mild and transient decreases in blood pressure. See "What Are Side Effects Associated with Using Sildenafil?" Prolonged use may result in overgrowth of nonsusceptible organisms, including fungi See "What Are Side Effects Associated with Using Sildenafil?” Sildenafil may be acceptable for use during pregnancy Either animal studies show no risk but human studies are not available, or animal studies showed minor risks and human studies were done and showed no risk It is unknown whether sildenafil is distributed into breast milk. Consult your doctor before breastfeeding QUESTION Erectile dysfunction (ED) is… See Answer https://reference.medscape.com/drug/revatio-viagra-sildenafil-342834 Medical Reviewer: Sarfaroj Khan, BHMS, PGD Health Operations How They Work How do PAH PDE-5 inhibitors work? Uses How are PAH PDE-5 inhibitors used? Side Effects What are side effects of PAH PDE-5 inhibitors? Drug Names What are names of PAH PDE-5 inhibitor drugs?

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    Some men experience pain or bruising, while others experience none at all. Other side effects include:

    Cholesterol can cause damage to blood vessel linings in all parts of the body – including the penis. Blockages caused by elevated cholesterol levels or plaques that restrict flowing blood can prevent erectile tissue from filling with blood. A healthy diet and lifestyle, including regular exercise, can help control these levels and the risk of developing ED. In addition, doctors may prescribe pharmaceuticals to lower cholesterol in the blood.
    Always keep your medicine in the refrigerator. You may pre-load syringes and keep them in the freezer once you know what dose works for you.

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Having erection problems? What is erectile dysfunction (ED)? Learn about erectile dysfunction causes and treatments such as drugs (pills), pumps, and more.

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Complications of the condition can result in an unfulfilled sex life, emotional problems, such as depression and anxiety, a loss of intimacy with a partner and/or a strained relationship, and the inability to get a partner pregnant. Administration and Dosages of Viagra

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Viagra works by blocking certain naturally occurring enzymes in the body, causing blood vessels to dilate and enhancing blood flow to the penis.

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