Finding a Doctor for ED Treatment

If you’d like to resume a vibrant, confident sex life, contact our discreet team for ED evaluation and treatment at 702-470-2579 today. You can also book your appointment online.

What Causes Erectile Dysfunction and Why Treatment Options Differ

The medication remains in your body for anywhere from 6-12 hours. None of these drugs should be taken more than once in 24 hours. If you want to have sex several times a week or more, you may do best with Cialis Daily. Before prescribing any drug for ED, however, Dr. Lesani conducts a complete physical and ensures the medications you’re currently taking aren’t contraindicated with ED drugs. Medical therapy is a mainstay in the treatment of organic or situational erectile dysfunction. It has given hope to many men who once struggled with the effects of impotence on their mood, relationship and overall quality of life.

Dr. Paul Turek has relied on a range of medications to safely and effectively treat patients.

If you have erectile dysfunction, you may be encouraged to learn that a variety of treatment options exist, and Dr. Turek offers the very best that science has to offer. The board-certified urologist and men’s sexual health provider will put your worries and concerns to rest and work with you to find a solution that meets your personal needs. The treatment that is right for depends on many factors, including your age, medical history, other medications you take, potential side effects, personal preferences and treatment goals.

From Mayo Clinic to your inbox

When you suffer from ED, your relationships may suffer, too, leading to a lack of intimacy between you and your partner. You may even experience depression or anxiety. As an experienced urologist, Alex Lesani, MD, diagnoses and treats ED in men of all ages at our Las Vegas, Nevada, clinic. He first rules out or identifies underlying medical causes for ED, including hypertension or diabetes, then customizes a treatment plan. In most cases, he recommends lifestyle changes first, including losing weight, quitting cigarettes and alcohol, and adopting a healthy, whole-foods diet.

Which Medication Will Work Best for My ED?

He may also recommend increased exercise, including resistance training, to build muscle that produces more of the male hormone testosterone. If these measures don’t help sufficiently to restore your sex life and your confidence, he may recommend medications for ED. Drugs for ED have evolved since Pfizer first introduced its “little blue pill” (i.e., Viagra®) back in 1998. You now have more choices, so — with Dr. Lesani’s guidance — you can pick the one that best suits your needs, goals, and lifestyle.

Follow a healthy eating plan

Originally developed as a medication to treat high blood pressure and angina, sildenafil citrate (i.e., Viagra) turned out to have an interesting side effect: It helped men in clinical studies achieve better erections. Viagra stimulates nitric oxide production in your heart and expands your blood vessels. Open, clear blood vessels allow blood to flow freely to your penis, creating a long-lasting erection. You must take Viagra about 30-60 minutes before you want to have intercourse. Your erection may last up to 4-5 hours or until you climax. When you are sexually aroused, your body releases a chemical called nitric oxide, which relaxes the blood vessels and tissues of your penis. This allows your penis to engorge with blood, resulting in an erection. But an enzyme called phosphodiesterase 5 (PDE5) reverses the function of nitric oxide. Sildenafil, tadalafil and vardenafil are phosphodiesterase 5 inhibitors, meaning they work by blocking PDE5. The medications will not make you sexually aroused, but they will allow you to get an erection in response to sexual stimulation and help you maintain it long enough for sexual intercourse.

• PowerMega: Natural supplement formulated to enhance nitric oxide levels for better erections.
• VigRX Plus: Herbal supplement with ingredients like Panax Ginseng for increased libido.
• Rockstar: Plant-based supplement designed to improve erectile stamina.
• ErectAid Oil: Topical solution claimed to improve blood flow directly to the penis.
• ExtenZe: Natural herbal pill that boosts sexual performance and stamina.
• ProArmour: Natural supplement targeting blood flow and testosterone levels.
• Male Extra: Contains L-Arginine for nitric oxide production and improved erections.
• SizeGenetics: Penile traction device promoting natural growth and firmness.
• Maxisize: Herbal pills to support testosterone and sexual energy.
• BoilX: Herbal formulation to reduce inflammation and support erectile health.
• VigRX Oil: Topical herbal oil for quicker, localized effects.

