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Low testosterone levels. This can make it difficult to get an erection. It can also reduce a man's sex drive.Nerve damage from prostate surgery.Nicotine, alcohol, or cocaine use.Spinal cord injury.

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ED is most commonly caused by medical conditions such as diabetes and high blood pressure or pelvic surgeries. Age related decline in erectile function is also thought to occur. An injury A disease (e.g. diabetes, high blood pressure, or high cholesterol) Various studies have estimated that between 20% – 71% of individuals with diabetes suffer from erectile dysfunction. An operation (e.g. prostate gland removal) Substance use (e.g. tobacco, drugs, alcohol or medications) Stress, anxiety, depression, psychological trauma Approximately 30 million American men suffer from erectile dysfunction. Most men with erectile dysfunction still have the ability to have an orgasm and father a child, but often have difficulty doing these things because they can’t get or sustain an erection. Erectile dysfunction is not normal, and is by no means an inevitable consequence of aging. Most men at one time or another during their sexual lives are unable to get or keep an erection. This is normal and does not indicate a problem. However, millions of men of all ages experience this inability as a continuing problem. In most cases, erectile dysfunction can be overcome using medical or surgical options. We typically start with questionnaires such as the International Index of Erectile Function (IIEF) to determine the severity. Penile injections such as Trimix may be used to assess the quality of your erection and to differentiate among the many causes. Occasionally a penile duplex ultrasound is indicated if there is concern for disease in the blood vessels or penile scarring. Treatment Options for Erectile Dysfunction
But the BIG QUESTION is, which exercises are most effective? According to this study, pelvic floor exercises, also known as kegel, can help men suffering from ED. The study goes ahead to recommend these exercises as a first line approach for those seeking long term relief from ED. .

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How to perform:Sit on the floor or yoga mat with your legs wide in your front. You can use a folded blanket for support as well. Push your body into the left side and try to touch your left sit bone (the one that makes your bottom). Repeat the same on the right side.Breathe and make your body long. Lean your upper half in the forward direction and stretch your tailbone as you reach the floor. Try to touch and grab your feet with your hands by extending your elbows.Hold the pose for more than one minute. Try to focus on your breathing throughout the time to see if you can relax your body. Also, please do not force yourself to touch the feet as it is not mandatory to do it.Uttanasana
Secondary premature ejaculation can be caused by both psychological and physical factors and has been linked to drinking too much alcohol.

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The evaluation of a man who presents to our office includes an open, honest and absolutely confidential discussion about the current sexual function and overall medical health. A thorough physical exam and generalized, as well as specialized, bloodwork are often done. We also offer patients blood circulation studies of the penis to further delineate the cause of ED. At Broward Urology Center, we focus on a goal-oriented approach to erectile dysfunction treatment. The treatment options for ED include: The Priapus Shot Or P-Shot® PRP (Platelet Rich Plasma) Penile Injection
The penile implant allows men to achieve an erection through an implanted device. These devices can be effective in restoring sexual activity for a man and his partner. At Yale Medicine, our doctors have specialized experience with placing the penile prosthesis.

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The first time he experienced ED in his mid-50s he thought it was just a fluke, which was a reasonable assumption to make. More than half of men experience episodic erectile dysfunction at some time in their life from things like stress, too much alcohol, or as a side effect of medication. Read More About Gene's Story

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More blood flows into the penis. In the two flexible tubes of spongy tissue that extend the length of the shaft (the corpora cavernosa, or “cave-like bodies”), muscle tissue slackens. Their tiny caverns swell with blood, straining against the surrounding membranes. Blood gets trapped in the organ. The result is a longer, stiffer penis -- and also, because blood brings oxygen with it, a thoroughly oxygenated one.

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    Erectile dysfunction can be an indicator of a larger problem. It may be uncomfortable, but it is important to discuss it with your doctor. With your doctor’s assistance, you can get to the cause of the problem by pursuing treatment for your ED.

