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“We listen to the patient and partner, understand the cause of the problem and work with the couple to start treatment that works best for the patient,” says Dr. Honig. PDE-5 inhibitors (phosphodiesterase type 5 inhibitors): These are medicines which relax muscle cells in the penis and increase blood flow. Vacuum erection device: This pulls blood into the penis, causing an erection. The erection is maintained by placing an elastic ring at the base of the penis. Injection therapy: Doctors use a very small needle to inject medication directly into the side of the penis. This relaxes the muscle allowing for blood flow and is a highly successful. Minimally invasive penile implant surgery: which our experienced physicians routinely perform. Most patients recover full sexual function in six to eight weeks. Yale Medicine Urology has extensive experience in standard and complicated penile implant surgery.
All men sildenafil users of at least 18 years of age that were volunteer to participate in the study. .

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Self-administered injections of prostaglandin E1 (Caverject® or Invicorp®) provide a simple means of obtaining a natural erection. You will be taught how to administer the injections (pictured) and told what to do in the event of problems such as an erection which will not go down.

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Erectile dysfunction can be cured by drinking coffee. Coffee increases the blood flow to the penis and improves the sexual function.
PDE-5 inhibitors work by blocking the activity of PDE-5, an enzyme that plays a role in the contraction of smooth muscles around blood vessels. PDE-5 inhibitors prevent the PDE-5 enzyme from stimulating PDE-5 receptors, a type of protein molecule that is abundant in the smooth muscles of pulmonary blood vessels and the penis.

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After patients have taken VIAGRA, it is unknown when nitrates, if necessary, can be safely administered. Although plasma levels of sildenafil at 24 hours post dose are much lower than at peak concentration, it is unknown whether nitrates can be safely co-administered at this time point [see DOSAGE AND ADMINISTRATION, DRUG INTERACTIONS, and CLINICAL PHARMACOLOGY].

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Once the treatment is complete, you will be able to return home. You should be able to safely drive yourself home. If you experience pain, your doctor will recommend over-the-counter (OTC) medications, such as acetaminophen or ibuprofen for pain relief. Most people can return to normal activity the following day after shockwave therapy, but your urologist will discuss whether you should restrict your activity for longer to recover. Shockwave Therapy Risks You may experience some side effects, but they are rare and generally mild. These may include: pain at the site during the procedure, bleeding or bruising on and around the penis, blood in the urine, skin infection on the penis, painful erection, or penile curvature that worsens.

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    Online medicines are not always regulated and the ingredients in them can vary from one pack to another. They can cause unpleasant side effects or may not be suitable for you.

    If your doctor suspects that you may have an underlying condition, however, you might need further tests or a consultation with a specialist. Tests for underlying conditions can include: A physical exam: Your doctor will examine your penis and testicles for signs of abnormalities and will test sensation. Blood tests: Blood tests can show if you may have heart disease, diabetes, low testosterone levels, or other issues. Urine tests: Urinalysis is used to look for signs of diabetes and other health conditions. An ultrasound: A specially trained technician will use a wand-like device (transducer) over the blood vessels that supply the penis to analyze for blood flow issues. A psychological exam: Your doctor may want to evaluate you for depression or other mental illnesses that may cause erectile dysfunction. Why Do Men Often Die Before Women Groan-Up Humor of 'Dad Jokes' No Sign Testosterone Supplements Cause Heart Issue Men Think They're Healthier Than They Are Frozen Testes Tissue in Mice Viable After Decades Daily Health News Is Caffeine a Friend or Foe? Ashton Kutcher's Vasculitis Depression 'Chemical Imbalance' Secret Weapon Against COVID Quit-Smoking Meds for Alcoholism More Health News » Trending on MedicineNet Triple-Negative Breast Cancer Causes of Stool Color Changes Good Heart Rate By Age Laminectomy Recovery Time Normal Blood Pressure By Age
    There are also case reports associating the use of Sildenafil with recurrent epistaxis. The number of similar cases might increase due to the diffusion of PDE-5 inhibitor overuse in recreational settings (15, 16). Case reports of type A and B aortic dissection have also been reported with sildenafil abuse (17). In some cases, patients may experience vomiting, diarrhea, and abdominal pain shortly after the ingestion of sildenafil and may be found to have aortic dissection upon admission to a hospital (18).

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    There is some strong evidence that shows that watermelon can treat the ED. Variety of antioxidants are present in watermelon. The main ingredient responsible for treating ED is Citrulline. It is an amino acid in nature and makes your erection harder. It relaxes the blood vessels and improves the blood flow.

    Acupuncture is a method that originates from the Chinese whereby, needles are injected into the skin at specified locations. This has great effects on the stimulation of the nerve affecting the neurotransmitter. Losing weight, reduce blood pressure and improve the levels of testosterone and cholesterol. Keeping a healthy diet. Stop smoking. Stop the intake of alcohol.
    “One important danger that men need to know about if they are using ED drugs recreationally is drug dependence. Men who take the drugs for longer and larger erections may find that they actually develop ED without the drugs. This could mean having to use more aggressive treatments like injections or implants to treat ED in the future,” warned DeSouza.

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    Preference for Viagra isn’t just a sugar-pill thing, either; there are differences in dosage to consider. Viagra commonly comes in 25mg, 50mg, and 100mg doses, with a typical dose of 50mg prescribed at the outset for men under 65. Sildenafil, meanwhile, comes in a broader range of options, including 20, 30, 35, 60, 80, and 100 mg. So, it’s the same active ingredient (sildenafil), which acts in the same way in the male body. But you may experience different levels of efficacy and side effects depending on the dosage.

    To treat erectile dysfunction-ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). Do not take more than once daily.
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    Reports of dangers from ED drug abuse run the gamut from unsafe sex practices and a heightened sexually transmitted infection (STI) risk to fatal drug interactions. They include these specifics:

    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.
    According to a Harvard Medical School study, a man with a 32-inch waist is 50% less likely to have ED than a man with a 42-inch waistline. The implication here is that heavier men are likely to have clogged arteries, diabetes, or other health conditions that impede sexual performance. Exercising can promote blood flow throughout the body, and eating better can improve heart health.

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Men in their 40s with ED have a 50-fold increased risk of CVD and men in their 20s and 30s have a sevenfold increased CV risk.25

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In another study in healthy male volunteers, co-administration with the HIV protease inhibitor ritonavir, which is a highly potent P450 inhibitor, at steady state (500 mg bid) with VIAGRA (100 mg single dose) resulted in a 300% (4-fold) increase in sildenafil Cmax and a 1000% (11-fold) increase in sildenafil plasma AUC. At 24 hours the plasma levels of sildenafil were still approximately 200 ng/mL, compared to approximately 5 ng/mL when sildenafil was dosed alone. This is consistent with ritonavir's marked effects on a broad range of P450 substrates. VIAGRA had no effect on ritonavir pharmacokinetics [see DOSAGE AND ADMINISTRATION and DRUG INTERACTIONS].

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Sildenafil is also available in other brands and strengths for treating high blood pressure in the lungs (pulmonary hypertension). Do not take sildenafil with any other product that contains sildenafil or other similar medications for erectile dysfunction-ED or pulmonary hypertension (such as tadalafil, vardenafil).

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Hemic and Lymphatic: vaso-occlusive crisis: In a small, prematurely terminated study of REVATIO (sildenafil) in patients with pulmonary arterial hypertension (PAH) secondary to sickle cell disease, vaso-occlusive crises requiring hospitalization were more commonly reported in patients who received sildenafil than in those randomized to placebo. The clinical relevance of this finding to men treated with VIAGRA for ED is not known.

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