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Judging by all of the ads for products like Cialis, Viagra and Levitra, a lot of men are having a hard . er, difficult time achieving or maintaining an erection long enough for sex.

Erectile dysfunction – or impotence as it used to be called – is indeed a very common condition that can affect men at any age but particularly as they get older (1).

In fact, erectile dysfunction is an issue for about 50% of all men aged 40 to 70 (2) with potentially damaging impacts on their emotional well-being, relationships and quality of life. That’s a downer, but there are simple and effective solutions, including the above mentioned pills.

They are among seven different drugs commonly prescribed for erectile dysfunction.

They all work in a similar fashion with some variation depending on the specific drug. Most are taken on an “as-needed” basis, an average of an hour before sex (3).

The good news is that they are easy to take, considered safe and work for the majority of people (4).

But like most drugs, there can be bothersome side effects, the most common of which are headaches, facial flushing and indigestion (4). In this review of the ‘trade-offs,’ the most effective drug treatment was the 50mg dose of sildenafil (the active ingredient in Viagra, and also sold in generic forms). However it also had the highest risk of side effects – on average, men taking this drug had 18% increased risk of side effects compared to men taking a placebo. If that’s a concern, the 10mg does of tadalafil (sold as brand name Cialis, as well vigora 50mg tablet price as in generic form) may be a preferred option (just 10% increased risk of side effects), but it comes at the expense of being less effective.

A decision about which drug to choose involves weighing the risks and benefits of each treatment.

A chart comparing seven common drugs for erectile dysfunction is available in our evidence summary of this review.

An alternative to medication may be lifestyle changes.

There is evidence that losing weight, improving diet, and getting regular exercise (such as walking) can improve sexual function (6,7,8).

The main point is that there are solutions and options to meet individual needs and preferences. The first step is to decide what’s important to you, then work with your doctor to plan your strategy for getting back in the game. Erectile dysfunction (ED) is the inability to achieve or maintain an erection firm enough for sexual intercourse. Signs of ED vary from a total inability to get an erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Inability to achieve or maintain an erection Inconsistent ability to achieve/maintain erection Tendency to sustain only brief erections. Causes of ED are usually a side effect of physical disease, injury, or drugs.

While there are many causes, the most common physical causes include: Diabetes High Blood Pressure Heart Disease Obesity Atherosclerosis Prescription Medications Smoking Alcoholism or Substance Abuse. The most common psychological causes include: Relationship Issues Stress Depression or Anxiety.

Your doctor will perform a detailed history exam, asking if order viagra pills online you have difficulty achieving an erection, if the erection is suitable for intercourse, if the erection can be maintained, and if ejaculation occurs.

During the tests for ED, you will also be asked about any medications you are currently taking, any surgeries in the past, and other disorders (i.e. prostate surgery, history of trauma, radiation exposure, etc.) Other questions may be asked about risk factors such as drug, alcohol, and tobacco usage, indications of depression, relationship with your sexual partner, and other similar inquiries. A physical exam will also be necessary, paying close attention to the genitals and nervous, vascular, and urinary systems.

The physical examination will help determine the cause of the erectile dysfunction. Based on the severity of the ED issue, your doctor will suggest treatments from least to most invasive. Something as simple as making healthy lifestyle changes (such as quitting smoking, reducing alcohol consumption, and losing weight) may help to solve the issue.

Surgery is an option in some cases of erectile dysfunction. Most surgery cases are performed for one of three reasons: to implant a device to initiate erections; to reconstruct arteries and increase penis blood flow; to block off veins that allow blood to leak from the penile tissues.

The stress of erectile dysfunction and its toll on self-confidence and/or a relationship can be hard to deal with. Speaking to a psychologist or counselor about how to cope emotionally can be of great benefit to some people. Certain oral medications can be used to relax the penis and allow for proper blood flow buy viagra professional online when sexually aroused.

Other drugs may be used to treat erectile dysfunctions such as self-injections of medication at the base of the penis, hormone replacement for low testosterone, or suppositories.

A hollow tube is placed over the penis and the air inside the tube is vacuumed out (manually or battery operated) using a pump.

The vacuum pulls blood into the penis, leading to an erection. Once the erection is achieved, a tension ring is placed at the base of the penis to keep the blood in the penis to maintain and erection.

To achieve erection, a complex process has to take place within the man’s body.

Because this process is so in-depth and complex, sexual dysfunction and ED are extremely common in men. It is estimated that as many as 30 million men in the United States are affected by ED (The National Institutes of Health). Erectile dysfunction is usually a side effect of physical disease, injury, or drugs. Treatment is an option for virtually any man needing to improve the quality of his sex life.

Erectile dysfunction is when men are unable to get or keep an erection suitable for sex.

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