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buy brand viagra Because as many as 25 percent of cases of erectile dysfunction are due to medication side effects,4 the patient's drug therapy should be reviewed. Common pharmacologic causes of this disorder include antihypertensive drugs, most notably the centrally acting agents, beta blockers and diuretics. Antipsychotic and antidepressant drugs are also frequently implicated. Other drugs that can cause erectile dysfunction include spironolactone (Aldactone), cimetidine (Tagamet) and finasteride (Proscar).5,7 Excessive alcohol intake, heroin use and cigarette smoking are also known causes (Table 2).4,7,8 Reality: Although ED is most common in men 65 and older, it can occur at any age. Statistics show that the majority of men experience erectile problems at some point in their lives, and 10 percent of the entire male population has persistent ED, according to the American Medical Association. Because diseases such as diabetes and heart disease interfere with blood flow and increase the incidence of developing ED, men who develop these conditions, no matter how young they may be, are more likely to experience erectile dysfunction. Call your doctor or seek emergency treatment immediately if you experience any of the following symptoms: What should I or my partner do if a severe reaction occurs? Severe heart failure or disease of the heart's valves, for example, aortic stenosis These drugs are called phosphodiesterase-5 (PDE5) inhibitors. If you have high blood pressure, breast or uterine cancer, a blood-clotting disorder, diabetes, allergies, a liver disease, or a history of heart attack or stroke, you shouldn't use the birth control patch. The penis contains two chambers called the corpora cavernosa, which run the length of the organ (see figure 1). A spongy tissue fills the chambers. The corpora cavernosa are surrounded by a membrane, called the tunica albuginea. The spongy tissue contains smooth muscles, fibrous tissues, spaces, veins, and arteries. The urethra, which is the channel for urine and ejaculate, runs along the underside of the corpora cavernosa and is surrounded by the corpus spongiosum. The authors declare no conflicting financial interests. What about psychological therapy? brand viagra sale Erectile Dysfunction: Cialis, Viagra and Levitra to Treat ED The most common cause of male infertility is a varicocele (say: "var-ee-koh-seal"). This is when the veins in the scrotum (the skin "sack" that hangs beneath the penis) are dilated (enlarged) on 1 or both sides. This heats the inside of the scrotum and may affect sperm production. A blockage in a man's reproductive system may cause male infertility. Some medicines can also cause infertility. Apomorphine has been available as a drug for many years, but the first thing that we should clear up, is that even though it has the word morphine contained within its name, apomorphine has no morphine-like effects. (2, 9) For example, while morphine is a sedative, apomorphine is a stimulant. As such, apomorphine does not have any of the effects associated with morphine. Men over age 65 are most likely to experience erectile dysfunction, but even young men can get it. It's common for men to assume that the problem must be structural problems with the penis, such as Peyronie's disease, or some inherent hormonal condition. Prostate examinationAn enlarged prostate, which can be detected with a digital rectal examination (DRE), can interfere with blood flow and nerve impulses in the penis.