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We understand your concerns and can answer your questions about male sexual issues. We’ve heard it all before, and we can find the answers—and the treatment—that is personally best for you.

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“There are many lifestyle changes that are erectile dysfunction remedies, but among them, exercise is the ED treatment that can have the greatest impact,” says Zachary R. Mucher, MD, a urologist in Sugar Land, Texas. “Exercise works on several fronts to combat the development of ED and help reverse it once it has become a problem.”
Often, erectile dysfunction can be a symptom of a heart condition, diabetes, or high blood pressure. To address this, Yale Medicine established the Male Reproductive Health/Sexual Medicine Program, a collaboration between the specialties of cardiovascular medicine and urology. .

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Research published in the Journal of Sexual Medicine examined data relating to erectile dysfunction and dietary factors. Researchers found that a dietary pattern that’s high in fruit, vegetables, fish, nuts and whole grains, and low in red and processed meat, is more common in men who aren’t affected by erectile dysfunction. These dietary choices, which fall within the guidelines of the Mediterranean diet, are associated with lower all-cause and disease-specific survival, according to researchers. And in clinical trials, following the Mediterranean diet was more effective in improving erectile dysfunction or restoring erectile function in people with metabolic syndrome or obesity. (21)
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.

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The research team defined porn addiction among their participants by using a specific validated cyber porn addiction score which consist of eleven questions. In the group below age 35, with a high porn addiction score, 45 percent had ED. Dr. De Win also pointed out that it is important to note that in the group under age 24 about 12 percent already had a high porn addiction score.
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Some men take supplements or try other forms of alternative medicine to treat their ED.

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There are many herbal remedies which are good for the improvement in erectile dysfunction, but most of them have little effect and have side effects. There are two herbal remedies which have shown that erectile dysfunction can be gone if you take them, which are red ginseng and pomegranate juice. Ginseng will increase nitric oxide production, which leads to improved blood flow. In the case of pomegranate juice, it acts an antioxidant and helps to prevent atherosclerosis. You should consult with your doctor before taking any supplements as they can interfere with some other medication you are taking.

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    Hims is a great telemedicine company where, after a free consultation with a doctor, you can access a few different ED treatments proven to be effective: sildenafil (and brand-name Viagra), tadalafil (and brand-name Cialis), and Stendra. As a company, Hims impresses us very much, and there are circumstances in which we recommend Hims above all others for ED treatment providers.

    Answer: Normally the supplements do not interact with other medicines. But to be safe it is advised to consult your doctor.
    In the beginning, it might not take much to get aroused. However, watching too much porn can lead to erection problems...

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    Our patients often undergo a full body exam to determine whether they have early cardiovascular disease, vascular disease or a metabolic condition such as diabetes.

    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.
    Anxiety and depression can be treated with counselling and cognitive behavioural therapy (CBT).

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    Promise quick results (within 30 to 40 minutes)Are advertised as alternatives to FDA-approved prescription drugsAre sold in single servingsAdvertise via spam or unsolicited emailsHave labels written primarily in a foreign languageHave directions and warnings that mimic FDA-approved products

    A number of treatments help reduce swollen prostate tissues. UroLift is a new, minimally invasive procedure for men with benign prostatic hyperplasia.
    A very rare but more serious visual complication is shared by all PDE5 inhibitors. This would be non-arteritic anterior ischemic optic neuropathy (NAION). A number of cases have been reported and generally risk factors for this very rare form of blindness are severe cardiovascular conditions. In summary, men at high-risk for cardiovascular disease with congestive heart failure or unstable angina should not receive treatment for sexual dysfunction until their cardiac condition has stabilized. The FDA advises patients to stop taking these medicines and call a doctor immediately, if they experience sudden or decrease vision loss in one or both eyes. Furthermore, patients taking or considering taking these products should inform their healthcare professionals if they have ever had severe loss of vision, which may reflect a prior episode of NAION. Such patients are at an increased risk of developing NAION again.

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    https://pubmed.ncbi.nlm.nih.gov/26391406/ Biological Activities of Ginseng and Its Application to Human Health. (2011).

    Tell your doctor before taking any over-the-counter supplement. Use caution with any product that claims to be a non-prescription “herbal Viagra.” Some of these products contain the actual drug, sildenafil, which should only be taken when prescribed by a doctor. They may also contain unlabeled ingredients that can cause serious side effects or interact with other medications you take.
    All of these are phosphodiesterase-5 inhibitors (also known as PDE-5 inhibitors). They work 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. This helps improve the ability to get and maintain erections. Penile implantsVacuum erectile devices (VEDs)ED ringsBlood vessel surgeryInjectible or suppository drugsTestosterone replacement therapy (TRT)

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https://pubmed.ncbi.nlm.nih.gov/26391406/ Biological Activities of Ginseng and Its Application to Human Health. (2011).

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When you’re living with erectile dysfunction (ED), you’ll consider doing just about anything to get your sex life back on track. Eating roots like ginseng -- fine. Drinking special juices like pomegranate -- tasty. Even becoming a human pin-cushion for a treatment like acupuncture -- bring it on.

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