Viagra (sildenafil citrate) is perhaps the best known of the PDE5 inhibitors and produces great results. It takes effect within an hour and lasts three to four hours.

• Vidalista Tadalafil 20mg: Extended-release medication, effective for both ED and benign prostatic hyperplasia.
• Suhagra: Sildenafil-based generic pill, reliable for temporary erectile dysfunction.
• Fildena: Versatile Sildenafil brand, available in different dosages for tailored treatment.
• Fildena 100: Common dose for quick results, typically taken 30-60 minutes before intimacy.
• Super P-Force: Combines Sildenafil and Dapoxetine to target ED and premature ejaculation.
• Zenegra: Generic Sildenafil, offers affordability and fast action.
• Silagra: Cost-effective Sildenafil option, trusted for consistent results.
• Eron Plus: Combines ED medication with supplements to boost testosterone and vitality.
• Penegra: Fast-acting Sildenafil tablet, effective within 30 minutes.
• Erexil: Herbal and pharmaceutical ingredients combined for natural libido support.
• Maxman: Herbal supplement that claims to improve erections naturally.

It must be taken on an empty stomach to be effective. A newer alternative to sildenafil is vardenafil (Levitra) which has a similar duration of activity but can be taken with food. Cialis (tadalafil citrate) is longer-acting than Viagra and stays in the bloodstream for a longer time, up to 36 hours. Some men take a small dose of the medication daily so there is always some in their system. Depending on your personal needs, Dr. Turek may prescribe any one of these medications. Side effects are a common concern with any medication. Side effects of Viagra (sildenafil) and Levitra (vardenafil) include: Temporary abnormal vision (more common with Viagra) Side effects of Cialis (tadalafil) are similar and include: Because Cialis remains in your system longer, possible side effects can last longer than those of Viagra or Levitra. It is also important to understand that certain drugs, mainly nitrates used for chest pain and some alpha-blocking drugs used for prostatic enlargement, negatively interact with Viagra and Cialis.

Dr. Turek will discuss the potential side effects of Viagra and Cialis and explain the possible interactions.

Testosterone Replacement Therapy: For Low T Related ED

In very rare cases vision and hearing loss have been linked to some ED drugs. If you experience any of these symptoms it’s time to call your doctor. If Meds Don’t Work, You Still Have Options Your urologist can help you make an informed recommendation of which drug to take based on its chemical makeup, other health conditions you might have, and medications you are taking. Depending on these factors, you and your doctor might even choose an alternate treatment regimen. Non-invasive treatments for ED that you can ask about include: Shockwave therapy – Applying low-intensity ultrasound waves to improve blood flow into the penis.

Sildenafil: what you need to know

Injection therapy – A self-applied approach in which you inject medications into the penis to improve blood flow. Vacuum device – Drawing blood into the penis manually, using a hand pump, through a cylinder placed over the penis. A ring is then placed around the base of the penis to trap blood and maintain the erection. Only about half of U.S. men have a high understanding of what a vasectomy is, according to recent research.

How well do ED pills work?

Perhaps this is why many men confuse sterilization with low testosterone, and why so many have unfounded fears about vasectomies. Every year, a high number of men come to us… About 30 million men in the United States have erectile dysfunction (ED). Although ED is most common as men age, even young men sometimes have trouble with ED. If you have ED, you either have trouble achieving an erection or maintaining that erection until you’ve completed a sexual act. Although ED may seem like a simple problem, especially because it’s so common, it has far-reaching implications. Together, you will determine the best medication to help you get and keep an erection and enjoy improved sexual function. If you are experiencing erectile dysfunction and want to discuss your medical options with Dr. Turek, please request an appointment at The Turek Clinic.

Make sure you take the right drug for you.

Generally, one pill is good for one erection. Vardenafil (i.e., Levitra) doesn’t help your body produce more nitric oxide. Instead, it blocks a chemical that stops the smooth muscles in your penis from relaxing. These smooth muscles must relax for your penis to become engorged with blood. Levitra must be taken 30-60 minutes before sexual intercourse.

