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Vitamin D deficiency has been linked with rickets, cancer, cardiovascular disease, severe asthma in children and cognitive impairment in older adults. Causes include not ingesting enough of the vitamin over time, having limited exposure to sunlight, having dark skin, and obesity. Symptoms include bone pain and muscle weakness. Treatment for vitamin D deficiency involves obtaining more vitamin D through supplements, diet, or exposure to sunlight.

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Did you know that around 5% of men aged 40, and 15% of men aged 70 have complete erectile dysfunction?
Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ .

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 Skip to main content Search the NHS website Search Home Health A to Z Back to Health A to Z
Harvard Health. 2021. Benefits of exercise for the prostate and erectile dysfunction help – Harvard Health. [online] Available at:  [Accessed 14 October 2021].

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The same concerns regarding the use of sildenafil with nitrates and alpha-blockers apply to vardenafil.
There can also be drug-drug interactions with other medications you take, potentially including anti-HIV drugs. When taken with ritonavir or cobicistat (boosting agents included in some HIV treatment regimens), levels of the erectile dysfunction medication may be increased, potentially adding to side-effects. On the other hand, when taken with non-nucleoside reverse transcriptase inhibitors (NNRTIs), levels of the erectile dysfunction drug may be lowered.

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Penile prosthesis is the primary form of surgical therapy and is reserved for those men who fail, are intolerant of, or have contraindications to other forms of therapy. Currently, there are several different types of penile prostheses. The simplest is the malleable penile prosthesis, and the most complex is the three-piece inflatable penile prosthesis.

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Professor Vlachopoulos said: “These results imply that hypertensive patients already have significant structural damage in the penile arteries and adding antihypertensive drugs does not further reduce penile blood flow. But in men with normal or high-normal blood pressure, the penile arteries have minimal structural damage and medications could have a negative impact on penile blood flow.”

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    A very rare but more serious visual complication is shared by all PDE5 inhibitors. This would be non-arteritic anterior ischemic optic neuropathy (NAION). A number of cases have been reported and generally risk factors for this very rare form of blindness are severe cardiovascular conditions. In summary, men at high-risk for cardiovascular disease with congestive heart failure or unstable angina should not receive treatment for sexual dysfunction until their cardiac condition has stabilized. The FDA advises patients to stop taking these medicines and call a doctor immediately, if they experience sudden or decrease vision loss in one or both eyes. Furthermore, patients taking or considering taking these products should inform their healthcare professionals if they have ever had severe loss of vision, which may reflect a prior episode of NAION. Such patients are at an increased risk of developing NAION again.

    Exercisers in a recent study showed significantly higher levels of desire compared to those who did not exercise.
    Physical disorders associated with erectile dysfunction can sometimes be related to hormones in the body. Non-hormonal causes include conditions that affect the blood supply to the penis (such as high blood pressure, type 1 or type 2 diabetes and smoking) and those that affect the nerves supplying the penis (such as Parkinson’s disease and damage to the nerves in the body e.g. due to both type 1 or type 2 diabetes). Erectile dysfunction can also be a side-effect of a medical intervention or treatment. Potential treatments that may be implicated in the cause of erectile dysfunction include certain antidepressants and treatment for high blood pressure (antihypertensives).

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    Men with ED without hypogonadism (a low testosterone level and symptoms related to this) should not use testosterone therapy.

    Did you know that certain medical condition may be responsible for ED? Some causes of impotence are medically treatable and...
    Type 2 diabetes has been shown to interfere with erectile function, and male patients with diabetes tend to have an earlier onset of erectile dysfunction. Hyperglycemia (high blood sugar) stimulates the production of chemicals that can interfere with erectile physiology.

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    Berookhim BM, Mulhall JP. Erectile dysfunction. In: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery and Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019:chap 191.

    You’ll need to take these pills at least four times before deciding if they work for you or not. headache, facial flushing, upset stomach, back pain (Cialis), sensitivity to light, or blurry vision.
    Low self-esteemStressAnxietyRelationship issuesA lack of intimacyAn unfulfilling sex lifeInability to get your partner pregnant

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    Ultrasound with Doppler imaging (ultrasound plus evaluation of blood flow in the arteries and veins) can provide additional information about blood flow of the penis and may help in the evaluation of patients prior to surgical intervention. This study is typically performed after the injection of a chemical that causes the arteries to open up, a vasodilator (prostaglandin E1), into the corpora cavernosa in order to cause dilation of blood vessels and promote blood flow into the penis. The rate of blood flow into the penis can be measured along with an evaluation of problems with compression of the veins.

    Closed Captioning and Described Video is available for many CBC shows offered on CBC Gem.
    Erectile dysfunction is a frustrating condition where your penis cannot get or maintain an erection firm enough for sex. There is no specific treatment to reverse damage to blood vessels caused by diabetes, there are several options to help you have erections.

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Erectile dysfunction can occur if a man doesn't meet one or more of these requirements. The following are 13 common causes of erectile dysfunction, and many men have more than one potential cause: QUESTION Erectile dysfunction (ED) is… See Answer Readers Comments 1 Share Your Story

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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.

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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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• Nerve damage from pelvic surgery or radiation (e.g. treatment of prostate, bladder, or rectal cancer) or from conditions known to lead to neuropathy (e.g. HIV, diabetes)

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