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Can we develop a simple yet accurate method to distinguish organic from psychogenic ED?

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“Very often,” said Berglund, “the development of erectile dysfunction is related to the development of vascular disease.”
2Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J. 2018;39:3021–3104. .

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Avanafil is the most recently FDA-approved PDE5 inhibitor to treat erectile dysfunction.
Eat a heart-healthy diet rich in fresh fruits and vegetables, whole grains, and fiber and low in saturated fats and sodium. Because ED is generally related to circulation problems, diets that benefit the heart are especially important.

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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].
Having erectile dysfunction is normal as it is one of the most commonly seen sexual problems in men that affects thousands of men every year in India. The reason for being such a massive sexual issue is due to stress and depression seen in men.

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Often, men with ED benefit from talking to a therapist, especially if they suffer from depression, anxiety, or low self-esteem. If relationship problems are a factor, couples therapy may be useful.

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As cholesterol, high blood pressure, diabetes and other health conditions can all contribute to erectile dysfunction, lifestyle changes may help. Lose weight if you're overweight. Exercise regularly: particularly activities that get the heart rate up, such as walking fast, dancing, gardening and cycling. Don’t smoke. Do antiretrovirals and other medications cause erectile dysfunction?

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    Education of patient and partner, if available.Evaluation of possible lifestyle factors such as smoking, alcohol, or other substance use.Management of comorbid illnesses, such as diabetes, obesity, or heart and vascular disease.Review of potential changes in medications - always consult with your physician.If appropriate, trial of various psychosexual therapies and interpersonal therapies may be tried. Treatments can be provided along with these therapies.

    Diabetes: Diabetes and sexual problems go hand-in-hand. In fact people suffering from type II diabetes are more at risk of facing performance issues in bed due to erectile dysfunction as there is less blood flowing to the organ [2].
    One of the most important causes for ED is vascular disease; examples include diabetes (Types I and II), high blood-pressure, high cholesterol/lipids, tobacco use, obesity, and lack of exercise. All of these conditions can lead to impaired response of the blood vessels responsible for controlling penile erection. There is evidence that men who have vascular disease and make healthy lifestyle changes (e.g. increasing exercise, losing weight, quitting smoking) may experience improvement in erectile function. It is important to remember that whatever is good for the heart is also good for the penis.

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    You can also inject drugs directly by inserting a tiny needle into the penis. Several drugs and drug combinations are available, including alprostadil (Edex, Caverject), phentolamine, and papavarine (usually given in combination as Bimix or Trimix).

    National Center for Complementary and Alternative Medicine: "Ginkgo," "Asian Ginseng."
    In addition to physical causes, mental health conditions may also be associated with impotence. These include depression, anxiety and stress, as well as relationship difficulties. Regardless of the underlying cause of erectile dysfunction, it can often have a significant impact on relationships and quality of life.

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    Men can have several types of issues including poor sex drive and problems with ejaculation. But ED refers specifically to trouble getting or keeping an erection. You might have a healthy sex drive, but a body that won’t respond. Most of the time there is a physical basis for the problem.

    Erectile dysfunction affects almost one in every ten men at some point in their lives. So, it is not surprising that many men, and their partners, are asking if diet and exercise can affect erectile dysfunction. Researchers have been evaluating the best foods and diets to support erectile function as well as exercises that may help.
    Bullet point: The relationship between the risk factors for CVD and ED are intimately interwoven, one with the other. Clinicians need to factor this in when counselling the man with ED.

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    There are other similar medicines called tadalafil (Cialis), vardenafil (Levitra) and avanafil (Spedra) that work in a similar way. Buying Viagra online

    Medical conditions that may cause erectile dysfunction include heart disease, clogged blood vessels (atherosclerosis), high blood pressure, diabetes, obesity, parkinson's disease, multiple sclerosis.
    “Perhaps some men will be more motivated to know that they can improve their erectile function, sexual health, and quality of life, rather than just being told that they can live longer,” says Gerbild.

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How much exercise does a man need? The answer depends on his individual health. Seeing a doctor is recommended before starting any exercise program. With a doctor’s guidance, a man can choose the types of exercise that are best for him. Men’s Sexual Health Erectile Dysfunction Public Prev Next What is the “normal” frequency of sex? What is the “normal” frequency of masturbation? What factors determine semen volume?

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Charity registered in England and Wales (no. 1087375). Company limited by guarantee registered in England and Wales (no. 4142349). Quick Links What Causes Erectile Dysfunction? Evaluation of a Man Presenting with ED Treatments of Erectile Dysfunction

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We have seen by following exercise guides or following food guides for ED, many people have recovered themselves naturally from some basic sexual problems. Some diseases like ED, wet dream, low libido, male infertility, and few other sexual diseases have shown significant improvement after doing regular exercises.

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Some research shows that people with type 2 diabetes may die 10 years earlier than those without diabetes. Most people with the disease die of secondary complications of it, for example kidney failure or heart disease. However, with good blood sugar control and healthy lifestyle choices, complications can be prevented.

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