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The Men’s Reproductive and Sexual Health Program is one of only a few in the country to have two fellowship-trained, nationally recognized specialists in andrology, which includes male infertility and male sexual dysfunction. Our specialists treat erectile dysfunction and related conditions every day. They have the experience, expertise and compassion to handle each patient’s needs individually with dignity and respect. Treatment options include lifestyle changes, as well as medications and devices to help sustain an erection. Every treatment for erectile dysfunction has its risks and benefits. You should understand your diagnosis and all of your options in order to make an informed decision. Lifestyle changes – Quitting smoking and moderating alcohol intake can help reduce the risk of erectile dysfunction. Controlling diabetes and high blood pressure, being treated for depression, and maintaining a healthy weight can also help. Counseling – Psychological counseling for depression, anxiety or other conditions can help resolve impotence. Medical management – Adjusting other medications that can cause impotence is sometimes an effective treatment. Andrology specialists work collaboratively with your primary care or referring physician to provide consultation, diagnosis, treatment and follow-up communication. Oral medications – Oral medications are one common treatment for erectile dysfunction, and several different drugs – known as phosphodiesterase type 5 (PDE-5) inhibitors – are available. However, these medications do not work for about 30 percent of men. Self-injection therapy – Self-injections, done with a tiny needle, allow men to inject medication(s) directly into the penis. The medication relaxes the penile blood vessels and smooth muscle to produce an erection. Testosterone replacement therapy – If erectile dysfunction is caused by a hormonal imbalance, testosterone replacement therapy may be one treatment option. Testosterone therapy can be administered several ways – injections, gel applied to the skin, or a patch worn on the skin. Vacuum erection therapy – A vacuum erection sildenafil prices at walmart device uses a plastic tube that fits over the penis. A pump then creates a gentle vacuum to increase blood flow to the penis and produce an erection. Constriction therapy – Constriction therapy can be used to treat venous leak syndrome. A band or tension ring is placed around the base of the penis to keep blood from flowing out of the penis during an erection. Surgery – In some cases, such as injury or congenital defect, the underlying cause of erectile dysfunction can be treated with vascular surgery. Penile implants – A penile implant – a surgically implanted penile prosthesis – is another treatment option for some men. You may have erectile dysfunction if you have trouble becoming or staying erect during sex. Erectile dysfunction affects up to 10 percent of men. It has many causes, including: High blood pressure Diabetes High cholesterol Obesity Smoking Some prescription medicines Alcohol or substance abuse Sleep problems Stress, anxiety, or relationship problems. Your University of Miami Health System urologist can help you find the right treatment for the cause of your condition. Our team of urology experts delivers advanced care for all urologic conditions. We use the latest research and the least invasive procedures to help you feel better and recover more quickly. Our experienced urologists design a personalized treatment plan to give you the sildenafil prices at walmart best possible results. Our urologists are dedicated to men’s health and conduct innovative research into many conditions. Our expert team has helped develop new minimally invasive and robotic surgical procedures to treat cancers, incontinence, and more. We give you access to leading-edge treatments and clinical trials that aren’t widely available. In addition, we have established the eighth fellowship program in the nation dedicated solely to teaching physicians how to care for men’s health. We have some of the world’s most experienced robotic surgeons for urologic procedures. In fact, doctors come from all over the world to learn at sildenafil teva 50 mg buy online our Urology Robotic Program — the #1 ranked program in South Florida. The University of Miami Health System was the first academic medical center in the world to get the da Vinci Xi robotic surgery system and has completed more than 5,000 robotic surgeries — procedures that offer less pain and scarring and a faster recovery. Treatment for an erection problem depends on the cause of the problem. Many doctors take a step-by-step approach to treating erection problems. Treatment can include: Avoiding tobacco and drugs and limiting alcohol. Talking about the issue with your partner, doing sensual exercises, and getting counseling. Looking for and then stopping medicines that may be causing your condition. Taking testosterone or another treatment to fix a hormone problem, such as low testosterone, if tests show that you have one. They include sildenafil (such as Viagra), tadalafil (such as Cialis), and vardenafil (such as Levitra). Check with your doctor to see if it is safe for you to take one of these medicines with your other medicines. These pills can sildenafil citrate tablets 200mg price be dangerous if you have heart disease that requires you to take nitroglycerin or other medicines that contain nitrates. You also should not take certain alpha-blockers with these medicines. (Alpha-blockers are used to lower blood pressure and to treat an enlarged prostate gland.) 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