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Erection problems are common. Almost all adult men have trouble getting or keeping an erection at one time or another. Often the problem goes away with little or no treatment. But for some men, it can be an ongoing problem. This is called erectile dysfunction (ED).

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You’re taking the first important step by researching ED online. But every man’s situation is unique, and a specialist is the best way for you to be diagnosed accurately.
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Medications inserted or injected into the penisVacuum devicesSurgery (limited to rare cases)
Inadequate production of testosterone is not a common cause of erectile dysfunction. But, when ED does occur due to decreased testosterone production, testosterone replacement therapy may improve the problem.

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Health care professionals do not routinely obtain imaging tests in the evaluation of erectile dysfunction.

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To properly strengthen them, leading academic medical centre Mayo Clinic recommends doing three sets of 10 repetitions daily.

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Erectile Dysfunction MedicinesPremature Ejaculation MedicinesWorkout and FitnessPeyronie’s DiseasePenis Enlargement Medicines

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    ED can be devastating to men regardless of their age and should always be taken seriously. The Massachusetts Male Aging Study, widely considered a landmark piece of research, showed ED to be more common than suspected. It is estimated that more than 300 million men globally will suffer from the condition in 2025.

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    Hypogonadism is classified as either primary or secondary. Primary hypogonadism is caused by diseases or defects in the testicles that affect the production of testosterone. Secondary hypogonadism is due to problems in the hypothalamus or pituitary gland that cause high levels of the hormone prolactin. Hypothalamus and pituitary abnormalities also cause low levels of other hormones such as follicle-stimulating hormone and luteinizing hormone. These hormonal imbalances can result in low libido and ED.

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    You may be able to improve your sex life with a few lifestyle changes. Giving up smoking, losing weight, and exercising more often can improve your blood flow. If you suspect a medication could be to blame, talk to your doctor about adjusting the dosage or switching to another drug.

    The American Academy of Cardiology defines high blood pressure slightly differently. The AAC considers 130/80 mm Hg. or greater (either number) stage 1 hypertension. Stage 2 hypertension is considered 140/90 mm Hg. or greater.
    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.

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    Erectile dysfunction can be a warning sign of serious underlying disease. Research has found that erectile dysfunction is a strong predictor of heart attack, stroke, and even death from cardiovascular disease. All men with erectile dysfunction should be evaluated for cardiovascular disease. Notably, this does not mean every man with erectile dysfunction will develop heart disease, or that every man with heart disease has erectile dysfunction; however, erectile dysfunction patients should be aware of the link.

    There are also ED medications that can be delivered directly into the penis, either via injection or a dissolvable pellet.
    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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    It's natural to feel angry or embarrassed when confronted with erectile dysfunction. Remember too that your partner is also affected. Talking openly about erectile dysfunction with your partner will help them understand the diagnosis and treatment options (and will reassure your partner that you haven't lost interest). Zoran Milich/Allsport Concepts Fancy Plush Studios/Digital Vision Thomas Hoeffgen/Stone Brian Evans/Photo Researchers Inc Cristina Prdrazzini/Photo Researchers Inc Altrendo Images Robert Llewllyn/Workbook Stock Jeffrey Hamilton/Photodisc Dream Pictures/The Image Bank Glow Images Jose Luis Pelaez/Blend Images Lew Robertson/Brand X Thierry Dosogne/The Image Bank Corbis Photo Inc/ Age Fotostock Neville Sukhia Photography/Flickr Superstock Inc BSIP/Photo Researchers Inc Nucleus Medical Art, Inc. David Bluffington/Age Fotostock Smneedham/FoodPix DiMaggio, Kalish/Flirt Moodboard Marcus Lund/Cultura Reviews in Urology Journal: "Relationship Between Testosterone and Erectile Dysfunction" American Journal of Urology: "Erectile Dysfunction: AUA Guideline." Sept. 2018. NIH: "Definition & Facts for Erectile Dysfunction." July 2017. Maturitas: "Testosterone and sexual function in men." Jun 2018. Sooriyamoorthy, Thushanth and Stephen W. Leslie. StatPearls: "Erectile Dysfunction." Feb. 22, 2021. WebMD does not provide medical advice, diagnosis or treatment. See additional information

    Patients should start with a low dose and increase in small doses until the dose that results in a rigid enough erection for completion of sexual activity is achieved. If one injects and there is an inadequate response, one should not reinject another dose of the medication at that time, due to the risk of priapism.
    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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If lifestyle changes and medications do not work, other treatments for ED include:

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There have been rare reports of priapism (prolonged and painful erections lasting more than six hours) with the use of PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil. Patients with blood cell diseases such as sickle cell anemia, leukemia, and multiple myeloma have higher than normal risks of developing priapism. Untreated priapism can cause injury to the penis and lead to permanent impotence. Therefore, if your erection lasts four hours, you should seek emergency medical care.

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• Medications, most commonly blood pressure medications (especially beta-blockers or thizides), anti-depressants (such as SSRI), anti-androgens, and a variety of other medications

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In a study that enrolled 25,906 men, men who consumed foods rich in flavonoids were less likely to report E.D. Flavonoids improve blood vessel function while lowering blood pressure. They have anti-inflammatory properties as well as the ability to modulate nitric oxide levels. When E.D. is caused by inadequate blood flow into the penis, reducing inflammation and dilating blood vessels is likely to help (Cassidy et al., 2016).

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