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Magnetic resonance angiography uses magnetic fields and radio waves to provide detailed images of the blood vessels. This is a painless procedure but may involve an agent injected to make veins stand out more vividly.
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A correctly selected erectile dysfunction treatment will improve blood flow within the penile space and enlarge the working capabilities of the muscles and nerves responsible for the erection.
Medications: Many common medicines produce erectile dysfunction as a side effect. Medicines that can cause erectile dysfunction include many used to treat high blood pressure, antihistamines, antidepressants, tranquilizers, and appetite suppressants. Examples of common medicines that can cause erectile dysfunction include beta-blockers such as propranolol (Inderal), hydrochlorothiazide, digoxin (Lanoxin), amitriptyline (Elavil), famotidine (Pepcid), cimetidine (Tagamet), metoclopramide (Reglan), indomethacin (Indocin), lithium (Eskalith; Lithobid), verapamil (Calan, Verelan, Isoptin), phenytoin (Dilantin), and gemfibrozil (Lopid). For more, please visit the Medications Index.
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Exercise regularly. Your body can fight stress better when it is fit.
Premature ejaculation happens when a man has an orgasm sooner than he or his partner would like. Premature ejaculation can happen before or shortly after penetration.
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Because of its unique locally acting mechanism of potentiating the physiologic response to sexual arousal, sildenafil is effective in men with erectile dysfunction of organic, psychogenic or combined causes. The use of sildenafil in women is under study but has not yet been approved.
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Tadalafil differs from sildenafil and vardenafil in its chemical structure and its lack of inhibition of PDE type 6. Tadalafil exhibits a prolonged half-life of 17.5 hours, and the time to peak concentration is about 2.0 (range 0.5–12.0) hours in healthy volunteers.37 Among men with erectile dysfunction, a significantly higher percentage of attempts at sexual intercourse were successful up to 24–36 hours after use of tadalafil compared with placebo.37,40,41 The pharmacokinetics of tadalafil is not clinically influenced by food or alcohol intake, or by intrinsic factors such as diabetes, or renal or hepatic impairment.41
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Remind him that there are many options for successful treatment. If your partner does not succeed initially, encourage him to continue to visit the doctor and explore other options.
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The treatment may depend on the cause. For example, if the problem is caused by a hormonal imbalance, medication to treat the underlying endocrine disorder will be prescribed. However, the same treatment may be used for many different causes. Consult your health care provider for appropriate evaluation and management.
These medications work when there is sexual stimulation. Depending on the treatment, it will need to be taken 20 minutes to 1 hour before sex and the period of time over which it works can vary between 3 hours and up to 36 hours.
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Another area of legal concern relates to adverse effects from injection therapy and oral agents. Patients are administered test doses and provided training in the office to be sure that they can administer the injections properly. A list of potential adverse reactions should be provided to the patients, and, in some instances, a dose may be administered in the office and the patient observed for several hours to detect any reaction.
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