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This treatment is usually ordered through an online compounding pharmacy. Some preliminary research suggested that men who take sildenafil may be at increased risk for developing skin cancer . A recent review of data has not supported sildenafil as a cause of melanoma. Men who have melanoma or are at high risk should talk to their doctors about this topic. In rare instances, some men who take these drugs may experience vision problems such as a blue haze or temporary increased brightness.
Concomitant use PDE5 inhibitors and nitrates can lead to serious health problems. Patients who are only occasional users of nitrates should discuss with a doctor the risks, selection and timing for possible PDE5 inhibitor use. Cocaine abuse and sickle cells disease may lead to penile fibrosis. Penile fibrosis is a condition that causes fibrosis of a corpora cuvernosa. This results in impairment of penile blood flow and erection. Every case of ED should be evaluated for psychological factors, reactive or primary. Psychological causes of primary ED are anxiety, guilt and fear of intimacy. In secondary ED, causes may relate to performance anxiety, stress, or depression.
It is important to treat any medical condition that may be causing ED. Men with high blood pressure may also have ED. Many of the drugs used for hypertension (diuretics or calcium channel blockers and beta-blockers), may also cause ED.
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Erectile dysfunction, for instance, isn't always due to aging. It can often be caused by underlying physical problems. Many patients experience improvement without any intervention if they are able to identify a minor physical problem. This image shows a vacuum device that is used to produce an erection. They include the cylinder, a pump to create a vacuum, and a constriction ring to be placed at the base of the penis after an erection has been obtained in order to maintain the erection.
Management of comorbidities such as diabetes and obesity or heart/vascular disease. Troubled relationships often have a direct influence on sexual function. High blood pressure medication, especially diuretics. In general, psychologically-based ED is more likely to develop suddenly with complete, immediate loss of function.
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