The common PDE5 inhibitor drugs approved in the United States are sildenafil (Viagra), vardenafil (Levitra and Staxyn, the generic form), tadalafil (Cialis), or avanafil (Stendra). All of the currently approved PDE5 inhibitors work in the same way. They differ in the number of available doses, how quickly they work and last in your system, the dosing, and to some extent in the side effects. However, they generally share the same indications and contraindications. Currently, tadalafil is the only medication that patients can take on a daily basis and is approved for the treatment of both ED and BPH (benign enlargement of the prostate).
The ability to achieve and sustain erections requires the following:A healthy nervous system that conducts nerve impulses from the brain, spinal column, and the penisHealthy arteries in and near the corpora cavernosa of the penis so that when stimulated there is an increase in blood flow to the penisHealthy smooth muscle and fibrous tissue within the corpora cavernosa so that it can fill with bloodAn adequate amount of nitric oxide (NO) in the penis to help with the stimulation of blood flow into the penisNormal functioning of the tunica albuginea, the layer of tissue surrounding the corpora cavernosa and responsible for the compression of the veins to keep blood in the penisAppropriate psychosocial interactions to enhance sexual stimulation/arousal and decrease anxiety/stress
ED is defined as the inability to achieve a full erection or the inability to maintain an erection adequate for sexual intimacy. Other types of sexual dysfunction such as premature ejaculation and low libido may occur; however, the most common and disruptive problem in men is ED. Although most men will experience periodic episodes of ED, these episodes tend to become more frequent with advancing age.
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Considered to be natural aphrodisiacs, these plant-derived oils have been shown to naturally increase the libido of both men and women for hundreds of years. They may even be able to improve your mood and outlook on life thanks to the calming but uplifting effect they have on the mind.
The recommended starting dose is 100 mg taken as early as 15 minutes prior to sexual activity, no more than once a day. The maximum dose is 200 mg. Avanafil may be taken with or without food. As with the other PDE5 inhibitors, sexual stimulation is necessary for avanafil to work.
Prostaglandin E1 (intraurethral alprostadil or MUSE) can be inserted in a pellet (suppository) form into the urethra to attain erections. It is available in four dosage strengths: 125 mcg, 250 mcg, 500 mcg, and 1,000 mcg. Most individuals need 500 mcg to 1,000 mcg for a satisfactory response.
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Many medications can cause or contribute to erectile dysfunction, including certain blood pressure drugs, antidepressants, and tranquilizers. Men with erectile dysfunction should talk with their doctor if they suspect a prescription or over-the-counter drug may be causing erectile problems. Born This Way? Physiology and Erectile Dysfunction
It is important for clinicians prescribing these drugs to make the patient aware of the action of the drugs especially the fact that they do not result in an immediate erection, and that they do not cause an erection without sexual stimulation. There is frequently a great expectation when men begin using these drugs and it is wise to temper their enthusiasm and explain they do not work immediately, and may not work every time, but also let the patient know that if these drugs do not work, there are other options.
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To use sandalwood oil, combine 2–3 drops with equal parts coconut oil (or any carrier oil) and rub it into your abdomen, back of neck and bottoms of your feet.
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If unsuccessful, interferes with other treatmentsVascular Reconstructive SurgeryRestores natural erections when successful
Any of the PDE-5 inhibitors can also cause your blood pressure to drop (though Stendra is less likely to cause this to happen). You might think that’s a good thing, but blood pressure that gets too low is also dangerous. If you get dizzy from taking any of these medications, you should discuss with a healthcare provider; this could indicate a potentially unsafe drop in blood pressure. No planning needed — you take a pill once a day Can be taken with or without food Can also be taken only as needed Proven among the most effective ED treatments Tends to be preferred by men and their partners, compared to sildenafil More affordable than medications like Stendra Far more affordable than brand-name equivalents Costs a little more than sildenafil Risk of mild side effects is slightly higher than Stendra
Combining the chapters of The Natural Cure for Erectile Dysfunction into a comprehensive program, erectile dysfunction can be healed without the “little blue pill”. This short but very helpful and wonderful ebook has helped me out a lot. I had also forgotten about these methods from a long time ago and now I am back on my way. Maybe this ebook will help you as well.
