What’s the official ICD-9 code for erectile dysfunction?

According to the Centers for Disease Control and Prevention, ICD-9 stands for International Classification of Diseases, 9th Revision, which is the current global system of codes used to classify diagnoses and causes of death. Beginning Oct. 1, 2015, ICD-10 codes will replace ICD-9 codes, which will become obsolete.

The ICD-9 code for “erectile dysfunction, organic” is 607.84. Other related diagnoses, which also fall under the 607.84 code, include “impotence of organic origin,” “organic impotence,” and “impotence, s/p prostatectomy, urethral.” Replacing 607.84 under ICD-10 will be N529, defined as “male erectile dysfunction, unspecified.”

The ICD-9 code for “erectile dysfunction, non-organic” is 302.72. Other definitions that fall under the 302.72 code are “erectile dysfunction, psychogenic” and “psychosexual dysfunction with inhibited sexual excitement.” Under ICD-10, the 302.72 code will be replaced with F5221 for “male erectile disorder” or F528 for “other sexual dysfunction not due to a substance or known physiological condition.”

What’s the difference between Pfizer Viagra and the generics?

In the United States, a generic version of Viagra will not be legally available until 2017, when Teva Pharmaceuticals will be permitted to begin marketing a generic version under an agreement it reached with Pfizer in late 2013. Until Teva’s generic version hits U.S. pharmacy shelves, U.S. buyers should be wary of any product purporting to be generic Viagra.

In markets where Pfizer’s patent on Viagra has expired, generic versions of the drug that are manufactured by government-approved pharmaceutical companies should be essentially that same as Viagra produced by Pfizer. Such markets include the European Union, South Korea, and China (July 2014). Even in those markets, however, consumers should steer clear of so-called generics offered by online vendors of unknown reputation. Counterfeit drugs continue to flood the market, and the best way to avoid falling victim to these fakes is to buy prescription medications only from reputable retailers that dispense drugs manufactured by government-approved pharmaceutical companies.

What’s the cost of Viagra?

Available in both 50- and 100-milligram tablets from AccessRx.com, eDrugstore.md, and ViaMedic.com, Viagra’s cost for two tablets is the same regardless of strength. For men who find that a 50-milligram dose meets their needs, they can get a lower price per dose by ordering 100-milligram tablets and splitting them. Two 100-milligram tablets cost $95, or $47.50 per 100-milligram dose and $23.75 per 50-milligram dose. To lower your cost per dose, increase the size of your order. Ten 100-milligram tablets cost $423, or $42.30 per 100-milligram dose and $21.15 per 50-milligram dose.

The first PDE5 inhibitor to win FDA approval, Viagra first hit the U.S. market in 1998. Viagra was developed and is marketed by Pfizer. Although its U.S. patent for the drug will remain effective until April 2020, Pfizer in late 2013 reached an agreement with Teva Pharmaceuticals that will allow the latter to begin selling a generic version of Viagra in 2017. Elsewhere, Pfizer’s Viagra patent has expired in several key markets, including the European Union and South Korea. Its Chinese patent expires in July 2014.

What’s the cost of Staxyn?

If you order Staxyn from AccessRx.com, eDrugstore.md, or ViaMedic.com, you can get four 10-milligram tablets for $109, which works out to $27.25 per dose. Bump up your order to 12 10-milligram tablets for a total of $289, or $24.08 per dose. If you’re really looking to stock up on Staxyn, order 40 10-milligram tablets for $889, which drops the cost per dose to $22.23.

The active ingredient in Staxyn is vardenafil hydrochloride, the same chemical compound found in Levitra. What sets Staxyn apart from Levitra and other PDE5 inhibitors is its ease of administration. Pop a Staxyn tablet under your tongue and within seconds it dissolves and goes to work in your system. Staxyn usually takes effect within 30 minutes to an hour, and it remains effective for up to eight hours. The normal dose is 10 milligrams. Because of the unique way in which Staxyn works, its orosoluble tablets should never be split or crushed.

What’s the cost of Levitra?

The active ingredient in Levitra is vardenafil hydrochloride. Levitra is available in both 10- and 20-milligram tablets. The price for two tablets, regardless of strength, is $88 at AccessRx.com, eDrugstrore.md, and ViaMedic.com. If you need 20 milligrams to achieve optimal erectile function, two 20-milligram tablets gives you two doses at $44 per dose. If, however, a 10-milligram tablet works for you, order two 20-milligram tablets and split them for a total of four doses at $22 each.

The larger your order the lower your cost per dose. You can buy 10 20-milligram tablets for $385. This brings the cost per 20-milligram dose to $38.50 and the cost per 10-milligram dose to $19.25. Increase your order to 20 20-milligram tablets for $739.00, and your cost per 20-milligram dose drops to $36.95, while your cost per 10-milligram dose falls to $18.48.

What’s the cost of Cialis?

