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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Some men familiar with Viagra, having used it before successfully, want to stick with what works. They trust it, and the brain is the largest and most important sex organ after all; psychology can be a potent tool in combating ED.
Did you know that diabetes can contribute to erectile dysfunction and other men’s health conditions? Find out more about why treating your diabetes is important. Get more education on diabetes awareness.
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Impotence treatments were discussed in the oldest Chinese text, The Yellow Emperor’s Classic of Internal Medicine, which describes traditional Chinese medicine during the time of the Yellow Emperor’s rule which ended around 2600 BC. One of the treatments for impotence discussed is a potion with 22 ingredients.4
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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.
Sensate focus exercises are intimacy exercises you do with your partner. Sensate focus is about setting the stage for sensuality rather than sexuality, focusing on touch and being touched, and being mindful during the experience. The exercises are progressed in steps starting from non-genital touching. Read more about sensate focus exercises
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The hardening of the arteries associated with smoking tobacco can reduce flowing blood to the penis. Smoking also results in oxidative stress – another risk factor for erectile dysfunction. Fortunately, quitting smoking has shown to relieve much of the ED risks associated with the habit.
We allow a maximum of three injections per week, but you must wait 24 hours before taking another dose. And make sure you alternate between sides of the penis for each injection.
The prostaglandin E 1 analog alprostadil can also be used to treat patients with ED. This agent mimics endogenous prostaglandin E1 by stimulating adenyl cyclase to increase the formation of cyclic adenosine monophosphate, thus increasing arterial blood flow into the corpora cavernosa. Alprostadil is generally reserved for patients whose ED does not improve with PDE5 inhibitors and medical devices. Two formulations of alprostadil, a urethral insert (MUSE) and an intracavernosal injection (Caverject Impulse), are used in the management of ED and are approved as monotherapy.
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
When they compared that amount of pornography watched with experiences of ED, they found that of those below age 35 who watched 300 minutes per week, 30 percent had ED compared with 10 percent in those who watched less than 30 minutes. In the 35 to 45 age group that watched 300 minutes per week, 40 percent had ED. However, in general only 5 percent of participants were watching 300 minutes or more.
Research is mixed on the effectiveness of acupuncture as an erectile dysfunction cure, but one study published in November 2013 in the Journal of Alternative and Complementary Medicine found that acupuncture can be beneficial for men experiencing erectile dysfunction as a side effect of antidepressants, including selective serotonin reuptake inhibitors (SSRIs) and serotonin noradrenaline reuptake inhibitors (SNRIs).
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If you have a private prescription for tadalafil, read the information that comes with your medicine carefully. The strength and dosage instructions can vary.
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There are also injectable drugs for erectile dysfunction. Some men sustain stronger erections by injecting these medications directly into the penis. These drugs work by widening the blood vessels, causing the penis to become engorged with blood. Another option is a medicated pellet that is inserted into the urethra and can trigger an erection within 10 minutes. Patients should discuss the use of these injections in detail with their doctor before use.
In a double-blind, randomized, placebo-controlled study, researchers found that oral administration of l-arginine in high doses (5 grams per day for a six-week period) significantly improved sexual function in men with erectile dysfunction, but only if the dysfunction was caused by decreased nitric oxide excretion. (26)
Your GP should work through a recommended scheme of assessment for men with erectile dysfunction (impotence). This will normally include some or all of the following:
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The reason for the slow down in males can be due to many reasons. While the main reason is aging, there can be other underlying causes which only your physician may find out.
Now we know exactly the interactions of the ingredients and how the ingredients play inside our system. As such the present supplements made in scientifically formulated proportions are much more powerful and effective.
