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Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction.

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Sometimes, ED happens when your hormones are out of balance. Your doctor can perform a blood test to check your hormones.
A recent study published in the Journal of Sexual Medicine reported that men with severe periodontal disease were three times more likely to have consistent difficulties having an erection. While this may be a case of correlation rather than causation, poor dental health has long been associated with vascular disease, which is known to contribute to ED. .

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Erectile dysfunction (ED) is not new in either medicine or human experience, but it is often not easily or openly discussed. Cultural expectations of male sexuality inhibit many men from seeking help for a disorder that can usually benefit from treatment.
The pulsating waves of GAINSWave improves blood flow to the penis by dissolving plaque build-up and stimulating the growth of new blood vessels. The improvement results in stronger, harder, and more sustainable erections.

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CancerRheumatoid ArthritisCold & FluType 2 DiabetesCrohn's DiseaseUlcerative ColitisPsoriasisMultiple SclerosisDepressionMedicareSee All
Lue TF. Physiology of penile erection and pathophysiology of erectile dysfunction. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 26.

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An association means that there is a statistical relationship between two variables. For example, when A increases, B increases. An association means that the two variables change together, but it doesn't necessarily mean that A causes B. The relationship isn't necessarily causal.

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Urology, Male Infertility & Reproductive Health, Stone Disease, Urologic Oncology

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    The bottom line is that taking steps to keep your endothelium healthy will help you prevent or reduce your erectile dysfunction risk. Being more physically active is important to the health of your endothelium and, therefore, to the health of your heart and your penis.
    While most ED patients are effectively treated with medication, the Massachusetts study also showed that, for some, the disorder is a harbinger of heart disease. Dr. Walker, who treated patients at the Yale Medicine’s Cardiovascular and Sexual Health Clinic, estimates that ED is a cardiac risk factor in 10 percent to 20 percent of patients who do not have other risk factors for heart disease.

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    Foods that some people claim to have qualities that enhance sexual drive include chilies, chocolate, scallops, oysters, olives, and anchovies. No evidence exists for these claims.

    Up to three quarters of patients with erectile dysfunction develop atherosclerosis, obesity, cardiovascular problems, diabetes, and similar diseases.
    A vacuum device (VED) is an external device (not a drug) that goes over the penis. When pumped, it pulls blood into the penis then a special ring is placed over the base of the penis to keep it erect.

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    We can strengthen our pelvis bone and muscles through some basic pelvic floor exercises like kegels. Kegel exercise is also known as pelvic floor exercises are the best way to strengthen pelvic bones and overcome ED problems. There are some basic pelvic floor exercises or other variations like sitting pelvic floor activation or standing pelvic floor activation.

    Paduch DA, Brannigan RE, Fuchs EF, Kim ED, Marmar JL, Sandlow JI. The laboratory diagnosis of testosterone deficiency. Urology. 2014;83(5):980-988. PMID: 24548716 pubmed.ncbi.nlm.nih.gov/24548716/.
    Pressure to use condoms could also have an impact upon sexual performance. Some men find that their penis is less sensitive to touch when using condoms, which may contribute to erectile dysfunction. Research has linked sexual dysfunction with less condom use and risky sexual behaviour, possibly for this reason.

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    Tests also can measure average blood sugar over time. A hemoglobin A1c (HbA1c) test greater than 6.5% indicates the diagnosis of the disease. Prediabetes is diagnosed with an HbA1c of 5.7% - 6.4%.

    An unhappy sex lifeLoss of intimacy within the relationshipAnxietyDepressionLow self-esteemDifficulty when trying to get a woman pregnant
    Erectile dysfunction is a very common condition for aging men, but is it a normal part of the aging process? Though it’s a sensitive topic, it's important to discuss any signs of erectile dysfunction with your doctor -- especially because erectile dysfunction is sometimes the first sign of underlying health conditions such as cardiovascular problems.

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The urology specialists at University Hospitals understand the sensitive nature of your concerns. We provide empathetic and professional care, along with erectile dysfunction treatment options that can restore function and ease anxiety. Please contact us to schedule an appointment at 1-866-844-2273.

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Some research shows that people with type 2 diabetes may die 10 years earlier than those without diabetes. Most people with the disease die of secondary complications of it, for example kidney failure or heart disease. However, with good blood sugar control and healthy lifestyle choices, complications can be prevented.

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Picture of penile tumescence monitor. This penile tumescence monitor is placed at the base and near the corona of the penis. It is connected to a monitor that records a continuous graph depicting the force and duration of erections that occur during sleep. The monitor is strapped to the leg. The nocturnal penile tumescence (NPT) test is conducted on several nights to obtain an accurate indication of erections that normally occur during the alpha phase of sleep.

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There is no evidence that any herbal product, vitamin, or dietary supplement can improve erections or sexual performance in men or women. Despite this, many herbs and dietary supplements are marketed as aphrodisiacs. Aphrodisiacs are substances that are claimed to increase sexual drive, performance, or desire. Recently, the FDA has warned that several products being sold over the counter as aphrodisiac supplements actually contain hidden ingredients, such as varying amounts of prescription PDE-5 inhibitors, and are not safe for use. There are several specific concerns for people taking alternative remedies for ED.

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