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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

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You shouldn’t use these medicines if you take nitroglycerin or any other nitrates for chest pain. If you have heart problems, tell your doctor before taking any ED medicines. These medicines can have serious side effects in people who have heart problems.
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Erectile dysfunction (ED) is when a man cannot get or keep an erection. The condition prevents the man from having sex or finishing sex. This condition used to be called impotence. ED can occur at any age, but it is more common in men older than 75 years of age.
Your doctor might give you a low dose of 2.5mg if you are having any problems, such as side effects.

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Avanafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking sildenafil (Viagra) or other drugs similar to avanafil. Most of these people also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoked or were over 50 years old. It is not clear whether avanafil is the actual cause of vision loss.
If this does not occur, consulting a physician is necessary to rule out any underlying health conditions, such as an enlarged prostate or diabetes. ED is often thought to be a marker of poor blood flow to organs. Hence, every person with ED must be screened for cardiovascular fitness as well.

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While ED is not life threatening, the condition may result in withdrawal from sexual intimacy, reduced quality of life, decreased working productivity, and increased healthcare utilization. Patterns of care may shift away from surgical and device therapies provided by urologists and toward pharmacologic treatments and/or multidisciplinary approaches. With men increasingly seeking to preserve sexual function and quality of life as they age, the treatment of ED will take on even greater importance in the years to come.

Treatment for priapism may include draining the excess blood from the penis, medication, or surgery.
Home About Services Blog Contact Register Login Logout My Account Answer 5 Natural Treatments for Erectile Dysfunction
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Thus MSM stimulates the growth of penis cells and tissues. The penis becomes capable of holding on more blood in it during erection and penetration. In this way MSM improves the sex performance and help you achieve the orgasm for your partner.

any online pharmacy is registered with the General Pharmaceutical Council (GPhC)any online doctor service is registered with the Care Quality Commission (CQC)all doctors are registered with the General Medical Council (GMC) Things you can do to help with erectile dysfunction
Pregnancy & BreastfeedingCan I take Avanafil (Stendra) if I’m pregnant or breastfeeding?
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And if you need support in the process of reducing stress and anxiety, try cognitive behavioral therapy that will help you to work through tough situations that would normally leave you in a state of stress.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
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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Ultimately, what works best for you — and what dosage you take — depends on what the consulting physician determines is suitable. They’ll base this determination on your medical background and how you tolerate the medication when you begin using it. You’ll also have some say in the dosage you use to start.