Drugs A-Z provides drug information from Everyday Health and our partners, as well as ratings from our members, all in one place. Cerner Multum™ provides the data within some of the Overview, Uses, Warnings, Side Effects, Pregnancy, Interactions, Dosage, Overdose, and Images sections. The information within all other sections is proprietary to Everyday Health. Read more Men's Diets Home Medical Reference Features Video Slideshows & Images Quizzes Expert Commentary News Archive Erectile Dysfunction Home News Reference Slideshows Quizzes Medications Find a Doctor Erectile Dysfunction Guide Overview Symptoms & Risk Factors Testing &Treatment Living & Managing Related to Erectile Dysfunction Diabetes Drug Interaction Checker Heart Disease Hypertension Living Healthy Low T Assessment Smoking Cessation
25. Perelman M, Shabsigh R, Seftel A, et al. Attitudes of men with erectile dysfunction: a cross-national survey. J Sex Med. 2005;2:397-406.
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It is common for men with erectile dysfunction to have an underlying physical basis for it, particularly in older men. However, psychological factors may be present in 10% to 20% of men with erectile dysfunction. Experts say stress, depression, poor self-esteem, and performance anxiety can impair the ability to have an erection. These factors can also make erectile dysfunction worse in men whose sexual dysfunction stems from something physical.
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The most common side effects of Sildenafil: 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.
Ginseng benefits sexual dysfunction because of its ability to affect the central nervous system, allowing the brain to send the necessary signals that initiate an erection. Red ginseng may also help to relax the penile tissue, allowing blood to rush to the area.
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Did you know that the females get their second peak in sexual energy after 40s. But for the males, the sex rolls down the hill.
It is important to understand that ED is frequently, if not usually, directly related to endothelial dysfunction, and that the release of NO by the vasculature of the penile arteries is directly related to the function of intact, healthy endothelium. In the face of endothelial dysfunction, the process of erection fails to occur in a normal fashion.16
Alcohol is considered a depressant which can cause long-term or temporary erectile dysfunction. The central nervous system is also responsible for releasing nitric oxide, which is an essential chemical to produce an erection and heavy alcohol consumption also depresses the central nervous system which causes it to function not properly.
Natural ED treatments are ways you can manage problems with an erection at home. Typically, these include treatments and therapies like:
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Supplements must be taken carefully and under expert guidance for maximum benefit. Please consult your doctor before starting any supplements to weigh the pros and cons and side effects if any, and especially if you have any pre-existing health condition.
The first things doctors usually prescribe to men with erectile dysfunction are pills like:
Erectile dysfunction tablets are typically safe to use both in the short term and long term. The results of a study looking at men using sildenafil over the course of four years suggest that it’s safe and effective when used over a prolonged period of time. Likewise, another study involving 1173 men with ED concluded that tadalafil was “safe and well tolerated” when used for the duration of the study, which lasted for two years. In general, if you find yourself taking sildenafil - or any other ED treatment - for a prolonged period of time, it’s worth looking at the underlying causes (with the help of your doctor). There’s also plenty of information on the possible root causes of ED in our Book of Erections.
Meanwhile, even E.D. treatments that are safe and free of pharmaceuticals aren’t necessarily working for the reasons consumers suspect, said Dr. Ryan Berglund, assistant professor of surgery and urologic oncology at the Cleveland Clinic.
Erection problems (impotence) are very common, particularly in men over 40. It's usually nothing to worry about, but you should see a GP if it keeps happening. It could be the sign of a more serious problem. Causes of erection problems
GAINSWave therapy is effective and safe for men who cannot take oral ED medicine, such as those with heart disease, diabetes, or high blood pressure. GAINSWave can be used to treat Peyronie’s Disease, which Viagra and other oral ED drugs cannot. What is GAINSWave? What to expect? How it works? Comparing treatments Frequently asked questions Medical advisory board Clinical research Find a provider near you → New York Texas Florida California Colorado Arizona Washington See all locations → Men’s Health Guide GW Magazine As Seen On For Providers Provider Resources For Affiliates For Press Partnership Facebook Instagram Twitter Youtube Linkedin Tiktok
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In severe cases, low blood pressure can substantially reduce the amount of oxygen that reaches important parts of the body, like the heart and brain. Eventually, these organs can become damaged.
Each PDE5 inhibitor lasts for a different amount of time. Sildenafil lasts for four hours, tadalafil lasts for 36, and Tadalafil Daily lasts continuously (provided you take one tablet a day).
