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Statistical analysis was conducted using IBM SPSS version 20. Descriptive analysis was conducted and results were presented using tables. Binary logistic and multi-variable logistic regression analyses were conducted to determine the association between the dependent and independent variables. Variables that were significant at a P-value of <0.05 in the binary logistic regression were selected for multivariable logistic regression and in the multivariable regression analysis, those variables that were significant at a p-value of <0.05 with a 95% confidence interval were regarded as significant factors that contribute to the recreational use of sildenafil citrate.

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For instance, if you tried it with your partner, it could be that you were feeling nervous, especially if it’s been a while or you’re feeling “rusty.” You might want to try using Viagra for masturbation to see if it helps you achieve and sustain an erection under those circumstances. If sildenafil doesn’t help after trying it a few times in different scenarios, the next step is to talk to our team about your erectile dysfunction treatment.
The role of the endothelium in ED has been noted for a number of years and the overlapping of ED and other conditions, especially coronary heart disease, CVD, affecting endothelial function/dysfunction, is clearly present. The endothelial cell is now known to affect vascular tone and impact the process of atherosclerosis, and impacting ED, CVD and peripheral vascular disease.16 .

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Sildenafil may affect the way other medicines work, and other medicines may affect the way Sildenafil works, causing side effects. Especially tell your healthcare provider if you take any of the following:
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The predose and postdose measurements of blood pressure for the placebo medication showed no postural drop in mean blood pressure (fig 1). One hour after active medication there was a change in the average mean blood pressures of 5 mm Hg, 9 mm Hg, and 9 mm Hg in the lying, sitting, and standing positions respectively.
A trained professional will be able to help you work through many of the psychological effects of ED.

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In 2012, the U.S. Food and Drug Administration (FDA) advised that Revatio (sildenafil) should not be prescribed to children ages 1 through 17 for pulmonary arterial hypertension (PAH), or high blood pressure in the blood vessels leading to the lungs. This recommendation came after a long-term pediatric clinical trial that showed that children taking a high dose of Revatio had a higher risk of death than children taking low doses, and that the lower doses of Revatio were not effective in improving exercise ability in children.

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Male infertility is caused by abnormal sperm production, blockage of sperm delivery or low sperm production. Treatments are available that work.

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    To evaluate their success rates, the researchers looked at responses to the Sexual Encounter Profile question 3 (SEP3). Patients took either placebo or one of three doses of the drug -- 50 mg, 100 mg, or 200 mg doses -- though most (75%) increased their dose to 200 mg.

    As is true in so many medical conditions, lifestyle modifications, considered first-line therapy, can have a salutary effect in ED management, and men should be encouraged to make the necessary changes to the benefit of their sexual function and to their overall health as well. Despite the benefits of behaviour modification, men presenting with ED want the physician to help with measures that can have an immediate impact.
    Most ageing men manage to get erections, but to do so requires more stimulation. It is up to each man to decide whether his erection is adequate. You can consider (with your partner) how important sexual intercourse is to your relationship. There are other aspects to intimacy and not all couples require an active sex life to have a fulfilling relationship.

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    In addition, heart attack, stroke, irregular heartbeats and death have happened rarely in men taking VIAGRA. Most, but not all, of these men had heart problems before taking VIAGRA. It is not known if VIAGRA caused these problems.

    Diabetes mellitus can cause ED. Thankfully those with diabetes-induced ED (DMED) tend to respond very well to ED treatments. If you’re prediabetic or your family has a history of diabetes, this is something you should bring up in your consultation.
    Call your doctor right away if you take one of these medications and have a prolonged erection that lasts 4 hours or longer. This condition may cause permanent impotence if not treated.

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    This can be useful even if there is a medical cause, as it gives you a chance to talk about how you feel about having erectile dysfunction. If there is an underlying psychological reason for the difficulty, this is a safe place to explore what this might be and what you can do about it. This is generally not available as a funded service and you would normally need to pay for this privately. If you have been sexually abused, then you may be able to access free counselling through ACC.

    If you have erectile dysfunction, it works by temporarily increasing blood flow to the penis when you get sexually excited.
    To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

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    To treat erectile dysfunction-ED, take this drug by mouth as directed by your doctor, usually as needed. Take sildenafil at least 30 minutes, but no more than 4 hours, before sexual activity (1 hour before is the most effective). Do not take more than once daily.

    Asian red ginseng: This product has also been picked up from our ancestors. This plant was a favorite of the Chinese emperor way back in 3500 BC. The emperor called Shen-Nung said that he had a feeling of sexually pleasurable feeling after taking the medicine.
    If you’re struggling with erectile dysfunction or if one treatment option just isn’t working well for you, talk to our providers at Low T Center. Our goal is to provide quality health care for men. We offer diagnosis and treatment for many common health conditions, including erectile dysfunction. Getting treatment is simple, affordable, and convenient at our locations across the nation. Start living your best life and make an appointment at a clinic near you to address your health.

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National Center for Complementary and Alternative Medicine: "Aromatherapy May Make Good Scents, But Does It Work?" "Ginkgo," "Asian Ginseng." Erectile Dysfunction Guide Overview Symptoms & Risk Factors Testing &Treatment Living & Managing

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Cheitlin MD, Hutter AM, Jr, Brindis RG, et al. (1999) ACC/AHA expert consensus document. Use of sildenafil (viagra) in patients with cardiovascular disease. /American Heart Association. J Am Coll Cardiol 33:273–282.

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Avanafil is usually taken only when needed, about 15 to 30 minutes before sexual activity. Follow your doctor's instructions.

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