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The treatment may depend on what is causing the problem and how healthy you are. Your provider can talk with you about the best treatment for you. These include: Getting exercise Eating a healthy diet Losing extra weight Sleeping well. If you and your partner have trouble talking about your relationship, it may cause problems with sex. Pills you take by mouth, such as sildenafil (Viagra), vardenafil (Levitra, Staxyn), avanafil (Stendra), and tadalafil (Adcirca, Cialis). Medicine inserted into the urethra or injected into the penis to improve blood flow. A special rubber band is then used to keep the erection during intercourse. Testosterone replacement if your testosterone level is low. This comes in skin patches, gel, or injections into the muscle. These can range from muscle pain and flushing to heart attack. The combination can cause your blood pressure to drop. You may not be able to use these drugs if you have any of the following conditions: Recent stroke or heart attack Severe heart disease, such as unstable angina or irregular heartbeat (arrhythmia) Severe heart failure Uncontrolled high blood pressure Uncontrolled diabetes Very low blood pressure. Other treatments also have possible side effects and complications. Ask your provider to explain the risks and benefits of each treatment. You may see many herbs and supplements that claim to help sexual performance or desire. However, none have been proven to successfully treat ED. DO NOT take anything without talking with your provider first. Outlook (Prognosis) Many men overcome erection problems with lifestyle changes, treatment, or both. For more severe cases, you and your partner may have to adjust to how ED affects your sex life. Even with treatment, counseling can help you and your partner overcome the stress ED may put on your relationship. An erection problem that does not go away can make you feel bad about yourself. It can also harm your relationship with your partner. ED may be a sign of health problems such as diabetes or heart disease. So if you have an erection problem, do not wait to seek help. Call your provider if: The problem does not go away with lifestyle changes The problem begins after an injury or prostate surgery You have other symptoms, such as low back pain, abdominal pain, or a change in urination. If you think any medicine you are taking may be causing erection problems, talk with your provider. You may need to lower the dose or change to another drug. DO NOT change or stop taking any medicine without first talking to your provider. Talk to your provider if your erection problems have to do with a fear of heart problems. Sexual intercourse is usually safe for men with heart problems. Call your provider right away or go to an emergency room if you are taking ED medicine and it gives you an erection that lasts for more than 4 hours. Cut back on alcohol (no more than 2 drinks per day). Exercise and eat a healthy diet to keep good blood circulation. If you have diabetes, keep blood sugar well-controlled. Talk openly with your partner about your relationship and sex life. Seek counseling if you and your partner have trouble communicating. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Over half of all Canadian men struggle with being able to get (or keep) a proper erection, yet fewer than 25% of them choose to do anything about it. So let's make life better and find out which treatment may be right for you. Learn more about erectile dysfunction and the important safety information. Erectile dysfunction refers to the inability of a man to get or maintain an erection firm enough for satisfying sexual activity. Affects body, mind, and soul ED can have a negative impact on the emotional well-being of men and their partners as it can be tied to self-image and relationship difficulties. It is the most common sexual problem in men yet, due to feelings of embarrassment, treatment is often avoided. Felix doctors can help determine the most effective, safest ED medication for you. We’ll ask you some questions about your medical history, and your symptoms. If you’re not sure, our medical team can recommend one for you. We’ll ship your medication to your door, in a discreet package, for free. At Felix, it’s our goal to make pricing as transparent and easy as the care we provide. Reviewed by a licensed Canadian doctor Includes up to 1 year of refills. Choose a refill schedule that works for you Direct billing with your insurance provider Pharmacist on call for any questions. You will have the opportunity to select your preferred prescription ED medication while completing your online visit, including both brand name and generic options. As a policy, Felix advocates generic medications as more affordable and more likely to be covered by