They are rich in antioxidants, and vitamin A. Carrots primarily affect the sperm count and sperm motility and also enhances the sexual function.
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. .
“Second, switching to another drug class does not guarantee either the restoration or improvement of erectile function. This has to be carefully explained to patients in advance to avoid unreasonable expectations,” he said.
The concomitant administration of the protease inhibitor ritonavir substantially increases serum concentrations of sildenafil (11-fold increase in AUC). If VIAGRA is prescribed to patients taking ritonavir, caution should be used. Data from subjects exposed to high systemic levels of sildenafil are limited. Decreased blood pressure, syncope, and prolonged erection were reported in some healthy volunteers exposed to high doses of sildenafil (200-800 mg). To decrease the chance of adverse reactions in patients taking ritonavir, a decrease in sildenafil dosage is recommended [see DOSAGE AND ADMINISTRATION, DRUG INTERACTIONS, and CLINICAL PHARMACOLOGY]. Combination With Other PDE5 Inhibitors Or Other Erectile Dysfunction Therapies
While most ED patients are effectively treated with medication, the Massachusetts study also showed that, for some, the disorder is a harbinger of heart disease. Dr. Walker, who treated patients at the Yale Medicine’s Cardiovascular and Sexual Health Clinic, estimates that ED is a cardiac risk factor in 10 percent to 20 percent of patients who do not have other risk factors for heart disease.
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.
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.
National Sleep Foundation: "Possible Link Between Sleep Apnea and Erectile Dysfunction."
Yale Medicine’s Department of Urology has enrolled thousands of patients over the past 20 years in the penile injection program. “The treatment sounds scary, but we spend the time to teach patients the correct techniques so they and their partners are comfortable.” Says Dr. Honig: “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.”
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Viagra (sildenafil) is usually the first-line therapy for erectile dysfunction in the United States and is available only on prescription. Although Viagra is the most effective medication for men with ED, some may not want to use it or cannot use it due to their side effects or the risk of reactions with other drugs they consume.
The pressure applied to the pelvic floor during these activities can result in nerve and vascular damage that may inhibit erections.
ED is a common urologic condition that causes serious emotional damage to men. Risk factors and predictors for ED include age, CVD, hypertension, diabetes, smoking, and certain medications. CVD and ED share several risk factors, and ED may be a precursor for future CV events. PDE5Is along with lifestyle modifications are considered first-line for treatment of ED in most men.
The most common side effects of VIAGRA: 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.
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Erectile dysfunction (ED) is one of the most common conditions affecting middle-aged and older men. Nearly every primary care physician, internist and geriatrician will be called upon to manage this condition or to make referrals to urologists, endocrinologists and cardiologists who will assist in the treatment of ED. This article will briefly discuss the diagnosis and management of ED. In addition, emerging concepts in ED management will be discussed, such as the use of testosterone to treat ED, the role of the endothelium in men with ED and treating the partner of the man with ED. Finally, future potential therapies for ED will be discussed.
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