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Have you ever woken up in the morning and been unsure whether you’ll be having sex that day? Chances are, you have. This is one reason why some men and their partners prefer sildenafil and other ED medications instead of tadalafil. With just a little bit of preparation (making sure you have sildenafil at the ready), you can use a dose of sildenafil once it’s clear that the fun is indeed about to start.

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Most ageing men manage to get erections, but to do so requires more stimulation. It is up to each man to decide whether his erection is adequate. You can consider (with your partner) how important sexual intercourse is to your relationship. There are other aspects to intimacy and not all couples require an active sex life to have a fulfilling relationship.
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One rough-and-ready way of working out whether your ED has a physical cause is to see whether there any circumstances in which you get an erection. If you can produce one when masturbating but not with a partner, wake up with an erection, or have erections during the night, then there's a good chance that your ED has psychological causes. How can I prevent it? Have a healthy lifestyle. Quitting smoking and drinking alcohol in moderation will help. Regular aerobic exercise and a low-fat diet will also reduce the risks of atherosclerosis. If you have diabetes, ensure it's properly controlled. Should I see a doctor?
OverviewWhat is erectile dysfunction?What are the risk factors for erectile dysfunction?How is erectile dysfunction treated?What else should you know about ED?What makes Yale Medicine’s approach to treating erectile dysfunction unique?

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Before you embark on an ED treatment, it’s good to talk with your healthcare provider. If you hope to use any of the prescription ED treatments, you’ll have to get the prescription from a doctor who will review your medical history and current health to determine if one of these medicines is suitable for you.
MedicineNet does not provide medical advice, diagnosis or treatment. See additional information. sexual health center/sexual health a-z list/erectile dysfunction ed impotence center /erectile dysfunction (ed, impotence) article Erectile Dysfunction (ED, Impotence) Medical Author: Pamela I. Ellsworth, MD Medical Editor: Melissa Conrad Stöppler, MD

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Zhou ES, Bober SL. Sexual problems. In DeVita VT, Lawrence TS, Rosenberg SA, eds. DeVita, Hellman, and Rosenberg’s Cancer: Principles and Practice of Oncology. 11th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2019:2220-2229.

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    Several treatment options are available to help ED. Sometimes, resolving underlying medical conditions will also improve your ED symptoms.

    "Pelvic floor exercises and biofeedback are an effective treatment for men with erectile dysfunction" – The British Journal of General Practice.
    If you use sildenafil, tadalfil, or vardenafil and get chest pains, be sure to tell the paramedics, nurses or doctors at the hospital that you use it and when you used it last.

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    Your doctor will take a full medical history and perform a complete physical exam. Although it can be awkward to discuss ED with your doctor, it is important to be open and honest about all your symptoms, because they could indicate a serious medical problem.

    If you can’t get or keep an erection that lasts long enough or is rigid enough for sex, you have erectile dysfunction.
    DISCLAIMER: This Site Is Not Intended To Provide Diagnosis, Treatment Or Medical Advice. Products, Services, Information And Other Content Provided On This Site, Including Information That May Be Provided On This Site Directly Or By Linking To Third-Party Websites Are Provided For Informational Purposes Only. Please Consult With A Physician Or Other Healthcare Professional Regarding Any Medical Or Health Related Diagnosis Or Treatment Options. The Results From The Products May Vary From Person To Person. Images shown here are for representation only, actual product may differ. Showing {{totalHits}} Results for {{query | truncate(20)}} Products {{currencySymbol}}{{numberWithCommas((Math.round(item.activeVariant.price*100)/100).toFixed(2))}} {{currencySymbol}}{{numberWithCommas((Math.round(item.activeVariant.discounted_price*100)/100).toFixed(2))}} {{currencySymbol}}{{numberWithCommas((Math.round(item.activeVariant.discounted_price*100)/100).toFixed(2))}} {{currencySymbol}}{{numberWithCommas((Math.round(item.price*100)/100).toFixed(2))}} {{currencySymbol}}{{numberWithCommas((Math.round(item.discounted_price*100)/100).toFixed(2))}} {{currencySymbol}}{{numberWithCommas((Math.round(item.price*100)/100).toFixed(2))}} {{currencySymbol}}{{numberWithCommas((Math.round(item.price_min*100)/100).toFixed(2))}} - {{currencySymbol}}{{numberWithCommas((Math.round(item.price_max*100)/100).toFixed(2))}} {{currencySymbol}}{{numberWithCommas((Math.round(item.discounted_price*100)/100).toFixed(2))}}

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    Nearly 1000 years later, the Egyptian Papyrus Ebers, a medical Egyptian document dated 1600 BC, describes a cure for impotence in which baby crocodile hearts were mixed with wood oil and applied topically to the penis.4

    To diagnose ED, the doctor will ask about your symptoms and medical history. They’ll do a complete physical exam to look for signs like poor circulation or nerve trouble. They’ll also check for problems in your genital area that could cause trouble with erections.
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    Oral phosphodiesterase type 5 inhibitors (PDE5 inhibitors) unless contraindicated are the recommended first line medical therapy for erectile dysfunction. Currently, there are four different PDE5 inhibitors available. They all work the same way and have essentially the same results. They differ in how long they last in your body and in side effects.

    With natural treatments, there are no drugs here and a variety of ways to address the problem. You may have stumbled upon some of these options as you’ve been researching help for your ED on your own.
    The various PDE5 inhibitors for the treatment of ED share several common side effects, including headache, flushing, nasal congestion, nausea, dyspepsia (stomach discomfort), and diarrhea. Differences exist in side effects of the different PDE5 inhibitors, and thus it is important to be familiar with the prescribing information of the PDE5 inhibitor you are prescribed.

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Do It AtHome: Boil 15 gm of drumstick flowers in250 ml milk. This soup is an effective sexual tonic for both men and women.Alternately, boil 120 gm of powdered dry bark in �� litre of water for 30minutes and then mix 30 gm of this powder with 1 tablespoon of honey in it. Takethis recipe 3 times daily for good results.

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A German study found that 69% of men involved in a sleep apnea study also suffered from ED. Disruptions to breathing during sleep affect oxygen levels in the blood, which can cause problems generating an erection. Lack of sleep also disrupts hormone production.

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MUSE should not be used in men with a history of urethral stricture (narrowing of the tube in the penis that urine and semen pass through), inflammation or infection of the glans (tip) of the penis (balanitis), severe hypospadias (a condition where the opening of the urethra is not at the tip of the penis, rather on the underside of the penis), penile curvature (abnormal bend to the penis), and urethritis (inflammation/infection of the urethra).

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