Doctor insights on:
Medicine For Impotence
What are good medicines to manage my impotence while being on Viibryd (vilazodone hydrochloride). My problem is not with anorgasm but having and maintaining an erection.
Would switch med.: I really don't like medicating the side effect of another medication. My first thought would be to see if that issue goes away with a different med, other than Viibryd (vilazodone hydrochloride). If it doesn't, of if you just really think Viibryd (vilazodone hydrochloride) works well for you, you'd have to take the Viagra-type meds to help with your erection. ...Read more
Side effects: Any time you try a new drug, regardless if for impotence or some other reason, you risk side effects. All medication, prescription or otc, all supplement, no matter how natural, organic, herbal, etc, has potential side effects. They can also interact w/other meds & supplements. Pde5 inhibitors can cause hypotension if taken w/nitrates. Caverject & Edex (alprostadil) require an injection. Find out all your optio. ...Read more
Cialis not working: Hi aa30, I am not a great supporter of Cialis because I think it is overkill to use a drug daily for an event that occurs once or twice a month and lasts 10 mins if you are very skilled. In addition, you raise a good point that the body eventually develops some tolerance to everything with passage of time. I agree! ...Read more
Ihave impotence. I with normal hermonal, I take depakine chrono, lamotrigine. Does epilespy & his drugs cause ED? Does lamotrigine not cause ED?
What is difference between impotence and erectile dysfunction? Is ED just a term from the drug companies?
No difference: Ed is a term coined by the pharmaceutical companies to make it more politically correct for tv ads. No difference. ...Read more
Yes and no: Some medication that treat high blood pressure can cause sexual side effects. It is important to discuss this with your physician so that a medication without this side effect can be chosen. Most of the medications that treat depression can cause delayed ejaculation in males. This side effect tends to go away after a few weeks. ...Read more
I have impotence. Doctor tell my this case because epilepsy & its drugs. Give cailis 5mg daily, gentaplex ultra T male but not work. Can use10mg daily?
In which cases does viagra help? Does viagra and similar drugs help with infertility or impotence... Basically, in which cases do they help, and which don't they? If my penis doesn't get rock-hard, just semi-hard, and with a lot of stimulus, would it help
Viagra (sildenafil) is used for the treatment of erectile dysfunction (otherwise known as impotence), therefore it helps achieve and maintain an erection. It does not have any affect on sperm count or quality etc. On the other hand, it can indirectly help with infertility if the problem is due to the male partner not being able to achieve erection and ejaculate.
Please speak to your doctor to find out if you are a good candidate for viagra (sildenafil) treatment.
Best of luck. ...Read more
It'd be nice to know the cause. Some men lack testosterone, whereas others have problems with penis vasculature or nerves that are not working properly.
Viagra, Cialis or Levitra (vardenafil) are frequently used empirically, meaning without knowing the cause for sure and all 3 of those appear to be equally effective between themselves. ...Read more
One that works for u: Seriously! Best medicine varies for any given individual. What's best for one isn't always best for someone else. Regarding erectile dysfunction, PDE-5 inhibitors such as Cialis, Levitra, (vardenafil) Staxyn, Stendra & Viagra are easy to take pills that are typically successful, tho expensive. Yohimbe is not as effective. Alprostadil is more invasive, whether a pellet is placed in urethral or a shot is given. ...Read more
Not if you have it!: Yes, I agree that we have a problem w/"medicalizing" conditions in order to sell drugs. This is a real issue. However, those of us in front lines of medicine only feel comfortable talking about conditions for which we have a reasonable solution/medication. A quarter century ago when I was training, no one really addressed depression b/c no safe drugs existed. Now it's a common condition like ed. ...Read more
Lifestyle changes: There are many causes for erectile dysfunction: psychosocial, physical, metabolic, hormonal, dietary, neurologic, and vascular--just to name a few. I would recommend seeing your primary care physician to get a thorough history/physical/bloodwork exam to rule out serious causes, which if present will need to be optimized before ed can improve. Weight loss and a good diet will help ...Read more
It sounds like: There is a lot more going on than erectile dyfunction. The erectile dysfunction medications will provide assistance for short periods of time - they are not an over-all fix. I wonder if you are suffering from major depression or another medical problem. Please see your physician for work up. ...Read more
No, it isn't: At your age erectile dysfunction can occur, but it is more commonly caused by anxiety and other psychological factors, or by medication, or by prior use of anabolics, opiates, etc. There are medications which can treat it, but only after a thorough evaluation by your doctor. ...Read more
Yes, men with diabetes may develop low testosterone levels, particularly in men who are overweight.
