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The type of medical specialist who treats ED will depend on the cause of the problem. Based on your family's medical history as well as your own medical history and current health, your doctor may treat you with oral medications such as Viagra or similar drugs. If this fails, he or she may refer you to a urologist or psychologist.
Because there are a variety of causes for ED, there are several different tests your doctor may use to diagnose the condition and determine its cause. Only after the cause of ED is determined can it be effectively treated.
Sildenafil (Pfizer) was dissolved in the drinking water (20 mg/kg/24 h), given i.p. daily where indicated (20 mg/kg/24 h), or added to the cell cultures (50 mg/ml). 2 mg/kg/24 h tadalafil (Lilly ICOS) was administered i.p. In vivo treatments started on day 0 unless otherwise indicated.
Risk of infection, scar tissue formation with distortion of the penis, and painful erections
In addition, almost 90 percent of men with erectile dysfunction had at least one risk factor for heart disease, including diabetes, high blood pressure, high cholesterol or smoking.
The research comes as government agencies debate the safety of BPA, a compound that is found in thousands of consumer products ranging from dental sealants to canned food linings and that is so ubiquitous it has been detected in the urine of 93 percent of the U.S. population.
There have been rare reports of priapism (prolonged and painful erections lasting more than 6 hours) with the use of oral PDE5 inhibitors such as vardenafil, sildenafil and tadalafil. Patients with blood cell diseases such as sickle cell anemia, leukemia, and multiple myeloma have higher than normal risks of developing priapism. Priapism untreated can cause injury to the penile tissue and lead to permanent loss of potency. If there is prolonged erection (longer than 4 hours), immediate medical assistance should be sought.
Pills like Viagra, Cialis or Levitra may not be working for these men, but they mistakenly rule out using injection therapy for erectile dysfunction, because surprisingly little information has been published about the individual experiences men are having with the use of ED shots - at least until today.
Most human exposure to BPA occurs when the chemical leaches into food and drink from packaging. Earlier this month, Consumer Reports announced that tests showed BPA in nearly all of 19 brand-name canned foods, including soups, juice, tuna and green beans.
High BPA levels linked to male sexual problems
Cialis May Help Ease Pulmonary Hypertension
Does Health Insurance Cover Sex Therapy?
Herbal medicines usually do not have significant side effects when used appropriately and at suggested doses. Occasionally, an herb at the prescribed dose causes stomach upset or a headache. This may reflect the purity of the preparation or added ingredients, such as synthetic binders or fillers. For this reason, it is recommended that only high-quality products be used. As with all medications, more is not better and overdosing can lead to serious illness and death.
Restless leg syndrome "afflicts a significant portion of our population and in a minority of cases can cause insomnia and other important consequences," said Dr. Robert Vorona, an associate professor at Eastern Virginia Medical School in Virginia who studies sleep disorders.
"We think that if men with erectile dysfunction went to see their physicians, it may enable the interaction with the physician to discuss other coronary risk factors," he said.
"This is very exciting -- the researchers have been working on this for a long time in a variety of different organs. It's not yet clinically available, but if it works and proves safe and effective, it would be a tremendous advance," said Dr. Ira Sharlip, a spokesman for the American Urological Association and a clinical professor of urology at the University of California, San Francisco.