These diseases include high blood pressure, diabetes, clogged arteries, heart and blood vessel disease, high cholesterol, and chronic kidney disease. Other possible causes include: Nerve injury: The penis, spinal cord, prostate, bladder or pelvis may have sustained a physical injury that needs to be treated. This includes a large group of men who have had surgery or radiation treatment for prostate cancer. Unhealthy lifestyle: This includes smoking, excessive alcohol use, obesity and not exercising. Mental health: Depression, stress and anxiety surrounding sexual failure can all lead to erectile dysfunction. Medications: Some medications, including antidepressants, can cause sexual side-effects. Hormones: A small number of erectile dysfunction cases result from low levels of the male hormone testosterone.
Most people who get shockwave therapy for ED will often see benefits within one to three months. The initial results (within the first several weeks) can be dramatic. There is still not enough long-term research and data to say how long the treatment might last, whether the effects of the treatment could wear off, or whether you will need additional treatment at a later time. Schedule a Consult with Our Specialists

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
When people think about erectile dysfunction treatments, they think of Viagra. The prescription medication is the brand name for sildenafil citrate. Men can take the tablets orally and enjoy sex as usual for up to two hours. Viagra and generic sildenafil work the same way. They inhibit PDE5, meaning that they relax the blood vessels in the penis during sexual stimulation. As a result, the ED pills let men obtain an erection faster and keep it longer. Cialis (tadalafil) serves as the 1B to Viagra's 1A. The vasodilator treats erectile dysfunction the same way, blocking PDE5 to improve blood flow to the penis. It also alleviates symptoms related to an enlarged prostate. Drug interactions can occur while using Cialis. You should not take these erectile dysfunction pills if you take anti-fungal medication or antibiotics. Ask your doctor if you're healthy enough to take Cialis if you have a history of strokes, kidney or liver problems, or stomach ulcers. Levitra (vardenafil) is one of the most popular Viagra alternatives. The prescription medication relaxes the muscles in the penis and blood vessels. This effect increases blood circulation, leaving you with a firm erection. A single tablet of Levitra can improve penile blood flow for up to four hours. If your erection lasts longer than four hours, contact a medical professional. You should also speak with a doctor before taking Levitra if you take blood pressure medications, alpha-blockers, anti-fungal medication, or antibiotics. Stendra (avanafil), also known as Spedra, has been around since 2012. The PDE5 inhibitor comes from Mitsubishi Tanabe Pharma, which touts the ED treatment's minimal side effects. The pills expand the blood vessels in the penis, so they fill with blood during sexual arousal. Users can take Stendra with up to three servings of alcohol before intercourse. You should not take the pill if you take anti-fungal medication, alpha-blockers, antibiotics, or other ED treatments. Contact a doctor immediately if you experience low blood pressure or hearing loss while taking Stendra. While each natural male enhancement supplement has a unique formula, many of them work the same way. They convince the body to produce more nitric acid, a molecule found in almost every cell in the body. So what makes nitric oxide special? It's a vasodilator. The molecule communicates with the muscles in your body and tells them to relax. This signal widens the blood vessels in the penis, lowering your blood pressure and improving blood flow. So while most researchers don't place nitric oxide on par with Viagra or Cialis as an ED treatment, the natural compound can work wonders for your sex life. The benefits of nitric oxide go beyond penis enlargement. The compound can put you at ease in the bedroom, instilling you with self-confidence. Its relaxing effect allows you to focus on your partner during sexual intercourse instead of your erectile performance. Each of the male enhancement supplements on our list has safe and effective ingredients. Unless you have an allergy to something in the formula, you don't have to worry about severe complications. The wholesome content supports your natural sexual health, allowing you to perform your best in the bedroom. If you have any questions or concerns about a specific treatment, talk with your doctor first. They understand your body and can guide you toward the right option. The conversation can also help you circumvent any unwanted drug interactions. Why Choose Natural Erection Pills vs. ED Medication for Treating Erectile Dysfunction Millions of men put their faith in natural erection pills each year. The supplements offer several benefits over traditional ED medication. That starts with convenience. When you want to purchase natural male enhancement supplements, you can order them online. So say adios to commutes and waiting at the doctor's office. Instead, manufacturers deliver the pills to your door so that you can spend your time on the important things in your life. This arrangement also offers more privacy. You can avoid having embarrassing or awkward conversations with your doctor about your erectile dysfunction. Instead, you can do your research online and purchase a supplement that fulfills your needs. Natural ED pills tend to cost less than ED medications. You can save a few hundred or even a few thousand dollars per year on drugs. Here are the costs of name-brand ED treatments at Hims: Cialis - 30 pills cost $520 per month Stendra - four pills cost $116 per month Tadalafil - 30 pills cost $235 per month Viagra - five pills cost $425 per month Finally, natural supplements tend to have fewer side effects. None of the products on our list have any significant side effects, giving you the green light to buy them. However, prescriptions come with a wide range of potential complications, such as memory problems, nausea, loss of hearing, headaches, and dizziness. If you have erectile dysfunction, you should strongly consider one of the top male enhancement supplements on our list. The state-of-the-art products deliver the results you need without a prescription. Not only do they treat ED symptoms, but they can also correct a wilting libido and premature ejaculation. Remember that each product has unique benefits. Male Extra works best if you want to turbocharge your sex drive, while VigRX Plus caters to men looking for firmer erections. Taking the time to review your options can make a world of difference for your sex life. Tags: Sponsored content, Viagra, Cialis, Levitra, Spendra, Tadalafil Local journalism is information. Information is power. 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Guide Is There Anything Over the Counter That Works Like Viagra? Topic Guide There are several medications and treatments used to treat erectile dysfunction (ED, impotency), including Viagra (sildenafil), testosterone replacement therapy, penile self-injection, and others. Some over-the-counter (OTC) supplements may help with erectile dysfunction, such as L-arginine in combination with pycnogenol, Korean red ginseng (also called panax ginseng), Yohimbe, Carnitine (propionyl-L-carnitine), and Dehydroepiandrosterone (DHEA).