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You should always tell your regular doctor if you are having problems with erections. Erectile dysfunction can be a symptom of conditions such as diabetes, high blood pressure, high cholesterol, or narrowing of the arteries. A face-to-face assessment with a doctor is particularly important if symptoms develop over a period of weeks or months, or even suddenly, without an emotional event to set them off. Erectile dysfunction can be a complication of previous operations or a side effect of some prescribed medication. It is best to start with a lower strength tablet and build up as needed (see how to start treatment). One type of tablet sometimes works better than another. You may like to try out different tablets to see which ones suit you best. Sexual stimulation is required for tablets to work. You can request more than one type of tablet at a time. Erectile dysfunction can be distressing and lead to relationship difficulties, anxiety, and depression. This may help resolve the cause of erectile dysfunction. In some cases a problem of performance anxiety can be overcome by breaking the cycle of failure with tablet treatments. Compare erectile dysfunction drugs Sildenafil Tadalafil Vardenafil Avanafil Brand names Viagra, Viagra Connect Cialis Levitra Spedra Available generically Yes Yes Yes No Starting dose 50mg 10mg 10mg 100mg Time taken to start working 30-60 minutes 30-60 minutes (2.5mg and 5mg tablets can be taken daily) 25-60 minutes - faster for orodispersible tablets 15-30 mins on empty stomach, 1.5 hours on full stomach How long effects last 4 hours 36 hours 4-5 hours 4 hours Warnings and cautions Warning Sildenafil Tadalafil Vardenafil Avanafil Do not take Allergic to ingredients, low or high blood pressure, severe heart or liver problems, loss of vision due to NAION , recent stroke or heart attack Rare inherited eye diseases Kidney dialysis, rare inherited eye diseases Liver or kidney problems, rare inherited eye diseases Exclusions - talk to your doctor first Sickle cell anaemia, multiple myeloma, leukaemia, deformity of the penis, problems with your heart, stomach ulcer or bleeding problems Drug interactions Any nitrate-based medication, usually to treat angina (important) ; 'poppers'; nitric oxide donors, medicines for HIV , AIDS , or fungal infections; riociguat; alpha-blockers; other ED medicines Common side effects (% occurrence) Adverse event Sildenafil Tadalafil Vardenafil Avanafil Headache 12.8% 14.5% 16% 9.3% Flushing 10.4% 4.1% 12% 3.7% Dyspepsia (indigestion) 4.6% 12.3% 4% uncommon Nasal congestion 1.1% 4.3% 10% 1.9% Dizziness 1.2% 2.3% 2% 0.6% Abnormal vision 1.9% Tony Steele Last updated 28 July 2020. As an erectile dysfunction (ED) Clinic, My Men’s Clinic provides comprehensive and permanent erectile dysfunction treatment options. Nearly 50% of men who are over the age of 40, and 70% of men over 65 experience symptoms of ED – you’re not alone . Erectile dysfunction is extremely common, but seeking help and treatment can be a tough decision. At My Men’s Clinic, we are here to help restore your sex drive and provide permanent solutions. ED Treatment PRP (Platelet Rich Plasma) Shot Shockwave Therapy Low T Treatment Premature Ejaculation. Virtually all men occasionally fail to get an erection. But if a man has trouble getting or maintaining an erection about 25 percent of the time, he should set an appointment immediately. Usually, after asking questions about when and how the impotence developed, our medical staff will give the patient a complete physical exam to determine if his hormone levels are normal and if the blood vessels, nerves, and tissues of his penis are working properly. If this initial workup doesn’t pinpoint the cause of the problem, a nocturnal penile tumescence test may be done. Erectile dysfunction is defined as the condition which inhibits a man from maintaining an erection for a sufficient amount of time. ED is common in men over the age of 40 but can occur in men of any age. If you are struggling with erectile dysfunction, but are searching for answers on what causes it, our team of all-male professionals can help identify the causes, and provide treatment options to help treat erectile dysfunction, such as shockwave therapy and PRP therapy. Some of the most common causes of erectile dysfunction include: Frequent alcohol consumption & drug use Long-term use of tobacco products Low testosterone levels Increased age and high cholesterol Obesity, heart disease, diabetes, high blood pressure, & kidney disease Stress, depression, and anxiety Certain prescription medications. Erectile dysfunction can be caused by many factors that can differ from one individual to the next. Depending on the cause of ED, you may need a combination of treatments. Our ED specialists can walk you through each of our erectile dysfunction treatment options and make sure that you find a plan that works best for you and your lifestyle. The symptoms of erectile dysfunction can vary from one to the next. There isn’t a “one method fits all” solution for treating ED. For one person, ED may be caused by a lack of confidence, but for another, it could be caused by underlying health conditions. While the cause of ED is different for each person, the symptoms generally remain the same. You may be dealing with erectile dysfunction if you experience one of the following common symptoms: Reduced sex drive Inability to get an erection Weakened or “softer than usual” erections Inconsistent ability to ejaculate. According to this study on male aging, approximately 52 percent of men experience some form of ED in their life, with total erectile dysfunction increasing by 5-14% among men between the ages of 40-70. While ED is more common in older men, it can affect young men as well depending on factors, such as genetics, lifestyle choices, and other factors. If you think that you might be suffering from erectile dysfunction, our team of sexual health and wellness specialists can determine if you’d be