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The various PDE5 inhibitors share several common side effects, including flushing, nasal congestion, nausea, dyspepsia (stomach discomfort/indigestion), 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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Sildenafil (Viagra) was the first oral phosphodiesterase type 5 (PDE5) inhibitor approved by the FDA in the United States for the treatment of erectile dysfunction (it is not approved for women). Sildenafil inhibits PDE5, which is an enzyme that destroys cGMP. By inhibiting the destruction of cGMP by PDE5, sildenafil allows cGMP to accumulate. The cGMP in turn prolongs relaxation of the smooth muscle of the corpora cavernosa. Relaxation of the corpora cavernosa smooth muscle allows blood to flow into the penis resulting in increased engorgement of the penis. In short, sildenafil increases blood flow into the penis and decreases blood flow out of the penis.
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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A finger prick test allows you to have a health check up from the comfort of home. Here are 10 tips to help you collect a blood sample...
Your doctor will discuss your results with you (including your partner when possible) and summarize any risk factors (eg, smoking, medications) that may be involved. Your doctor will also review with you the various treatment options that can be considered. Together, you and your doctor will develop a strategy to help you and your partner achieve a satisfactory result.

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Herbal supplements such as ginkgo biloba, saw palmetto, and yohimbe have been touted as sexual enhancers, and some men have been tempted to try them to treat erectile dysfunction. Bennett warns, however, that none has been approved by the FDA or even shown by any reliable studies to prevent, treat, or improve erectile dysfunction. Moreover, supplements are unregulated and can have many side effects or interfere with prescribed medications you’re already taking. Don’t jeopardize your health by taking a supplement to treat erectile dysfunction without first talking with your doctor.
But moderation is key: it's not necessary (or recommended!) to suddenly launch into a workout program that's designed for an Olympic athlete.

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To diagnose ED, your doctor may only need to ask you some questions and perform a physical exam.

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These tests aren’t painful, and are helpful since they can provide useful information about your condition.

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    A GP might recommend sex therapy, either on its own or in combination with other psychotherapy.
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    If you have a neurological disorder or spinal cord injury and other erectile dysfunction treatments aren’t effective, two types of surgical implants could offer solutions to your ED. “An implantable pump can be used to manually create an erection by pumping fluid into cylinders placed inside the penis,” explains Feloney. “The other option is a malleable prosthesis that works like a gooseneck lamp to direct the penis into position for intercourse." Risks for these ED treatments include infection and mechanical breakdown.

    It's more likely to be an emotional problem if you only have erection problems some of the time. For example, you get an erection when waking up in the morning, but not during sexual activity.
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    DepressionAnxietyOther mental health disordersStressFeeling self-conscious or nervous about sexRelationship problems

    1-7 points: If you get points in between 1-7 then you are suffering from severe Erectile dysfunction problem and need to immediately contact at +91 96020818138-11 points: If you get points in between 8-11 then you are suffering from moderate Erectile dysfunction problem and taking homeopathy medicine, eating healthy, and doing regular exercise and yoga asanas can be beneficial for you.12-16: If you get points in between 12-16 then you are suffering from moderate to mild Erectile dysfunction problems. Just talk with your partners and try to resolve the matter.17-21: If you get points in between 17-21 then you are suffering from mild Erectile dysfunction problems. Regular exercise and feeling happy might help to solve your problem.
    An inflatable penile implant can be implemented in the case of erectile dysfunction, Peyronie’s disease, or other medical conditions in which a man can no longer maintain an erection or sexual function.

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    If you think your medication might be causing ED, talk to your doctor, but don't discontinue using it on your own. Some medication must be tapered off under a doctor's supervision.

    In many cases, erectile dysfunction is caused by something physical. Common causes include:
    Only a small subset of men with ED benefit from vascular testing, which can identify specific arterial or venous dysfunction amenable to surgical reconstruction. For the vast majority, such testing is unlikely to change management strategy. Thus, specialized testing is now limited to PDE-I non-responders, young men with post-traumatic or primary ED, men with Peyronie’s Disease, and legal investigations.

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VEDs provide a simple way of obtaining an erection for 30-45 minutes by sucking blood into the penis and holding it in place with a constriction (pictured). Ejaculation may be restricted by the ring but this technique is simple, safe and has no known side-effects. Unfortunately, most patients have to purchase VEDs themselves.

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Erectile dysfunction is a defined as recurring inability to achieve and maintain satisfactory erection for sexual intercourse associated with relevant life impairment. The underlying etiologies may be manifold and complex. Currently, vascular etiologies are highly prevalent especially amongst elderly men. Of special interest, especially venogenic causes are of increasing relevance. Therapeutic options comprise risk factor modification, pharmacotherapy, surgical treatment, and endovascular treatment. Especially endovascular treatment options have recently increased in popularity including transcatheter embolization procedures for veno-occlusive dysfunction.

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As you seek solutions to impotence, you will undoubtedly run into male enhancement recommendations, possibly suggesting penis exercise to improve your erections.

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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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