Dr. Chirag Bhandari and the team of male sexual health experts treat all aspects of sexual dysfunction at the Institute of Andrology and Sexual Health with well-advanced technologies and methodologies.
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Lifestyle choices, such as smoking, alcohol abuse, and obesity can impair blood circulation and lead to erectile dysfunction. Smoking, excessive drinking, and drug abuse may damage the blood vessels and reduce blood flow to the penis. Smoking makes men with atherosclerosis even more vulnerable to erectile dysfunction. Smokers have almost twice the risk of erectile dysfunction compared with nonsmokers. Being overweight and getting too little exercise also contribute to erectile dysfunction. Men who exercise regularly have a lower risk of erectile dysfunction.
Researchers from Northwestern University Feinberg School of Medicine, in Chicago, Illinois, found in a study of monkeys that the virus could infect the cells of male genitalia, and cause long-term harm.
The dose of PDE5 inhibitor that you start with may vary with underlying medical conditions and medications that you are taking. Thus, it is important to review all medications (even over the counter medications) with your physician. Typically, one starts with a lower dose and increases as needed. Some medical conditions prevent going up to higher doses. You can review the drug prescribing information or consult with your doctor regarding the dose(s) that are appropriate for you.
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As blood flows into the penis, the corpora cavernosa swell, and this swelling compresses the veins (blood vessels that drain the blood out of the penis) against the tunica albuginea. Compression of the veins prevents blood from leaving the penis. This creates a hard erection. When the amount of cGMP decreases by the action of a chemical called phosphodiesterase type 5 (PDE5), the muscles in the penis tighten, and the blood flow into the penis decreases. With less blood coming into the penis, the veins are not compressed, allowing blood to drain out of the penis, and the erection goes down. IUDs a Very Effective Form of Birth Control FDA Approves First Condom Designed for Anal Sex Could Semen Hold Key to New OTC Contraceptive? Could the 'Love Hormone' Help Drive Sex Addiction? Fragile Male Egos Have Many Women 'Faking It' Daily Health News Diabetes, Cholesterol, and Alzheimer's BA.2 Variant Cases in US Statins Lower Parkinson's Risk COVID Drug Low Dose Effectiveness Stroke Tied to Depression Risk More Health News » Trending on MedicineNet Triple-Negative Breast Cancer Causes of Stool Color Changes Good Heart Rate By Age Laminectomy Recovery Time Normal Blood Pressure By Age Read Doctor's View Readers Comments 2 Share Your Story
Erosion of the prosthesis, whereby it presses through the corporal tissue into the urethra, may occur. Symptoms and signs may include pain, blood in the urine, discharge, abnormal urine stream, and malfunction. If the prosthesis erodes into the urethra, a physician must remove it. If the other cylinder remains intact, it can be left in place. A physician leaves a catheter in place to allow the urethra to heal.
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Arginine: It's found naturally in food, and it relaxes blood vessels and is used to treat heart problems. Doctors think it boosts circulation to the penis, but Espinosa says he doesn’t recommend it much because the body metabolizes it so quickly. “You need a lot and you need to take it frequently for it to work,” he says.
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This information is for adult males with cancer. If you are a transgender person, please talk to your cancer care team about any needs that are not addressed here.
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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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Reluctance to seek treatment remains the major barrier to restoring full sexual function for men who have erectile dysfunction.
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Max Performer is very similar to Male Extra, but it contains many more ingredients (learn more about them at our full review of the product). This can increase the chances of Max Performer working for you, but it will decrease your ability to know which ingredients are effective. More ingredients mean more potential for side effects, as well.
It is recommended that prior to proceeding with other therapies, patients reporting failure of their PDE5 inhibitors should be evaluated to determine whether the trial was adequate. This would include discussion of fatty food ingestion, which is important with sildenafil, and specific patient population such as prostatectomy and diabetes. Furthermore, patients should be encouraged to continue attempts at intercourse up to the eighth to tenth dose of PDE5 inhibitor as improvements in success rate are seen up to the eighth to tenth dose.