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Existing research shows mixed results in L-arginine’s effectiveness in treating ED. Most evidence suggests that L-arginine may work best for ED when combined with other ED drugs. BulkSupplementsHavasuHorbaachKlaire LabsPure EncapsulationsThorne Research Perfusia-SR Ginseng
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All men receiving testosterone replacement need to have periodic measurement of haemoglobin and haematocrit to monitor for erythrocytosis. Feldman HA , Goldstein I , Hatzichristou DG , et al . Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol 1994;151:54–61. Araujo AB , Esche GR , Kupelian V , et al . Prevalence of symptomatic androgen deficiency in men. J Clin Endocrinol Metab 2007;92:4241–7. doi:10.1210/jc.2007-1245 Lindau ST , Schumm LP , Laumann EO , et al . A study of sexuality and health among older adults in the United States. N Engl J Med 2007;357:762–74. doi:10.1056/NEJMoa067423 Shah J . Erectile dysfunction through the ages. BJU Int 2002;90:433–41. doi:10.1046/j.1464-410X.2002.02911.x Mobley D . Early history of inflatable penile prosthesis surgery. Asian J Androl 2015;17:225–9. Roumeguère T , Wespes E , Carpentier Y , et al . Erectile Dysfunction is associated with a high prevalence of hyperlipidemia and coronary Heart Disease Risk European Urology.44:355–9. Klein R , Klein BE , Lee KE , et al . Prevalence of self-reported erectile dysfunction in people with long-term IDDM. Diabetes Care 1996;19:135–41. doi:10.2337/diacare.19.2.135 Larsen SH , Wagner G , Heitmann BL . Sexual function and obesity. Int J Obes 2007;31:1189–98. doi:10.1038/sj.ijo.0803604 McWaine DE , Procci WR . Drug-induced sexual dysfunction. Med Toxicol Adverse Drug Exp 1988;3:289–306. doi:10.1007/BF03259941 Croft H , Settle E , Houser T , et al . A placebo-controlled comparison of the antidepressant efficacy and effects on sexual functioning of sustained-release bupropion and sertraline. Clin Ther 1999;21(4):643–58. doi:10.1016/S0149-2918(00)88317-4 Janeway M , Baum N . Managing the enlarged prostate gland in elderly men. Clinical Geriatrics http://www.consultant360.com/articles/managing-enlarged-prostate-gland-elderly-men. Kumar RJ , Barqawi A , Crawford ED . Adverse events associated with hormonal therapy for prostate Cancer. Rev Urol 2005;7 Suppl 5:S37–S43. Aksam A , Yassin A , Saad F . Testosterone and erectile dysfunction. J Andrology 2008;29. Gades NM , Nehra A , Jacobson DJ , et al . Association between smoking and erectile dysfunction: a population-based study. Am J Epidemiol 2005;161:346–51. doi:10.1093/aje/kwi052 Mobley D , Baum N . Smoking: it’s impact on urologic conditions. Rev Urology 17 2015. Stein RA . Endothelial dysfunction, erectile dysfunction, and coronary heart disease: the pathophysiologic and clinical linkage. Rev Urol 2003;5(Suppl 7):S21–S27. Andersson K , Stief C . Penile erection and cardiac risk: pathophysiologic and pharmacologic mechanisms. Am J Cardiol 2000;86:23–6. doi:10.1016/S0002-9149(00)00887-0 Feldman HA , Johannes CB , Derby CA , et al . Erectile dysfunction and coronary risk factors: prospective results from the Massachusetts male aging study. Prev Med 2000;30:328–38. doi:10.1006/pmed.2000.0643 Vlachopoulos C , Ioakeimidis N , Terentes-Printzios D , et al . The triad: erectile dysfunction-endothelial dysfunction-cardiovascular disease Curr Pharm Des. 2008;14:3700–14. Watts GF , Chew KK , Stuckey BG et al . The erectile-endothelial dysfunction nexus: new opportunities for cardiovascular risk prevention. Nat Clin Pract Cardiovasc Med 2007;4:263–73. doi:10.1038/ncpcardio0861 Montorsi F , Briganti A , Salonia A , et al . Erectile dysfunction prevalence, time of onset and association with risk factors in 300 consecutive patients with acute chest pain and angiographically documented coronary artery disease. Eur Urol 2003;44:360–5. doi:10.1016/S0302-2838(03)00305-1 Vlachopoulos C , Rokkas K , Ioakeimidis N , et al . Prevalence of asymptomatic coronary artery disease in men with vasculogenic erectile dysfunction: a prospective angiographic study. Eur Urol 2005;48:996–1003. doi:10.1016/j.eururo.2005.08.002 Mulhall J , Teloken P , Barnas J et al . Vasculogenic erectile dysfunction is a predictor of abnormal stress echocardiography. J Sex Med 2009;6:820–5. doi:10.1111/j.1743-6109.2008.01087.x Hodges LD , Kirby M , Solanki J , et al . The temporal relationship between erectile dysfunction and cardiovascular disease. Int J Clin Pract 2007;61:2019–25. doi:10.1111/j.1742-1241.2007.01629.x Inman BA , Sauver JL , Jacobson DJ , et al . A population-based, longitudinal study of erectile dysfunction and future coronary artery disease. Mayo Clin Proc 2009;84:108–13. doi:10.4065/84.2.108 Ponholzer A , Temml C , Obermayr R , et al . Is erectile dysfunction an indicator for increased risk of coronary heart disease and stroke? Eur Urol 2005;48:512–8. doi:10.1016/j.eururo.2005.05.014 Thompson IM , Tangen CM , Goodman PJ , et al . Erectile dysfunction and subsequent cardiovascular disease. JAMA 2005;294:2996–3002. doi:10.1001/jama.294.23.2996 Banks E , Joshy G , Abhayaratna WP , et al . Erectile dysfunction severity as a risk marker for cardiovascular disease hospitalisation and all-cause mortality: a prospective cohort study. PLoS Med 2013;10:e1001372. doi:10.1371/journal.pmed.1001372 Lewis RW , Fugl-Meyer KS , Corona G , et al . Definitions/epidemiology/risk factors for sexual dysfunction. J Sex Med 2010;7:1598–607. doi:10.1111/j.1743-6109.2010.01778.x Yaman O , Gulpinar O , Hasan T , et al . Erectile dysfunction may predict coronary artery disease: relationship between coronary artery calcium scoring and erectile dysfunction severity. Int Urol Nephrol 2008;40:117–23. doi:10.1007/s11255-007-9293-8 Montorsi P , Ravagnani PM , Galli S , et al . Association between erectile dysfunction and coronary artery disease. role of coronary clinical presentation and extent of coronary vessels involvement: the COBRA trial. Eur Heart J 2006;27:2632–9. doi:10.1093/eurheartj/ehl142 Montorsi P , Ravagnani PM , Galli S , et al . Association between erectile dysfunction and coronary artery disease:matching the right target with the right test in the right patient. Eur Urol 2006;50:721–31. doi:10.1016/j.eururo.2006.07.015 Yassin AA , Saad F . Testosterone and erectile dysfunction. J Androl 2008;29:593–604. doi:10.2164/jandrol.107.004630 Khera M . Androgens and erectile function: a case for early androgen use in postprostatectomy hypogonadal men. J Sex Med 2009;6:234–8. doi:10.1111/j.1743-6109.2008.01159.x Aversa A , Isidori AM , De Martino MU , et al . Androgens and penile erection: evidence for a direct relationship between free testosterone and cavernous vasodilation in men with erectile dysfunction. Clin Endocrinol 2000;53:517–22. doi:10.1046/j.1365-2265.2000.01118.x Wespes E , Amar E , Hatzichristou D , et al . EAU guidelines on erectile dysfunction: an update. Eur Urol 2006;49:806–15. doi:10.1016/j.eururo.2006.01.028

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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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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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Yohimbe bark is an herbal supplement that’s used to improve erectile dysfunction, hormone imbalances and low libido. It’s known to increase blood flow to the penis by promoting the relaxation of the penile tissue and opening of the blood vessels. This helps a man to get and sustain an erection.

