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Because ED is often caused by other medical conditions, your doctor will want to know about your medical history.

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Therefore, men with these health conditions should not use tadalafil without having these conditions evaluated and stabilized first. For example, men with uncontrolled high blood pressure should have their blood pressure controlled; and men with potentially life-threatening abnormal heart rhythms should have these rhythms controlled.
Khera M, Snyder PJ, Martin KA. Treatment of male sexual dysfunction. UpToDate. 2019. Accessed at https://www.uptodate.com/contents/treatment-of-male-sexual-dysfunction on January 31, 2020. .

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Diuretics (pills that increase urine flow)High blood pressure medsAntihistaminesAntidepressantsParkinson's disease drugsAntiarrhythmics (drugs for irregular heartbeat)Tranquilizers and sedativesMuscle relaxantsNonsteroidal anti-inflammatory drugs (NSAIDs)Histamine H2-receptor antagonistsHormonesChemotherapy medicationsProstate cancer drugsAnti-seizure medications
Metabolism (breakdown) of vardenafil can be slowed by aging, liver disease, and concurrent use of certain medications (such as erythromycin [an antibiotic], ketoconazole [Nizoral, a medication for fungal/yeast infections], and protease inhibitors [medications used to treat AIDS]). Slowed breakdown allows vardenafil to accumulate in the body and potentially increase the risk for side effects. Therefore, in men over 65 years of age with liver disease, or who are also taking medication(s) that can slow the breakdown of vardenafil, the doctor will initiate vardenafil at low doses to avoid its accumulation. For example,

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It is important to remember that having sex can put additional strain on the heart and may increase your risks if you have a history of heart disease or have an existing heart problem. The most common side effects of erectile dysfunction treatments include headaches, a sudden feeling of heat in your upper body, indigestion, visual disturbances, dizziness or a stuffy nose. Side effects are usually mild to moderate and don’t last long. If you experience any side effects or perhaps an increase in the severity of a side effect, you should stop taking the medication.
Tell your physician about any health problems you’ve had in the past and all the medications you take, both prescribed and over-the-counter. It’s also important to let your doctor know if you use recreational or illegal drugs, drink alcohol, or use tobacco products.

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You’ll need to take these pills at least four times before deciding if they work for you or not. headache, facial flushing, upset stomach, back pain (Cialis), sensitivity to light, or blurry vision.

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Nearly every man can experience brief problems with erectile function. In almost all cases it is related to certain and specific life circumstances, problems, or stressful situations. Usually, these erectile problems disappear once the situation is resolved or changed. You generally don’t need to go to the doctor.

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    Our staff is available to assist you in scheduling an appointment with one of our specialists.

    For this test, you will place a device around your penis before you go to sleep. It measures how many erections you have and how strong they are. A simpler version of this test uses a special plastic ring around your penis. If you get an erection, the ring breaks.
    The Male Urinary Problem That Won’t Just Go Away

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    An accurate diagnosis is important because it helps doctors identify the most effective treatment for you.

    Personalized care and treatments - working together to find the one that's just right for you.
    If your urologist suspects a particular medication to be the root cause of your erectile dysfunction (ED), they may offer an alternative drug. However, do not stop taking medications without their advice.

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    The Prostate Cancer Prevention Trial was a landmark study by Thompson et al that prospectively assessed the time to developing CVD after the diagnosis of ED. There were 4247 men with no ED at study entry; 2420 developed incident ED (defined as the first report of ED of any grade) over 5 years. Those men that developed ED had a 1.45-fold higher probability of experiencing a CV event compared with men who did not develop ED.27

    If you have questions about erectile dysfunction or another urologic issue, consider scheduling an appointment. World Cancer Day & National Cancer Prevention Awareness Month February 1, 2022 What Do Registered Dietitians Do? January 13, 2022 What is a Nurse Navigator? January 6, 2022 Bladder Health (9) Bowel Function (5) Cancers (47) General Urology (23) Kidney Health (5) Men's Health (31) national cancer prevention awareness month (1) Pelvic Floor Physical Therapy (16) Women's Health (18) See all FIND A DOCTOR FIND A LOCATION SCHEDULE AN APPOINTMENT Doctors & Medical Staff Careers With GBU Dorchester/Boston North Easton/Brockton © 2022 Greater Boston Urology. All Rights Reserved | Privacy Policy | Terms & Conditions Toggle navigation Urologic Surgery UC Davis HealthUrologic Surgery Erectile Dysfunction
    With the increasing interest in more natural and holistic therapies for erectile dysfunction, many men are choosing nonsurgical shockwave therapy. This breakthrough treatment delivers virtually painless ultrasonic waves to the penis in order to remodel tissues, strengthen blood vessels, and increase blood flow to the penis. In the days and weeks following a quick shockwave ED treatment, which typically lasts 30 minutes or less and requires no downtime, patients will begin to develop stronger, firmer, longer-lasting erections.

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    If it happens suddenly but you're still stiff early in the morning and can get an erection while masturbating, that suggests your mind is involved. There could be something going on physically, too.

    Physical examination. This might include careful examination of your penis and testicles and checking your nerves for sensation. If the penis does not reach erection, it might be caused by the endocrine.
    Your partner may suffer without saying much, so it is very important that you openly discuss the best way to cope with this condition.

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Erectile Dysfunction is one of the most commonly seen sexual issues in males. The point to note is that if occasional erection issues are there, then there is no point of concern, but getting frequent ones can actually destroy your sexual life and your relationship as well.

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In addition to physical causes, mental health conditions may also be associated with impotence. These include depression, anxiety and stress, as well as relationship difficulties. Regardless of the underlying cause of erectile dysfunction, it can often have a significant impact on relationships and quality of life.

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Penile erection is a complex process in which the brain, nerves, muscles and blood vessels play a major role. The main causes of erectile dysfunction include psychological and health conditions, medications, trauma and lifestyle factors.

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“Exercise improves function whether you want to prevent erection problems or whether those problems are just starting,” says Gerbild.

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