Erectile dysfunction (ED) is the recurring inability to get or maintain an erection long enough to have satisfactory sexual intercourse. There are various causes and treatment options.

Both physical and psychological issues can cause or worsen erectile dysfunction. Aging is a factor that can make ED more likely. Some factors that can cause erectile dysfunction may include heart disease, clogged blood vessels, hormonal imbalances, obesity, smoking and stress. Certain medications such as those used to treat depression or heart disease can also cause ED.

Symptoms of ED may include not being able to get an erection before sexual intercourse, not being able to maintain an erection during sexual intercourse or being able to get an erection but not every time you have sex.

Some people with ED may benefit from a prescription medication. A healthcare provider can help you decide if medication is right for you. Medications commonly used to treat ED include tadalafil (Cialis), sildenafil (Viagra), and vardenafil (Levitra).

Side effects may include headache, flushing, upset stomach, stuffy or runny nose, back pain or dizziness. More rarely, you can experience vision loss or hearing loss. You can also have an erection lasting more than 4 hours. Please seek emergency care immediately if you have an erection lasting more than 4 hours, vision loss or hearing loss.

ED medications are designed to produce an erection sufficient for intercourse for men, though results vary by individual. Medications available for ED usually work well for most people with minimal side effects.

Sildenafil is the generic version of Viagra. They have the same active ingredient. Generic medications can be a more affordable alternative to name brand medication.

Tadalafil is the generic version of Cialis. They have the same active ingredient. Generic medications can be a more affordable alternative to name brand medication.

No, ED medication must not be taken more than once daily.

Genital herpes is a common sexually transmitted infection (STI) caused by the herpes simplex virus (HSV) type 1 and HSV type 2 that may cause open sores or blisters in the genital area in some people. Genital herpes cannot be cured, but medications may ease symptoms and lower the risk of infecting others.

Many people who have genital herpes don’t notice signs or symptoms. It can be mistaken for a pimple or an ingrown hair. If you do experience symptoms, they start about 2 to 12 days after exposure to the virus and may include itching or small blisters around the genitals, anus or mouth, painful ulcers or scabs and painful urination, among others. Some people experience flu-like symptoms during their first outbreak, such as fever, headaches and body aches.

Some of the common triggers for genital herpes include stress, fatigue, illness, sex and surgery. For some women, getting their period may also be a trigger.

Yes, genital herpes is a common sexually transmitted infection (STI) caused by the herpes simplex virus (HSV). It can be passed onto you even if the person doesn’t have sores or symptoms.

Yes, it can be spread during sexual intercourse or other related sexual activities.

Genital herpes cannot be cured, but medications may ease symptoms and lower the risk of infecting others. Your healthcare provider can prescribe antiviral medications.

Genital herpes can be spread even when people are asymptomatic, so it is recommended to use condoms 100% of the time to prevent the spread.