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Tadalafil (Cialis) has an effect on another phosphodiesterase enzyme, PDE11, which is located in muscle. Tadalafil is associated with muscle aches in some men.

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With this alternative ED treatment, there are no expensive prescriptions to remember to take or refill, and no penile implants or surgery. There are none of the harmful side effects with this ED treatment as with oral drugs.
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Risk of ED is higher if you have high blood pressure, diabetes, vascular disease, low testosterone, history of prostate surgery, or take certain medications. Stress and other psychological aspects can sometimes play a role.
While not as effective as aerobic activity, anaerobic exercise has also proven to help improve sexual health and decrease factors that can contribute to ED. Examples of anaerobic exercise include high intensity interval training, sprinting, and heavy weight lifting.

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When suffering from erectile dysfunction it is important to answer all questions from your health care provider with honesty. Your doctor will likely ask you questions about your current health, prescription medications and over the counter medications you might be taking, your smoking habits, and your alcohol consumption. From this information, your doctor will learn more about what may be causing your erection issues.
Erectile dysfunction (ED), also known as impotence, happens when you can't get or keep an erection of the penis that's adequate for the sexual satisfaction of both partners. While almost all adult males have ED once in a while, as many as 30 million American men have it regularly. Nearly all men who seek treatment for ED find some relief.

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PDE5 inhibitors are not safe or effective for all men. Men who cannot or choose not to take the drugs may have other options, including:

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Are you taking any medicines, including over-the counter medicines and supplements?Do you drink, smoke, or use recreational drugs?What is your state of mind? Are you stressed, depressed, or anxious?Are you having relationship problems?

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    In addition, your doctor may address underlying conditions. They may suggest counseling or medication changes. They also may suggest lifestyle changes, including increased exercise or dietary changes. It is also a good idea to avoid drugs, alcohol, and cigarettes. American Urological Association: “Erectile Dysfunction (ED).” Andrologia: “Erectile dysfunction, physical activity and physical exercise: Recommendations for clinical practice.” Coronary Artery Disease: “A Home-Based Walking Program Improves Erectile Dysfunction in Men with an Acute Myocardial Infarction.” Memorial Sloan Kettering Cancer Center: “Pelvic Floor Muscle (Kegel) Exercises for Men.” National Institute of Diabetes and Digestive and Kidney Diseases: “Erectile Dysfunction (ED).”

    First, you’re not alone (even if it’s not a common topic of conversation with your mates) and there shouldn't be any stigma involved in getting help for this.
    There are secrets women would love for you to know. These relationship secrets are based on the study of healthy, happy couples,...

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    One day, I totally broke down and ended up telling my mum everything. I was sitting in her kitchen telling her that if I got to 30 and this problem still wasn’t sorted, I’d kill myself. She was shocked but so supportive. She booked me an appointment with a new doctor straight away.

    If this problem becomes frequent or lasts a long time, you should see your doctor.
    Systolic and diastolic are the two readings in which blood pressure is measured. The American College of Cardiology released new guidelines for high blood pressure in 2017. The guidelines now state that blood normal blood pressure is 120/80 mmHg. If either one of those numbers is higher, you have high blood pressure.

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    However, it can be a sign of an underlying medical condition such as high blood pressure or cholesterol, side effects of medication, or hormonal issues.

    The ability to achieve and sustain erections requires the following:A healthy nervous system that conducts nerve impulses from the brain, spinal column, and the penisHealthy arteries in and near the corpora cavernosa of the penis so that when stimulated there is an increase in blood flow to the penisHealthy smooth muscle and fibrous tissue within the corpora cavernosa so that it can fill with bloodAn adequate amount of nitric oxide (NO) in the penis to help with the stimulation of blood flow into the penisNormal functioning of the tunica albuginea, the layer of tissue surrounding the corpora cavernosa and responsible for the compression of the veins to keep blood in the penisAppropriate psychosocial interactions to enhance sexual stimulation/arousal and decrease anxiety/stress
    A feeling of unease, such as worry or fear, which can be mild or severe. Anxiety disorders are conditions in which anxiety dominates a person’s life or is experienced in particular situations.

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    In simple terms, the better your general health, the less likely you are to suffer from erectile dysfunction. This is because ED is a common symptom of many different types of diseases, some of which are caused by poor health and many of which can be improved (at least in part) by an exercise routine.

    As HIV is associated with increased risk of heart disease, the link between erectile dysfunction and heart disease is of particular importance for men living with HIV. Impotence may be an early marker for undiagnosed heart disease. If you are living with HIV and having difficulty getting an erection, you should have a thorough cardiovascular risk assessment done and any risk factors for heart disease should be addressed.
    Avoid foods with a high glycemic index (foods that raise blood sugar too quickly) such as processed foods, and foods high in carbohydrates, sugars, or animal fat. Examples of foods to avoid include:

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Figures suggest more than half of men over the age of 50 have erectile dysfunction, which gets more common with age.

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Risk of infection, scar tissue formation with distortion of the penis, and painful erections SLIDESHOW Erectile Dysfunction (ED) Causes and Treatment See Slideshow

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Erectile dysfunction (ED) is not new in either medicine or human experience, but it is often not easily or openly discussed. Cultural expectations of male sexuality inhibit many men from seeking help for a disorder that can usually benefit from treatment.

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Sexual wellbeing is an important part of your overall health and problems in this area can have an impact on how you feel about yourself. Help is available from healthcare professionals if you are struggling with erectile dysfunction. Having sexual problems may also indicate that there are other areas of your physical and psychological health that need to be attended to.

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