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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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Heart disease or atherosclerosis (inflammation and narrowing of the arteries)High blood pressureHigh cholesterolObesityDiabetesStrokeMetabolic syndrome (a cluster of risk factors that includes high blood pressure, elevated insulin levels, high cholesterol and triglycerides, and increased body fat around the waist)Parkinson’s diseaseMultiple sclerosis (MS)A brain or spinal cord injuryChronic kidney diseaseNerve disordersHypogonadism (a condition where the body doesn’t make enough testosterone)Peyronie’s disease (scar tissue inside the penis)Sleep disorders
Injections do require training and it may be tricky to get the right dose initially. We always do the first injection in the office to show you how to do it and to give us a good idea about the proper dose. Our patients are usually anxious about injecting their penis but are almost always surprised by how painless the process is. Pros Cons Very effective (85%) Mimics normal erection Discreet Risk of prolonged erection (priapism) Risk of penile scarring Pain with injection (usually mild) Bruising or bleeding Hard to use if have tremor or poor vision or severe obesity Poor long-term satisfaction (less than 40%) .

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Survey says more then 50 percent with erectile dysfunction problems during partnered sex don’t have a problem when watching porn.  
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Yes, the vacuum device is effective. In fact, with use of the vacuum device, 88% of men will have an erection that is satisfactory for completion of sexual activity. The vacuum device may be the only therapy that is effective after the removal of a penile prosthesis. Patients also use vacuum devices as part of penile rehabilitation after radical prostatectomy to help preserve the tissue of the penis and prevent scarring within the penis and loss of penile length. Its use, however, is limited by the mechanical nature of it and the time taken to pump the device and apply the band. Sex partners may complain of the penis being cool to touch.
The dose of PDE5 inhibitor that you start with may vary with underlying medical conditions and medications that you are taking. Thus, it is important to review all medications (even over the counter medications) with your physician. Typically, one starts with a lower dose and increases as needed. Some medical conditions prevent going up to higher doses. You can review the drug prescribing information or consult with your doctor regarding the dose(s) that are appropriate for you.

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Erectile Dysfunction (ED), also known as impotence, is a type of male sexual dysfunction characterized by the inability to maintain an erection long enough and firm enough for sexual intercourse.

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Vacuum device. Also called a penis pump, this is a tube that fits over your penis. It includes a pump, which you use to suck air from the tube. This pulls blood into your penis to make it erect. You place an elastic ring around the bottom of your penis to keep it erect, and take off the vacuum tube. After sex, you remove the ring to end the erection.

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    Picture of penile vacuum pump. A vacuum device can be used to produce an erection. Elements of the device include the cylinder, a pump to create a vacuum, and a constriction ring to be placed at the base of the penis after an erection has been obtained in order to maintain the erection.

    Heart diseases: The risk factors of cardiovascular health and erectile dysfunction are similar. Restricted blood flow to the penis, due to a weak heart can lead to a weak penis and having problems getting an erection. So if you don’t want your sex life to suffer, take care of your heart [1].
    • Conditions such as diabetes, high blood pressure, heart or thyroid conditions, poor blood flow, depression, or neurologic disorders (such as multiple sclerosis or Parkinson's disease)

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    People living with HIV who have sexual dysfunction often also experience anxiety or depression. It’s possible that these mood problems and the medications used to treat them may both contribute to sexual dysfunction.

    When a man is sexually aroused -- whether by a touch to the penis or a favorite Jenna Jameson flick -- nerves stretching from the brain to the base of the spine and throughout the penis kick into action, triggering chemical and electrical signals.
    Urine tests for individuals with diabetes is important to check for diabetes-related kidney disease and severe hypoglycemia. With proper monitoring of blood glucose levels, diabetic-kidney disease can be avoided. Sex Therapy Home Medical Reference Features Video Slideshows & Images Quizzes Health Tools Expert Commentary News Archive Erectile Dysfunction Home News Reference Slideshows Quizzes Questions & Answers Medications Find a Doctor Erectile Dysfunction Guide Overview Symptoms & Risk Factors Testing &Treatment Living & Managing Related to Erectile Dysfunction Diabetes Drug Interaction Checker Heart Disease Hypertension Living Healthy Low T Assessment Smoking Cessation In this Article What Is Erectile Dysfunction? Erectile Dysfunction Causes Erectile Dysfunction Symptoms Erectile Dysfunction Diagnosis Erectile Dysfunction Treatment

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    The benefits of exercise for your blood vessels last only as long as you keep exercising on a regular basis. Experts recommend that men who want to prevent impotence make a long-term commitment to exercise. Here are some tips to remember:

    Studies have been inconclusive as to whether testosterone replacement therapy is helpful for men with ED. Men with hypogonadism (low testosterone levels and impaired sperm production or function) may benefit, but men who have ED and normal testosterone levels are not likely to benefit from testosterone therapy. Before considering testosterone therapy, men should be sure that their hormone levels have been measured correctly and accurately and found to be low on at least two separate occasions.
    It can be embarrassing to discuss sexual matters with your doctor. Yet a doctor’s appointment is neccessary if you want to get treatment for ED. Here’s how to prepare for your doctor visit.

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    To see an improvement in erectile dysfunction, one research paper recommended that those experiencing ED engage in aerobic exercise “of moderate to vigorous intensity 4 times per week for 40 minutes”.

    Treatment options may vary depending on the presumed cause of your ED. Our team will work with and may suggest the following treatments: Oral medications, such as Viagra, Cialis, or Levitra Vacuum devices Penile self-injection therapy Lifestyle modifications Surgical procedures
    An erection occurs because of increased blood flow to your penis. ED can occur as a problem in any stage of the erection process. It may be related to problems with blood flow to your penis, nerve damage, or stressors and emotions.

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In addition, the following four diseases can lead to erectile dysfunction by interfering with blood flow or nerve impulses throughout the body. Cardiovascular disease Atherosclerosis (hardening of the arteries) Kidney disease Multiple sclerosis

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Zinc is a micronutrient that plays a role in testosterone production. Low testosterone is associated with severe to moderate deficiency. The consequences of marginal levels are unknown (Prasad et al.,1996). Zinc is also important for immune function.

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Exercises have helped many with erectile problems. For a normal erection to happen,

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Zhao S, Deng T, Luo L, et al. Association between opioid use and risk of erectile dysfunction: a systematic review and meta-analysis. J Sex Med. 2017;14(10):1209-1219. PMID: 28923307 pubmed.ncbi.nlm.nih.gov/28923307/.

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