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Tell your doctor if you take other over-the-counter or prescription drugs or supplements. Be sure to mention all other health conditions you have. When used correctly, each of these drugs has been shown to help men with ED. If you have questions or concerns, talk with your doctor. All of them lead to good results, but it may take a little time and patience to get it right. If one drug doesn’t work or produces unpleasant side effects, you can try another drug. It may also take some trial and error to find the dosage that works best for you.

If you’re not sure that drug treatment is right for you, you can also give natural ED treatments a try. 8 Natural Remedies for Erectile Dysfunction (ED, Impotence) For centuries, men have tried all sorts of natural remedies for erectile dysfunction (ED) -- the repeated inability to get or maintain an erection firm enough for sexual intercourse. It is simply not scientifically known at this point. Furthermore, you take these remedies at your own risk, because their safety profiles have not been established. What follows are commentaries by experts and reviews in the field of alternative treatments that are available over the counter for erectile dysfunction and impotence. Causes of erectile dysfunction (impotence) "Just because there is evidence doesn't mean it's good evidence," says Andrew McCullough, MD, associate professor of clinical urology at New York University Langone Medical Center in New York City, and one of the original clinical investigators for the ED drug Viagra (sildenafil). "And before men with ED start down the naturopathic route, it's smart to make sure that

there

isn't some underlying medical condition that needs to be corrected." Moreover, it is estimated that 30 million American men have erection problems, and 70% of cases are a result of a potentially deadly condition that blocks blood flow, like atherosclerosis, kidney disease, vascular disease, neurological disease, or diabetes.

Additionally, ED can also be caused by certain medications, surgical injury, and psychological problems.

Experts feel that treating erectile dysfunction on your own, without consulting a doctor, is unsafe.

"If you have ED, the first thing you need is a diagnosis," says impotence expert Steven Lamm, MD, a New York City internist and the author of The Hardness Factor (Harper Collins) and other books on male sexual health. He says men with severe erectile dysfunction probably need one of the prescription ED drugs, which include the PDE-5 inhibitors Levitra (vardenafil), Cialis (tadalafil), and Stendra (avanafil), as well as Viagra.

But, he says, mild ED -- including the feeling that "you're not as hard as you could be" -- often responds to natural remedies. Natural treatment of erectile dysfunction without drugs.

Though acupuncture has been used to treat male sexual problems for centuries, the scientific evidence to support its use for erectile dysfunction is equivocal at best. In 2009, South Korean scientists conducted a systematic review of studies on acupuncture for ED. They found major design flaws in all of the studies, concluding that "the evidence is insufficient to suggest that acupuncture is an effective intervention for treating ED." Arginine . The amino acid L-arginine, which occurs naturally in food, boosts the body's production of nitric oxide, a compound that facilitates erections by dilating blood

vessels

, increasing blood flow to the penis. Studies examining L-arginine's effectiveness against herbal viagra walgreens impotence have yielded mixed results. A 1999 trial published in the online journal BJU International found that high doses of L-arginine viagra pills for sale online can help improve sexual function, but only in men with abnormal nitric oxide metabolism, such as that associated with cardiovascular disease (a disease that damages blood vessels). In another study, published in 2003 in the Journal of Sex & Marital Therapy , Bulgarian scientists reported that ED sufferers who took L-arginine along with the pine extract pycnogenol saw major improvements in sexual function with no side effects.

Arginine can be helpful, says Geo Espinosa, ND, director of the Integrative Urological Center at NYU Langone Medical Center.

Espinosa says that men with known cardiovascular problems should take it only with a doctor's supervision; L-arginine can interact with some medications.

Testosterone is essential for a healthy libido and normal sexual function, and erectile dysfunction sufferers known to have low testosterone improve when placed on prescription testosterone replacement therapy.

Similarly, studies have shown that taking over-the-counter supplements containing DHEA, a hormone that the body converts to testosterone and estrogen, can help alleviate some cases of ED. But DHEA can cause side effects, including suppression of pituitary function, acne, hair loss and its long-term safety is unknown, says McCullough.

