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This treatment can usually be ordered through a compounding pharmacist. Some preliminary research suggests that sildenafil-using males may be at greater risk of developing skin carcinoma. A more recent review of data does not support sildenafil as a cause for melanoma. Men who have had melanoma or are at risk for it should discuss this issue with their doctors. Rarely, these drugs can cause vision problems in men who use them. This could include temporary increased brightness or blue haze.

It is dangerous to use nitrates and PDE5 inhibitors together. Patients who only occasionally use Nitrates should discuss the potential risks, selection, and timing of possible PDE5 inhibit use with a physician. Cocaine abuse, as well as sickle-cell disease, can cause penile fibrosis. It can also lead to ED. Psychologic factors, whether primary or reactive, must be considered in every case of ED. Primary ED can be caused by psychological factors such as guilt, fear of intimacy or depression. Secondary ED can be caused by performance anxiety or stress.

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It is important to treat any medical condition that may be causing ED. ED is also a very common problem in men with high blood pressure. Many of the drugs that are used to treat hypertension (diuretics, calcium channel blocking agents, and beta blockers) can also cause ED.

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Erectile dysfunction is, for example. This is not always a result aging. Many patients notice improvement after identifying underlying physical problems. This image shows the vacuum device used for erection. They include the cylinder, the pump to create a vacuum and the constriction ring that is to be placed at base of penis after an erection to maintain the erection.

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Management of comorbidities, such diabetes, obesity, heart disease and vascular disease. Relationship problems can have a direct effect on sexual function. High blood pressure medications, particularly diuretics, beta-blockers, and calcium-channel blockers. In general, psychologically-based ED is more likely to develop suddenly with complete, immediate loss of function.

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