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Did you know that diabetes can contribute to erectile dysfunction and other men’s health conditions? Find out more about why treating your diabetes is important. Get more education on diabetes awareness.

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For gay and bisexual men, sexual difficulties have been associated with low self-confidence and poor self-image. There are complex interactions between sexual dysfunction, recreational drug and alcohol use, mood disturbance, sexual risk-taking and HIV infection. In these instances, it is important to seek out help that does not only attend to the physical causes of sexual difficulties, but also considers psychological causes and consequences.
Men with ED without hypogonadism (a low testosterone level and symptoms related to this) should not use testosterone therapy. .

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Your provider will likely order blood tests and conduct a Doppler ultrasound, which detects poor blood flow through your penis. You may also be asked to conduct a nocturnal erection test, where a device is slipped on your penis overnight to measure if you can get an erection during sleep. Or you may be injected with medicine to cause an erection to determine how full your penis becomes and how long your erection lasts.
Scleroderma is an autoimmune disease of the connective tissue. It is characterized by the formation of scar tissue (fibrosis) in the skin and organs of the body, leading to thickness and firmness of involved areas. Scleroderma is also referred to as systemic sclerosis, and the cause is unknown. Treatment of scleroderma is directed toward the individual features that are most troubling to the patient.

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Penile implant surgery can be very effective, provided that precautions are taken to avoid infection. Prosthesis surgery is contraindicated if systemic cutaneous or urinary infection is present. Antibiotics should be provided pre-operatively, and the surgical site should be shaved immediately prior to surgery. We use both Mentor and AMS penile implants with specialized antibiotic coats. Patients are hospitalized overnight for closed suction drainage, and sent home on seven days of post-operative antibiotics. Using these and other precautions, our implant infection rate is comparable to national averages (2-4%, 1-2% for antibiotic coated implants). Vascular surgery is recommended only in healthy individuals with recently acquired erectile dysfunction due to a focal arterial narrowing (usually related to trauma) and in the absence of generalized vascular disease. Sign up for Email Updates Click here Support Urology
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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You are not alone 50% of men in their 50s are affected by ED symptoms (University of Wisconsin Health, 2019). Sometimes a man becomes nervous during sex, or perhaps he’s had too many drinks beforehand. While this may affect his sexual performance, it doesn’t necessarily mean a man has ED.

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“Second, switching to another drug class does not guarantee either the restoration or improvement of erectile function. This has to be carefully explained to patients in advance to avoid unreasonable expectations,” he said.

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    What is the role of testosterone therapy in the treatment of erectile dysfunction?

    MUSE should not be used in men with a history of urethral stricture (narrowing of the tube in the penis that urine and semen pass through), inflammation or infection of the glans (tip) of the penis (balanitis), 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).
    Social attitudes that suggest that having a particular illness or being in a particular situation is something to be ashamed of. Stigma can be questioned and challenged.

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    Doctors are investigating the use of drug-coated stents (similar to those used in angioplasty for heart blockages) for treating ED in men who have not been helped by drug therapy. The stents are tiny, expandable metal mesh tubes that are implanted in an artery that provides blood flow to the penis. Only men with specific types of blood flow blockages caused by atherosclerosis are candidates for this procedure. These stents are currently only being studied in clinical trials. They have not yet been approved for ED treatment.

    Men in their 40s with erectile dysfunction (ED) compared with men without a history of ED have an increased risk of developing cardiovascular disease (CVD) in 5 years.
    Ultrasound (and ultrasonography) is imaging of the body used in the medical diagnosis and screening of diseases and conditions such as: TIAs, stroke, aneurysm's, heart valve irregularities, carotid artery disease, heart disease, gallstones, kidney stones, liver disease, diseases of the female reproductive, and diseases of the male reproductive organs.

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    Writing in the journal Physiotherapy, Mr Myers said 30 per cent of men suffer from premature ejaculation. Figures suggest more than half of men over the age of 50 have erectile dysfunction, which gets more common with age

    Where erectile dysfunction is predominantly due to a physical cause, patients may describe a gradual onset of symptoms, which may occur across a variety of settings and different stimuli. Where the psychological component is the main factor, patients may describe a sudden onset in symptoms with erectile dysfunction varying dependent on the situation.
    That might sound like a quirky bit of science clickbait — but the study's primary author warns that his findings could have broader consequences for wildlife and human health in the oilsands region in northern Alberta.

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    Erectile dysfunction (ED), formerly called impotence, can affect men of all ages, although it is much more common among older men. It is normal for men to occasionally experience ED. However, if the problem becomes chronic, it can have adverse effects on relationships, emotional health, and self-esteem.

    Your physician team will work with your primary care physician, as well as your cardiologist, if ED is related to a heart problem. Providers may also recommend lifestyle changes, changing your prescribed medications or seeking mental health counseling to help treat the underlying causes of ED.
    You must remember that these are prescription-only medications. Do NOT share these medications with your friends or family as they may have medical conditions that would prevent them from taking this medicine. What if ED Pills Don't Work?

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Pelvic Floor RehabilitationMale Fertility TreatmentsMale Sexual TreatmentsPenile RejuvenationPenis EnlargementsCouple TherapyNightfall TreatmentPsychotherapy / Sex TherapyVaricocelectomyP Shot for Penile Enhancement3 Tesla Electromagnetic Stimulation TherapyPE treatment with HA Fillers

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Psychoteraphy is often the first form of treatment recommended for depression. Psychotherapy helps depression by helping people understand the behaviors, emotions and ideas that contribute to their depression, regain a sense of control and pleasure in life, and learn coping techniques as well as problem solving skills.

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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.

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Exercise is a great way that helps with underlying problems of erectile dysfunction. Regular exercise will help you in a number of ways such as reducing stress, weight loss and increasing blood flow in the body. Thirty minutes of brisk walk is enough to keep your system functioning well.

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