You should expect a physical exam where your doctor will listen to your heart and lungs, check your blood pressure, and examine your testicles and penis. Oral medications, vacuum erection devices, cock rings, penile injection treatment, penile implants, urethral suppositories, sex therapy and surgically implanted devices may also help. For most men, sildenafil makes it easier to develop and maintain an erection and acts as a reliable, safe treatment for erectile dysfunction. And the percentage of men with erectile dysfunction increases from 5% to 15% as age increases from 40 to 70 years. Due to potential treatment for prostate cancer, for example radiation treatments, hormone therapy, and surgery to remove the entire prostate gland, the development of a difficulty in getting or keeping an erection may occur. The first step in addressing your concerns about ED is to be honest with yourself, your partner, and your doctor.

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However, the cause is more usually lack of adequate penile blood supply as a result of damage to inner walls of blood vessels. This causes the erection to last for longer. The side effects of tadalafil are similar to sildenafil, with headache, stuffy nose, heartburn and facial flushing the most common. While sildenafil isn’t quite as dominant as it once was, it’s still by far the most popular treatment for ED. They may also refer you to a mental health professional, who can help you manage performance anxiety or relationship issues related to your ED. Some laboratory side effects of testosterone replacement therapy include changes in blood cholesterol, increased red cell count, and a decrease in sperm count (which can produce infertility, especially in younger men). However, eating a high fat meal before taking Viagra can delay absorption, meaning that the drug may take longer to work.