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The recent shift in the management and evaluation of ED, with primary care physicians replacing urologists in the forefront of ED diagnosis and therapy, has been a welcome and timely change.
Experts feel that treating erectile dysfunction on your own, without consulting a doctor, is unsafe. "If you have ED, the first thing you need is a diagnosis," says impotence expert Steven Lamm, MD, a New York City internist and the author of The Hardness Factor (Harper Collins) and other books on male sexual health. He says men with severe erectile dysfunction probably need one of the prescription ED drugs, which include the PDE-5 inhibitors Levitra (vardenafil), Cialis (tadalafil), and Stendra (avanafil), as well as Viagra. But, he says, mild ED -- including the feeling that "you're not as hard as you could be" -- often responds to natural remedies.
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In many situations, identifying an underlying minor physical problem relieves the anxiety component of erectile dysfunction, and many patients see improvement without further intervention.
If you are on a blood thinner, you must be careful. After injection, patients should pressure to the site to minimize bleeding.
Some estimates indicate that about 40% of men over the age of 40 will have erection problems at times. being unable to get an erection experiencing a partial erection having an erection of a shorter than usual duration. What causes an erection to fail?
Since these medications can interfere with other medications, inform your doctor if you are taking medications for other ailments.
Stendra is also our top choice for couples who enjoy morning sex. Why? Tadalafil taken in the morning can sometimes require about an hour before it is fully effective. This experience with tadalafil varies — some men find tadalafil to be effective for a full 36 hours (which would make the prior morning’s dose still effective), while others find its effects wear off in closer to 18 hours. If you are in the latter camp, Stendra will be better for your morning rituals because you can take a dose as you wake up and then be ready for fun in as little as 15 minutes.
To reduce your risk of erectile dysfunction, exercise and maintain a healthy weight, stop smoking, avoid alcohol and substance abuse, and keep your diabetes under control, if you have it.
Some companies tailor their supplements to target ED and increase sex drive and performance. Unfortunately, you have to shop very carefully because these can be highly sketchy products from disreputable companies. The safest first step may be to try supplements of single ingredients like the ones detailed above, but that also requires patience and a higher budget for trial and error. When it comes to broader, multi-ingredient supplementation for ED, we can recommend these three:
Penile erection is the result of a complex sequence of events involving nerves, arteries, veins, and erectile tissues of the penis. A man’s psychological state and his feelings about his relationship/partner(s) also have important implications for penile erection. Issues with any of these systems can result in difficulty achieving and maintaining an erection.
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Learn More About Treatment for Erectile Dysfunction: Medication, Alternative and Complementary Therapies, Surgery Options, and More
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Surgery provides the only true cure, but men typically want to explore other, less invasive options first.
Sex is considered the supreme factor on which a couple’s relationship and compatibility depend to an extent. Apart from that, the emotional and physical benefits like better self-esteem, reduced- heart disease risks, and many others are responsible because of satisfying physical contact. But relations can be flurry if partners don’t enjoy physical intimacy. And one of the possible reasons can be Erectile Dysfunction(ED).
Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex, feeling stressed either at home or at work, or feeling troubled in your current sexual relationship. In these cases, treatment incorporating psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress, leading to further erectile failure. Individuals suffering from psychogenic ED may benefit from psychotherapy, treatment of the ED, or a combination of the two. Also, medications used to treat psychologic troubles may cause ED; however, it is best to consult with your physician prior to stopping any medications that you are taking. Althof, S.E., E.W. Corty, S.B. Levine, et al. "EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction." Urology 53.4 April 1999: 793-799. American Foundation for Urologic Disease. American Foundation for Urologic Disease. American Urological Association. "Erectile Dysfunction." 2011. . Andersson, K.E., and G. Wagner. "Physiology of Penile Erection." Physiol Rev 75.1 January 1995: 191-236. Cheitlin, M.D., A.M. Hutter Jr., R.G. Brindis, et al. "ACC/AHA Expert Consensus Document. Use of Sildenafil (Viagra) in Patients With Cardiovascular Disease. American College of Cardiology/American Heart Association." J Am Coll Cardiol 33.1 January 1999: 273-282. The European Alprostadil Study Group. "The Long-Term Safety of Alprostadil (Prostaglandin-E1) in Patients With Erectile Dysfunction. Br J Urol 82.4 October 1998: 538-543. Feldman, H.A., I. Goldstein, D.G. Hatzichristou, et al. "Impotence and Its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study." J Urol 151.1 January 1994: 54-61. Laumann, E.O., A. Paik, and R.C. Rosen. "Sexual Dysfunction in the United States: Prevalence and Predictors." JAMA 281.6 Feb. 10, 1999: 537-544. National Kidney and Urologic Diseases Clearinghouse. National Kidney and Urologic Diseases Clearinghouse. Available at http://kidney.niddk.nih.gov/. NIH Consensus Conference. Impotence. NIH Consensus Development Panel on Impotence. JAMA 270.1 July 7, 1993: 83-90. The Process of Care Consensus Panel. "The Process of Care Model for Evaluation and Treatment of Erectile Dysfunction." Int J Impot Res 11.2 April 1999: 59-70; discussion 70-74. Segraves, R.T., M. Bari, K. Segraves, and P. Spirnak. "Effect of Apomorphine on Penile Tumescence in Men With Psychogenic Impotence." J Urol 145.6 June 1991: 1174-1175. United States. FDA Center for Drug Evaluation and Research. FDA Center for Drug Evaluation and Research. Available at http://www.fda.gov/cder/.
Alcohol, especially excessive or frequent drinking, can cause or worsen erectile dysfunction. Alcohol can cause decreased blood volume and cause damage to the nervous system, which is responsible for causing an erection. Reducing alcohol intake or completing stopping drinking alcohol may decrease the symptoms of erectile dysfunction. Other foods that may improve the symptoms of erectile dysfunction include pistachios, watermelon, shellfish, and tomatoes.
The complete cure depends on the underlying cause. It can be easy to reverse ED in men who were previously able to sustain an erection. But in many cases, multiple factors cause ED, and hence, the treatment is not straightforward. A complete cure may not be possible in conditions like atherosclerosis, aging, injuries to the spinal cord or brain that affect blood vessels or nerves in the body.
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Certain oral medications can be used to relax the penis and allow for proper blood flow when sexually aroused.
Erectile dysfunction can be caused by psychological factors as well as medical conditions. When erectile dysfunction is caused by a psychological factor there are several common treatments. These include individual counseling, couples counseling, sex therapy, and talk therapy.
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I received a free copy of this book via Booksprout and am voluntarily leaving a review. So, don't tell anyone, but I've dealt with this . . . well, am dealing with it. I'm already on my way to having this licked, but this book is an excellent resource. The techniques I'm using are in here as well as some more I hope to try. It's great reference. instagram twitter instagram youtube tiktok RADP / Pulse Nigeria > Lifestyle > Beauty Health Here are 5 natural ways to combat er*ctile dysfunction Ntianu Obiora February 9, 2022 10:37 AM Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex. Recommended articles Football German Champions Bayern Munich splash ₦137 million on Ghanaian wonderkid entertainment Robbers attack the set of 'Lupin', cart away £250k in armed heist news He calls me a snake from Marine Kingdom - Divorce- seeking wife fumes Erectile dysfunction (ED) is a huge challenge for many men today regardless of their age .Having erection trouble infrequently isn't necessarily a cause for concern. However, if erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Because erectile dysfunction may be caused by many factors, a health condition, emotional or relationship problems, some kinds of medication, smoking, drugs, or alcohol, an erectile dysfunction cure is possible. Symptoms Trouble getting an erection Trouble keeping an erection Reduced sexual desire Causes Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction. Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction. Emotional stress and anxiety can lead to problems with erectile dysfunction too [Credit: Kenya Insights] Pulse Nigeria Physical causes of erectile dysfunction In many cases, erectile dysfunction is caused by something physical. Common causes include: Psychological causes of erectile dysfunction The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include: Depression, anxiety or other mental health conditions Stress Relationship problems due to stress, poor communication or other concerns Natural Solutions Whilst pharmaceutical companies have a whole host of drugs that they claim cure erectile dysfunction, there are also a number of alternative, natural solutions. Certain medications can lead to issues with erectile dysfunction [Credit: Video Blocks] Pulse Nigeria 1.Monitor your medication Erectile dysfunction can occur as a side effect of medication taken for another health condition. Common culprits are high blood pressure meds, antidepressants, some diuretics, beta-blockers, heart medication, cholesterol meds, antipsychotic drugs, hormone drugs, corticosteroids, chemotherapy, and medication for male pattern baldness, among others. If you think your medication might be causing ED, talk to your doctor, but do not stop taking it on your own. 2.Eat well and maintain a healthy weight The foods you eat can have a direct impact on erectile dysfunction. A diet rich in fruit, veggies, whole grains, and fish, and with fewer servings of red meat and refined grains, decreases the risk for ED. A healthy diet also helps to maintain a healthy body weight, which is important because men who have a 42-inch waist are 50 percent more likely to have ED than men with a 32-inch waist. Also, obesity increases the risk for vascular disease and diabetes, two factors that contribute to ED. Ginseng has been proven to be effective in combatting erectile dysfunction [Credit: Healthline] Pulse Nigeria 3.Take some 'herbal viagra' Ginseng, specifically “red ginseng,” is known as the “herbal Viagra” that helps puts to rest men’s bedroom woes. Red ginseng is when the root has been steamed and then dried. The ginseng root is the part of the plant that is mostly used as a natural remedy when in its supplement form. However, the plant must be grown for a minimum of five years before it can be used. 4.Take watermelon juice A cold slice of watermelon can do more than just satisfy hunger during hot days, it can help with bedroom satisfaction. Citrulline, the amino acid found in high concentrations of watermelon, is found to improve blood flow to the penis. A 2011 study revealed men who suffered from mild to moderate ED and took L-citrulline supplementation showed an improvement with their erectile function and were very satisfied. Natural watermelon juice, or “nature’s Viagra,” can also be easier on the stomach, since taking pills like Viagra can cause nausea and diarrhea. 5.Get enough sleep Poor sleep patterns can be a contributing factor for erectile dysfunction. One study emphasised the intricate relationship between the level of sex hormones like testosterone, sexual function, and sleep, noting that testosterone levels increase with improved sleep, and lower levels are associated with sexual dysfunction. Hormone secretion is controlled by the body’s internal clock, and sleep patterns likely help the body determine when to release certain hormones. Our newsletter gives you access to a curated selection of the most important stories daily. SUBSCRIBE Welcome to the Pulse Community! We will now be sending you a daily newsletter on news, entertainment and more. Also join us across all of our other channels - we love to be connected! Recommended articles Horrible Bosses: Ebun Okunbanjo CEO of Bento Africa apologizes DIY Recipes: How to make the perfect Chicken fried rice Flour Mills of Nigeria (FMN) Prize for Innovation Airs on TV 15 Hot And Steamy Ways To Get Yourself In The Mood Tiv Culture: A brief walk into the lives of one of the world's greatest storytellers Here's why you probably shouldn't be drinking Palm Wine 5 reasons why you should have s*x during pregnancy Trending For men: 6 things you are doing that is lowering your sperm count Pull out (Withdrawal)? Here's how to do it correctly and its effectiveness in birth control 4 things couples should do after s*x to avoid infection 5 most common s*xual fantasies Reach out to us at [email protected] or +2349139294451 to advertise with us. Find out more about Pulse's products and advertising opportunities at pulse.africa Home Shop Ayurveda Blog FAQS About ED How to cure Erectile Dysfunction naturally? Ahana Srivastava
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