Can you permanently get rid of ED?

Like Viagra, the medication stays in your body for about 4-5 hours. Tadalafil (i.e., Cialis) stays in the body longer than other ED drugs, which increases your chances for multiple erections and climaxes in a single day. You can choose from two formulations of Cialis: One that you take at will and one that you take every day. Regular Cialis is taken as a single pill about 30-45 minutes before you want to have sex. The effects last between 24-36 hours or until climax.

Oral medicines

If you opt for Cialis Daily®, you take a pill daily. Your ability to achieve an erection is continuous while taking the medication, which means that you could have more than one erection and orgasm lovegra tablet a day. Avanafil (i.e., Stendra), like Levitra, helps the smooth muscles in your penis relax. Stendra allows for more spontaneity than regular Cialis, Levitra, or Viagra. You only have to wait 15-30 minutes before achieving an erection. Contact us today to schedule your visit. $(function () { jenzabar.framework.subMenuOptions.hookUpElements({ pageElements: { subMenu: $("#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_DrawerInnerContainer"), subMenuButtonTrigger: $("#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_DrawerCollapseButton") } }); let setName = $('#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_DrawerTitle').text(); let text = 'Select all resources in ' + setName; let selectAllResourcesCheckbox = $('#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_SelectAllResourcesCheckbox'); let selectAllResourcesCheckboxLabel = $('#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_SelectAllResourcesCheckboxLabel'); selectAllResourcesCheckboxLabel.text(text); let resourcesCount = $('#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_ResourceCount').text(); if (resourcesCount == 0) { selectAllResourcesCheckbox.hide(); } $('.set-container table').on('ready.ft.table', function () { let selectAllResourcesCheckbox = $('#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_SelectAllResourcesCheckbox'); $('span.resource-checkbox input').on('click', function () { let headerId = $(this).parent()[0].attributes['data-id'].value; if (!$(this)[0].checked) { $('input[data-id=' + headerId + ']').prop('checked', false); } $('span[data-id=' + headerId + '] input').each(function (index) { if ($(this)[0].checked) { $('input[data-id=' + headerId + ']').prop('checked', true); } else { $('input[data-id=' + headerId + ']').prop('checked', false); return false; } }) }); window.resourcePortlet.resourceCheckboxOptions.wireUp({ elements: { setName: $('#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_DrawerTitle').text(), text: 'Select all resources in ', selectAllResourcesCheckbox: $('#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_SelectAllResourcesCheckbox'), selectAllResourcesCheckboxLabel: $('#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_SelectAllResourcesCheckboxLabel'), resourcesCount: $('#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_ResourceCount').text() } }); }); (nameValue = function (valueOrElement) { var anchor = $(valueOrElement).find("a").text(); return anchor; })(); if (!$('#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_DrawerContainer').attr('resources-reorder-mode')) { $('#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_DrawerContainer .footable-container table.resources-footable').footable(); } else { $('.resources-reorder-mode .description-header').hide(); $('.resources-reorder-mode .edit-header').hide(); $('.resources-reorder-mode .delete-header').hide(); $('.resources-reorder-mode .description-cell').hide(); $('.resources-reorder-mode .edit-cell').hide(); $('.resources-reorder-mode .delete-cell').hide(); $('.resources-reorder-mode .select-all-checkbox-header').empty(); $('.resources-reorder-mode .resource-checkbox-label').addClass('hide'); $('.resources-reorder-mode .resource-checkbox').addClass('hide'); } window.resourcePortlet.reorderKeyboardControlsInfoModal.wireUp({ elements: { reorderInfoButton: $('#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_ReorderResourcesInfoButton'), reorderKeyboardControlsInfoModal: $('#pg0_V_ResourcesSetsRepeater_ctl00_DrawerControl_ReorderKeyboardControlsInfoModal'), }, text: { title: 'Reorder keyboard controls', done: 'Done' } }); });erection pillsToggle erection pillsFind out how you can beat erectile dysfunction best erection products without any side effects now a major sexually widespread disease among men.