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Swimming is a cardiovascular exercise that has been proven to be beneficial in overcoming erectile dysfunction. Q&A Rachel Baxter 13 April 2015

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Currently, three pills (Viagra/sildenafil, Levitra/vardenafil, Cialis/tadalafil) are available and FDA-approved for erectile dysfunction. They are all called phosphodiesterase inhibitors, which means they act by blocking a chemical that stops erections.
The number of men diagnosed with erectile dysfunction has skyrocketed ever since the little blue pill made it okay to talk about. Fortunately, the number of treatment options has increased, too. So, which ones are worth a shot, and which are just hype? .

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Aetna considers topical cream or gel containing vasodilators, such as verapamil cream, experimental and investigational for the treatment of erectile dysfunction because their effectiveness for this indication has not been established.

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Lifestyle factors than can affect the condition include obesity, smoking, cycling too much, drinking too much, and stress.
If you have erectile dysfunction, there are many ways your doctor can help you treat it. But you may want to consider complementary or alternative therapies, such as nutritional supplements, herbal remedies, acupuncture, and talk therapy. Just be sure to talk to your doctor first.

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The idea of using low-energy shock waves to treat erectile dysfunction comes from studies that show that these types of shocks help heart blood vessels regrow, a process called revascularization. Shock wave therapy may also work on the penis, and there have been some promising results, but it’s not currently an approved ED treatment. "It’s similar to the type of shock waves used to break up kidney stones, and it may cause revascularization,” says Bennett. “However, there are not yet any good controlled studies to recommend it to patients."

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    The early symptoms of erectile dysfunction are very common in men like erection failures while having sex or delated- ejaculation issues. You can encounter many Erectile dysfunction symptoms. If you are getting trouble during an erection, Facing difficulty in maintaining erections on a frequent basis, suddenly no enthusiasm for sex, or experiencing a painful erection, you probably having ED. Frequent urination can also be considered as early symptoms of Erectile Dysfunction.

    Erectile Dysfunction Test: A Step Towards Sexual WellnessHomeMens HealthErectile Dysfunction Test: A Step Towards Sexual Wellness
    Smoking, excessive use of alcohol and illicit drugs are also associated with ED.13 A study in 2005 suggests that ED is not only more likely among men who smoked compared with those who never did, but that in younger men with ED, cigarette smoking is very likely the cause of their impotence.14 15

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    ED pills you take by mouth can have side effects. These can range from muscle pain and flushing to heart attack. DO NOT use these drugs with nitroglycerin. The combination can cause your blood pressure to drop.

    You’re taking the first important step by researching ED online. But every man’s situation is unique, and a specialist is the best way for you to be diagnosed accurately.
    Dr. Natalya Lopushnyan treats many patients suffering from erectile dysfunction. Below is an article she wrote describing erectile dysfunction treatment options.

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    Some mental health conditions are linked to ED. Because of this, your doctor might ask you questions to screen for depression, anxiety, or other psychological causes.

    If your doctor thinks there’s a psychological cause, he might refer you to a mental health professional.
    Zinc is a micronutrient that plays a role in testosterone production. Low testosterone is associated with severe to moderate deficiency. The consequences of marginal levels are unknown (Prasad et al.,1996). Zinc is also important for immune function.

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    Aetna considers Xiaflex as experimental and investigational for all other indications except for Dupuytren's contracture, see CPB 0800 - Dupuytren's Contracture Treatments.

    There is reliable evidence that oral phosphodiesterase-5 (PDE-5) inhibitors (e.g., sildenafil, vardenafil, tadalafil, mirodenafil, and udenafil) improve erectile functioning in men with ED. However, there is a lack of reliable evidence of the efficacy of hormonal treatments and the value of hormone testing for ED. The American College of Physicians (ACP) developed guidelines on hormonal testing and pharmacological treatments of ED (Qaseem et al, 2009). Current drug therapies include PDE-5 inhibitors as well as hormonal treatment. The ACP recommended clinicians initiate therapy with a PDE-5 inhibitor in men who seek treatment for erectile dysfunction and who do not have a contra-indication to PDE-5 inhibitor use, and clinicians base the choice of a specific PDE-5 inhibitor on the individual preferences of men with erectile dysfunction, including ease of use, cost of medication, and adverse effects profile.
    Injections work quite well for most men, but not everyone is willing to stick a needle into one's penis. Most of my patients actually do quite well after a teaching session that we do in the office. It also helps that the needle is tiny and the part of the penis where you have to inject does not generally hurt.

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Men with mild to moderate kidney or liver disease will need to use lower doses of the PDE5 inhibitors. None of the PDE5 inhibitors are recommended for men with severe kidney disease, those on dialysis, and those with severe liver disease.

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Rare side effects of all PDE5 inhibitors include a sudden loss of vision in one or both eyes, NAION (nonarteritic anterior ischemic optic neuropathy), and sudden loss of hearing. These rare side effects have been reported with all of the PDE5 inhibitors, and should you develop loss of vision or hearing, you should seek immediate medical care.

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