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Response is dose related and usually occurs within 10–15 min, and does not require stimulation. The intraurethral preparation, medicated urethral suppository for erection (MUSE), consists of a tiny pellet of drug inserted into the urethral meatus. Response is also dose related, and onset similar to the cavernosal preparations.
Treatment of ED with exogenous testosterone replacement is indicated only for men with hypogonadism. By replacing endogenous concentrations of testosterone, androgen receptors are stimulated to maintain libido. ED is not corrected directly through use of testosterone replacement therapies. Testosterone is available in multiple formulations, including tablets, gels, intramuscular injections, and scrotal and dermal patches, allowing treatment to be tailored to meet the needs of the patient. Before using testosterone, men should undergo screening for BPH and prostate cancer, as androgen therapies can worsen these conditions. The adverse effects of testosterone therapy (e.g., weight gain, acne, exacerbation of hypertension, gynecomastia, edema) are numerous and common.5 Apomorphine (Uprima) is a dopamine receptor agonist that works to increase erections through stimulation of dopamine2 receptors in the hypothalamus and the limbic system. Five percent to 15% of patients treated with subcutaneous apomorphine for Parkinson's disease experienced frequent erections, spurring further study of a sublingual (SL) formulation not yet FDA approved for ED treatment. Studies have demonstrated that 2 to 3 mg of apomorphine SL is most effective in treating ED, and higher doses show no additional effects. Apomorphine SL has an onset of action of approximately 18 to 20 minutes. The most common adverse effect reported is nausea.19 Yohimbine is an alpha2 -adrenergic antagonist that increases catecholamines to ultimately improve mood. Its proerectogenic properties are believed to allow vasodilatation. Current clinical trials assessing the effects of yohimbine involve small study populations and a short duration of therapy. Increases in blood pressure and heart rate, anxiety, palpitations, and tremors are adverse effects associated with yohimbine. Papaverine is a smooth muscle relaxant that is often used in combination with phentolamine, an alpha1 -adrenergic antagonist, making smaller doses of each individual component necessary to achieve therapeutic effects. Smaller doses of these agents minimize adverse effects, which include hypotension, hepatotoxicity, and priapism.5,14 Ginseng is often classified as an adaptogen, or an herb that increases resistance to environmental stressors. It is believed to improve stamina and perhaps sexual function. However, data supporting the use of ginseng to treat sexual impairment are limited. Ginseng may cause increased blood pressure, headache, insomnia, pruritus, increased bleeding, and gastrointestinal upset.20,21 The success rate with penile prostheses has been reported to be as high as 98%. However, these devices must be carefully inserted by a urologist during surgery that typically requires general anesthesia. Infection is the most common adverse effect experienced in the acute period following surgery. Patients are still prone to late-onset infections and mechanical failure, although the current five-year failure rate for inflatable prostheses ranges from 6% to 16%, due to improved technology. Insertion of a penile prosthesis is an expensive procedure that may cause irreversible damage to the penis due to its invasive nature. Therefore, it is often considered a last option for patients with ED.1,5,8 Some patients with ED may be managed through vascular surgery. American Urological Association recommendations recognize arterial reconstructive surgery as an option for patients who have an arterial occlusion with no evidence of generalized vascular disease. Similar to insertion of penile prostheses, vascular surgery carries a risk for infection and damage to the penile tissue.1 Health care providers should assist patients in weighing the risks and benefits associated with the surgical management of ED.
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If it happens more often, it may be caused by physical health or emotional problems. Non-urgent advice: See a GP or go to a sexual health clinic if:
When you take erectile dysfunction tablets, you can expect to experience stronger, longer-lasting erections. However, this won’t be instantaneous. Each ED treatment takes a certain amount of time to take effect, so you should take this into account when you’re planning to have sex. Time to take effectLasts for up to Sildenafil 50mg1 hour4 hours Viagra Connect 50mg1 hour4 hours Tadalafil 10mg30 minutes36 hours Tadalafil Daily 2.5mg3-5 daysContinuous effect
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If you have a blockage of one of the larger arteries supplying the area of the pelvis or penis then microsurgical reconstruction of the arteries or anangioplasty to re-establish erections may be indicated. The blockage in these situations normally follows traumatic injuries to the pelvis.
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