Have your doctor examine you and then order labs related to testosterone levels.
If your testosterone level is normal you should be referred to a Urologist to further evaluate your erectile dysfunction. ...Read more
Yes: The best nonprescription treatment for ED is increase physical activity! Physical activity improves blood flow, raises testosterone, raises self-esteem--all key ingredients to better erections. Korean ginseng, l-arginine, maca are all natural substances that have been studied and may be effective in improving erections. ...Read more
No: There is no proven OTC med for ED. ...Read more
PE vs ED: Premature ejaculation is different issue/condition from erectile dysfunction although former could lead to latter. PE is usually treated non-medically although SSRIs (anti-depressants) can be used due to potential side effect of anorgasmia. ED is treated most commonly w/PDE-5 inhibitors followed by alprostadil in non-oral forms. Check out more options on this website. ...Read more
ED: Assuming that your erectile dysfunction was solely related to a new medication, you should recover normal function with discontinuation of the offending medication, most often, ed is multifacorial however. If ed persists after physician approved discontinuation of medication, see a urologist for complete evaluation. ...Read more
Erectile dysfunction: If you ask that question you need to make an early appointment with your doctor. He/she will take your history, examine you, and order appropriate labs. You will likely be referred to a urologist as well. ...Read more
What can a 27 yearold male do about recent erectile dysfunction? I'm less stressed than ever, healthy, not taking new medicines and have given up porn
Find the cause: This kind of question is best handled by a relationship with a local, accountable, evidence-based practitioner who knows the ayurvedic meds. If you have erectile dysfunction at your age (i.e., don't get hard even with your favorite partner / images / thoughts), I'm worried you have hemochromatosis, a prolactinoma or something else dangerous that a mainstream physician could find. ...Read more
Food or herb?: There is no single food that can be consumed to treat erectile function. If there were, men would have consumed all of it by now. As for herbs, while many are advertised for ED, in the States, dietary supplement manufacturers can legally make miraculous claims w/o proof so buyer beware. Of note, the prescription drug yohimbine is derived from the over-the-counter African tree bark yohimbe. ...Read more
How could the side effects with respect to erectile dysfunction of medicines of high BP be avoided?
Nutrition & exercise: High blood pressure is often related to being overweight & out of shape. In and of itself, this can cause erectile dysfunction. But so can medications used to treat hypertension. Therefore, to avoid side effect complications, change your eating habits & get physically active regularly in order to improve health, lower blood pressure & strengthen erections. ...Read more
Used penis extender and drugs on top of the penis. Erectile dysfunction ever since 2 years ago expert said is psychological. Analysis I should do?
Not on the internet: I am sorry to continue to report but without an examination and some testing there is no answer going to come from strangers on the internet. We do not know who this 'expert' was; what they really said or recored from the visit and what testing you have had done. Your answer will only come from an in person expert. If you do not agree with the previous expert you need a second opinion. ...Read more
I have moderately elevated cholesterol levels, and am prescribe statin drugs. Which control it nicely, but cause erectile dysfunction. Alternatives?
Different dose or me: Compliance with medication is affected when problems arise, especially ed. Try switching to a different statin, lower the dose & combine with another cholesterol medication. Consider a stress test b/c ED and coronary artery blockage are connected. Decrease your animal fat including dairy and eat more plants. Add coq10 200mg to help with statin side effects and fish oil to help with triglyceride. ...Read more
They don't: They prevent the opening of blood vessels that drain blood out of the penis, allowing it to become and remain erect. ...Read more
Pls what is d best medicine to boost sperm count/motility & to ehance strong erection bcos I do hv erectile dysfunction occasionally.
Erectile Dysfunction: Hi, the best way to approach this is to see your PMD to find out why you have ED, is it due to hormonal imbalance or it's due to psychological issues. ...Read more