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The International Society of Sexual Medicine (ISSM) defines premature ejaculation as occurring within one minute of penetration.

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“The progressive decrease in penile blood flow velocity across the three blood pressure categories in men not taking antihypertensive medication indicates significant structural changes in the penile blood vessels from longstanding hypertension,” said study author Professor Charalambos Vlachopoulos of the National and Kapodistrian University of Athens, Greece. “The blood flow differences across the three blood pressure categories disappeared with treatment, suggesting a medication effect.”
Kasraeian Urology introduced this new ED treatment in 2021 for their patients in the Jacksonville, FL area. .

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Sildenafil (Viagra)Vardenafil (Levitra, Staxyn)Tadalafil (Cialis)Avanafil (Stendra)
Erectile dysfunction may have a significant impact on both patients and their relationships. It therefore is important to seek appropriate help and support, both from GPs and from other organisations, such as Relate.

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Your doctor may make suggestions to improve your overall health, including the health of your heart and circulatory system. Increasing your amount of exercise, eating well, and ensuring that you get sufficient vitamins and minerals can help with this overall wellbeing. Another recommendation may be reducing or eliminating your use of drugs, tobacco, or alcohol. Your doctor may also recommend losing weight.
We understand your concerns and can answer your questions about male sexual issues. We’ve heard it all before, and we can find the answers—and the treatment—that is personally best for you.

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Tadalafil (Cialis) is the third oral medicine approved by the U.S. FDA for the treatment of erectile dysfunction. Like sildenafil (Viagra) and vardenafil (Levitra), tadalafil inhibits PDE5 (as described earlier). Unlike the other PDE 5 inhibitors, patients should take tadalafil once daily and is approved for the treatment of BPH (benign enlargement of the prostate).

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If you and your partner have trouble talking about your relationship, it may cause problems with sex. Counseling can help both you and your partner.

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    Avoid tight underwear and pants, as they can restrict blood flow and over time may contribute to a smaller penis.
    When your question is: do I have erectile dysfunction? We can answer it by examining the risk factors of ED:

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    Moderate exercise can help reduce a man’s risk of erectile dysfunction (ED) and improve his sexual function. Also, specific exercises can help him to build a strong pelvic floor to enhance his sexual performance.

    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.
    Anxiety has both emotional and physical consequences that can affect erectile function. It is among the most frequently cited contributors to psychological ED.

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    This condition is characterized by the bending or curvature of the penis, or narrowing of the penile shaft. Scarring related to Peyronie’s disease can cause circulation problems in the penis.

    Several medications are not recommended for the treatment of erectile dysfunction. These include trazadone, yohimbine, and herbal therapies, as there is no evidence to support their safe use for the treatment of erectile dysfunction. It is important to note that testosterone therapy is not indicated for the treatment of erectile dysfunction in the patient with a normal serum testosterone level.
    The results have surprised other scientists who describe it as a thorough and substantiated study, which clearly shows physical activity improves erectile problems among men.

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    If the lining of the blood vessels (known as the endothelium) becomes damaged and inflamed, this can also disrupt nitric oxide (NO) production.

    Feeling nervous about sex due to a bad experience or anxiety around your erectile dysfunctionFeeling stressed by other factors, like work or family issuesFeeling depressed or overwhelmedFeeling self-conscious about your body or performanceThinking your partner is reacting negatively toward you
    And it’s now becoming clear that some patients with COVID-19 are suffering from inflamed blood vessels, he added.

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Berookhim BM, Mulhall JP. Erectile dysfunction. In: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery and Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019:chap 191.

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Forty-three percent of women and 31% of men have some form of sexual dysfunction, with obesity and a lack of exercise often being factors, according to the National Institutes of Health. A study published in The Journal of Sexual Medicine found men with either a high waist circumference or elevated BMI were 50% more likely to have erectile dysfunction, while approximately half of obese women reported problems with sexual activity, desire and performance, at least some of the time, in a study published in Obesity.

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Erectile dysfunction is a sexual disorder that prevents a man from getting firm erections that are necessary to satisfy a woman during intercourse. If a man is not able to gain or hold the erection for a longer time, it can be due to physical or psychological disorders.

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The most common sexual problem in men as they age is erectile dysfunction (ED). In general, the younger a man is, the better his sexual function will be.

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