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Your doctor will take a full medical history and perform a complete physical exam. Although it can be awkward to discuss ED with your doctor, it is important to be open and honest about all your symptoms, because they could indicate a serious medical problem.

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What are the biggest body health issues that plague men? Most men struggle with belly fat, back hair, sweating, erectile...
Men with mild to moderate kidney or liver disease will need to use lower doses of the PDE5 inhibitors. None of the PDE5 inhibitors are recommended for men with severe kidney disease, those on dialysis, and those with severe liver disease. .

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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.

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Erectile dysfunction in older men. Erections mainly involve the blood vessels. And the most common causes of ED in older men are conditions that block blood flow to the penis. These include hardening of the arteries (atherosclerosis) and diabetes. Another cause may be a faulty vein that lets blood drain too quickly from the penis. Other disorders, as well as hormonal imbalances and certain operations, may also cause ED.
L-citrulline can be converted to L-arginine in the body. L-arginine widens blood vessels, increasing blood flow.

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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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Find a comfortable position sitting in a chair.Squeeze your penis with just its muscles as if you are trying to stop urine from coming out, hold for five seconds, then release.Repeat step two, eight to 10 times, and then do three to five sets.

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    Side effects may include acne, breast enlargement or soreness, high blood pressure, and mood swings. Testosterone therapy can also increase cholesterol levels, prostate specific antigen (PSA) levels, red blood cell count. If you take testosterone therapy, your doctor should monitor your cholesterol, PSA, and hematocrit (red blood cell) levels, and liver function.

    What causes ED? There are many causes of impotence both medical and psychological. Often, age is a predominant factor in erectile dysfunction; however, your chronological age is not solely responsible for ED’s development. Men over the age of 40 typically experience ED as the result of inadequate blood flow to the penis, most often due to the narrowing of blood vessels. This can arise due to many causes including:
    Increased consumption of long-chain fats, which are found in most fish, was associated with lower levels of blood vessel inflammation (Lopez-Garcia & Hu, 2004). Blood flow into the penis and surrounding tissue can be improved by reducing inflammation in small blood vessels.

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    Low intensity shockwave therapy(LiST) is a groundbreaking “drug and surgery-free” procedure that uses acoustic waves to stimulate a cascade of biological actions that lead to the healing and regeneration of the sexual organs. Simply…LiST helps your body heal itself! Learn more about Low Intensity Shockwave Therapy. Oral medications for ED are called PDE-5 inhibitors. The drugs in this class include medications like Viagra, Levitra, Cialis, Stendra and more. This class of drugs is considered first line therapy for those men presenting with ED. Learn More About Oral Medications for ED. Penile injection therapy involves an injection of a medication into the shaft of the penis on an as needed basis to produce a rapid erection. It is commonly used by patients who have failed oral medications. Learn more about this very effective treatment. The same medicine used for penile injection may be used as a very small suppository placed into the tip of the penis to provoke an erection.

    “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.”
    Though you're the one with ED, your partner is also affected. Talking openly about ED will help your partner understand the diagnosis and treatment options. This can reassure them that you haven't lost interest.

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    The most targeted exercise that you can do to help erectile dysfunction is strengthening your pelvic floor. Pelvic floor exercises can help men improve or even ultimately overcome ED.

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    André B Silva1, Nelson Sousa1,2, Luís F Azevedo3,4, http://orcid.org/0000-0001-8561-5167Carlos Martins1 1 Family Medicine Unit, Social Sciences and Health Department of the Faculty of Medicine of Porto, Porto, Portugal 2 Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), University of Trás-os-Montes e Alto Douro, Vila Real, Portugal 3 CIDES—Department of Health Information and Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal 4 CINTESIS—Centre for Health Technology and Services Research, University of Porto, Porto, Portugal Correspondence to Dr André B Silva, Faculdade de Medicina da Universidade do Porto, Al. Prof. Hernâni Monteiro, Porto 4200-319, Portugal; andreborgessilva{at}outlook.com

    A doctor can help decide what medication(s) may be the best for the patient. This is an important step to do so the doctor can help choose the best and safest drug(s) and other treatments so that men with other medical problems can get individualized care appropriate for their medical conditions. Read Doctor's View Readers Comments 12 Share Your Story
    "This is truly a medical issue we should be dealing with as part of someone's overall health and well-being," said Dr. Karyn Eilber, a urologist at Los Angeles' Cedars-Sinai Medical Center and a sexual wellness expert. "But there's still a stigma around the topic."

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High blood sugar levels can damage the nerves that control sexual stimulation. They can also damage blood vessels that provide blood flow to the penis to achieve and maintain an erection.

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If you use sildenafil, tadalfil, or vardenafil and get chest pains, be sure to tell the paramedics, nurses or doctors at the hospital that you use it and when you used it last.

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Sildenafil (Viagra)Vardenafil (Levitra, Staxyn)Tadalafil (Cialis)Avanafil (Stendra)

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The next new treatments for erectile dysfunction will probably be improvements in some ED drugs already being used. "A dissolvable form of Levitra that you put under your tongue is coming that may work more quickly than the pills we have now," says Feloney. A new form of alprostadil may make it possible for you to rub it directly on the penis instead of inserting or injecting it. And newer phosphodiesterase inhibitors that last even longer and cause fewer side effects are being developed. Stay tuned!

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