When the action isn’t happening below the belt, guys are surprisingly hesitant to seek help: Only one-quarter of men diagnosed with erectile dysfunction (ED) actually seek treatment for the problem, according to a study published in the October issue of The Journal of Sexual Medicine. That means 75 percent of guys with ED aren’t taking anything for their performance issues — and this was no small study: More than 6 million men with erectile trouble were included. Kevin Mc Vary, chair of the division of urology at the Southern Illinois University School of Medicine. “There’s no question that we have effective treatments — there are pills, pellets, shots, and there’s surgery. And they are nearly 100 percent effective in total.” Viagra (sildenafil), Cialis (tadalafil), or Levitra (vardenafil) — which are largely considered the first line of treatment for ED. " data-reactid="22"Among one-quarter of men who did seek treatment, phosphodiesterase type 5 inhibitors (PDE5i were overwhelmingly the preferred option: Three-quarters took the pills — that is, Viagra (sildenafil), Cialis (tadalafil), or Levitra (vardenafil) — which are largely considered the first line of treatment for ED. Other options, such as injections or vacuum devices, were grossly underused. “A guy may think, ‘OK, I’ll take a pill, but I won’t take anything more than that,’” Mc Vary told Yahoo Health. And even then, they may not stick with it: “Only 50 percent of guys that are diagnosed will [accept] a prescription,” he said. Describing the efficacy of sildenafil citrate for erectile dysfunction in patients with Parkinson's disease or multiple system atrophy (MSA). Their findings provide reassurance that this popular drug is both effective and safe in parkinsonian patients provided orthostatic hypotension is recognised as a potential side effect in MSA. 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