a good fit for ED treatment options. Contact My Men’s Clinic to Learn More About ED Treatment. If you are struggling with erectile dysfunction and would like to know more about how ED treatment can help, contact My Men’s Clinic today. Approximately 93% of those who are treated can get an erection again. We’ve helped thousands of men in FL, MD, and nationwide just like you . We understand how erectile dysfunction can affect your confidence, mental health, and other parts of your life, and we are here to help in any way that we can. MEN’S HEALTH LTD in Baltimore is dedicated to helping patients achieve Stronger Erections and better Sexual Performance. MEN’S HEALTH LTD is the premier treatment option for men suffering from Erectile Dysfunction. Penile Prostheses (Implants) for the Treatment of ED. Penile implants are a permanent, effective treatment for erectile dysfunction. A penile implant is also called a penile prosthesis. The implant is a penis pump-like device — it has two cylinders that are implanted in the penis and a pump in the scrotum that creates an erection when the patient squeezes it. The implant includes a saline reservoir in the abdomen, which provides fluid to create the erection. Research shows that penile prostheses are more satisfying than other common treatment options. Overall patient satisfaction is reportedly high with a penile prosthesis, with more than 90% of patients satisfied with the outcomes as compared with 50% of patients satisfied with oral medications. The two- and three-piece inflatable prosthetic devices consist of a fluid-filled pair of cylinders implanted in the penis and a small pump implanted in the scrotum. Both are simple to use, completely concealed inside the body and produce an erection that looks and feels natural. With the two-piece implant , you simply squeeze and release the pump several times. When the fluid is pumped into the cylinders, it creates an erection that provides rigidity. The three-piece inflatable device has an additional part – a reservoir that is implanted into the lower abdomen. When you are ready to have sex, you pump the fluid from the reservoir into the cylinders to create a rigid erection. After intercourse, you release the valve inside of the scrotum to drain the fluid back into the reservoir to return to flaccidity. The three-piece inflatable penile prosthesis creates a firmer erection than the two-piece device. The penile prosthesis is highly recommended – 92% of patients would recommend the penile prosthesis to others and 90% of partners would also recommend this ED treatment. Watch an animation about the Coloplast Titan Touch penile implant and how it works to treat erectile dysfunction: Seek Erectile Dysfunction Treatment From Thorough Professionals! Erectile Dysfunction issues are more common than what you probably think and are actually increasing. It is estimated that about 50% of men over the age of 40 may suffer some form of an erectile problem but they are too shy to consult the erectile dysfunction doctor. Erectile Dysfunction can result from various life factors including bad habits and practices like smoking and excessive alcohol, to serious illnesses like diabetes and heart and blood vessel problems or simply because of aging. Nevertheless, it can also affect younger people because of excessive masturbation or the use of vacuum pumps and other stretching devices or from Jelking (hand stretching). There are many medicines in the pharmacies that provide erectile dysfunction treatment options, like Viagra and Cialis, but they do not actually treat the main problem. In addition to that, the continuous use of female viagra cheap these medications can cause tolerance or non-response after a while. We advise all men with erectile problems to visit an experienced andrologist or an erectile dysfunction doctor to get on top of their problem and have an effective and long lasting erectile dysfunction treatment. The P-Shot (Priapus shot) or Platelet Rich Plasma is the newest treatment that has become available since 2013. It is a form of regenerative treatment that stimulates the stem cells to repair any damage that has affected the corpora cavernosa of the penis, which are the main components responsible for the erections. It uses the patients own platelets which are carefully extracted from the same patient’s blood with a special separator. It is then and after concentration and activation, injected back into the penis in special areas, under local anesthesia. Erectile dysfunction treatment, which is totally safe, has proved effective in over 85% of treated patients with experienced doctors. It is now widely practiced in the united states and in only special centers in Dubai, that have had the right training and certification for it. Schedule Your Appointment Today to Discuss available Erectile Dysfunction Treatment Options for you! For further details about the services we offer, or to book an appointment to have your erectile dysfunction problem solved, please feel free to get in touch with us at +971 55 6568787 right now! Erectile dysfunction, or ED, is a condition many men experience in their lifetime. In most cases there is an underlying physical condition that causes ED. John Hettiarachchi is a board-certified urologist with over 20 years of experience in helping men overcome ED and sexual dysfunction. Once the condition has been identified and treated, men are usually able to have a satisfying sex life. Hettiarachchi provides care for men in surrounding areas of Hickory, Boone, female viagra cheap Statesville, and Winston-Salem. Hettiarachchi has helped thousands of men with ED throughout the years. Learn about ED, your treatment options, and schedule your appointment at Piedmont Urology today. There are a variety of methods for treating erectile dysfunction (ED). Your doctor can discuss all of these options with you in more detail. All decisions regarding your best option for treating ED should be made between you and your physician, with consideration given to your