On the horizon is gene therapy that would deliver genes that produce products or proteins that may not be functioning properly in the penile tissue of men with ED. Replacement of these proteins may result in improvement in erectile function. Experimental animal models have demonstrated improvement in erectile function with gene therapy. Human studies may also demonstrate success with this therapy. Gene therapy may take a long time for regulatory approval and public acceptance.
Inflatable implants are a pair of tubes placed in the penis and connected to a squeezable pump inside the scrotum. You squeeze the pump to get an erection. Inflatable implants can also help slightly increase length and width.
Insertion of a penile prosthesis (implant) (pictured) is an end stage solution when all other treatment options have failed. It involves a surgical procedure through a small incision in the junction between the penis and scrotum. Patients go home the following day if the procedure is uncomplicated, and the prosthesis can be used for sexual intercourse at 6 weeks following the operation. Complication rates are low in centres that conduct the surgery in large numbers. The risk of infection is <2% and over 85% of the devices are still functioning at 10 years.
Feel depressed because you have noticed the first signs of baldness Nothing to worry about if you take all necessary measures immediately. Hair loss can be a sign of chronic stress, endocrine system diseases, immunological diseases. Each case should be dealt with individually based on the diagnosis. However, there is an effective hair loss drug called Propecia, which will impress you with great results after the course of treatment. Propecia is a drug, which is the second in popularity among men after Viagra. This is an extremely effective medicine intended for the treatment of male pattern baldness or androgenic alopecia. Propecia is the only one of its kind that has been approved by the US Food and Drug Administration. Emergency Surgery Last Updated on Mon, 04 Jul 2022 | Acetabular Fractures
Currently, there isn’t sufficient evidence to prove that OTC treatments are effective at treating ED. If you’re curious about trying an OTC treatment in conjunction with prescription medication or as a standalone treatment, talk to your doctor to determine which OTC option, if any, is right for you.

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Sildenafil may affect the way other medicines work, and other medicines may affect the way Sildenafil works, causing side effects. Especially tell your healthcare provider if you take any of the following:

Also known as “methi,” fenugreek comes from the Fabaceae plant family. In one double-blind, placebo-controlled clinical trial of 60 men, fenugreek yielded significant increases in “sexual arousal and orgasm domains,” among other benefits, while experiencing no adverse events. “Further human clinical trials certainly seem worthwhile,” the authors note, “before recommending it for men.”
Bullet point: Ageing and comorbidities as well as polypharmacy factor greatly influence the development of ED.
Hormone imbalance, particularly low testosterone, can also play a role in ED. Men can naturally increase testosterone levels by routinely engaging in weight training exercises. For aging men whose testosterone levels have dipped, hormone therapy is a safe and effective treatment option.
Erectile dysfunction (ED, impotence) is the failure to achieve or maintain an erection. There are many potential underlying causes of erectile dysfunction, including stress and emotional problems, brain dysfunction, problems with blood supply to the penis, and structural problems with the penis.
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

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On the other hand, Geo Espinosa, director of the Integrative Urological Center at NYU Langone Medical Center, says there are some natural alternatives to popular ED medicines. Take them with your doctor’s OK, and they can help you get and keep an erection.

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Thus MSM stimulates the growth of penis cells and tissues. The penis becomes capable of holding on more blood in it during erection and penetration. In this way MSM improves the sex performance and help you achieve the orgasm for your partner.

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And if you need support in the process of reducing stress and anxiety, try cognitive behavioral therapy that will help you to work through tough situations that would normally leave you in a state of stress.

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Sildenafil (our most popular ED treatment) is manufactured in a variety of colours, but most men don’t know that it can...

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On the other hand, Geo Espinosa, director of the Integrative Urological Center at NYU Langone Medical Center, says there are some natural alternatives to popular ED medicines. Take them with your doctor’s OK, and they can help you get and keep an erection.

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Thus MSM stimulates the growth of penis cells and tissues. The penis becomes capable of holding on more blood in it during erection and penetration. In this way MSM improves the sex performance and help you achieve the orgasm for your partner.

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And if you need support in the process of reducing stress and anxiety, try cognitive behavioral therapy that will help you to work through tough situations that would normally leave you in a state of stress.

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Sildenafil (our most popular ED treatment) is manufactured in a variety of colours, but most men don’t know that it can...

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