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Rew KT, Heidelbaugh JJ. Erectile dysfunction. Am Fam Physician. 2016;94(10):820-827. PMID: 27929275 pubmed.ncbi.nlm.nih.gov/27929275/.

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A lot of women may be familiar with Kegels, as these are often recommended after childbirth, and are named after Dr. Kegel (yep, he was a real person!) who studied and practised sexual medicine in the 1940s.
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Diuretics (pills that increase urine flow)High blood pressure medsAntihistaminesAntidepressantsParkinson's disease drugsAntiarrhythmics (drugs for irregular heartbeat)Tranquilizers and sedativesMuscle relaxantsNonsteroidal anti-inflammatory drugs (NSAIDs)Histamine H2-receptor antagonistsHormonesChemotherapy medicationsProstate cancer drugsAnti-seizure medications
Do NOT take these medications if you are on nitroglycerin, taking medications with nitrates, or even have nitroglycerin at home. Ask your doctor if you have any questions about this.

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The primary symptom of erectile dysfunction is the inability to get or keep an erection. This condition prevents you from having or completing sexual activity.
The International Society of Sexual Medicine (ISSM) defines premature ejaculation as occurring within one minute of penetration.

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He discovered that exercises involving pelvic floor muscles were helpful to treat incontinence in women.

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    Professor Vlachopoulos noted that changing hypertensive medications in men with erectile dysfunction must be handled with caution. He said: “First, if a co-existing disease dictates using a specific drug category (for example, beta blockers for coronary artery disease and heart failure, diuretics for heart failure), then switching is not advocated. Alternatives might be considered if patients are at risk of stopping lifesaving therapy because of the detrimental impact of erectile dysfunction on their life.”

    Radiation for prostate cancer can cause ED symptoms to appear gradually, usually within two to three years after treatment. If you are experiencing ED after undergoing prostate cancer treatment, you can get a healthy sex life back. We can help you choose the best treatment options for you. By Name By Location ED Treatments pills, injections, penile suppositories, vacuum devices, shockwave therapy, and surgery.
    Exercise is an essential part of maintaining erectile health. It protects against cardiovascular disease, which is the leading cause of ED, and has a myriad of other benefits such as reducing body weight, managing blood glucose levels, and reducing “bad” cholesterol.

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    Erectile dysfunction is an inability to maintain an erection. The fastest way to cure erectile dysfunction is to attend to heart and vascular health, psychological health and to use other treatments.

    Patients could seek help from a physiotherapist who understands the disease, or sign up for a team sport such as football, which has also been shown to be particularly beneficial for health.
    Picture of device used to measure penile nerve sensation. The presence of normal skin sensation adequate to produce an erection is measured with this device.

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    The key to all of this is the endothelium, the inner lining of blood vessels that helps blood flow smoothly. Regular exercise has been shown to improve the way the endothelium works. The endothelium lines the blood vessels in the heart and the penis, explains Dr. Hellstrom, but the blood vessels in the penis are about one-third the size of those in the heart. So if you fail to have erections due to vascular problems, that indicates that you’re at risk for heart problems as well.

    FatigueFrequent urinationExcess thirstBlurry or cloudy visionWounds that won't healTingling or numbness in the feetErectile dysfunction (ED)Dark skin under the armpits and around the groin SLIDESHOW Type 2 Diabetes: Signs, Symptoms, Treatments See Slideshow
    Here, in short, are several of the reasons COVID-19 could contribute to persisting erectile dysfunction or otherwise impair male sexual health:

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    When a man is sexually aroused, nerves will release chemicals that will increase the flow of blood to the penis. The blood will flow into two chambers that are located in the penis. These chambers are made of spongy muscle tissues. This spongy muscle tissue is referred to as the corpus cavernosum. When a man gets an erection, the corpus cavernosum will relax and then trap the blood inside. The pressure of the blood inside of the chambers will cause the penis to become firm. This is what causes the penis to become hard.
    In many situations, identifying an underlying minor physical problem relieves the anxiety component of erectile dysfunction, and many patients see improvement without further intervention.

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There have been rare reports of priapism (prolonged and painful erections lasting more than six hours) with the use of PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil. Patients with blood cell diseases such as sickle cell anemia, leukemia, and multiple myeloma have higher than normal risks of developing priapism. Untreated priapism can cause injury to the penis and lead to permanent impotence. Therefore, if your erection lasts four hours, you should seek emergency medical care.

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An ultrasound to examine the blood vessels in the penis and blood flowNocturnal penile tumescence (NPT) test to evaluate the quality of your nocturnal erectionsAn injection test during which medication is injected into your penis to stimulate an erection so that your doctor can see how long it lastsUrine tests to check for diabetes or other underlying health conditions

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Did you know that certain medical condition may be responsible for ED? Some causes of impotence are medically treatable and...

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A small number of men have experienced sudden hearing loss in one ear, sometimes accompanied by ringing in the ears and dizziness. If you have this symptom, immediately contact your doctor.

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