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Most physicians suggest that treatments proceed from least to most invasive. For some men, making a few healthy lifestyle changes may solve the problem. Quitting smoking, losing excess weight, and increasing physical activity may help some men regain sexual function. Cutting back on any drugs with harmful side effects is considered next. For example, drugs for high blood pressure work in different ways. If you think a particular drug is causing problems with erection, tell your doctor and ask whether you can try a different class of blood pressure medicine. Psychotherapy and behavior modifications in selected patients are considered next if indicated, followed by oral or locally injected drugs, vacuum devices, and surgically implanted devices. In rare cases, surgery involving veins or arteries may be considered. Experts often treat psychologically based ED using techniques that decrease the anxiety associated with intercourse. The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety when ED from physical causes is being treated. Drugs for treating ED can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. Since that time, vardenafil hydrochloride Levitra and tadalafil Cialis have also been approved. Additional oral medicines are being tested for safety and effectiveness. Taken an hour before sexual activity, these drugs work by enhancing the effects of nitric oxide, a chemical that relaxes smooth muscles in the penis during sexual stimulation and allows increased blood flow. While oral medicines improve the response to sexual stimulation, they do not trigger an automatic erection as injections do. The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to mg or 25 mg, depending on the patient. The recommended dose for either...

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Looking for New Jersey, USA Penis Enlargement Doctors? See top doctors, read unbiased reviews from real people, check out before and after photos, and ask. Native Spell Healer and herbalist Dr. ALI + Dr. ALI a native Spell Healer who uses astrology, tarot reading, psychic healing & spells of magic for. Drugs for treating ED can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. In March , the Food and Drug.

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