your insurance plan. Felix offers both brand name and generic Oral ED medication is generally considered extremely effective and studies show it works for the majority of men, but not all. Treatments offered by Felix are Health Canada approved and dispensed by an accredited Canadian pharmacy. Other treatment options for ED include lifestyle improvements (e.g., exercise, diet, quitting smoking, limiting alcohol use), surgery, penile vacuum pumps, and other ED medications. Every treatment comes with risks and benefits that you should fully understand before moving forward with it. Blood pressure is an important factor in determining whether it is safe for you to use prescription ED medication. To complete your online visit, it is essential that you are accurate and honest about your blood pressure and that it was taken within the last 6 months. When used improperly, these medications can cause serious harm or even death. If you haven’t had your blood pressure taken within the last 6 months, you can get a free blood pressure range at most retail pharmacies or at a clinic. ED medication filled via Felix has a starting cost of $48 per month. The price will vary based on the drug chosen, the province it is shipped to, and the refill schedule chosen. Currently, telemedicine appointments are not covered so you will be charged for a $40 fee for each online visit with a Felix doctor. Medication coverage varies greatly between different plans, provinces and has specific criteria that determine eligibility. We recommend that you upload your private and/or provincial benefit card during the online visit so that our pharmacy partner can apply any coverage you are eligible for before shipping your meds. We're supported by some of Canada's leading physicians and pharmacists. Prescribed by licensed Canadian doctors Filled by an accredited Canadian pharmacy 100% private, secure, PHIPA compliant. Start living a life of convenience, comfort, and control with Felix. Erectile dysfunction refers to the inability of a man to get or maintain an erection firm enough for satisfying sexual activity. Erectile dysfunction can have a negative impact on the emotional well-being of men and their partners as it can be tied to both self-image and relationship difficulties. It is the most common sexual problem in men and goes untreated in roughly 75% of diagnosed cases. Symptoms Erectile dysfunction is characterized by a persistent or recurrent inability to get viagra tablets 50 mg online or maintain an erection of sufficient rigidity to permit satisfactory sexual activity. Causes Erectile dysfunction can be caused by either physical or psychological factors. Physical causes include heart disease, diabetes, neurological problems such as following a prostatectomy, hypogonadism, and drug side effects. Psychological causes viagra tablet online purchase include performance anxiety, anxiety/stress, other mental health conditions or disorders, and relationship problems due to stress, poor communication, or other concerns. Causes of or contributors to erectile dysfunction include: Cardiovascular disease Clogged blood vessels (atherosclerosis) High cholesterol High blood pressure Diabetes Obesity Metabolic syndrome, a condition involving increased blood pressure, high insulin levels, body fat around the waist, and high cholesterol Parkinson's disease Multiple sclerosis Temporal lobe epilepsy Diabetic neuropathy Certain prescription medications (e.g., SSRIs, beta blockers, alpha-2 adrenergic receptor agonists, thiazides, hormone modulators, and 5α-reductase inhibitors) Hypogonadism Tobacco use Peyronie's disease Alcoholism and other forms of substance abuse Hyperprolactinemia (e.g., due to a prolactinoma) Kidney failure Sleep disorders Treatments for prostate cancer or enlarged prostate Surgeries or injuries that affect the pelvic area or spinal cord Aging (it is four times more common in men aged in their 60s than those in their 40s) Performance anxiety, stress, and mental disorders. Treatment Treatment involves addressing underlying physical causes, making lifestyle modifications, and/or addressing psychological issues. In many cases, prescription medications with a PDE5 inhibitor, such as sildenafil or tadalafil, can be attempted. Does The World Want, Much Less Need, A New Erectile Dysfunction Drug? It’s been almost a year since the biotech company, Vivus, announced that the FDA had approved its erectile dysfunction (ED) drug, avanafil (trade name – Stendra). Avanafil, a PDE5 inhibitor, is the fourth member of this class of compounds to be approved for ED – compounds that include two famous predecessors, Viagra (Pfizer) and Cialis (Lilly). “Patients and treating physicians continue to report significant dissatisfaction with current treatments of ED.
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