Does my drugstore have nonprescription pills designed to help with erections?

Your typical internet search would have you believe you have endless safe options for treating erectile dysfunction without a prescription. But if you are a man diagnosed with erectile dysfunction, particularly if you have other conditions like high cholesterol, obesity, or diabetes, you’re wise to keep your expectations of these products low. In fact you shouldn’t take any over-the-counter erection pills without first thoroughly researching the ingredients on trusted medical websites like WebMD.

For example, your typical Walgreens or other chain drug store will have products like Max Hard, which you can get in sample packs of two capsules. Max Hard contains a blend of ingredients like ginseng, Yohimbe, and the aptly-named “horny goat weed.” You’re also likely to find non-pill products similar to energy drink shots that claim to help with erections. A liquid called Extenze is supposed to work faster than pills, and contains an extensive roster of ingredients including L-arginine, malic acid, GABA, L-theanine, caffeine, ginseng, Yohimbe, and maca root.

Natural supplements like ginkgo biloba are typically taken on a long-term basis rather than as-needed.

Bear in mind that just because something is sold over the counter, that doesn’t mean it’s perfectly safe, or free from side effects. In fact, some of these products can cause unpleasant side effects like nausea, so even if they do help you have a strong erection, you might not enjoy it that much.

What’s in natural remedies for erectile dysfunction?

It’s really anyone’s guess. The US Food and Drug Administration (FDA) has seized a number of products claiming to be all natural treatments for ED, some of which contained similar or identical compounds to those found in erectile dysfunction medications that require a prescription. Maybe you’re thinking, “Sweet!

I can get what are essentially prescription drugs at the same place I get coffee in the morning!” The problem with these products is, there’s absolutely no guarantee that they have proven substances that treat erection problems, and if they happen to, there’s no way to know how much of it is in a capsule of the stuff. Consistency isn’t important to the companies that make these products, and what’s in one package of it may be different from a package of the same thing you buy tomorrow. The FDA regularly takes these products off store shelves because they can be dangerous, not because they want to ruin the fun.

How does sleep deprivation directly affect erections?

Most of a man’s testosterone is produced during sleep, with the highest amounts of testosterone being produced during REM (dreaming) sleep. And yes, scientists have determined that when men are deprived of sleep, their testosterone levels fall. A study of military recruits who were subject to major sleep deprivation reported testosterone levels falling by as much as 70%.

In most men, erectile dysfunction is caused by impaired blood flow rather than low testosterone levels, but low testosterone certainly doesn’t help matters. And plain old “being too tired for sex” is a real phenomenon, so don’t think of doing without sleep as a heroic thing.

Is masturbation making my premature ejaculation worse?

Masturbation is a classic example of the double-edged sword. Many men who masturbate an hour or two before they expect to have sex find they have less of a problem with premature ejaculation. Then again, men who masturbate a lot can induce premature ejaculation, because often they are masturbating with the aim of having an orgasm quickly. This “quick sex” dynamic can carry over into sex with a partner. Masturbation can be a positive contributor to an enjoyable sex life, but like many things in life, it’s not a “more is better” situation.

How Do I Know When to See a Doctor About Premature Ejaculation?

If you only experience premature ejaculation occasionally, it may not be serious enough to see your doctor about. But you should also know that premature ejaculation is both common and treatable. Basically, you should see a doctor if your premature ejaculation is causing you emotional distress, relationship problems, or if you and your partner are trying to conceive and premature ejaculation is causing problems with that. If premature ejaculation is affecting your self-confidence, and causing you to avoid sexual activity, you should definitely talk to your doctor.

Can I take Cialis with Alcohol?

Cialis requires more caution when mixed with alcohol. It’s best to stick with non-alcoholic drinks.

Cialis, as you probably know, has a different formulation than Levitra and Viagra, which allows it to work for far longer. You have to be a bit more careful combining alcohol with Cialis than you would with Viagra, Levitra, or Staxyn.

Tadalafil, the active ingredient in Cialis, can lower your blood pressure. Drinking alcohol can further lower your blood pressure, and if your blood pressure drops too much, you can experience light-headedness, fainting, headache, and heart palpitations – not the best conditions for romance. In fact, combining Cialis with alcohol can result in something called “postural hypotension,” which is a sudden drop in blood pressure when you stand up from a lying or sitting position that can cause you to faint.

Bear in mind that the half-life of Cialis is around 18 hours, compared to four to six hours for Viagra, Levitra, and Staxyn. That’s why it’s marketed as the “Weekend Pill.” Therefore, when you take Cialis, you need to avoid drinking for longer than you would with other erectile dysfunction medications? Deal-breaker or fair trade-off for a weekend full of sex? That’s your call.

I’m noticing a common theme here: too much alcohol can hinder effectiveness of these drugs. Why is that?

Alcohol is a depressant. That doesn’t mean that it makes you depressed. For many men, drinking alcohol can relieve some of the anxiety that naturally goes along with meeting potential new partners or dating, which can be good for social interaction to some extent. Too much alcohol – and the exact amount differs from person to person – can not only decrease sexual desire, it can also make sexual activity difficult to impossible until the alcohol has had a chance to exit the system.

