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A quick web search will reveal dozens of "dietary supplements" that claim to treat ED. But the FDA warns that many of these are not what they seem. These pills often contain prescription drugs not listed on the label, including the active ingredient in sildenafil (Viagra). This can cause problems if the medication interacts with something else you take.

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Picture of vacuum device in action. This image demonstrates the vacuum device in place. Note the presence of the constricting ring at the base of the penis.
If you are looking for a urologist with many years of experience, contact Kasraeian Urology's office in Jacksonville, FL. .

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Getting an erection is a complicated process. During an erection, the blood vessels that let blood into your penis relax and widen (dilate). This lets more blood in, which causes the sponge-like tissues of your penis to swell and harden. Your thoughts and senses (touch, hearing, smell and sight) influence a part of your brain that can trigger an erection.
The duration of ED depends on what causes it and how you respond to your treatment. Many men notice an immediate improvement when they start on medication or another form of treatment.

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Professor of Urology and Epidemiology & Biostatistics, Frank Hinman, Jr. MD Endowed Professor in Urologic Education, Associate Chair for Education and Residency Program Director, Chief of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, Chief of Genitourinary Reconstructive Surgery at UCSF Health, Program Director, Genitourinary Reconstructive Surgery Fellowship
PDE5i medications do not work like an aphrodisiac and will not increase desire or libido.

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Some chemo drugs like cisplatin, vincristine, paclitaxel, bortezomib, and thalidomide can damage parts of the nervous system, usually the small nerves of the hands and feet. (This is called peripheral neuropathy.) These drugs have not been found to directly injure the nerve bundles that allow erection. But some people have concerns because the drugs are known to affect nerve tissue, and there are many nerves involved in sexual function.

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Aetna considers topical cream or gel containing vasodilators, such as verapamil cream, experimental and investigational for the treatment of erectile dysfunction because their effectiveness for this indication has not been established.

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    Penile prostheses are very effective, and most patients who have a prosthesis placed are satisfied with the prosthesis. However, placement of a prosthesis causes scarring of the tissue within the corpora cavernosa, and if the prosthesis requires removal, other forms of therapy, except for the vacuum device, are often not effective. Thus, most physicians reserve placement of a prosthesis for men who have tried and failed or have contraindications to other therapies.

    ED can have a negative effect on your sex life. It is difficult to feel attractive and confident or be intimate with your partner when you do not feel able to give him or her pleasure. This can have an effect on trust, intimacy, and closeness. Your intimacy as well as your daily interaction may be affected.
    If we think more broadly about blood flow, aerobic exercises improve circulation in the entire body, including the penis. This is backed up by a whole heap of medically reviewed research.

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    Men being treated for prostate cancer with treatments such as radical prostatectomy, radiation therapy or the use of Lutenizing hormone-releasing hormone (LHRH) agonists and antagonists can expect that ED may accompany these treatments.12

    Other treatments also have possible side effects and complications. Ask your provider to explain the risks and benefits of each treatment.
    They're not always available on the NHS. Speak to a doctor about where to get a vacuum pump.

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    We treatErectile DysfunctionPremature EjaculationHair LossGenital HerpesCold SoresDaily Skin RoutineAcneSleep

    The ACP did not recommend for or against routine use of hormonal blood tests or hormonal treatment in the management of patients with ED.
    Exercise also has a whole host of other benefits for your cardiovascular system - and therefore your erections. These include:

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    Even if you take the medicine, you still need physical and mental stimulation and desire to have an erection. If your first dose doesn’t help, call your doctor. Your doctor may want to change your tablet strength.

    It is important to consult with a urologist regardless of the severity of your ED symptoms. Although erectile dysfunction is often a benign condition, it can also be an indication of a more serious underlying urology problem. Telling your doctor about your symptoms could help you discover a more serious underlying health condition, such as diabetes or progressive coronary disease. Dr. Bryan Allen earned his bachelor of science degree from the University of North Florida in Jacksonville. He earned his Medical Doctorate degree from the University of South Florida in Tampa, where he was elected into... Dr. Allen offers in office vasectomy and utilizes a "no needle" technique. The procedure results in less pain and discomfort when compared to the traditional vasectomy. Vasectomy is a great form of... Erectile dysfunction (ED) is a condition that affects millions of men around the world and as many as 30 million men in America. Also known as impotence, this condition... Copyright © 2022 Optimized360 LLC | All Rights Reserved | Privacy Policy | Terms of Use | Disclaimer | Web Accessibility Statement Increase Text Decrease Text Grayscale High Contrast Negative Contrast Light Background Links Underline Readable Font Reset
    U.S. Food and Drug Administration. FDA Drug Safety Communication: fda cautions about using testosterone products for low testosterone due to aging; requires labeling change to inform of possible increased risk of heart attack and stroke with use. www.fda.gov/Drugs/DrugSafety/ucm436259.htm. Bassil N , Alkaade S , Morley JE . The benefits and risks of testosterone replacement therapy: a review. Ther Clin Risk Manag 2009;5:427–48. Søe KL , Søe M , Gluud C . Liver pathology associated with the use of anabolic-androgenic steroids. Liver 1992;12:73–9. doi:10.1111/j.1600-0676.1992.tb00560.x Randrup E , Baum N , Feibus A . Erectile dysfunction and cardiovascular disease. Postgrad Med 2015;127:166–72. doi:10.1080/00325481.2015.992722 Wrishko R , Sorsaburu S , Wong D , et al . Safety, efficacy, and pharmacokinetic overview of low-dose daily administration of tadalafil. J Sex Med 2009;6:2039–48. doi:10.1111/j.1743-6109.2009.01301.x Seftel AD , Sun P , Swindle R . The prevalence of hypertension, Hyperlipidemia, diabetes mellitus and depression in men with erectile dysfunction. J Urol 2004;171:2341–5. doi:10.1097/01.ju.0000125198.32936.38

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First line treatment will be medication with a phosphodiesterase inhibitor such as sildenafil (Viagra), tadalafil (Cialis) or avanafil (Spedra). These drugs only work when used together with sexual stimulation and will have no effect on your sex drive. There is no evidence that these drugs are dangerous if you have underlying heart disease. However, they should not be used if you are taking nitrates (e.g. GTN, isosorbide) for angina

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While popularized in the media, Viagra is not the only erectile dysfunction drug. Other erectile dysfunction drugs include:

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