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Several medications can interfere with the chemical processing of PDE5i medications by the liver. These can include ketoconazole (an antifungal medication known by the brand name Nizoral), erythromycin (an antibiotic), and cimetidine (also known as Tagamet, for reducing stomach acid). A lower dose of PDE5i medications should be used if one is taking any of these medications.

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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.
Your doctor will also ask you questions about your sex life, which could be very personal but are necessary for proper diagnosis and treatment. Some of the questions could be: The status of your previous sexual relationships Your current sexual relationships Your current emotional state When the erectile problems started How long have the erectile problems lasted If you have seen another doctor specifically for ED If you have received treatment for ED before .

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Watch videos of Chesapeake Urology Erectile Dysfunction specialists and testimonials from real patients whose lives were restored thanks to Chesapeake Urology's erectile dysfunction experts.
Even when there is an initial physical reason, when this has passed you may still feel anxious about having sex and this can add to the problem.

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2. Strengthen the pelvic floor muscles: Once you have located your pelvic floor muscles, try squeezing them for three seconds, then relax for three seconds. Try it in your seat now.
As the treated area heals, the blood vessels lose their ability to stretch due to scar tissue in and around the vessels. They can no longer expand enough to let blood speed in and create a firm erection. Radiation can also lead to hardening (arteriosclerosis), narrowing, or even blockage of the pelvic arteries.

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Some men should not take PDE5 inhibitors. They can cause hypotension (abnormally low blood pressure that can lead to fainting and even shock) when given to patients who are taking nitrates (medications taken for heart disease). Therefore, patients taking nitrates daily should not take any of the PDE5 inhibitors. Nitrates relieve angina (chest pain due to insufficient blood supply to the heart muscle because of narrowing of the coronary arteries); these include nitroglycerine tablets, patches, ointments, sprays, and pastes, as well as isosorbide dinitrate and isosorbide mononitrate. Other nitrates such as amyl nitrate and butyl nitrate also are in some recreational drugs called "poppers."

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'However, the optimum combination of frequency and exercise will vary from individual to individual.'

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    Exercise also has a whole host of other benefits for your cardiovascular system - and therefore your erections. These include:

    Some sexual disorders are related to ED and may cause similar symptoms to ED, such as:
    General ageingConditions affecting cardiovascular health like high blood pressure, diabetes, high cholesterolExperiencing an acute myocardial infarction (heart attack)Cardiovascular disease

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    3. Keep everything else relaxed. Make sure you aren't inadvertently tensing your glutes, abs or leg muscles — it's only the pelvic muscles we want to engage. And remember to breathe!

    Clinicians should be aware of these possible detrimental effects of TRT and the possible contraindications, and to prescribe and monitor in an appropriate manner, which may vary from patient to patient.
    Erectile dysfunction can be caused by many factors and may have a gradual or sudden onset. It can be very upsetting and result in a lot of stress and worry. It can feel embarassing to discuss this with your doctor but it is important that you do, so that you can receive the appropriate help. Erectile dysfunction can also be a sign of other illnesses such as heart disease or diabetes, so it is important that you seek medical advice. What are the facts about impotence? Erectile dysfunction becomes commoner with increasing age and is seen in 50 - 55% of men between 40 and 70 years old; It is often associated with obesity, high blood pressure, high cholesterol & diabetes which are all significant risks to health; Investigation is only indicated if both partners wish to pursue treatment; Most treatable causes can be identified by a clinical history, physical examination and routine blood tests; If there is no treatable cause, treatment with tablets is the first option for most men; Other methods of treatment are only indicated if medication proves ineffective, causes side-effects or cannot be used because of specific medical conditions. What should I expect when I visit my GP?

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    ED can be frustrating in its own right, but it can also lead to any of the following:

    Supine foot rise is a unique set of pilate exercises for strengthening your abdomen and lower back issues. Lay down on the floor and raise your leg in the air slowly. Hold the position and breathe while holding it. Take the leg to the original place. Do this exercise regularly to see positive results.
    Another impressive and impactful erectile dysfunction exercise to recover from erection failures is by doing pilates exercises. Pilates helps improve the blood flow in the body and increases the energy level in the body that promotes firm erections.

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    Aetna considers the following therapies for the treatment of erectile dysfunction medically necessary:

    Individuals must remove the rubber band immediately after completing intercourse. Leaving the band on too long can harm the penis. Rarely, bruising of the penis or blood in the ejaculate/urine may occur.
    erectile dysfunctionendothelial dysfunctiontestosteronetestosterone deficiencyandrogen deficiencytestosterone replacementcardiovascular diseasestem cellsgene therapy

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Aetna considers the following treatments experimental and investigational for erectile dysfunction because their effectiveness has not been established: Acupuncture Acoustical wave therapy (Alpha Wave SwissWave Protocol) Botulinum toxin Endovascular treatment (e.g., angioplasty and drug-eluting stent placement for the treatment of vasculogenic ED) Epalrestat Extracorporeal shock wave therapy (ESWT) Gene therapy Pelvic floor muscle training (for ED following radical prostatectomy) Percutaneous electrostimulation of the perineum Statins Stem cell therapy (including adipose-derived stem cells and mesenchymal stem cells) Tacrolimus.

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Picture of inflatable penile prosthesis. This inflatable penile prosthesis has fluid located at the base of the device. When the tip of the device is squeezed, the fluid is transferred into the cylinder. Erection problems usually produce a significant psychological and emotional reaction in most men. This is often described as a pattern of anxiety, low self-esteem, and stress that can further interfere with normal sexual performance. This "performance anxiety" needs to be recognized and addressed by your health care provider.

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Usually, men have 3 to 5 erections during the night as they sleep. Your doctor may use an overnight erection test to see whether you’re able to get an erection.

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ED may be a side effect of medication, including certain blood pressure drugs and antidepressants. Talk to your doctor if you think a prescription or over-the-counter drug may be causing erectile problems. But never stop taking any medicine before you discuss it with your doctor.

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