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Generic sildenafil citrate; or placebo, practicing in standard dosing. The dose is usually taken 30 to 60 minutes before sexual activity. Only you, your partner and GP should decide on the right Levitra dosage, the need to avoid it in a clinical setting. For side effects see the patient information leaflet for Levitra, or you should contact the doctor or pharmacist. A urologist is a doctor who specializes in the health of the urinary system and the male reproductive system. Most urologists treat ED, though some urologists specialize in treating women. If your annual blood work shows low testosterone, seeing an endocrinologist may be very helpful. If you haven’t had your testosterone checked, ask your PCP about including it in your next blood work. In some cases, ED is a side effect of depression, anxiety, substance use, or another condition that can be treated by a psychologist or other mental health provider. A growing number of other healthcare providers, such as nurse practitioners, nurses, and physician’s assistants, are available for online chats or virtual appointments with virtual appointments. Communicating this way can be informative, but an online exam won’t be as thorough as an in-person one. If you’re unable to see a doctor in person, virtual care is better than getting no assistance at all.

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Viagra is a treatment for erectile dysfunction and is normally taken when you are about 30 minutes before sexual activity. The starting dose is usually 10 mg. If this dose is highly effective, subsequent doses could be reduced to 5mg on a trial basis. If repeated trials of a 10mg dose prove ineffective, the dose can be increased to 20mg. There is no benefit in taking a higher dose than is needed. Repeated trials of treatment at one dose are recommended before changing to higher or lower strength tablets. Some causes of erectile dysfunction, such as physical injuries or nerve damage, are more resistant to tablet treatments and may require other therapies, such as injections or penile implants. Erectile dysfunction may require specialist treatment apart from tablets. Some men, whose erectile dysfunction has psychological causes, may benefit from counselling. Most men do not experience significant side effects. A full list of the most frequent side effects can be found in the manufacturer's patient information leaflet supplied with tablets links below. Some men experience a bluish or yellowish tinge to their vision after taking Cialis.

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Overnight erection test to monitor erections during sleep. This test usually takes place at home or in a special sleep lab. A more involved version of this test uses an electronic monitoring device that will record how firm the erections are, the number of erections, and how long they last. Each night during deep sleep, a man normally has three to five erections. If you have erections during either type of test, it shows that you are physically able to have an erection and that the cause of your ED is more likely a psychological or emotional issue. If you do not have an erection during either test, your ED is more likely due to a physical cause. Injection test. During an injection test, also called intracavernosal injection, a health care professional will inject a medicine into your penis to cause an erection. In some cases, a health care professional may insert the medicine into your urethra instead. The health care professional will evaluate how full your penis becomes and how long your erection lasts. Either test helps the health care professional find the cause for your ED. The tests most often take place in a health care professional’s office.

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Levitra is not suitable for all men, particularly men who have severe heart disease or a history of stroke. Some prescribed medicines interact with sildenafil, most notably medicines called nitrates, used to treat angina and heart disease. The commonest side effects, affecting up to 1 in 10 men are, nausea, facial flushing, hot flush symptoms include a sudden feeling of heat in the upper body, indigestion, colour tinge to vision, blurred vision or color blindness. Allergic type reactions, chest pains or fits, all of which are very rare, require immediate medical attention. Prolonged 2 hours or more painful erections, a medical condition called priapism, can occur and requires immediate medical attention. There is no single factor which causes ED. There are many different causes. The most frequent cause is impaired circulation, which comes in part with ageing. Factors which impair circulation include smoking, lack of exercise, and obesity. Some medical conditions, most notably diabetes, are associated with ED. ED can also occur as a side effect of some prescribed medicines. Operations and trauma, which damages the nerves or blood supply to the penis, can result in ED.

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Discount medical support. Erectile dysfunction is a common male sexual dysfunction associated with a reduced quality of life for men. Referred to as ED, this condition causes a man to have normal erections and the same goes for male erections. ED is a very common condition and can be triggered by physiological factors. In fact, ED is most common in men over the age of 40. Several medications used to treat ED can cause ED. These include trazadone, yohimbine, and herbal therapies, as there is no evidence to support the safe use of yohimbine. The exact duration of erections may vary from person to person, but men can be firm and long-lasting erections. The condition is often most common in men with diabetes, and can be mild where a man occasionally has problems getting or keeping an erection. Sometimes erectile dysfunction has been a first sign of diabetes. Many people associate advancing age with declining sexual function and an overall decreased quality of life. ED affects men of all ages, but is more common in those with aging.

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Sildenafil citrate belongs to the same family of drugs as those found in other well-known ED treatments such as Cialis, Levitra, and Spedra. The main difference between Kamagra and the other ED tablets is in manufacturing and licensing. Kamagra is not a licensed treatment, therefore you cannot be sure that it claims the ingredients that it states, or be sure which chemicals the manufacturer has used to make the product. Licensed products like Viagra and Cialis have to comply with strict guidelines throughout the manufacturing, storage, and supply process, as well as undergoing strict clinical trials to prove their safety. These strict regulations allow you to have confidence that a licensed medicine contains exactly what it says it does, and that it has been proven to be both safe and effective in humans. As mentioned above, there are many ED treatments that have been approved for use in the UK that contain Sildenafil or a similar drug, such as Tadalafil. They include:. With the recent rise in legitimate online pharmacies, access to genuine medicines has never been easier for people who don’t have the time to see their doctor or are embarrassed to discuss their problem face-to-face. Medicines such as Sildenafil, Viagra, and Cialis can be easily bought online by completing a short medical questionnaire to allow a doctor to ensure the treatment will be safe and effective for you. The doctor can then produce a valid prescription for the associated pharmacy to be able to dispense you a genuine, licensed ED treatment. In April 2018, the MHRA has approved the launch of Viagra Connect, an over the counter Viagra that is available from pharmacies and legitimate online pharmacies to try and reduce the dangers of unlicensed ED treatments in the UK. Read more about Viagra Connect and how it works .