    Erectile dysfunction can be a warning sign of current or future heart disease sometimes. In fact, ED can precede coronary artery disease in almost 70 percent of cases.
    DHEA is a precursor hormone to male and female sex hormones. DHEA from soy or yam is sold as a supplement. Studies show inconclusive results in its treatment for ED. DHEA may interact dangerously with other medications.

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    Prostate cancer tends to grow slowly, with no symptoms. Early detection via digital rectal exam and PSA testing plays a critical role in treatment.

    More blood flows into the penis. In the two flexible tubes of spongy tissue that extend the length of the shaft (the corpora cavernosa, or “cave-like bodies”), muscle tissue slackens. Their tiny caverns swell with blood, straining against the surrounding membranes. Blood gets trapped in the organ. The result is a longer, stiffer penis -- and also, because blood brings oxygen with it, a thoroughly oxygenated one.
    If unsuccessful, interferes with other treatmentsFully Inflatable ImplantsMimics natural process of rigidity-flaccidity

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    Counseling. If stress, depression, or relationship problems contribute to your ED, talking to a counselor could help.

    Penile erection is caused by the engorgement of the penis with blood. This engorgement occurs when the blood vessels delivering blood to the penis increase the delivery of blood and the blood vessels carrying blood away from the penis decrease the removal of blood. Under normal conditions, sexual stimulation leads to the production and release of nitric oxide in the penis. Nitric oxide then activates the enzyme, guanylate cyclase, which causes the production of cyclic guanosine monophosphate (cGMP). It is the cGMP that is primarily responsible for the erection by affecting the amount of blood that the blood vessels deliver and remove from the penis.
    If your doctor suspects that you may have an underlying condition, however, you might need further tests or a consultation with a specialist. Tests for underlying conditions can include: A physical exam: Your doctor will examine your penis and testicles for signs of abnormalities and will test sensation. Blood tests: Blood tests can show if you may have heart disease, diabetes, low testosterone levels, or other issues. Urine tests: Urinalysis is used to look for signs of diabetes and other health conditions. An ultrasound: A specially trained technician will use a wand-like device (transducer) over the blood vessels that supply the penis to analyze for blood flow issues. A psychological exam: Your doctor may want to evaluate you for depression or other mental illnesses that may cause erectile dysfunction. Want Respect at Work? Ditch the Emojis For Men, Vaping May Be a Downer in the Bedroom Change in the Kitchen Can Help Men in the Bedroom Acupuncture May Help Ease Prostate-Linked Pain Testosterone's Ties to Success May Be a Myth

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    In pictures: Museum of Cartoon Art inaugurated at Savitribai Phule Pune UniversityWomen’s car rally from Mumbai to Nashik celebrates spirit of womanhood

    Wave therapy is a non-invasive procedure that has been shown to improve certain types of erectile dysfunction. However, not all wave therapy machines are equal. Urologist Dr. John Smith explains how the use of waves can ...
    Penile prostheses are very effective, and most patients who have a prosthesis placed are satisfied with the prosthesis. However, placement of a prosthesis causes scarring of the tissue within the corpora cavernosa, and if the prosthesis requires removal, other forms of therapy, except for the vacuum device, are often not effective. Thus, most physicians reserve placement of a prosthesis for men who have tried and failed or have contraindications to other therapies.

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Strengthening the muscles that surround and support the genital area can assist the penis in obtaining and maintaining an erection and address issues that cause premature ejaculation.

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Depending on the cause of impotence, there may be other signs and symptoms present. For example, where hypogonadism (low testosterone) is the cause, patients may additionally describe reduced sex-drive (low libido), reduced need to shave facial hair and reduced muscle mass. If diabetes has caused damage to the nerve or blood supply to the penis, patients may also describe other symptoms suggestive of damage to other blood vessels or nerves, such as numbness and tingling of the feet.

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For Matthew Lucarelli, medication has proved effective in alleviating his ED. Although he learned that he is not at high risk for future heart disease issues, he has made a number of lifestyle changes—working out, eating healthier meals and cutting down on coffee.

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