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In a study of 24 men with mild-to-moderate E.D. who took a placebo for one month followed by a month of L-citrulline, half of the men reported an improvement in erection hardness from mild E.D. to normal erectile function (Cormio et al., 2011).

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While popularized in the media, Viagra is not the only erectile dysfunction drug. Other erectile dysfunction drugs include:
In their extensive review, Bassil and coworkers summarise the benefits and risks, with benefits such as improvement of sexual function, bone density, muscle strength, cognition and overall improvement in quality of life. Among the risks that have been suggested include erythrocytosis, liver toxicity, worsening of sleep apnoea and cardiac function, possibly increasing symptoms of benign prostatic hyperplasia (BPH). They also note that although a possibility of stimulation of prostate cancer has been hypothesised, no scientific or clinical evidence exists to this possible risk.38 .

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Liver disease can be cause by a variety of things including infection (hepatitis), diseases, for example, gallstones, high cholesterol or triglycerides, blood flow obstruction to the liver, and toxins (medications and chemicals). Symptoms of liver disease depends upon the cause and may include nausea, vomiting, upper right abdominal pain, and jaundice. Treatment depends upon the cause of the liver disease.
Diet rich in vitamins and minerals is essential. Also, you must cut down on junk, caffeine, alcohol, and cigarettes.

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Stem cell therapy is an attractive treatment modality and an appealing option for tissue regenerative therapy for ED. Stem cells are pluripotent cells that can be produced from multiple regions within the body. They have the potential to divide and differentiate into numerous kinds of human cells, such as endothelial cells and smooth muscle.79 The efficacy and safety of gene and stem cell therapy in patients with ED and IHD need to be extensively investigated because both seem to have the potential to correct underlying abnormalities in ED. This would be a huge development in terms of management options for patients with ED and IHD.
In the 14 years or so since Viagra was introduced in 1998, the number of men diagnosed with erectile dysfunction (ED) has increased by a whopping 250 percent. Men are realizing more and more that they’re not alone and that they have options. Aside from pills like Viagra, Levitra, and Cialis, for example, there are surgical, therapeutic, even do-it-yourself treatments that can bring back that lovin’ feeling. "Some older ED treatments are actually being used more than ever, especially for men who can't take the pill," says Michael Feloney, MD, a urologist at the Nebraska Medical Center in Omaha. Read on to find out about nine common remedies for ED, plus the truth about which ones live up to the hype and which fall flat.

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Research suggests that avid bikers are more likely to get ED than other athletes. Some bicycle seats put pressure on the perineum, an area between the anus and scrotum full of arteries and nerves vital to sexual arousal. If you bike for many hours each week, get a seat designed to protect this area.

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Since the release of NO is dependent on sexual stimulation/arousal, PDE5 inhibitors only work if there is sexual stimulation. Simply taking the pill will not produce an erection. This is important because this is different than other treatments for erectile dysfunction.

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    Did you know that certain medical condition may be responsible for ED? Some causes of impotence are medically treatable and reversible. Learn more about what can be done about erectile dysfunction with the Impotence Quiz.

    It's common for ejaculation problems to occur as you age. Ejaculation problems usually don’t pose health concerns, but they can be embarrassing to experience. Learn how to fix ejaculation problems and talk to your doctor.
    Guidelines recommend that phosphodiesterase type 5 (PDE5) inhibitors are the first-line drug for the treatment of ED (Table 1). Sildenafil citrate was the first oral drug approved for ED in the US.59 The newer PDE5 inhibitors include vardenafil, tadalafil and avanafil. The inhibition of PDE5 enhances cyclic guanosine monophosphate (cGMP)-NO-mediated vasodilatation by preventing PDE5 catabolism of cGMP and so delaying detumescence. PDE5 inhibitors increase the number and duration of erections, as well as the percentage of successful sexual intercourse.60

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    The answer is A. Tight underwear can affect fertility, but not a man’s ability to achieve or keep an erection. Not only is D true, but it can be a sign of a really serious disease as we discussed above: heart disease, diabetes, even cancer. That’s why it’s important not to chalk up ED to something that just happens. 7. You can only cure erectile dysfunction with the use of a little blue pill or similar type of medication?

    If you develop any side effects, including erectile dysfunction, after taking certain medications, consult your doctor. Do not stop taking the medications unless your doctor tells you to do so. SLIDESHOW Sex-Drive Killers: The Causes of Low Libido See Slideshow Medscape: "Erectile Dysfunction." https://emedicine.medscape.com/article/444220-overview
    Erection problems are common. Almost all adult men have trouble getting or keeping an erection at one time or another. Often the problem goes away with little or no treatment. But for some men, it can be an ongoing problem. This is called erectile dysfunction (ED).

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    The severity of ED has been correlated with the extent of CVD. Banks et al reported that the risk of future CV events increased progressively according to ED severity.28 This was shown in both men with and without known CVD at baseline and after controlling for confounders. Solomon and colleagues found an inverse correlation between international index of erectile function (IIEF) scores and plaque burden seen on coronary angiography.29 In addition, Yaman et al demonstrated a significant correlation between ED severity on IIEF questionnaires and coronary artery calcification.30

    The best-suited treatment can be advised by the doctor after a thorough diagnosis only.
    Aetna considers Xiaflex as experimental and investigational for all other indications except for Dupuytren's contracture, see CPB 0800 - Dupuytren's Contracture Treatments.

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    Erectile Dysfunction is the consistent inability to sustain an erection sufficient for sexual intercourse. A total inability to achieve an erection – You can never get an erection. An inconsistent ability to do so – You can only occasionally get an erection. A tendency to sustain only brief erections – You can get an erection, but can’t keep it long enough for satisfying sex.

    If you can’t get or keep an erection that lasts long enough or is rigid enough for sex, you have erectile dysfunction.
    The problem does not go away with lifestyle changesThe problem begins after an injury or prostate surgeryYou have other symptoms, such as low back pain, abdominal pain, or a change in urination

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If an individual is taking ketoconazole, erythromycin, or ritonavir, it is recommended that the maximum dose of avanafil not exceed 50 mg in 24 hours.

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Exercise may be the ticket to a more active sex life, but we’re talking about regular cardio and strength workouts, not targeted “penis exercises.” Research shows that even a little bit of physical activity — the equivalent of walking 30 minutes a day a few times a week — may lower the risk of erectile dysfunction.

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General good health, particular cardiovascular, is important for sexual function. Three exercises that may be particularly helpful are pelvic floor exercises, aerobic exercise, and anaerobic exercise.

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Men with erectile dysfunction should talk with their doctors before trying supplements for erectile dysfunction. They can contain 10 or more ingredients and may complicate other health conditions. Asian ginseng and ginkgo biloba (seen here) are popular, but there isn't a lot of good research on their effectiveness. Some men find that taking a DHEA supplement improves their ability to have an erection. Unfortunately, the long-term safety of DHEA supplements is unknown. Most doctors do not recommend using it.

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