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Oral sildenafil appears to be safe in the treatment of erectile dysfunction in the real world. It is accepted widely by our patients as first line treatment and is successful in 91% of our patients. At the end of the study period 80% of the patients were willing to continue with sildenafil therapy. In our part of the United Kingdom, there is a large expectation for ED to be treated in the NHS. Of those men eligible for treatment of their ED in the NHS, 30% qualify under the clinical categories and 18% under the 'distress' category. This has implications on the local prescribing policies and resources. Under the current guidelines, only 55% of men with one or more cardiovascular risk factors qualify for treatment in the NHS. The majority of men presenting with ED could be managed in primary care. While men who have had the prosthesis surgery can see the small surgical scar where the bottom of the penis meets the scrotal sac, other people probably will be unable to tell that a man has an inflatable penile prosthesis. Most men would not be embarrassed in a locker room or public restroom, for example. A new study is showing that recreational use of Viagra is growing rapidly in men under 45 years of age. From 1998 to 2002, the use of Viagra in men under forty-five tripled, says the study, which looked at 5 million insured American males. What this study indicates is that Viagra is being used as a recreational drug, not as a drug to treat a medical condition. Thus, it belongs more in the category of pot, crack, heroin, or meth rather than being a medicinal pharmaceutical. Return to top What are intraurethral suppositories? Many common medications for treating hypertension, depression, and high blood lipids can contribute to erectile dysfunction (see above). Treatment of hypertension is an example. There are many different types (classes) of anti-hypertensive medications (medications that lower blood pressure); these include beta-blockers, calcium channel blockers, diuretics (medications that increase urine volume), angiotensin converting enzyme inhibitors (ACE inhibitors), and angiotensin receptor blockers (ARBs). Anti-hypertensives may be used alone or in combination(s) to control blood pressure. Different classes of anti-hypertensives have different effects on erectile function. Inderal (a beta blocker) and hydrochlorothiazide (a diuretic) are known to cause erectile dysfunction, while calcium channel blockers and ACE inhibitors do not seem to affect erectile function. On the other hand, angiotensin receptor blockers (ARBs) such as losartan (Cozaar) and valsartan (Diovan), may actually increase sexual appetite, improve sexual performance, and decrease erectile dysfunction. Therefore, choosing an optimal anti-hypertensive combination is an important part of treating erectile dysfunction About 85 percent of women experience at least one premenstrual symptom every month, according to the American College of Obstetricians and Gynecologists. For most women PMS symptoms are mild, however about 20 to 30 percent of them suffer from moderate to severe symptoms. Your Take: Are you worried about BPA? Q. What are the major differences between the two devices? Vitamin B complex is also useful to deal with erectile dysfunction. Vitamin B complex is very effective and needed for many functions it includes energy and protein metabolism, hormone function, blood circulation, healthy nerves and tissues and also helps to increases the sexual ability. Advertising Disclaimer Although many women -- and men as well -- continue to view ED as a sexual issue, in truth, the most common causes are undiagnosed physical conditions such as diabetes, high cholesterol, or even the earliest stages of heart disease. Even more often, it can be the result of certain medications used to treat these conditions, particularly some high blood pressure drugs. Furthermore, different styles of intoxication like drug abuse and smoking have been shown to be the outright cause of almost a fourth of all dysfunctions. The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina. It is now mostly replaced by more precise terms. The study of erectile dysfunction within medicine is covered by andrology, a sub-field within urology. While pulling back may not be helpful, trying harder isn't the answer either. Indeed, while many women jump ship in troubled waters, others take the opposite approach and try to drown their mate in eroticism, believing the problems will disappear if they simply try harder. Not only is this not true, experts say this approach can make things worse. Diabetes (high blood sugar) brand viagra online sale An erection occurs as a hydraulic effect due to blood entering and being retained in sponge-like bodies within the penis. The process is most often initiated as a result of sexual arousal, when signals are transmitted from the brain to nerves in the pelvis. Erectile dysfunction is indicated when an erection is consistently difficult or impossible to produce, despite arousal. There are various and often multiple underlying causes, some of which are treatable medical conditions. The most important organic causes are cardiovascular disease and diabetes, neurological problems (for example, trauma from prostatectomy surgery), hormonal insufficiencies (hypogonadism) and drug side effects. It is important to realize that erectile dysfunction can signal underlying risk for cardiovascular disease. Pediatric Somewhat bulky to transport