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Erectile dysfunction (ED) happens when a man has ongoing problems getting and keeping an erection. Without treatment, ED can make sex difficult. The problem is reported by 1 in 5 men, and that number gets bigger with age.

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Men who smoke are about twice as likely to develop ED as nonsmokers. Smoking hampers circulation to all areas of the body, including the genitals, making it tougher to get and keep an erection.
David F Mobley1, Mohit Khera2, Neil Baum3 1 Department of Urology, Weill-Cornell Medicine, Houston, Texas, USA 2 Department of Urology, Baylor College of Medicine, Houston, Texas, USA 3 Department of Urology, Tulane Medical School, New Orleans, Louisiana, USA Correspondence to Dr David F Mobley, Department of Urology, Weill-Cornell Medicine, 18300 Katy Fwy, Ste 325, Houston 77094, TX, USA; mobleyresearch{at}gmail.com .

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Over the past decades, the medical perspective on the causes of erectile dysfunction (ED) has shifted. Doctors used to think that almost all cases of ED were related to psychological factors. Now doctors believe that up to 85% of ED cases are caused by medical or physical problems. Only around 15% cases of ED are due to psychological factors. Sometimes, ED is due to a combination of physical and psychological causes.

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Our Mission is to provide the highest possible level of health services to all people in Uganda through delivery of promotive, preventive, curative, palliative and rehabilitative health services at all levels”.
Managing other health conditions and making the necessary lifestyle changes are important to help overcome erectile dysfunction. That’s why our team at the Male Infertility & Sexual Health Program at UH uses a specialized, team-based approach to deliver expert and highly individual ED care.

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Experienced sexologists recommend some proven set of exercises to eliminate erection failures like Kegels, aerobic, and pelvic that a man should perform on a regular basis.

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PDE5 inhibitors work only when the man experiences some sexual arousal. The pill should be taken about 1 hour before sexual intercourse. It generally starts to work within 10 to 30 minutes. The availability of these drugs may last for several hours in the bloodstream, and tadalafil may last for up to 36 hours. The erection should not last for more than 4 hours. If it does, it becomes an emergency (called priapism) and men should seek medical attention.

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    Normal levels of hormones, especially testosterone, are essential for libido (sex drive) and erectile function, although their exact role is not clear.

    Reduction of “bad” cholesterol (low-density lipoprotein or LDL) levels in the blood, as well as the total level of cholesterolReduction in body weight (obesity is associated with cardiovascular disease) Increase in insulin sensitivity (exercise increases the body’s ability to control glucose levels in the blood)Increase in “good” cholesterol (high-density lipoproteins)
    Medications such as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) and avanafil (Spedra or Stendra) are used to treat erectile dysfunction. They work by increasing blood flow to the penis, making it more sensitive to touch. They do not primarily increase sexual desire and only work when you are sexually stimulated. These medications are usually the first-line medical treatment for erectile dysfunction and are effective for about 70% of men.

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    Some information provided may not be valid for residents of other countries due to variations in medical practice and drug approval and indications.

    Scleroderma is an autoimmune disease of the connective tissue. It is characterized by the formation of scar tissue (fibrosis) in the skin and organs of the body, leading to thickness and firmness of involved areas. Scleroderma is also referred to as systemic sclerosis, and the cause is unknown. Treatment of scleroderma is directed toward the individual features that are most troubling to the patient.
    But studies have shown that aerobic exercise can improve both endothelial function and NO production. This, by contrast, is great news for strong erections. And it gets better.

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    Age (being over age 45)A family history of diabetesBeing of a race or ethnic group with a genetic predisposition for this type of diabetesBeing overweightHaving had prediabetes or gestational diabetesHaving other metabolic syndrome conditions such as high blood pressure, low HDL or "good" cholesterol, or high triglyceridesWhat lifestyle factors affect my chances of getting this type of diabetes?

    When resistance training was combined with aerobic exercise in a series of trials, men who responded positively to the physical exercise regimen experienced a 15% improvement in erectile function.
    According to Harvard Health Publishing, walking for 30 minutes a day can slash a man’s likelihood of developing ED. Research shows that men who take 30-minute daily walks have a 41 percent lower risk of erectile dysfunction than men who don’t go for walks. Men don’t have to live in the gym to see benefits from exercise for ED.

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    Mr Myers said further trials are needed to confirm that pelvic floor exercises are effective in treating sexual dysfunction.

    2. Vitamin E - promotes good blood flow and circulation within the body. It is strong antioxidants and removes the harmful free radicals. This can be had as a capsule or have vitamin E rich food - an antioxidant preventing oxidative damage of cells and provides nutrition for vital body functions.
    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.

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The recommended starting dose of vardenafil is 10 mg taken orally approximately one hour before sexual activity. A doctor may adjust the dose higher or lower depending on efficacy and side effects. The maximum recommended dose is 20 mg, and the maximum recommended dosing frequency is no more than once per day. Patients can take vardenafil with or without food. As with sildenafil, for vardenafil to be effective, sexual stimulation must occur.

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Rew KT, Heidelbaugh JJ. Erectile dysfunction. Am Fam Physician. 2016;94(10):820-827. PMID: 27929275 pubmed.ncbi.nlm.nih.gov/27929275/.

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Many men have micro-plaque in their penises without realizing it. Contact sports, other athletic activity, and vigorous sex can cause the formation of micro-plaque. As a man accumulates micro-plaque over time, he can develop conditions like Peyronie’s disease, which can cause erectile dysfunction. Peyronie’s disease leads to painful curvature of the penis that can make sex impossible or unenjoyable. GAINSWave® therapy breaks down micro-plaque to treat or prevent Peyronie’s disease.

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Night sweats are severe hot flashes that occur at night and result in a drenching sweat. The causes of night sweats in most people are not serious, like menopause in women, sleep apnea, medications, alcohol withdrawal, and thyroid problems. However, more serious diseases like cancer and HIV also can cause night sweats. Your doctor will treat your night sweats depending upon the cause.

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