And chronic heavy drinking can damage the liver, heart, and nerves and reduce testosterone—all of which can lead to ED. The potential causes of ED are numerous and could be psychological, including depression, stress, or performance anxiety.
It could also be a sign of several other serious health conditions, including heart disease, high blood pressure, or diabetes. In fact, in young men, ED may be the first and only sign of heart conditions. When you were prescribed Viagra, you talked with a healthcare provider about your full medical history and current health, right? You might need to investigate a bit further.
A follow-up visit may be in order. You might just need to give things another try. Viagra should be taken one to four hours before sex. If you popped a pill right before hitting the sack or the afternoon before your 8 pm date then experienced underwhelming results, you might want to try again, ensuring you take Viagra within the proper effectiveness window.
Studies have found that being sedentary is a major risk factor for ED. Getting regular exercise is one of the best things you can do to ensure cardiovascular health. Simply put, Viagra might just not be your jam.
There are several other strategies you can try for ED, including other oral medications such as Cialis tadalafil , penis pumps, cock rings, ED drugs delivered by injection such as alprostadil , and sonic therapy. An example of the mentioned scenario is an individual who contracted Chlamydia, and did not seek proper medical attention, allowing the bacteria to grow and infect the prostate gland, leading to prostatitis.
An important piece of advice is to know ED medication cannot be used and will not work for protection against STDs, and everyone should always practice safe sex.
Erectile Dysfunction is very prominent in men with diabetes. Many diabetic patients have successfully been treated with Viagra since , followed by Cialis, Levitra, and Stendra ever since. However, diabetic patients might also fail to enjoy the therapeutic advantages of such oral medication after building resistance or from the very first pill.
Around 50 percent of men with Type 1 diabetes and 60 percent of Type 2 diabetic patients have reported improved erectile conditions. Meanwhile, Viagra stops working in a huge portion of diabetic men, primarily due to the damaged blood vessels and nerves caused by diabetes, preventing Viagra from increasing blood flow. Many diabetic patients will report little or no difference in erection habits even after using Viagra and similar products.
It is very important in ED care to realize that the correct method of use and dosage is the key to Viagra working as desired.
Professional medical advice also emphasizes that the drug must also be taken on an empty stomach preferably or avoiding a heavy meal prior to taking the medication, in order to maximize uptake.
Treating ED with any medication has to be a medically reviewed decision. Alcohol intake must be reduced to a minimum if you take viagra, since alcohol decreases the blood flow and circulation, making a dose of Viagra less effective.
Sufficient stimulation is also another recommended approach to working the most out of your ED medication. Typically, urologists prefer to start the patient with the lowest dose, since daily administration can lead to improved blood flow to the penile area on a regular basis.
Also, this method of administration may guide the doctors to determining the appropriate amount needed to treat ED, without the risk of overdosing. In the long run, they fail to go on the next method of higher dosages or just manage the prescribed dose with the help of their primary care doctor, which may affect their progress.
As mentioned, we do live in a world driven by pharmaceutical advancements, and there is no reason to give up hope of finding treatment for such a common disorder.
Multiple treatment options for ED are available even with situations of Viagra not working as it should. It is important to realize some individuals might be more responsive to certain treatment options compared to others, due to certain underlying conditions, physiological differences, or severity of their ED. Considered a very effective but often under-utilized treatment for Erectile Dysfunction, ICP involves an injection of a combination of FDA-approved vasodilators like Alprostadil into the spongy tissue of the penis, using an auto-applicator.
This combination causes an expansion of the penile arteries and penile tissues, resulting in increased blood flow to the penis. An erection typically develops within minutes. The erection feels perfectly natural and normal; however, it will not subside after ejaculation until the effect of the medicine wears off. In rare cases side-effects of ICP include penile bruising, pain or tenderness, scarring, and a prolonged erection known as a priapism.
Stendra and daily-use Cialis are closest to being an "on demand" erectile drug; using the others requires more planning. Liou says that some men come to him after getting a prescription from their primary care doctors, claiming that the drug doesn't work.
Sometimes it's because they used it incorrectly. But the drugs don't work well without sexual stimulation. It's not like that. The ED drugs break down at different rates in the body. The durations of action range from four hours to more than a day for Cialis in the higher doses.
Each dose should be sufficient to provide a full cycle of intercourse, from erection to climax. It's not guaranteed," Dr. To have sex more than once a day, Cialis is your best bet.
The most common side effects of ED drugs, in order of most to least common are headache , flushing, upset stomach, nasal congestion, vision problems, diarrhea, dizziness, and rash. A man who has an erection that lasts four hours or more needs to get to a hospital or risk permanent damage. None of the ED drugs is safe to take with cardiac drugs called nitrates because it could cause a dangerous drop in blood pressure.
Drugs that many men take for urinary symptoms, called alpha blockers, can also lower blood pressure, so take them at least four hours apart from ED drugs. Your doctor may start you on a smaller dose of the ED drug if you already take an alpha blocker or may recommend the alpha blocker tamsulosin Flomax , which affects blood pressure less.
ED is often an early warning sign of underlying cardiovascular disease , such as clogged arteries atherosclerosis. We don't have strong proof yet that starting to live a healthier lifestyle can reverse erectile problems, but it can't hurt.
Looking for natural solutions to ED? According to Ramin, if you eat a large or high-fat meal and then take Viagra, the medication will lose its effectiveness and may take longer to start working. Drinking alcohol, especially chronic use, can contribute to ED. If Viagra is losing its effectiveness, you may want to consider decreasing or eliminating alcohol to see if that helps.
In order for it to work, you must be sexually aroused. Testosterone therapy alongside or instead of an ED medication may be a treatment to consider. Your healthcare provider should be able to test testosterone levels and evaluate this with you.
Viagra can lose its efficacy over time, due to changes in your body or changes in your health. If that happens, Spar said, you can try switching to another medication in the same class meaning, another PDE5 inhibitor. A doctor can help you decide if another PDE5 is worth trying. In addition to Viagra, the other oral medications that are considered the first-line treatment for ED, according to a review, include:.
A reason that this PDE5 inhibitor is preferred by many people, including healthcare providers treating ED, is that tadalafil has a longer window of activity, meaning you can take it in a daily dose. This can remove some of the psychological aspects and uncertainty of timing a pill before sex.
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