Many men find relief through a combination of these treatments. Your doctor will help you decide the fastest and best method for curing your erectile dysfunction. SLIDESHOW Sex-Drive Killers: The Causes of Low Libido See Slideshow
PDE5 inhibitors have side effects such as flushing, headache, nasal congestion, increased stomach acid, changes in vision and hearing, and muscle pain. They may also be dangerous for patients with some medical conditions, such as high blood pressure, abnormal heart rhythms, congestive heart failure, or other heart disease. These agents cause serious interactions with certain drugs, such as nitroglycerin or alpha-blockers. They require lower doses in men with kidney or liver disease. .
If you’re experiencing symptoms of ED, it’s important to talk to a medical professional to help identify the cause. They can then help determine which, if any, natural treatment method, medication, or combination of the two is right for you.
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L-Arginine HCL: This amino acid increases the production of nitric oxide in the blood. Nitric oxide relaxes and smoothens the blood vessels causing increased blood flow to the penis. You get a firmer and larger erection.
have had an allergic reaction to tadalafil or any other medicines in the pastare taking medicines called nitrates for chest painhave a serious heart and liver problemhave recently had a stroke or a heart attackhave low blood pressure or uncontrolled high blood pressurehave ever lost your vision due to reduced blood flow to the eye
18. Penson DF, Wessells H. Erectile dysfunction in diabetic patients. Diabetes Spectr. 2004;17:225-230.
If you would like to schedule an appointment with one of our specialists, call us at 801-213-2700. You do not need a referral from a physician to see us.
Erectile dysfunction (ED or impotence) is the inability to achieve or sustain an erection firm enough for sexual intercourse. If you are experiencing symptoms of erectile dysfunction as listed below, schedule a comprehensive health assessment with our medical professionals. Our providers will tailor a personalized ED treatment plan that considers other health factors and potential lifestyle adjustments. Symptoms of ED: Trouble getting an erection Trouble keeping an erection Premature or delayed ejaculation
Surgery is an option in some cases of erectile dysfunction. Most surgery cases are performed for one of three reasons: to implant a device to initiate erections; to reconstruct arteries and increase penis blood flow; to block off veins that allow blood to leak from the penile tissues.
L-arginine supplementation is possibly unsafe for men with blood pressure problems or men who have had a heart attack, allergies, or asthma.
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There are also specific treatments for some of the causes of erectile dysfunction. Treatments for some causes of erectile dysfunction Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol Medicine to lower blood pressure, statins to lower cholesterol Hormone problems Hormone replacement (for example, testosterone) Side effects of prescribed medicine Change to medicine after discussion with GP
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.
The products of such research have been included in the pills to help you rise to the occasion in bed.
It is beyond the competency of the clinician to assess the sacramental marital status of his or her patients, and only a civil declaration of marriage would be reasonable before assessing the moral status of prescribing a therapy for ED. In all circumstances, the clinician’s commitment to promoting chastity and avoiding cooperation with immoral acts should be clearly visible in speech and action.