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Some form of psychological, behavioral, or sexual therapy may be recommended for certain men.

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A physical. It will include an examination of your penis and testicles.Blood and pee tests. These check for problems like diabetes, heart disease, and low testosterone.A mental health exam. This can reveal whether you have stress, depression, or other issues that could lead to ED.An ultrasound. This allows your doctor to see whether blood flow problems are affecting your penis.Erectile Dysfunction Treatment
Prior to starting with treatment of erectile dysfunction, it is important to make sure that it is safe from a medical standpoint to participate in sexual activity. Sexual activity is physical exertion, and in some men with significant heart disease, this increase in physical exertion can increase the risk of a heart attack. Thus, it is very important to discuss your cardiovascular risks with your doctor prior to trying any medication or treatment for erectile dysfunction. .

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After learning more about your health, our providers perform a physical examination and tests to gather more information.These tests may require blood and urine samples. We also may use a penile Doppler ultrasound device, which is anon-invasive imaging test that lets doctors study blood flow in the penis.
An erection occurs when blood flows into the corpora cavernosa (erection bodies) and gets trapped there. If the blood has problems getting to or staying in those erection bodies, you may have erectile dysfunction.

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Choose a position. Lying on your back on a comfortable mat, knees bent, is a good place to start, even placing your hands on your lower abdomen to make sure you're contracting the right muscles. Make sure you have your feet flat on the floor. Once you're comfortable performing kegel exercises, you can try the rest of the steps while sitting or standing.Contract and relax. Think of this as pelvic floor muscle training.Contract your pelvic floor muscles for three to five secondsRelax for three to five secondsRepeat this contract and relax cycle 10 times
Doctors have not tested the PDE5 inhibitors in patients with retinitis pigmentosa, an eye condition that affects the retina and can cause blindness, and so caution is recommended if you have this health condition.

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Erectile dysfunction (ED) is when you can’t get and maintain a satisfying erection for sex. ED affects more than 30 million men in the United States. It is a topic that several men still find hard to talk about.

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    When first-line erectile dysfunction medications do not restore normal erectile function, other medical or surgical treatments should be consid­ered as a second-line therapy, including injections (such as Caverject, Viridal or Invicorp) directly into the penis to help with getting an erection. In circumstances where all other medical therapies have failed, the use of vacuum pumps or surgical implants remain the only choices for improving erections.

    In response, a number of erectile dysfunction treatments have been developed, with varying efficacy and side effects.
    ED is most commonly caused by medical conditions such as diabetes and high blood pressure or pelvic surgeries. Age related decline in erectile function is also thought to occur. An injury A disease (e.g. diabetes, high blood pressure, or high cholesterol) Various studies have estimated that between 20% – 71% of individuals with diabetes suffer from erectile dysfunction. An operation (e.g. prostate gland removal) Substance use (e.g. tobacco, drugs, alcohol or medications) Stress, anxiety, depression, psychological trauma Approximately 30 million American men suffer from erectile dysfunction. Most men with erectile dysfunction still have the ability to have an orgasm and father a child, but often have difficulty doing these things because they can’t get or sustain an erection. Erectile dysfunction is not normal, and is by no means an inevitable consequence of aging. Most men at one time or another during their sexual lives are unable to get or keep an erection. This is normal and does not indicate a problem. However, millions of men of all ages experience this inability as a continuing problem. In most cases, erectile dysfunction can be overcome using medical or surgical options. We typically start with questionnaires such as the International Index of Erectile Function (IIEF) to determine the severity. Penile injections such as Trimix may be used to assess the quality of your erection and to differentiate among the many causes. Occasionally a penile duplex ultrasound is indicated if there is concern for disease in the blood vessels or penile scarring. Treatment Options for Erectile Dysfunction

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    While the ED experience might feel overwhelming, know that there are medically backed treatment options available for erectile dysfunction.

    “The most concerning thing here would be that erectile dysfunction related to the disease may be an indicator of other underlying vascular disease related to COVID,” Berglund said. Vascular disease refers to coronary artery disease, which can lead to a myocardial infarction, commonly referred to as a heart attack, he added.
    If you think any medicine you are taking may be causing erection problems, talk with your provider. You may need to lower the dose or change to another drug. DO NOT change or stop taking any medicine without first talking to your provider.

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    But the main risk for having ED is age. Yes, unfortunately, the older you are, the more likely you are to have ED. You cannot be 67 and have a 21-year-old penis.

    While popularized in the media, Viagra is not the only erectile dysfunction drug. Other erectile dysfunction drugs include:
    Surgery is an option in some cases of erectile dysfunction. Most surgery cases are performed for one of three reasons: to implant a device to initiate erections; to reconstruct arteries and increase penis blood flow; to block off veins that allow blood to leak from the penile tissues.

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    Treatment of low testosterone in hypogonadism is a fully accepted therapy. Treatment in older men is more controversial. Discuss your testosterone levels, symptoms, and side effects of treatment with your doctor to establish whether you should receive therapy and what form of therapy.

    The National Institute of Diabetes and Digestive and Kidney Diseases: “Erectile Dysfunction.”
    To avoid ED problems before they start, regular exercise is essential. Find out what you need to add to your routine.

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Causes of ED are usually a side effect of physical disease, injury, or drugs. While there are many causes, the most common physical causes include: Diabetes High Blood Pressure Heart Disease Obesity Atherosclerosis Prescription Medications Smoking Alcoholism or Substance Abuse Relationship Issues Stress Depression or Anxiety Diagnosis

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“Second, switching to another drug class does not guarantee either the restoration or improvement of erectile function. This has to be carefully explained to patients in advance to avoid unreasonable expectations,” he said.

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All of this is available to ensure a proper diagnosis of your ED. It allows your ED specialist to customize a treatment specifically for you!

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Physical activity and exercise for erectile dysfunction: systematic review and meta-analysis

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