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While there aren’t any stretches proven to increase penis blood flow, research suggests that some exercises may help strengthen the muscles of the pelvic floor. These muscles are crucial to sustaining blood flow to the penis and facilitating erections.
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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
Men who have an erection that lasts a long time are urged to seek emergency medical care. When blood is in the penis for too long, it’s difficult for oxygen to reach the area. This situation can lead to tissue damage, permanent erectile dysfunction, or disfiguration of the penis.
As the saying goes, nothing succeeds than success. The success leads to more desire for sex and further control on ejaculation and more and more orgasms for your partner.
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Prescription ED medications can potentially lower blood pressure. If you already have low blood pressure or are being treated for high blood pressure, there is a possibility that ED treatments could lead to hypotension, which is a serious risk. The doctor will be able to advise you on safe treatment options. You may need blood pressure results to acquire a prescription for certain ED medications.
It’s important to distinguish shockwave therapy from radial wave therapy, which is commonly advertised as a noninvasive treatment for erectile dysfunction available at both medical and non-medical facilities. Here are some key differences: Shockwave therapy Data shows it can stimulate blood flow and potentially help grow new blood vessels. A licensed medical professional with professional training is required to administer this treatment. It is not yet approved by the Food and Drug Administration (FDA) for use in treating erectile dysfunction. Radial wave therapy There is no data to support claims that it can help with erectile dysfunction. It is not regulated by the FDA because it is a Class I medical device. No medical license or professional training is required to administer this treatment. Shockwave Therapy Cost
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Studies have shown that for men with stress-related ED, when the partner is involved in the therapy, the problem is resolved 50%–70% of the time. When the man must go through counselling alone, the results are less successful. Psychosexual counselling is unlikely to be effective if a man drops out of treatment after just one or two sessions.44
If you are being treated for both benign prostatic enlargement and erectile dysfunction, the dose is 5mg.
Though several vitamins may help with blood flow and general circulation, few have been proved to increase blood flow to the penis. Some evidence suggests that many men with ED are also deficient in vitamin D. For them, taking supplements may help. However, other studies find no connection between levels of D and ED.
The type of prescription medication that’s most commonly used in the treatment of erectile dysfunction is phosphodiesterase type 5 inhibitors (including sildenafil, vardenafil and tadalafil). They are used to relax and open the penile tissue, allowing for blood to enter the penis and cause an erection. Intracavernous (base of the penis) injections of vasoactive agents, such as prostaglandin E1, are also used for ED. (32)
During sexual activity, if you become dizzy or nauseated, or have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of avanafil.
Your doctor may tell you to make some day-to-day adjustments. Expect to hear things like:
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The study conducted by Dr. Jacques Wayenberg found that 62% of the participants had a dynamic effect while 51% of the male participants found the root as libido enhancer.
Personalized patient care is what sets Prime Male Medical apart. When you visit our locations in Pleasant Hill and San Francisco, you can expect to receive world class care. Expert bay area men’s health and ED treatment specialists and caring clinical staff providing you with exceptional patient care is what sets Prime Male Medical apart.
Several medications are not recommended for the treatment of erectile dysfunction. These include trazadone, yohimbine, and herbal therapies, as there is no evidence to support their safe use for the treatment of erectile dysfunction. It is important to note that testosterone therapy is not indicated for the treatment of erectile dysfunction in the patient with a normal serum testosterone level.
Medication therapy is effective, especially in older men. Additional treatment may include self-injected medication, vacuum erection devices, or urethral suppositories. Surgical interventions include vascular reconstruction for improved penile blood flow. Penile implants are considered for some cases.
While in the ancient times the people knew about the wonderful properties of the herbs through trial and error. But now scientists have analyzed the properties of those herbs through scientific studies.
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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Do you know about all the serious issues with Viagra, Cialis, and all their generic substitutes? Learn how men are able to regain full function without pills, shots, or surgery and go back to being intimate the natural way.