Prices of Cialis vary slightly from one pharmaceutical retailer to another. We have used the current prices posted at AccessRx.com, eDrugstore.md, and ViaMedic.com, all of which are operated by Secure Medical and are based in Tempe, Arizona. All three online retailers sell only FDA-approved drugs that are sourced from licensed U.S. pharmacies.

Cialis comes in two different formulations, although the active ingredient in both is the same: tadalafil. The less expensive of the two is Cialis for Daily Use, which is designed to be taken daily so that the user can have an erection whenever the time is right. The cost per month (30 tablets) varies based on the amount of drugs offered. A one-month supply costs $269, or $8.97 per tablet, while a two-month supply is $499, dropping the price per tablet to $8.32. Buy three months worth of Cialis for Daily Use, and the price per tablet drops to $7.77, or $699 for 90 tablets.

Cialis for Use as Needed is effective for up to 36 hours. Two tablets of 10- or 20-milligram strength cost $98, or $49 per pill. However, if 10-milligram tablets get the job done for you, buying two 20-milligram tablets, which come with a complimentary pill splitter, in effect gives you four doses at $24.50 per doses. The more tablets you buy, the greater your savings.

What’s the best premature ejaculation medication?

Because not all patients react in the same way to certain medications, selecting the so-called best is not really possible.

Among the oral drugs that have helped some men to overcome premature ejaculation, none is specifically approved for the treatment of PE, but they have side effects that make them useful in delaying ejaculation. MayoClinic.com says these drugs fall into three basic categories:

Antidepressants: Certain selective serotonin reuptake inhibitors, prescribed primarily to combat depression, have a tendency to delay orgasm. SSRIs that have helped fight PE include fluoxetine (Prozac and Sarafem), paroxetine (Paxil), and sertraline (Zoloft). If none of the SSRIs helps, your doctor might prescribe clomipramine, a tricyclic antidepressant sold under the brand name Anafranil.

Analgesics: Tramadol, sold under the brand name Ultram, is prescribed to relieve pain, but its side effects also delay ejaculation.

PDE5 Inhibitors: Although the primary purpose of these drugs is to restore erectile function, they do help some men to delay ejaculation.

What’s the best medication for erectile dysfunction?

There is no single answer to this question, because what works best for some men with ED doesn’t necessarily work as well for others. And for some, the use of any of the PDE5-inhibiting drugs may be inappropriate because of underlying health conditions or because of possible conflicts with other medications they are taking.

All of the PDE5 inhibitors — Viagra, Cialis, Levitra, Staxyn, and Stendra — work in pretty much the same way, although there are some slight differences in how quickly they take effect and some more significant differences in how long they are effective.

If you’re looking for a longer-lasting oral ED drug, your best bet is probably Cialis for Use as Needed, which can be effective for as long as 36 hours, earning it the nickname of the “weekend pill.”

Other medications include those used in penile injection and MUSE therapies. Injected into the erectile tissue of the penis or absorbed through the linings of the urethra, these medications include alprostadil, papaverine, and phenolamine.

What’s the best diet to treat erectile dysfunction?

When it comes to lifestyle choices, it’s a safe bet that anything that’s bad for your heart is also bad for your penis, according to Andrew McCullough, M.D., director of the male sexual health program at New York University’s Langone Medical Center. And diet is no exception.

Diets low in fruits and vegetables and high in processed foods that are fatty and/or fried impede healthy blood flow throughout the body, negatively impacting the heart and erectile function, according to WebMD. By contrast, the Mediterranean diet is heavily weighted toward fresh fruit and vegetables, red wine, whole grains, and heart-healthy fats such from fish, nuts, and olive oil. WebMD says studies have shown that the incidence of ED among men who follow the Mediterranean diet is very low.

A study published in the May 2010 issue of “The Journal of Sexual Medicine” looked specifically at the effects of adherence to the Mediterranean diet among a group of men diagnosed with type 2 diabetes, a major risk factor for ED. The incidence of ED was significantly lower among test subjects who followed the Mediterranean diet most faithfully.

What’s the average erection recovery time?

Known scientifically as the post-ejaculation refractory time, or PERT, the time it takes to get a new
erection after ejaculation varies widely depending on the age of the man. Although hardly scientific, 30 minutes is perhaps the recovery time most commonly cited.

For young men in their 20s, erection recovery time ranges between 5 and 30 minutes, according to Drogo K. Montague, M.D., of the Cleveland Clinic’s Glickman Urological Institute. In an interview with Cosmopolitan, Montague said that the older the man is, the longer it takes to get a second erection.

After a man ejaculates, the muscles in the penile area relax and blood flow to the penis decreases
significantly.

In one of life’s cruel ironies, women don’t need to recharge their sexual batteries between lovemaking
sessions. “As long as she’s aroused and lubricated, a woman is physically capable of having sex as many
times as she wants without a break in between,” Montague told Cosmo.