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Research has found that erectile dysfunction is a strong predictor of heart attack, stroke, and even death from cardiovascular disease. As the concentration of Viagra in the blood typically peaks 60 minutes after taking the drug, the effects are strongest around this time. If oral medications do not work well, other options that include injection of medications in the penis, vacuum pump, and penile implant are available. On average, avanafil works for up to six hours as a treatment for erectile dysfunction, meaning it lasts for slightly longer than sildenafil. Your counselor may suggest that you bring your partner to counseling sessions to learn how to support you. Several sessions of sexual counseling can help a man who is going to receive medical or surgical treatment for erectile dysfunction. Buy generic cialis online.. If a man had regular erections in the past, but suddenly begins to have problems getting an erection, there's a chance that it's a nerve, hormonal, or circulatory problem, or the effect of alcohol, drugs, or medicine. Treatment is a short-term form of counseling, generally involving five to 20 sessions. Cialis has few possible side effects, since, according to clinical studies. Erectile dysfunction treatment, same as with many other disorders depends on its primary cause. Patients can take vardenafil with or without food. What causes ED? They may also refer you to a mental health professional, who can help you manage performance anxiety or relationship issues related to your ED. Cialis is the drug for male impotence treatment for men only. Prostaglandins (alprostadil): Alprostadil can be injected into the penis or inserted as a pellet through the urethra. First-line treatment of erectile dysfunction would be oral medications known as phosphodiesterase-5 (PDE-5) inhibitors, which improve blood flow to the penis. Many men experience it during times of stress. It is important to realize that not all treatment options will work for everyone.