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The penis contains three cylinders, the two corpora cavernosa, which are on the top of the penis (see figure 1 below). These two cylinders are involved in erections. The third cylinder contains the urethra, the tube that the urine and ejaculate passes through, runs along the underside of the penis. The corpus spongiosum surrounds the urethra. Spongy tissue that has muscles, fibrous tissues, veins, and arteries within it makes up the corpora cavernosa. The inside of the corpora cavernosa is like a sponge, with potential spaces that can fill with blood and distend (known as sinusoids). A layer of tissue that is like Saran Wrap, called the tunica albuginea, surrounds the corpora. Veins located just under the tunica albuginea drain blood out of the penis. SLIDESHOW Erectile Dysfunction (ED) Causes and Treatment See Slideshow Readers Comments 5 Share Your Story

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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.
The definite verdict on testosterone therapy is still out. Testosterone therapy is accepted as a treatment for hypogonadism, a clearly defined medical condition. .

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If you can’t get or keep an erection that lasts long enough or is rigid enough for sex, you have erectile dysfunction.
You probably already know that aerobic exercise is associated with a range of overall health benefits like weight loss, preventing vascular disease and improving mental health, but did you know that exercise is the lifestyle factor most strongly associated with erectile function and sexual health?

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In one study, 55 men with E.D. were either taught pelvic floor exercises with biofeedback and lifestyle changes (treatment group) or advised on lifestyle changes (control group). After six months, 40 percent of men who performed pelvic floor exercises regained normal erectile function (Dorey et al., 2005).
While oral medications are a common first step for therapy, they only tend to work in about 50 percent of men with diabetes. Diabetic men are more likely to move on to other treatment options, such as the pump, penile injection therapy, and penile implants. However, the penile implant has the highest satisfaction rate of all treatment options.

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Watching porn may extinguish erections in the bedroom. But the brain, not the penis, is the problem.

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Melanie Radzicki McManus is a freelance writer who specializes in hiking, travel and fitness.

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    A vacuum constriction device (VCD) is an external pump with a band on it that a man with erectile dysfunction can use to get and maintain an erection.

    Often, men with ED benefit from talking to a therapist, especially if they suffer from depression, anxiety, or low self-esteem. If relationship problems are a factor, couples therapy may be useful.
    "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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    The vacuum device is relatively well tolerated but may cause pain, bruising and numbness.

    Stress, anxiety, depression and other mental health conditions can also lead to or worsen erectile dysfunction.
    If you are experiencing sexual difficulties, a full sexual history, a physical examination and evaluation of cardiovascular risk needs to be done. Tests should include the measurement of testosterone levels, blood fats and sugars, and blood pressure. Your doctor should talk to you about reversible lifestyle risk factors that might affect erection quality (such as cigarette smoking, substance use, obesity or a sedentary lifestyle).

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    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.

    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.
    Some men may be able to gain an erection by using this medication. It involves the placement of a small pellet into the urethra which may subsequently cause the penis to become engorged with blood. This medication proves to be efficacious in only about 30% of men. Medication price is also an issue.

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    Prescriptions are heavily relied upon, having to be taken 15 minutes to 36 hours before sexual activity is initiated – not only reducing the spontaneity of one’s sex life but oftentimes fostering dependence.

    No matter what the treatment, a healthy lifestyle is important for restoring and maintaining erectile function. This includes a heart-healthy diet, regular exercise, and engaging in activities that help reduce stress. Oral Medications (PDE5 Inhibitors)
    Tadalfil has the same side effects, except for the flushing and possible changes in vision. It can also cause back pain and muscle aches. For each of the medicines, headache is the most common side effect. Vision changes are the least common. Talk to your doctor if you have any side effect that bothers you.

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Pelvic floor exercises could help men overcome erectile dysfunction or premature ejaculation, physiotherapists say.

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I’m only 35, but the other day I was being intimate with my partner the other day and had trouble maintaining an erection. I’m not ready for impotence this young! I thought ED was a problem just for older guys. What age does a man stop getting hard?

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No matter what the treatment, a healthy lifestyle is important for restoring and maintaining erectile function. This includes a heart-healthy diet, regular exercise, and engaging in activities that help reduce stress. Oral Medications (PDE5 Inhibitors)

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