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Homeopathy The most common symptoms of depression include: "There's the question of how you restore that needed blood supply," Sharlip said. "You may be able to restore the natural spongy tissue of these erection chambers, but in a patient with severe corporal fibrosis you also have to get the blood supply to come back into the new, restored tissue." Without that steady source of oxygen, any implant might meet the same fate as the tissue it had replaced, he said. Neurogenic Disorders (spinal cord and brain injuries, nerve disorders such as Parkinson's disease, Alzheimer's disease, multiple sclerosis, and stroke.[4]) An erection obtained by the vacuum constriction device is not the same as an erection achieved naturally. The penis tends to be purplish in color and can be cold or numb. Other side effects can include: Jonathan P. Jarow, M.D., Controlled clinical trials in selected populations of men with ED have demonstrated the efficacy of sildenafil in helping men achieve and maintain erections. The efficacy of sildenafil was demonstrated in 21 randomized, double-blind, placebo-controlled studies of up to 6 months' duration involving more than 3000 male subjects aged 20-87 years. Formerly referred to as impotence, erectile dysfunction (ED) can affect men of all ages. It is the inability to get or keep an erection for the purpose of completing sexual intercourse. The likelihood of developing ED increases with age; however, men as young as 18-20 years of age have sought treatment for this disorder. Homeopathy is a natural system of medicine that takes into consideration the root causes of erectile dysfunction. A homeopath will treat ED with remedies made from natural substances, thus avoiding the side effects of the popular pharmaceutical drugs. Viagra® is rapidly absorbed by mouth with a bio-availability of about 40% and peak concentrations of the chemical are in the blood within 30-120 minutes. (2) This has been one of the advantages for Viagra®, in that it is capable of being taken as a tablet and is relatively quick-acting. A convenient factor when perhaps one’s partner won’t wait forever! “We’re talking about blood flow in the male penile shaft,” explains urologist Ajay Nehra, MD, professor of urology at the Mayo Clinic in Rochester, Minn. Arteries in both the heart and the penis are lined with endothelium, says Dr. Nehra. When the endothelium in these blood vessels doesn’t respond well to the release of nitric oxide (a key part of the chain reaction that allows blood to flow as needed), then blood doesn’t flow into organs, including the penis. Have you ever had vascular surgery or other treatments for your blood vessels? A double-blind study[28]'s results show evidence that ginseng is better than placebo. VIAGRA A system for inserting a pellet of alprostadil into the urethra is marketed as Muse. The system uses a prefilled applicator to deliver the pellet about an inch deep into the urethra. An erection will begin within 8 to 10 minutes and may last 30 to 60 minutes. The most common side effects are aching in the penis, testicles, and area between the penis and rectum; warmth or burning sensation in the urethra; redness from increased blood flow to the penis; and minor urethral bleeding or spotting. Possible priapism (rare <1%) Long-term results not available

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