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Erectile dysfunction (impotence) Erection problems (impotence) are very common, particularly in men over 40. It's usually nothing to worry about, but you should see a GP if it keeps happening. Most men occasionally fail to get or keep an erection.

This is usually caused by stress, tiredness, anxiety or drinking too much alcohol, and it's nothing to worry about. If it happens more often, it may be caused by physical female viagra cheap or emotional problems. Non-urgent advice: See a GP or go to a sexual health clinic if: erection problems keep happening. It could be a sign of an underlying health condition.

How sexual health clinics can help with erection problems. They can provide the same treatment you would get at your GP surgery.

Many sexual health clinics offer a walk-in service, where you do not need an appointment. They'll often get test results quicker than GP practices.

The doctor or nurse will ask about your lifestyle and relationships, and any problems you might be having. They'll carry out basic health checks, such as taking your blood pressure.

They'll also examine your genitals to rule out any obvious physical cause.

If you have symptoms like needing to pee more often, your doctor may also need to examine your prostate. Treatment for erection problems depends on the cause.

Treatments for erectile dysfunction are much better than they used to be, and the problem often goes away. There are specific treatments for some of the causes of erectile dysfunction. Treatments for some causes of erectile dysfunction Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol Medicine to lower blood pressure, statins to lower cholesterol Hormone problems Hormone replacement (for example, testosterone) Side effects of prescribed medication Change to medicine after discussion with GP.

Medicine such as sildenafil (sold as Viagra) is also often used by doctors to treat erectile dysfunction.

Because of changes in regulations, you no longer need a prescription to get sildenafil. But you'll have to have a consultation with the pharmacist to make sure it's safe for you to take it. There are other similar medicines called tadalafil (Cialis), vardenafil (Levitra) and avanafil (Spedra) that work in a similar way. You'll still need a prescription to get these medicines. It's possible to buy Viagra over the internet, but many sites sell fake (counterfeit) medicines.

The active ingredients in them can vary, causing side effects.

Make sure they're prescribed by a doctor or come from a UK pharmacy. Things you can do to help with erectile dysfunction.

Healthy lifestyle changes can sometimes help erectile dysfunction.

Erectile dysfunction (ED) is commonly called impotence. It’s a condition in which a man can’t achieve or maintain an erection during sexual performance. Symptoms may also include reduced sexual desire or libido.

Your doctor is likely to diagnose you with ED if the condition lasts for more than a few weeks or months.

ED affects as many as 30 million men in the United States. Standard ED treatments include prescription medications, vacuum pumps, implants, and surgery, but many men prefer natural options.

Research has found cheap prescription viagra that some natural options can improve ED symptoms. Read on to learn about natural options that have research to back them up.

Called the herbal Viagra, Panax ginseng (red ginseng) has solid research behind it. Researchers reviewed seven studies of red ginseng and ED in generic viagra soft 2008.

Dosages ranged from 600 to 1,000 milligrams (mg) three times daily.

They concluded there was “suggestive evidence for the effectiveness of red generic viagra soft ginseng in the treatment of erectile dysfunction.” More current research is examining how red ginseng influences ED.

Ginsenosides are one element present in Panax ginseng extract that have action at the cellular level to improve erection. The action of Panax ginseng appears to be most effective for those with high generic viagra soft lipids in their blood and metabolic syndrome. This herb is known to have anti-inflammatory action, improve lung function, and improve blood flow in other diseases — all characteristics that may reduce ED. One small study indicated that Rhodiola rosea may be helpful. Twenty-six out of 35 men were given 150 to 200 mg a day for three months.

They experienced substantially improved sexual function. This herb has been shown to improve energy and reduce fatigue. More studies are needed to understand action and ensure safety.

Dehydroepiandrosterone (DHEA) is a natural hormone produced by your adrenal glands. It can be converted to both estrogen and testosterone in the body.

Scientists make the dietary supplement from wild yam and soy. The influential Massachusetts male aging study showed that men with ED were more likely to have low levels of DHEA. In 2009, 40 men with ED participated in another study in which half receiving 50 mg DHEA and half receiving a placebo once a day for six months. Those receiving the DHEA were more likely to achieve and maintain an erection. More recently, DHEA has been identified as an option for treatment of ED for men with concurrent diabetes. ED commonly affects these men because of hormonal issues as well as diabetes complications that interfere with blood flow to organs.

L-arginine is an amino acid naturally present in your body.

Nitric oxide relaxes blood vessels to facilitate a successful erection viagra prescription from walk in clinic and is essential for healthy sexual functioning. Researchers studied the effects of L-arginine on ED.

Thirty-one percent of men with ED taking 5 grams of L-arginine per day experienced significant improvements in sexual function.

A second study showed that L-arginine combined with pycnogenol, a plant product from tree bark, restored sexual ability to 80 percent of participants after two months.

Ninety-two percent had restored sexual ability after three months. Another placebo-controlled study found that L-arginine in combination with other medications was well-tolerated, safe, and effective for mild-to-moderate ED.

Though studies are mixed, many show positive results when acupuncture is used to treat ED.

A 1999 study , for example, found that acupuncture improved the quality of erections and restored sexual activity in 39 percent of participants.

A later study published in 2003 reported that 21 percent of ED patients who received acupuncture had improved erections. Other studies have shown conflicting results, but this treatment has potential and may work for you. The risks of acupuncture are low if provided by a licensed acupuncturist. Acupuncture shows promise for treating ED, but more studies are needed.