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Urology, Male Infertility & Reproductive Health, Reconstructive Urologic Surgery & Trauma
Most effective form (Trimix) not covered by most insurance plans and may be quite expensive .

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Surgery, including treatments for prostate cancer, bladder cancer, or BPH, can sometimes damage nerves and blood vessels near your penis. If the nerve damage is permanent, you’ll need treatment to get an erection. But sometimes surgery causes temporary ED that gets better on its own after 6 to 18 months.
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Another potential new treatment consists of penile low-intensity shock wave lithotripsy. This consists of 1500 shocks twice a week for 3–6 weeks. The purpose is to stimulate neovascularisation to the corporal bodies with improvement in penile blood flow and endothelial function. The use of low-intensity shock wave lithotripsy may convert PDE5 inhibitor non-responders to responders.47
Wave therapy is a non-invasive procedure that has been shown to improve certain types of erectile dysfunction. However, not all wave therapy machines are equal. Urologist Dr. John Smith explains how the use of waves can ...

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Acupuncture is the practice of inserting needles into the body to reduce pain or induce anesthesia. More broadly, acupuncture is a family of procedures involving the stimulation of anatomical locations on or in the skin by a variety of techniques.

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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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    The chances of erectile dysfunction go up as people grow old. However, age is not the only cause of the weak erection. Certain conditions and diseases can also cause erectile dysfunction. These include Type 2 diabetes Heart disease Obesity Benign enlargement of the prostate Hyperlipidemia (high lipid or cholesterol level) Atherosclerosis (clogged blood vessels that results in their hardening) Hypertension (high blood pressure) Chronic kidney disease Liver disease Parkinson’s disease Sleep disorders Low testosterone level Injury to the penis, prostate, or spinal cord Multiple sclerosis Peyronie’s disease (formation of scar tissue under the skin of the penis) Treatments for prostate cancer Radiation therapy Prostate surgery Surgery for bladder cancer

    Various studies have shown that around 11 percent of men experience mild symptoms of ED in their early 30s. And by doing proper exercises and yogas, one can overcome those symptoms to get over their problem before touching their 40s.
    Your doctor may recommend pursuing some mental health support to alleviate the impact of stress, depression, or anxiety on your ED. Seeking help from a mental health professional can help treat erectile dysfunction.

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    Only 10 percent of men seek treatment and many (50 percent) discontinue treatment once they start it because they are too embarrassed to discuss their sexual health issues with a doctor. There is no need to suffer in silence.

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    Symptoms of diabetes that are the same in women and men are excessive thirst and hunger, bad breath, and skin infections, darkening of skin in areas of body creases (acanthosis nigricans), breath odor that is fruity, sweet, or acetone, and tingling or numbness in the hands or feet, blurred vision, fatigue, tingling or numbness in the hands or feet, wounds that heal slowly, irritability, and weight loss or gain.

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    Pelvic floor exercises tighten the muscles around the base of the penis. These muscles exert pressure on the blood vessels that drain the penis. Tightening these muscles can help keep blood in the penis longer and therefore help maintain an erection. Pelvic floor exercises (also called Kegel exercises) can tighten the muscles that sag and weaken as we age (Meldrum et al., 2014).

    With so many possible causes for ED, your doctor has a number of tests they can use to figure out the best treatment for you.
    As described above, these drugs are primarily used to induce an erection. Some have proposed taking these drugs in a regularly scheduled manner after prostate surgery in the hope of helping recovery of erectile function. However, this method has not been proven in randomized controlled trials.

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    Some form of psychological, behavioral, or sexual therapy may be recommended for certain men.

    Sexual wellbeing is an important part of your overall health and problems in this area can have an impact on how you feel about yourself. Help is available from healthcare professionals if you are struggling with erectile dysfunction. Having sexual problems may also indicate that there are other areas of your physical and psychological health that need to be attended to.
    Given that erectile dysfunction can be a sensitive marker of vascular pathology, it is also recommended that all patients with erectile dysfunction undergo an assessment of cardiovascular risk, including assessing risk factors for cardiovascular disease.

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In sum, ED is a troubling condition that may be a sign of serious underlying health problems. It is appropriate to discuss ED with your physician. A variety of management options exist; men and their partners may decide which if any of these are appropriate for their specific circumstances.

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Health Topics Symptoms and Signs Supplements Medications Slideshows Images Quizzes Medical Author: Pamela I. Ellsworth, MD Medical Editor: John P. Cunha, DO, FACOEP What Is Impotence/Erectile Dysfunction? What Are Impotence Symptoms and Signs? What Causes Impotence/Erectile Dysfunction? How Do Health Care Professionals Make a Diagnosis of Erectile Dysfunction? What Specialized Tests Do Doctors Use to Investigate Erectile Dysfunction? What Are Impotence/Erectile Dysfunction Treatment Options and Medications? What Are Surgical Treatments for Impotence? What Is the Prognosis of Erectile Dysfunction? Illustrations: Methods of Diagnosing the Cause of Erectile Dysfunction Illustrations: Other Nonsurgical Interventions for Erectile Dysfunction Illustrations: Surgical Interventions for Erectile Dysfunction Erectile Dysfunction (Impotence) Topic GuideDoctor's Notes on Impotence/Erectile Dysfunction Symptoms

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People living with HIV who have sexual dysfunction often also experience anxiety or depression. It’s possible that these mood problems and the medications used to treat them may both contribute to sexual dysfunction.

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