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The link between chronic disease and ED is most striking for diabetes. Men with diabetes are two to three times more likely to have erectile dysfunction. And it could start 10 to 15 years earlier. But blood sugar control can lower this risk. Any condition that affects the way blood flows through your body could lead to ED. This includes cardiovascular disease, atherosclerosis (hardening of the arteries), kidney disease, and multiple sclerosis.

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Many lab tests can be helpful in diagnosing male sexual problems. Measuring testosterone levels can determine whether there is a hormonal imbalance, which is often linked to decreased desire.
Problems in your relationship with your sexual partner can also cause erectile dysfunction. Improving your relationship may help your sex life. If you decide to seek therapy, it will probably be most effective if your sex partner is included. .

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Surgery provides the only true cure, but men typically want to explore other, less invasive options first.
The Sexual Advice Association has factsheets on medicines and other treatments for erectile dysfunction.

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To diagnose erectile dysfunction, the doctor will ask questions about the symptoms and medical history. A complete physical exam is done to detect poor circulation or nerve trouble. The physician will look for abnormalities of the genital area that could cause problems with erections.
Alprostadil is derived from a natural substance, prostaglandin E1, which opens (relaxes) blood vessels. This medicine is an effective treatment for many men with ED. It can be administered by:

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Even if ED is caused by a physical problem, interpersonal, supportive, or behavioral therapy are often helpful for men and their partners.

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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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    If we think more broadly about blood flow, aerobic exercises improve circulation in the entire body, including the penis. This is backed up by a whole heap of medically reviewed research.

    Brittle penis bones could impair the species' ability to reproduce, affecting other species up and down the food chain.
    Pilates is a group of exercises designed to strengthen your body core. Although there are many potential exercises, here are two sample ones that focus on the pelvic floor.

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    “Exercise improves function whether you want to prevent erection problems or whether those problems are just starting,” says Gerbild.

    It affects approximately half of all men over age 40 While erectile dysfunction is usually a physical problem, it can also have psychological roots. More often than not, it is a combination of both. And help is available. “We have a treatment for everyone,” says Stanton Honig, MD, a director of the Yale Medicine Male Reproductive Health Program. “It's just a matter of what option you choose.”
    Erections that are too soft for sex.Erections that are don’t last long enough for sex.An inability to get an erection.

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    As with all content on Greater Boston Urology's blog, the following information is educational in nature, not medical advice. Always talk to your physician about your specific questions concerning erectile dysfunction.

    As cholesterol, high blood pressure, diabetes and other health conditions can all contribute to erectile dysfunction, lifestyle changes may help. Lose weight if you're overweight. Exercise regularly: particularly activities that get the heart rate up, such as walking fast, dancing, gardening and cycling. Don’t smoke. Do antiretrovirals and other medications cause erectile dysfunction?
    Chemotherapy is the treatment of cancer with drugs that can destroy cancer cells. These drugs often are called "anticancer" drugs. Chemotherapy is often used with other treatments. Coping with side effects (fatigue, nausea, vomiting, pain, hair loss, infection, diarrhea, constipation, fluid retention, mouth and throat problems) are important to understand when undergoing chemotherapy treatment. It is important to eat well during chemotherapy, and get the support you need both during and after treatment.

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    If you do Kegels every day you will surely see some positive after-effects on ED issues. There are also some mistakes that need to be avoided while performing kegel exercises.

    ED can be embarrassing to talk about. However, if it is affecting your relationship, you need to discuss it. Find tips for talking to your partner and getting successful treatment.
    There are a variety of methods for treating erectile dysfunction. Your doctor can discuss all of these options with you in more detail. All decisions regarding your best option for treating E.D. should be made between you and your physician, with consideration given to your individual needs and the pros and cons of each treatment options.

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The treatment may depend on what is causing the problem and how healthy you are. Your provider can talk with you about the best treatment for you.

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It may come as no surprise that many men are embarrassed to come forward for treatment and may also suffer from low self-esteem and depression and experience difficulties in establishing and maintaining a relationship.

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For most healthy adults, the U.S. Department of Health and Human Services recommendation is to engage in at least 150 minutes of moderate aerobic exercise or 75 minutes of vigorous aerobic activity each week or a combination of moderate and vigorous exercise.

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Some research has linked the use of protease inhibitors boosted with ritonavir (Norvir) to erectile dysfunction, but this hasn’t been found in all studies. Nerve damage that occurred with the use of some older antiretrovirals may also contribute, but erectile dysfunction has not been consistently linked with any particular antiretroviral class. The length of time that you have been on certain types of medication seems to be of particular importance.

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