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As HIV is associated with increased risk of heart disease, the link between erectile dysfunction and heart disease is of particular importance for men living with HIV. Impotence may be an early marker for undiagnosed heart disease. If you are living with HIV and having difficulty getting an erection, you should have a thorough cardiovascular risk assessment done and any risk factors for heart disease should be addressed.

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There are several safe and effective treatment options available to help men manage ED. Urologists often prescribe medications, such as Viagra, to help men achieve an erection in response to sexual stimulation. Additional treatment options include hormone therapy to boost testosterone levels and penile implants to help manually erect the penis for intercourse.
Patient can inject medications directly into the corpora cavernosa to help attain and maintain erections. Medications such as papaverine hydrochloride, phentolamine, and prostaglandin E1 (alprostadil) can be used alone or in combinations to attain erections. All of these medications are vasodilators and work by increasing blood flow into the penis. Prostaglandin E1 (Caverject, Edex) is easier to obtain; however, it is associated with penile pain in some individuals. The use of combinations of two or three of these medications can decrease the risk of having penile pain. .

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There are hundreds of medications that have the side effect of ED and/or decreased libido. Examples of drugs implicated as a cause of ED include hydrochlorothiazides and beta-blocking agents. Medications used to treat depression, particularly the SSRIs such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Prozac Weekly, Sarafem), fluvoxamine (Luvox, Luvox CR), paroxetine (Paxil, Paxil CR, Pexeva) and sertraline (Zoloft), may also contribute to ED.9 Bupropion (Wellbutrin) which has a predominant effect on blocking the reuptake of dopamine is an antidepressant with lower incidence of ED.10 The side effects of 5ARIs occurring in fewer than 5% of patients can include gynaecomastia, ED, loss of libido and ejaculatory dysfunction.11
Once you feel comfortable with this feeling, you can incorporate this into a daily routine of performing pelvic floor exercises. It won't take long, and will soon feel like second nature.

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In addressing why your manhood shrinks tend to answer the question earlier asked about your age as findings show that penis shrinking has to do with aging in men. It is believed that as men age, more plaque is said to accumulate in the arteries in the penis which interferes with blood flow. Aging is also characterised by muscle atrophy and a decline in testosterone, both of which can be associated with a slight decline in penis size.
Sometimes after surgery or pelvic radiation, some of the nerves are damaged and some of the nerves aren’t. Even if nerves are damaged, a man can have an orgasm without having an erection. This is because the nerves that help a man feel pleasure are different than the nerves that cause an erection.

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Quenneville acknowledged that one of the tests her lab conducted might make some cringe — they tested how much force it would take to break the penis bones.

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In many cases, erectile dysfunction is caused by something physical. Common causes include:

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    Unstable angina (chest pain due to coronary artery disease that occurs at rest or with minimal physical exertion)Low blood pressure (a resting systolic blood pressure less than 90 mm Hg)Uncontrolled high blood pressure (greater than 170/110 mm Hg)Recent stroke or heart attack (within six months)Uncontrolled, potentially life-threatening abnormal heart rhythmsSevere liver diseaseSevere kidney failure requiring dialysisSevere heart failure or disease of the heart's valves, for example, aortic stenosis (hardening of the main artery in the body)Retinitis pigmentosa (a condition that affects the retina of the eye and can cause blindness)

    My close friends were so supportive. I was so surprised - for years I’d imagined they just take the piss out of me - but actually they were mostly just sad that I hadn’t told them sooner.
    Like any other issue, Erectile Dysfunction is also treated at IASH with the methodologies and treatments. Under the guidance of professional sexual health experts and doctors, they also offer special exercise guides and plans for the patients to help them overcome Erectile Dysfunction symptoms. Institute of Andrology and Sexual Health is a well-renowned and Jaipur’s best male reproductive health and wellness clinic that offers treatments and guidance for all types of sexual health issues at a single roof. Dr. Chirag Bhandari is the best sexologist in Jaipur and director of IASH, Jaipur that offers the world’s best treatments with the latest technology and methods.

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    These drugs are generally safe and effective for most men. They may not be appropriate for men with certain health conditions, such as severe heart disease, heart failure, uncontrolled high blood pressure, diabetes, or a history of stroke or heart attack. Men who take nitrate drugs cannot use PDE5 inhibitors. PDE5 inhibitors can also interact with other medications. Talk to your doctor about whether PDE5 inhibitor drugs are a safe choice for you.

    General good health, particular cardiovascular, is important for sexual function. Three exercises that may be particularly helpful are pelvic floor exercises, aerobic exercise, and anaerobic exercise.
    Avanafil shares the common PDE5 inhibitor side effects, contraindications, and cautions. No changes in dose are need for men with mild or moderate kidney disease. Individuals with severe kidney disease, severe liver disease, or those on kidney dialysis should not use avanafil.

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    "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."

    Sometimes, blood flow problems develop because of damage to the endothelium or penile smooth muscle – tissues in the penis that are important for normal erections. This damage may be the result of high blood pressure or smoking. It can also happen if a man has high cholesterol, triglyceride, or blood sugar levels.
    Erectile dysfunction (ED) is the inability to achieve or maintain an erection to satisfactorily engage in sexual intercourse. It is estimated that around 18 million American men experience erectile dysfunction, with prevalence increasing as age increases. One in three men will experience some form of ED in their lifetime.

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    Stay well hydrated by consuming at least eight to 10 glasses of pure water daily. Dehydration causes your tissues to contract and blood flow to become more sluggish.

    The medications vary in dosage, how quickly they start to work, how long they work for, and their side-effects. Possible side-effects include facial flushing, nasal congestion, headaches and indigestion.
    Side effects may include acne, breast enlargement or soreness, high blood pressure, and mood swings. Testosterone therapy can also increase cholesterol levels, prostate specific antigen (PSA) levels, red blood cell count. If you take testosterone therapy, your doctor should monitor your cholesterol, PSA, and hematocrit (red blood cell) levels, and liver function.

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Men who want to treat their ED have another option. The GAINSWave® treatment is a safe, non-surgical therapy that can restore sexual function and help to prevent erectile dysfunction in men who don’t have ED.

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Complete List Top The Best Three Exercises for Erectile Dysfunction Related Articles Erectile Dysfunction (ED, Impotence)

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- What your pelvic floor muscles are and why strengthening them will turn you into a stud.

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There are various over the counter supplements and herbs that promise to enhance erections. One thing that has been proven time and time again is that because these substances are not regulated, there is no way to guarantee that the supplement contains the correct herb or is in a safe and correct dose. Multiple studies examining ED supplements show that the majority of them are laced with pharmaceutical ED medications like Viagra, at times in doses that are not safe to the public. Broward Urology Center does not promote any herbal or OTC ED supplementation at this time. Stay Updated on Social Media Home Our Team Treatments Patient Info Common Conditions Contact

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