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Health care professionals do not routinely obtain imaging tests in the evaluation of erectile dysfunction.

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Erectile dysfunction (ED) is most often characterized by the inability to achieve and/or maintain a reliable, firm, prolonged erection that is adequate for sexual activity. For some men, problems with erections are isolated or situational, while others experience chronic ED due to an underlying condition or mechanical abnormality. Oftentimes, ED is multifactorial, meaning there is more than one factor contributing to the patient’s symptoms. Some of the most common erectile dysfunction risk factors and causes include: Hormone imbalance/low testosterone Andropause Age Poor circulation Heart disease Obesity Certain medications Drug/alcohol use Psychological factors Stress/anxiety Trauma Previous surgery/prostate surgery
Most men are sometimes unable to have an erection, perhaps caused by drinking too much alcohol, using recreational drugs, anxiety or tiredness. Occasional problems are not necessarily a cause for concern, but ongoing erectile dysfunction should be investigated by a doctor. .

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National Kidney & Urologic Diseases Information Clearinghouse: "Erectile Dysfunction," "Treatment for Erectile Dysfunction."
Learn More About Treatment for Erectile Dysfunction: Medication, Alternative and Complementary Therapies, Surgery Options, and More

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Lastly, remember that the best way to tackle erectile dysfunction is often to combine several treatments and techniques. In the short term, taking ED tablets such as Viagra and Cialis can be a great way of boosting your confidence and happiness in the bedroom. Related Articles heart health center/heart a-z list/what causes weak erection center /what causes weak erection? article How to Treat It How to treat weak erection Medical Author: Dr. Jasmine Shaikh, MD Medical Reviewer: Pallavi Suyog Uttekar, MD How to Treat It How to treat weak erection Center What Causes Weak Erection? Center
Dr Gautam Banga, consultant and andrologist at the Sunrise Hospital New Delhi previously told indianexpress.com that in India, ED is a taboo because people don’t see it as a medical disorder but as sexual incompetence. “It does not happen because the man is not interested in or is incapable of having sex, but there are medical reasons like diabetes, high cholesterol, high blood pressure and ischemic heart disease (IHD), depression etc., that leads to ED,” he said.

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Hyperglycemia, or high blood sugar, is common in type 2 diabetes. Its signs and symptoms can be either acute (short in duration) or chronic (last over a long period of time).

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    Alternative treatments, such as nutritional supplements, herbal remedies, and acupuncture, are options to consider. However, evidence supporting many of these treatments is spare and due to the lack of FDA regulation the quality of any given supplement is unclear. In several high profile cases allegedly “natural” ED treatments were found to contain erection medications; as these medications have certain side effects and drug interactions (specifically PDE5I and nitrates) there is potential for very serious reactions even with “natural”, non-prescription medications.

    Finally, my doctor suggested a penis implant. It consists of two plastic rods that go inside the penis and an attached bag of saline solution that sits inside my stomach. It works with a pump hidden in my ball sack. Before sex I squeeze it about 10 times and it inflates the arteries in my penis to make it hard. It only goes down when I press the release button. I can still ejaculate as normal.
    Future treatments for erectile dysfunction focus on providing medications that are more effective, work rapidly, and have fewer, if any, side effects than currently available treatments.

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    Type 2 diabetes is the most common type of diabetes. It is a chronic condition in which blood glucose (sugar) can no longer be regulated. There are two reasons for this. First, the cells of the body become resistant to insulin (insulin resistant). Insulin works like a key to let glucose (blood sugar) move out of the blood and into the cells where it is used as fuel for energy. When the cells become insulin resistant, moving sugar into the cells requires more and more insulin, and too much sugar stays in the blood. Over time, if the cells require more and more insulin, the pancreas can't make enough insulin to keep up and begins to fail.

    If pills don't work for you or the side effects bother you severely, we can use alternative treatments. These include: injections, suppositories, vacuum devices, shockwave therapy, or surgery. ED Vacuums
    Hemoglobin A1c or HbA1c is a protein on the surface of red blood cells. The HbA1c test is used to monitor blood sugar levels in people with type 1 and type 2 diabetes over time. Normal HbA1c levels are 6% or less. HbA1c levels can be affected by insulin use, fasting, glucose intake (oral or IV), or a combination of these and other factors. High hemoglobin A1c levels in the blood increases the risk of microvascular complications, for example, diabetic neuropathy, eye, and kidney disease.

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    Testosterone is a hormone required for male development and sexual function and is produced primarily in the testicles.Testosterone is responsible for building muscle and bone mass, sperm production, and sex drive.Testosterone influences male pattern fat distribution, bone density, and red blood cell production.In the normal developing male, testosterone peaks during early adulthood. Once you reach age 30, testosterone levels slowly decline by approximately 1% a year. This is a normal part of aging.What are normal ranges or levels of testosterone in men?

    Two outer parallel columns of spongy tissue called the corpora cavernosa, or erectile bodies.A central spongy chamber called the corpus spongiosum, which contains the urethra, the tube that carries urine as well as sperm through the penis. The corpus spongiosum ends in an expansion called glans penis, which contains the opening of the urethra.
    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.

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    The NHS says PE falls into two categories - primary or secondary, based on whether men have always had the issue or it recently developed.

    Because each man’s situation is unique, the “best” treatment for ED can vary from patient to patient. Drs. Ahmad and Ali Kasraeian are committed to finding the most appropriate and effective erectile dysfunction treatment for each patient based on his specific needs, goals, and overall situation. During your initial consultation for ED treatment in the Greater Jacksonville area, Dr. Kasraeian will take a thorough health history, perform an examination, and order any necessary studies – including lab work or imaging – to determine the cause and severity of your condition. Based on this information, Dr. Kasraeian will discuss with you all of the available ED treatment options to find the one best suited to your needs.
    If there seems to be a psychological cause contributing to your erectile dysfunction, the doctor may ask the patient questions to help determine stressor, events, and relationship issues that may be causing your erectile troubles. It may be helpful to have your sexual partner involved in this assessment. Featured Centers Good and Bad Foods for PsoriasisVideo: Getting Personal on Life With MS Health Solutions From Our Sponsors Shot-Free MS Treatment Your Child and COVID-19

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To diagnose ED, your doctor may only need to ask you some questions and perform a physical exam.

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Exercises should not cause any pain whatsoever. If you do experience pain, stop the exercises immediately, and seek medical help.

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However, PDE5 inhibitors are not suitable for everyone. Men who take nitrate drugs for angina cannot take PDE5 inhibitors. The PDE5 inhibitors are less effective in men with diabetes and in men who have been treated for prostate cancer. Men who take certain alpha-blockers for high blood pressure or benign prostatic hyperplasia (BPH) should take PDE5 inhibitors with extra care if at all. Tadalafil (Cialis) is approved to treat symptoms of enlarged prostate in men who have both BPH and erectile dysfunction.

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The doctor will take the person’s complete medical history and look for the causes of erectile dysfunction. They will examine the penis and testicles to look for signs of injury and check the person’s nerves for sensation. Depending on the cause, they can recommend various treatment options. Every treatment carries some risks and benefits, which will be explained by the doctor.

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