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drcaplan, Board Certified Physician
Category: Urology
Satisfied Customers: 126
Experience:  I have specialized in common problems for men, women, children, and the elderly.
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I have ED? what should i do?

Customer Question

i have ED ? what should i do?
Submitted: 7 months ago.
Category: Urology
Customer: replied 7 months ago.
Customer: replied 7 months ago.
i have some problems with my hearth
Expert:  drcaplan replied 7 months ago.

have you been seen by a doctor in person?

Expert:  drcaplan replied 7 months ago.

As a summary of current Uptodate recommendations for treatment o erectile dysfunction: " Therapy of men with sexual dysfunction is aimed at improving libido and addressing the two vital sexual functions: the capacity to acquire and sustain penile erections and treating premature ejaculation (PE). Optimal treatment varies, depending upon the factor(s) that have reduced libido or caused erectile or ejaculatory dysfunction.

●For men with erectile dysfunction (ED), initial steps include:

•Identifying the underlying etiology, including drugs such as antidepressants or antihypertensive agents that may be causing or contributing to the ED.

•Identifying and treating cardiovascular risk factors, such as smoking, obesity, hypertension, and dyslipidemia, as both lifestyle measures and pharmacotherapy for risk factor reduction may be effective for prevention and treatment of ED.

●For first-line medical therapy of ED, we recommend the phosphodiesterase-5 (PDE-5) inhibitors because of their efficacy, ease of use, and favorable side effect profile. Sildenafil, vardenafil, tadalafil, and avanafil appear to be equally effective, but tadalafil has a longer duration of action. Current practice guidelines suggest that the choice of PDE-5 inhibitor should be based upon on the patient's preferences, including cost, ease of use, and adverse effects."

Expert:  drcaplan replied 7 months ago.

I hope this has addressed your question/concern. Please contact me again if you have additional concerns, or you would like more feedback or input. It is unfortunate that we are limited with the advice we can give in this format of communication, but I hope you found this helpful and supportive for you.

I would appreciate a moment of your time to leave a positive rating. A good rating is free for you, and will insure that you can contact me if followup is needed. Thank You.

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