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Erectile dysfunction (ED) occurs when a man has consistent and repeated problems sustaining an erection. There are several forms of male sexual dysfunction, including poor libido and problems with ejaculation. Surgery, including treatments for prostate cancer, bladder cancer, or BPH can sometimes damage nerves and blood vessels near the penis.
ED may be a side effect of medication, including certain blood pressure drugs, antidepressants, and tranquilizers. To diagnose ED, your doctor will ask you questions about your symptoms and medical history.
While pills for ED are convenient, some men sustain stronger erections by injecting medication directly into the penis. If ED is caused by a blockage in an artery leading to the penis, surgery can often restore blood flow.
Those patients who find Viagra type tablets less than optimal or who can’t tolerate the side effects are otherwise left with the prospect of penile injections. Over 2,000 physicians and urologists have prescribed TriMix-gel® for dissatisfied ED patients. The information contained on this website is general in nature and is intended for use as an informational aid.
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1.In your experience, what percentage of patients with ED are not candidates for, do not respond initially, or eventually stop responding to 1st-line oral therapy? 2.In an average month, how many patients with ED are you treating with local vasodilation 2nd line therapy?
3.MUSE is the only noninjectable local ED pharmacologic therapy approved for ED by the FDA. 4.Of your ED patients whom you would consider to be candidates for alprostadil therapy, how would you likely apportion your prescriptions? Heel spur steroid injections are used to provide pain relief from heel spurs and plantar fasciitis. Botox injections are not only cosmetically beneficial, but are effective at treating chronic migraines and hyperhidrosis. Temporomandibular joint (TMJ; connects the jawbone to the skull) injections are used to treat pain and discomfort in the joint. Our doctors keep accurate maintenance of all their medical boards certification examinations to deliver the very best and most up to date care to our patients. Because we continuously update our expertise, skills, and medical knowledge through medical courses, conferences, meetings, continued medical education programs, interactions with colleagues, review of current medical literature and results of the latest studies and medical research, we are able to deliver the best available care to our patients.
According to the Massachusetts Male Aging Study, about 40% of men experience some degree of ED at age 40 compared with 70% of men at age 70.
This causes the penis to expand and stiffen, much like a balloon as it is filled with water. Smoking, excessive drinking, and drug abuse may damage the blood vessels and reduce blood flow to the penis. In some cases, the nerve damage is permanent, and the patient will require treatment to achieve an erection.

Men should talk with their doctor if they suspect a prescription or over-the-counter drug may be causing erectile problems. The doctor will conduct a complete physical exam to uncover signs such as poor circulation or nerve trouble.
Measuring testosterone levels can determine whether there is a hormonal imbalance, which is often linked to decreased desire. A 2010 study suggests ED is a strong predictor of heart attack, stroke, and death from cardiovascular disease. Giving up smoking, losing weight, and exercising more often can help by improving blood flow. Drugs approved for this purpose work by widening the blood vessels, causing the penis to become engorged with blood. Good candidates are typically younger men whose blockage stems from an injury to the crotch or pelvis. A therapist can teach the man and his partner techniques to reduce performance anxiety and improve intimacy.
The active ingredients are energized into a gel at time of use, then applied at the penis tip. It does not cover all possible uses, actions, precautions, side effects, or interactions of the products shown, nor is the information intended as medical advice or diagnosis for individual health problems or for making an evaluation as to the risks and benefits of using a particular product. Patients should be individually titrated to the lowest dose that is sufficient to achieve sexual intercourse. These injections provide relief for up to a year, but are recommended to be repeated every 6 months. The effects can last from three to twelve months, but require follow up injections to maintain the effects. The procedure is very simple a€“ it involves a few head maneuvers and may be completed in as little as ten minutes. This is a diagnostic procedure used to diagnose and sometimes treat pain disorders in the sympathetic nervous system. According to the Massachusetts Male Aging Study on sexual dysfunction, the problem can first emerge in a man as early as 40. And the percentage of complete ED increases from 5% to 15% as age increases from 40 to 70 years. Experts say stress, depression, poor self-esteem, and performance anxiety can short-circuit the process that leads to an erection.
This area between the anus and scrotum contains arteries and nerves vital to sexual arousal. And your physician will look for abnormalities of the genital area that could cause problems with erections. Blood cell counts, cholesterol levels, and liver function tests can reveal medical conditions that may account for ED.
The researchers say all men diagnosed with ED should be evaluated for cardiovascular disease. If you suspect a medication could be contributing to ED, talk to your doctor about adjusting your dosage or switching to another option. When an erection is desired, the man uses a pump to fill the cylinders with pressurized fluid.

Asian ginseng and ginkgo biloba (seen here) are popular, but there isn't a lot of good research on their effectiveness.
An investigation discovered the pills often contain prescription drugs not listed on the label, including the active ingredient in Viagra.
9,005,183, “A System and Method for Treating Erectile Dysfunction” for the novel ED alternative, TriMix-gel®.
9,005,183 because no one has ever contemplated and executed this innovative approach until TriMix-gel®. The doctor can write you a prescription, fax it to the pharmacy and the pharmacy will call the patient for payment and shipping information.
Although much of the information on this site is derived from the medical literature, you should consult your Doctor about diagnosis and treatment of any health problems.
Ganglions are bundles of nerves that are interconnected, and they provide sensory perception to the entire sympathetic nervous system. Other conditions that may cause ED include cardiovascular disease, atherosclerosis (hardening of the arteries), kidney disease, and multiple sclerosis. These factors can also make the problem worse in men whose ED stems from something physical. Cyclists who ride for many hours each week may benefit from seats designed to protect the perineum. This does not mean every man with ED will develop heart disease, or that every man with heart disease has ED, but patients should be aware of the link. They're generally taken 30-60 minutes before sexual activity and should not be used more than once a day. Another option is a malleable implant, which bolsters erections with surgically implanted rods.
TriMix-gel integrates patient friendly, inventive approaches with patented technology to give dissatisfied ED patients a clinically tested ED alternative. Information and statements on this website have not been evaluated by the Food and Drug Administration (FDA). The process of administering a sympathetic ganglion block takes roughly fifteen minutes and may provide immediate relief from pain disorders.
Being overweight and getting too little exercise also contribute to ED.  Studies indicate that men who exercise regularly have a lower risk of ED. Cialis can be taken up to 36 hours before sexual activity and also comes in a lower, daily dose. An elastic band worn around the base of the penis maintains the erection during intercourse.
They are compounded in a licensed compounding pharmacy for the use of an individual patient who has been prescribed these products by a licensed physician. This website is not intended for making an evaluation as to the suitability, risks or benefits of use.

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