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Besides treating the underlying causes such as potassium deficiency or arsenic contamination of drinking water, the first line treatment of erectile dysfunction consists of a trial of PDE5 inhibitor drugs (the first of which was sildenafil or Viagra). In some cases, treatment can involve prostaglandin tablets in the urethra, injections into the penis, a penile prosthesis, a penis pump or vascular reconstructive surgery. How Is Male Sexual Dysfunction Treated? Many cases of sexual dysfunction can be corrected by treating the underlying physical or psychological problems. Treatment strategies may include the following: Mechanical aids: Aids such as vacuum devices and penile implants may help men with erectile dysfunction. buy propecia for sale Neurogenic disorders (spinal cord and brain injuries, nerve disorders such as Parkinson's disease, Alzheimer's disease, multiple sclerosis, and stroke) A diagnosis of erectile dysfunction is made in men who have repeated inability to achieve and/or maintain an erection for satisfactory sexual performance for at least three months. Candid communication between the patient and the doctor is important in establishing the diagnosis of erectile dysfunction, assessing its severity, and determining the cause. During patient interviews, doctors try to answer the following questions: Common side effects of testosterone replacement therapy include local irritations, prostate enlargement, breast tissue enlargement, aggravation of breast and prostate cancers, depression, elevation of red blood cell count (polycythemia), or worsening of congestive heart failure. Yohimbine is an older medication used for erectile dysfunction, but the data to support its effectiveness remain mixed. In practice, clinicians sometimes choose yohimbine in the setting of psychogenic erectile dysfunction. advice about buying generic viagra online viagra online buying propecia propecia online q online cialis buy cialis online buy propecia for sale Certain medications can alter the gonadal function, including thiazide diuretics, some seizure medications, long-acting oral opiate pain medications, antipsychotic medications, and oral steroids.