For this reason, many experts discourage use of the supplements. Korean red ginseng has long been used to stimulate male sexual function, but few studies have tried systematically to confirm its benefits.

In one 2002 study involving 45 men with significant ED, the herb helped alleviate symptoms of erectile dysfunction and brought "enhanced penile tip rigidity." Experts aren't sure how red ginseng might work, though it's thought to promote nitric oxide synthesis.

"I would recommend ginseng [for men with ED]," says Espinosa.

Discuss with your doctor before taking it since ginseng can interact with drugs you may already be taking and cause allergic reactions. Drinking antioxidant-rich pomegranate juice has been shown to have numerous health benefits, including a reduced risk for heart disease and high blood pressure.

No proof exists, but results of a study published in 2007 were promising.

The authors of this small-scale pilot study called for additional research, saying that larger-scale studies might prove pomegranate juice's effectiveness against erectile dysfunction. "It could help ED, and even if it doesn't, it has other health benefits." Yohimbe .

Before Viagra and the other prescription erectile dysfunction drugs became available, doctors sometimes prescribed a derivative of the herb yohimbe (yohimbine hydrochloride) to their patients suffering from ED.

But experts say the medication is not particularly effective, and it can cause jitteriness and other problems. "And I suspect the herb is not as potent as herbal viagra walgreens the pharmaceutical version." What's more, evidence shows that yohimbe is associated with high blood pressure, anxiety, headache, and other health problems. In this modern era, selective phosphodiesterase type 5 inhibitors are the mainstay of treatment for erectile dysfunction. These medications are highly efficacious, are well tolerated, and have favourable safety profiles.

But you can’t take an erectile dysfunction drug and expect to get an erection right away.

These medications boost the effects of a chemical your body makes called nitric oxide, which relaxes the muscles in your penis. That improves your blood flow and helps you get an erection.

For the

drugs

to work, you need to be sexually aroused.

The International Society for Sexual Medicine defines erectile dysfunction as a man’s inability to achieve or maintain an erection suitable for satisfactory sex. In order to understand erectile dysfunction, it is important to understand how erections occur. When a man is sexually aroused, nerves and chemicals work together to relax smooth muscle tissue and widen

arteries

so that the penis can fill with blood.

Veins constrict to keep the blood inside the penis, forming the erection.

Once the man ejaculates, the blood is released back into the body.

Erectile dysfunction becomes more common as men get older. It is also associated with some medical conditions,

like

heart disease and diabetes. In fact, an estimated 50% of diabetic men have some degree of erectile dysfunction.

Smoking: It increases your risk of hardening of the arteries.

It’s that blood flow that helps you get an erection; Being overweight: Carrying extra pounds increases your risk of blood vessel disease, a cause of erectile dysfunction; Inactive lifestyle: If you want to reduce your chance of getting erectile dysfunction, get off the couch.

Regular exercise can help to make sure that when the time comes, you’re ready; Poorly managed diabetes: Diabetes can affect blood flow to your penis.

Maintain a healthy diet, get regular exercise, and take your medicine as prescribed; High cholesterol: It can damage the linings of blood vessels, including those in the penis. It can also affect the arteries leading to your genitals.

Eat right, exercise regularly, and take your meds; Alcohol: If you have more

than

two drinks a day, you could be hurting your ability to get an erection.

Alcohol restricts blood flow to the penis and can hinder the production of testosterone. Low testosterone can affect not only your performance but your desire, too; Illegal drug use: Marijuana, cocaine, and other recreational drugs can cause erectile dysfunction by damaging blood vessels. They can also restrict blood flow to the penis; Stress and anxiety: These are the leading causes of temporary erectile dysfunction. If your mind’s too occupied, it’s hard to relax enough to be “in the herbal viagra walgreens mood”.

The incidence of erectile dysfunction increases with increasing age.

Men aged 18-59 years have an incidence of erectile dysfunction of 10%.

Other data looking at similar groups divided the age groups into 10-year sections and found that, by setting individuals aged 18-29 years as a reference group, individuals aged 50-59 years had a 3.5 times higher incidence of erectile dysfunction.



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