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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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Metformin (Glucophage, Glucophage XR, Glumetza, Fortamet, Riomet) belongs to a class of drugs called biguanides. Metformin is first-line therapy for most type 2 diabetics. It works to stop the liver from making excess glucose, and has a low risk of hypoglycemia. Hypoglycemia, or very low blood sugar can cause symptoms such as sweating, nervousness, heart palpitations, weakness, intense hunger, trembling, and problems speaking. Many patients lose some weight taking metformin, which is also helpful for blood sugar control.
Conclusions The present study suggests that physical activity and exercise interventions improve patient-reported erectile dysfunction, particularly aerobic exercise with moderate-to-vigorous intensity. .

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It is important to distinguish between a normal decline of testosterone levels and hypogonadism.
Can’t or don’t want to take ED drugs? The vacuum pump method is the next most common choice among men with erectile dysfunction who pass on pills, says Dr. Bennett. To create an erection, you place a plastic cylinder over the penis and pump the air out of the cylinder to force blood to flow into the penis. An elastic ring that you slide onto the base of your penis holds the erection. This ED treatment device is effective for about 75 percent of men. Side effects include numbness, bruising, and weak ejaculation — and the ring must be removed after 30 minutes.

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Lie down with your knees bent and your feet flat on the floor. Rest your arms at your side. Attempt to flex your hips to press your lower back into the ground. Hold this position for 3 to 5 seconds. Repeat the exercise slowly, 10 times, or as able.
Finally, penile implants or surgery to bypass penile artery damage in younger men with a history of severe pelvic trauma may be performed.

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When talking to your doctor, be as open and honest about your symptoms as possible. Tell your healthcare provider how often you have symptoms and how long you’ve had them.

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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].

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    Book a free consultation with us at Oakwood Health Network, our specialists will evaluate your case and build a custom plan for diagnosis and treatment if needed. Previous Post Men’s Mental Health Month 2021 Next Post COVID-19 and Erectile Dysfunction: 6 Factors August 13, 2021 Dr. Manisha Sharma Dr. Manisha Sharma attended medical school at Queens University in Kingston, Ontario in 2007 before returning to her roots in Toronto to complete her residency in Family Medicine at the University of Toronto. Categories ED Diagnosis ED Prevention ED Treatment ED Treatment Specials Men's Health Mental Health Peyronie's Disease Prostate Cancer Tags

    All patients underwent a penile colour Doppler ultrasound which is the standard method for evaluating penile blood vessels and erectile dysfunction. The method involves injecting a drug into the base of the penis to open the blood vessels then measuring blood flow. Penile blood flow is considered impaired when the velocity is lower than 25 cm/s.
    The occasional inability to achieve a satisfactory erection doesn't normally constitute a problem. What's the risk? Most men will experience an erection problem at least once. This could be due to stress, exhaustion, too much alcohol or simply not feeling like sex. Persistent erectile dysfunction (ED) is estimated to affect about 10% of men at any one time. Although age itself isn't a cause of erectile dysfunction (ED), the risk nevertheless increases as you get older: 18% of 50—59 year olds have trouble with their erections compared with 7% of 18—29 year olds. What causes it?

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    Men with hypertension are almost twice as likely to have impaired penile blood flow and erectile dysfunction compared to men with normal blood pressure, increasing their risk of heart disease and death. High blood pressure damages artery walls, causing them to harden and narrow, and reducing blood flow to the penis. Erectile dysfunction is an early warning sign of damaged blood vessels.

    I was 16 when I first noticed that my penis wasn’t staying hard during masturbation.
    ”I think that we should work with the least invasive treatment, and what we know is the healthiest choice. Now that we know the degree to which exercise improves our health, I think we should focus on this in the first instance instead of medical treatment,” says Kristensen.

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    Home Remedies for Erectile DysfunctionThere are many natural remedies for erectile dysfunction. They should be tried for three months before seeking the help of a doctor. These will not cause any harm to you. There are some long term and some short term recommendations to overcome the problem. There are other recommendations that can be practiced regularly.

    While low T isn't the only cause of erectile dysfunction, the two do seem to be connected. However, the connection between low testosterone and erectile dysfunction is complicated. Researchers believe the two are connected because they both seem to coincide as a man ages. However, some men with low testosterone continue to produce healthy erections.
    Risks associated with injection therapy including bleeding, pain with injection, penile pain, priapism, and corporal fibrosis (scarring inside of the corpora cavernosa). There is also concern that repetitive injections in the same area could cause scar tissue to build up in the tunica albuginea that could create penile curvature. Thus, doctors recommended that one alternate sides with injection and perform injections no more frequent than every other day.

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    When a man is not sexually aroused his penis is going to feel soft and limp. A man may notice the size of his penis varies based on cold, warmth, and even worry. This is quite normal as it reflects the amount of blood that is coming and going through the penis.

    This is the preliminary exercise to master before attempting other kegel-based exercises. To do it: Lie down with your knees bent, your feet flat on the ground, and your arms stationary at your sidesAs you exhale, squeeze the pelvic floor muscles and count to three as you do so.Follow it up by inhaling and exhaling while you count out three seconds.Be careful to make sure you are identifying and targeting the right muscles (and not the abdomen or buttocks). Pelvic Floor Activation While Sitting Sit with your arms flat against your sides and your feet flat on the floor.Make sure your feet are roughly hip-width apart. Utilizing the same technique you used above, activate your pelvic floor muscles while counting out three seconds, and release them doing the same. Again it is imperative that you are targeting your pelvic floor muscles and not your abdomen and/or buttocks. Pelvic Floor Activation While Standing Upright You must stand straight with your arms resting at your sides, and again with your feet hip-width apart.Using the same 1-2-3 counting method activate and then relax your pelvic floor muscles, again while ensuring you are isolating the correct muscles. Pilates Exercises
    Viramax is a commercial product that contains yohimbine, the active chemical ingredient of yohimbe, and three other herbs: catuaba, muira puama, and maca. It has not been proven to be either effective or safe, and interactions with medications are unknown.

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Alprostadil is derived from a natural substance, prostaglandin E1, which opens (relaxes) blood vessels. This medicine is an effective treatment for many men with ED. It can be administered by:

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NIH. National Institute of Diabetes and Digestive and Kidney Diseases. Diabetes Prevention Program (DPP).

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Penile erection is a complex process in which the brain, nerves, muscles and blood vessels play a major role. The main causes of erectile dysfunction include psychological and health conditions, medications, trauma and lifestyle factors. Reminder: The March 12 end to the Washington state indoor mask mandate does not apply to health care settings. Masks are still required at MultiCare facilities. Learn more. Find a Doctor Find a Location Services and Departments Patient Resources I Want To... Find COVID information Schedule a Virtual Visit Log in to MyChart Access Medical Records Pay a Bill Refer a Patient MultiCare > Services and Departments > Urology > Conditions We Treat > Erectile Dysfunction Urology Conditions We Treat Enlarged Prostate Erectile Dysfunction Kidney Stones Urinary Incontinence Urinary Tract Infections Urologic Cancer Voiding Dysfunction Treatments Technology Locations Find a Provider

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