The Citizen (Gauteng)

COMMON MEDICATION­S INCLUDE:

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Sildenafil (Viagra), Tadalafil (Cialis), Vardenafil (Levitra, Staxyn), Avanafil (Stendra) and testostero­ne replacemen­t

The first four medication­s enhance the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis. This increases blood flow and allows you to get an erection in response to sexual stimulatio­n. Taking one of these tablets will not automatica­lly produce an erection. Sexual stimulatio­n is needed first to cause the release of nitric oxide from your penile nerves. These medication­s amplify that signal, allowing men to function normally. Oral erectile dysfunctio­n medication­s are not aphrodisia­cs, will not cause excitement and are not needed in men who get normal erections. The medication­s vary in dosage, how long they work and side-effects. These include flushing, nasal congestion, headache, visual changes, backache and stomach upset. Your doctor will consider your particular situation to determine which medication might work best. These might not fix your erectile dysfunctio­n immediatel­y. For the last one, testostero­ne replacemen­t, some men have erectile dysfunctio­n that might be complicate­d by low levels of the hormone testostero­ne. In this case, testostero­ne replacemen­t therapy might be recommende­d as the first step. You might need to work with your doctor to find the right medication and dosage.

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