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Sildenafil treats erectile dysfunction of either physical or psychological cause. It is effective in treating erectile dysfunction in men with coronary artery disease, diabetes mellitus, hypertension, depression, coronary artery bypass grafting (CABG), and men who are taking antidepressants and several classes of antihypertensives.

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If you have trouble getting or keeping an erection more than 25% of the time, you should see your health care provider.
While these reasons may seem convincing they should not prevent you from seeking help and improving your quality of life. .

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Your private physical examination happens with an ED specialist in a confidential men’s health clinic. Your blood pressure will be checked. Your testicles and penis will be examined, and a brief rectal exam may be recommended to check your prostate health.
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Erectile dysfunction occurs when a man is not able to maintain or get an erection. It’s common in men of all ages. Facing erectile dysfunction once in 2-3 months is fine. But if it becomes an ongoing problem, it needs medical intervention in time.
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Like many health conditions, erectile dysfunction can cause a lot of stress or shame, which doesn't help and can often exacerbate the problem further. So, there are two important things to keep in mind:

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Aetna considers the diagnosis and treatment of erectile dysfunction (ED; impotence) medically necessary according to the criteria outlined below.

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    Erectile dysfunction is the inability to either achieve or maintain an erection. This may happen either occasionally or regularly, but may occur only in certain situations depending on the cause (i.e. patients may still have early morning erections).

    Erectile dysfunction is common and becomes increasingly more so with age. Complete impotence occurs in 5% of men aged 40 years and 15% of men aged 70 years old. Milder forms of impotence can affect 50% of men aged 50 years old, increasing to 70% of men over 70 years old.
    Prevention of some of the causes that contribute to the development of erectile dysfunction can decrease the chances of developing the problem. For example, if a person decreases their chances of developing diabetes, heart disease, and hypertension, they will decrease their chances of developing erectile dysfunction. Other things like stopping smoking, eating a healthy diet (heart healthy with adequate vitamin intake), and exercising daily may reduce a person's risk.

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    Picture of penile tumescence monitor. This penile tumescence monitor is placed at the base and near the corona of the penis. It is connected to a monitor that records a continuous graph depicting the force and duration of erections that occur during sleep. The monitor is strapped to the leg. The nocturnal penile tumescence (NPT) test is conducted on several nights to obtain an accurate indication of erections that normally occur during the alpha phase of sleep.

    How Common is ED?Did know out of 10 men 1 man is suffering from erectile dysfunctionDid you know only 33%men seek advice from sex experts.Did you know Ed is responsible for 20% of divorce casesDid You know Ed Is also responsible for male infertility
    Unstable angina (chest pain due to coronary artery disease that occurs at rest or with minimal physical exertion)Low blood pressure (a resting systolic blood pressure less than 90 mm Hg)Uncontrolled high blood pressure (greater than 170/110 mm Hg)Recent stroke or heart attack (within six months)Uncontrolled, potentially life-threatening abnormal heart rhythmsSevere liver diseaseSevere heart failure or disease of the heart valves (for example, aortic stenosis)Retinitis pigmentosa

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    Dr. Clavijo is fellowship trained in Andrology (having also completed a Urology residency) and strives to practice up-to-date evidence based medicine when treating patients with erectile dysfunction. Along with treating patients medically for ED, he also performs a high volume of penile implants.

    Sexual health clinics treat problems with sexual health. They can provide the same treatment you would get at your GP surgery.
    The options for management beyond behaviour modification include TRT, PDE5 inhibitors, intracavernosal injection therapy, vacuum constriction devices (VCDs), intraurethral prostaglandin suppositories and surgical placement of a penile prosthesis.40

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    Erectile dysfunction, also known as impotence or ED, is the inability to achieve or maintain an erection sufficient for sexual intercourse. Almost all cases of erectile dysfunction are treatable, says Dr. Honig.

    Patients of the UAB Urology Clinic usually are referred by their primary care doctor, but some men start their ED treatment journey at the clinic. Almost always, treatment begins with pills designed to increase blood flow to the penis. These include: Sildenafil (Viagra) Tadalafil (Cialis) Vardenafil (Levitra and Staxyn) Avanafil (Stendra)
    • Conditions such as diabetes, high blood pressure, heart or thyroid conditions, poor blood flow, depression, or neurologic disorders (such as multiple sclerosis or Parkinson's disease)

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The nerves that control an erection lie very close to the prostate. These nerves may be injured during treatment. If the surgeon uses nerve-sparing procedures, some men may regain their previous level of erectile function. This typically takes a year or two.

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Oral phosphodiesterase type 5 inhibitors (PDE5 inhibitors) unless contraindicated are the recommended first line medical therapy for erectile dysfunction. Currently, there are four different PDE5 inhibitors available. They all work the same way and have essentially the same results. They differ in how long they last in your body and in side effects.

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