individual needs and the risks and benefits of each treatment option. The treatment options include: Drug Therapy Non-drug Treatment Options Penile Implants Other. Drugs for treating erectile dysfunction can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. The most commonly known drugs on the market today are Viagra®, Cialis® and Levitra®. There are several prescription medications that claim to help patients. These pills may help achieve erections in response to sexual stimulation: Pills can help you achieve an erection quickly and may have an effect on sexual intimacy. Do not provide automatic erections like injection drugs Not effective in approximately 30% of cases 1 Must take at least ? hour to one hour before anticipated sexual activity 2. Some patients may experience side effects, including: Headaches Facial blushing Upset stomach Mild and temporary visual effects. Some men may be able to gain an erection by self-injecting drugs into their penis, causing it to become engorged with blood. Potential side effects of injection therapy include fibrosis (scarring) and long-lasting painful erections. Advantages of injection therapy: It can easily be self-administered On-set of erection within 5-20 minutes 3 Injections are shown to have a long-term dropout rate of 37% – 76%. Reasons for dropping out of drug therapy include: Desire for a permanent treatment alternative Inadequate response Fear of needles Side effects. Penile Pumps (Vacuum Devices) Also called vacuum constriction devices, penile pumps are devices that are placed over the penis to draw blood into the shaft. Once the vacuum creates an erection, the retaining band is slid down to the lower end of the penis and the pump is removed. Erection is not warm to the touch Learning curve Delayed ejaculation. A penile implant is a device that is placed into a man’s body and is designed to help him get an erection. A penile implant is a long-term treatment, that is covered by many insurance plans, which allows an erection as often as you like, for as long as you wish. Easy to use Totally concealed in the body Erections when desired. Surgical Procedure No longer able to get natural erections. Your doctor can provide you with specific details about the pros and cons of each of the following treatments: Lifestyle changes like stopping smoking, losing weight and eating healthier Oral testosterone Intraurethral suppositories (ex. Oral sildenafil in the treatment of erectile dysfunction. 1998 May 14;338(20):1397-404 http://uspl.lilly.com/cialis/cialis.html#ppi downloaded 2/14/17 http://www.caverject.com/faqs, downloaded 2/13/17 Rajpurkar A, et al. Comparison of satisfaction rates and erectile function in patients treated with sildenafil, intracavernous prostaglandin E1 and penile implant surgery for erectile dysfunction in urology practice. Cialis®, Levitra®, Viagra®, MUSE® are trademarks of their respective companies. If you are looking for treatment of erectile dysfunction near Hickory, Boone, Statesville, and Winston-Salem, then contact our office today. Factors associated with discontinuation of erectile dysfunction treatment. The factors associated with men ending treatment for erectile dysfunction have been reviewed in a study published in IJIR: Your Sexual Medicine Journal . The most influential factors reported were treatment ineffectiveness, side effects, the quality of one's intimate relationship and cost of treatment. The review also highlights the importance of men's beliefs with regards to erectile dysfunction and its treatment and suggests that these beliefs are potentially modifiable. Erectile dysfunction, the persistent inability to develop or maintain a penile erection during sexual activity, is thought to affect up to 10% of men under 40 years and 70% of men over 70 years. Where these fail or are contraindicated, treatments are available which are administered via injection, or via suppositories. Finally, penile implants are available where all other treatments have failed. The lead author; Mr Paul Williams said: "Erectile dysfunction can have a negative effect on men's quality of life. However, this can potentially be improved with successful treatment for the condition. The findings from our research indicate that rates of discontinuation for treatment are high. Understanding the reasons for discontinuation of treatment is essential with regards to improving treatment use and subsequently quality of life in this patient population". Reviewing data on 14,371 men from 50 previous studies, researchers at City, University of London and East London NHS Foundation Trust, UK assessed the rates of discontinuation of erectile dysfunction treatment and the factors associated with it. Results indicated that discontinuation rates varied across treatments and that adherence to erectile dysfunction treatment is suboptimal. The authors found that 12.1% of men taking oral medication, 15.2% of men taking injected medication and 31.5% of men taking suppositories reported inadequate or inconsistent erectile responses as their reason for discontinuing treatment. 2.5% of men taking oral medication, 8.1% of men injecting medication and 15% of men taking suppositories stated that they stopped treatment due to side effects including headaches, Peyronie's disease (a build-up of scar tissue in the penis) or urethral pain. Regarding the quality of sexual relationships, the most commonly reported factors influencing whether men continued with erectile dysfunction treatment were loss of interest in a sexual relationship. This was reported by 6.6% of men taking oral medication, 8.8% of injecting medication, 8.9% of men taking suppositories and 6.9% of men with penile implants. 5.5% of men taking oral medication reported stopping treatment due their partner's perceived lack of interest in the sexual relationship, 5.5% of men described not being emotionally ready for sexual activity and 4.1% discontinued treatment because of conflict within their relationship.
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