If I plan to drink, what are my best choices in erectile dysfunction drugs?

If you have any questions about alcohol and erectile dysfunction drugs, don’t hesitate to ask your doctor.

If alcohol is a non-negotiable part of your game plan, then you should remember two things. One, overdoing it can keep your erectile dysfunction medication from working optimally and two, some erectile dysfunction medications should not be consumed with alcohol. Viagra and Levitra are your best bets if you plan to drink, and in any case, you should plan to drink in moderation.

Cialis is not a good choice for combining with alcohol consumption because of the possibility of your blood pressure dropping too low, potentially ruining a date due to your fainting. Plus, low blood pressure can be dangerous, and you absolutely don’t want to be behind the wheel and experience an interaction between Cialis and alcohol (even if you have kept your alcohol consumption within legal limits). If you’re going to drink while taking Cialis, only do so once you’ve arrived where you plan to stay, and be vigilant for signs of dangerously low blood pressure.

Does Obamacare Cover Erectile Dysfunction?

The healthcare system in the United States is frequently in the news as the government, insurers, and medical services providers try to expand access to healthcare while keeping costs under control. Naturally, plenty of American men want to know if the Affordable Care Act (ACA, also known as “Obamacare”) covers treatment for erectile dysfunction.

You’ll probably have to do some digging to find out if your health insurance covers medications for erectile dysfunction. The overarching, unsatisfying answer is, “It depends.” Here are some frequently asked questions about Obamacare, healthcare reform, and coverage for treatment of erectile dysfunction.

Is drinking in general affecting my erection health?

Binge drinking is a common cause of erectile dysfunction, and chronic alcohol abuse not only ruins your overall health, but also wrecks your erection health. Drinking in moderation, neither binge drinking nor consuming alcohol steadily over time, won’t ruin your erection health, though alcohol affects each man individually.

Just as you know your limits for general functioning under the influence of alcohol, you have to learn your limits for sexual functioning under the influence of alcohol. This can help guide your choice in erectile dysfunction drug, and whether you plan to drink at all while taking it.

Nobody denies that alcohol can be helpful in lowering inhibitions, and for many men that’s important to being able to relax, have a good time, and get to know your date or potential partner. Overdoing it not only causes a lot of men to make fools of themselves, it can cause unpleasant or dangerous interactions with some erectile dysfunction medications (Cialis), and can keep any erectile dysfunction drug from working optimally.

What is the Percent of Men Age 50 Who Have Erectile Dysfunction?

There’s no definitive figure for how prevalent erectile dysfunction is at 50 or any other age. That’s because there’s no universally agreed-upon criteria for what exactly qualifies as erectile dysfunction.

Is erectile dysfunction inevitable with age? Far from it!

If erection problems prevent sexual activity more than half the time, and this situation lasts for three months or longer, a doctor will probably diagnose erectile dysfunction, either by itself, or as part of a constellation of physical conditions. For example, erectile dysfunction is more common in men with obesity, diabetes, and high cholesterol levels.

That said, a 2003 study published in the journal Annals of Internal Medicine found the following correlation between age and erectile dysfunction:

Age Percentage of men reporting first ED experience
Under 40 ——02%
40-49 ——–04%
50-59 ——–26%
60-69 ——–40%

One of the most eye-opening findings of this study was that in men age 65 to 79, chronic disease and unhealthy lifestyle habits (like smoking) had the most pronounced effect on the presence of erectile dysfunction. Older men who exercised at least three hours per week had a 30% lower chance of having erectile dysfunction compared to sedentary men in the same age group. Overall, the study concluded that erectile dysfunction affects up to 20 million American men across all age groups.

Following are some of the most frequently asked questions about age and erectile dysfunction.

I have sleep apnea and erectile dysfunction. Are they related?

Sleep apnea is a sleep disorder that causes a person to have pauses in breathing, or very shallow breathing during sleep. Some of these breathing pauses can last for longer than a minute, and when normal breathing starts again, it often starts with a loud snore or a choking sound.

When you have sleep apnea, you sleep lightly and have difficulty moving into deep sleep. In other words, sleep quality is terrible when you have sleep apnea, and it makes you tired during the day. Furthermore, it can lead to heart problems, and in rare cases, even death.

Sleep apnea is also associated with erectile dysfunction. Men who have erectile dysfunction are more than twice as likely to suffer from sleep apnea as men who do not have erectile dysfunction. Conversely, over 60% of men who have severe sleep apnea also have erectile dysfunction. When oxygen levels repeatedly drop during sleep because of sleep apnea, endothelial dysfunction results.

Endothelial dysfunction means that blood vessels (including blood vessels serving the reproductive organs) have difficulty regulating blood flow, and inadequate blood flow is the primary reason for erectile dysfunction. The good news is, treating the sleep apnea effectively can also improve erection health.