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Lycopene can be found in a variety of bright red fruits and vegetables. It is a carotenoid that acts as an antioxidant and helps the body scavenge free radicals that can damage DNA. Lycopene may also reduce LDL (bad) cholesterol, a risk factor for high blood pressure and reduced blood flow (Arab & Steck, 2000).

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One study indicated that intensive glycemic control might decrease the chances of ED in diabetic men.
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I am not trained to prescribe any drug. If I may know, how old are you? Are you married? If not, does it occur when you are just having a ‘quick one’ with your girlfriend? This experience of yours might just be psychological especially when you are being discreet about the side attraction (girlfriend) or immaturity.
Small arteries leading to the cavernous sinuses contract, reducing the inflow of blood.The smooth muscle tissues surrounding the many tiny blood vessels inside the corpus cavernosum also stay contracted, keeping the vessels narrowed and limiting the amount of blood that can collect in the penis.

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But the BIG QUESTION is, which exercises are most effective? According to this study, pelvic floor exercises, also known as kegel, can help men suffering from ED. The study goes ahead to recommend these exercises as a first line approach for those seeking long term relief from ED.
Alprostadil should not be used in men with urethral stricture (scarring and narrowing of the tube that urine and the ejaculate pass through), balanitis (inflammation/infection of the glans [tip] of the penis, severe hypospadias (a condition where the opening of the urethra is not at the tip of the penis, rather on the underside of the penis), penile curvature (abnormal bend to the penis), and urethritis (inflammation/infection of the urethra).

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Patients should not combine Viagra with other PDE5 inhibitors (for example, vardenafil [Levitra], tadalafil [Cialis]).

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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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    Adopt a regular exercise program, and your general health will improve. Working out may even help you stave off serious conditions such as high blood pressure and diabetes, which sometimes require medications that inhibit arousal. These two medical conditions also can damage the tiny arteries in the penis, resulting in erectile dysfunction. In fact, erectile dysfunction is often one of the first noticeable side effects of high blood pressure and diabetes.

    It’s possible the coronavirus infects cells in the testicles, including Leydig cells that produce testosterone, the male sex hormone, which affects libido and desire.
    Exercise that results in losing weight, particularly around the waistline, can cut a man’s risk of ED. A man with a 32-inch waistline has only half the likelihood of erectile dysfunction as a man with a 42-inch waistline. Losing excess weight is one of many factors that can affect penile dysfunction.

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    The side effects of ED medicine are mostly the same. Sildenafil and vardenafil can cause: Headache. Flushing (face and upper body turning red and warm). Stomach upset. Runny nose (sniffles). vision changes (things look blue).

    Vardenafil (Levitra) was the second oral medicine approved by the U.S. FDA for the treatment of erectile dysfunction. Like sildenafil (Viagra), vardenafil (Levitra) inhibits PDE5, which destroys cGMP (as discussed earlier). It is the only PDE 5 inhibitor that has a generic form available.
    "Pelvic floor exercises and biofeedback are an effective treatment for men with erectile dysfunction" – The British Journal of General Practice.

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    Vacuum device. Also called a penis pump, this is a tube that fits over your penis. It includes a pump, which you use to suck air from the tube. This pulls blood into your penis to make it erect. You place an elastic ring around the bottom of your penis to keep it erect, and take off the vacuum tube. After sex, you remove the ring to end the erection.

    The treatment you receive for your ED will depend on the underlying cause. Your doctor may recommend adjusting your medications to eliminate side effects that could be causing problems. If psychological causes are suspected, your provider may suggest counseling. Lifestyle changes like losing weight and quitting drinking can also have a big impact.
    In rare cases, men who take these drugs develop vision problems that include seeing a blue haze, temporary increased brightness, and even temporary vision loss in a few cases. The effect is usually temporary, lasting a few minutes to several hours. Men at risk for eye problems who take PDE5 inhibitors should have regular eye examinations with an ophthalmologist. Men should also see an eye doctor if visual problems last more than a few hours.

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    Extremely high levels of blood glucose in the blood can be dangerous and life threatening if you have type 1, type 2, or gestational diabetes.

    Cholesterol can cause damage to blood vessel linings in all parts of the body – including the penis. Blockages caused by elevated cholesterol levels or plaques that restrict flowing blood can prevent erectile tissue from filling with blood. A healthy diet and lifestyle, including regular exercise, can help control these levels and the risk of developing ED. In addition, doctors may prescribe pharmaceuticals to lower cholesterol in the blood.
    Penile self-injection therapy is a shot that is inserted into the penis and produces an erection for up to an hour or more. This injection is mostly used to treat erectile dysfunction, but can help with other penile conditions as well.

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This depends on whether you know what it is causing your ED. There are some things you can do that may help prevent ED, including: Avoid drinking too much alcohol, smoking, or abusing drugs. Ask your doctor if ED is a side effect of a new or current medicine you are taking. He or she may have an alternative medicine. Control your blood sugar and blood pressure. Try to relax and avoid stress.

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Antioxidants can increase nitric oxide levels in blood vessels, increasing blood flow. Antioxidants have been shown to improve vascular and erectile function (Meldrum et al., 2012).

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ED is a complex condition that can be caused by a variety of factors. Often, there’s more than one issue that’s responsible for ED.

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Contributors DFM and NB wrote the majority of the manuscript. MK wrote the section on testosterone and made review comments and approved the final manuscript along with the attached figure.

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