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These causes of ED can be categorized into two types: psychogenic (mental) and organic (physical). Psychogenic causes include depression, low self-esteem, anxiety, and negative feelings about sex.Organic causes account for about 80 percent of ED cases and can be further classified as endocrine or non-endocrine. Endocrine-related causes are often connected to low testosterone levels, though more research is required to fully understand how the two intersect. Of the non-endocrine related causes of ED, vasculogenic causes, which affect blood supply and flow, are the most common. How to Get Diagnosed With Erectile Dysfunction

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Although other issues such as nerve damage and hormone abnormalities can also lead to erectile dysfunction, the failure of the blood vessels to dilate properly is one of the more common causes, Wittert said. "This is an early abnormality in the pathway to more serious heart disease."
These are not all the possible side effects of VIAGRA. For more information, ask your healthcare provider or pharmacist. .

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But you'll have to have a consultation with the pharmacist to make sure it's safe for you to take it.
It’s not an expensive procedure. This therapy cost around $80 to $300 per session of treatment.

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The mean profiles of the change from baseline in standing systolic blood pressure in subjects treated with doxazosin in combination with 50 mg VIAGRA or matching placebo are shown in Figure 3.
However, since higher plasma levels may increase the incidence of adverse reactions, a starting dose of 25 mg should be considered in older subjects due to the higher systemic exposure [see DOSAGE AND ADMINISTRATION].

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    Where Viagra needs initial stimulation with foreplay, a relaxed mind, and a peaceful environment, penile pumps do not require these steps. Since Viagra works on the chemicals in the body, called neurotransmitters, any chemical or psychological problem in these pathways can cause it to fail. Contrarily, penile pumps act as mechanical stimulators by working directly on the penis and inducing an erection by drawing in blood.

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    One common but serious health condition that affects many men is low testosterone. This is where ... Treatment Services Low Testosterone Sleep Apnea Hypothyroidism High Cholesterol Hypertension Diabetes Annual Exam News Testosterone Diet Fitness Weight Company News Quick Links About Us Locations Contact Us Treatment Services Low Testosterone Sleep Apnea Hypothyroidism High Cholesterol Hypertension Diabetes Annual Exam News Testosterone Diet Fitness Weight Low T Institute Quick Links About Us Locations Contact Us New Patient Paperwork - Self Pay New Patient Paperwork - Insurance

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    If the medicines aren’t right for you, you could try using a penile implant, vacuum pump devices, or have surgery. Your doctor may send you to a urologist to talk about these options. How long will I have to take medicine for erectile dysfunction? What is the difference between tadalafil (Cialis), vardenafil (Levitra), and sildenafil (Viagra)? Are there any lifestyle changes I should make? How can I talk with my partner about my problem? Is there something I can do other than take medicine to help? What other medicines cause this problem?

    This Dr. Axe content is medically reviewed or fact checked to ensure factually accurate information.
    Commercials for drugs to improve “low T,” or testosterone, the male hormone, are now vying for airtime, but they address desire, not performance. "Male hormone is not an approved treatment for erectile dysfunction," notes Bennett. "It may be used to increase desire in men who have low testosterone, but it doesn’t improve blood flow to an erection." A doctor can do a blood test to check you for low testosterone, but it is a rare cause of ED. Hormone therapy with injections, patches, or gels applied to the skin may improve mood and sex drive, but it likely won’t fix any mechanical issues. Also, testosterone drugs should not be used by men with prostate cancer. Side effects include acne, breast enlargement, prostate enlargement, and fluid retention.

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    13. Yuan J, Zhang R, Yang Z, et al. Comparative effectiveness and safety of oral phosphodiesterase type 5 inhibitors for erectile dysfunction: A systematic review and network meta-analysis. European Urology. 2013;63(5):902-912.

    One randomized, double-blind, placebo-controlled, crossover, flexible-dose (up to 100 mg) study of patients with erectile dysfunction resulting from spinal cord injury (n=178) was conducted. The changes from baseline in scoring on the two end point questions (frequency of successful penetration during sexual activity and maintenance of erections after penetration) were highly statistically significantly in favor of VIAGRA. On a global improvement question, 83% of patients reported improved erections on VIAGRA versus 12% on placebo. Diary data indicated that on VIAGRA, 59% of attempts at sexual intercourse were successful compared to 13% on placebo.
    The major cause of erectile dysfunction is restricted blood flow to the penis because of narrowed blood vessels. In fact, because the vessels in the penis are very small compared to other parts of the body, problems with erectile dysfunction can be a warning sign that other vessels, such as those leading to the heart, may eventually be affected. Diabetes, which also can affect the blood vessels, also is linked to erectile dysfunction.

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    Professor Vlachopoulos noted that changing hypertensive medications in men with erectile dysfunction must be handled with caution. He said: “First, if a co-existing disease dictates using a specific drug category (for example, beta blockers for coronary artery disease and heart failure, diuretics for heart failure), then switching is not advocated. Alternatives might be considered if patients are at risk of stopping lifesaving therapy because of the detrimental impact of erectile dysfunction on their life.”

    Yohimbe: For years the bark from this African tree was a go-to supplement for ED. Some clinical trials have shown improvement for people who have sexual problems due to depression meds.
    Dr. Honig is an internationally recognized speaker on issues related to sexual health and conducts research into experimental treatments of erectile dysfunction. Our researchers are studying the links between erectile dysfunction and cardiovascular disease.

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For an algorithm to facilitate evaluation and treatment of patients with ED, see figure 2.

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In addition, N-desmethyl metabolite AUC and Cmax values significantly increased by 200% and 79%, respectively in subjects with severe renal impairment compared to subjects with normal renal function.

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The most common cause of ED is a lack of flowing blood to erectile tissue. Plaque and damaged vessels can restrict circulation enough to disrupt function. Typically, symptoms begin with difficulty maintaining an erection before advancing to a complete inability to obtain one.

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ED can be embarrassing to talk about. However, if it is affecting your relationship, you need to discuss it. Find tips for talking to your partner and getting successful treatment.

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