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Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex, feeling stressed either at home or at work, or feeling troubled in your current sexual relationship. In these cases, treatment incorporating psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress, leading to further erectile failure. Individuals suffering from psychogenic ED may benefit from psychotherapy, treatment of the ED, or a combination of the two. Also, medications used to treat psychologic troubles may cause ED; however, it is best to consult with your physician prior to stopping any medications that you are taking. Althof, S.E., E.W. Corty, S.B. Levine, et al. "EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction." Urology 53.4 April 1999: 793-799. American Foundation for Urologic Disease. American Foundation for Urologic Disease. American Urological Association. "Erectile Dysfunction." 2011. . Andersson, K.E., and G. Wagner. "Physiology of Penile Erection." Physiol Rev 75.1 January 1995: 191-236. Cheitlin, M.D., A.M. Hutter Jr., R.G. Brindis, et al. "ACC/AHA Expert Consensus Document. Use of Sildenafil (Viagra) in Patients With Cardiovascular Disease. American College of Cardiology/American Heart Association." J Am Coll Cardiol 33.1 January 1999: 273-282. The European Alprostadil Study Group. "The Long-Term Safety of Alprostadil (Prostaglandin-E1) in Patients With Erectile Dysfunction. Br J Urol 82.4 October 1998: 538-543. Feldman, H.A., I. Goldstein, D.G. Hatzichristou, et al. "Impotence and Its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study." J Urol 151.1 January 1994: 54-61. Laumann, E.O., A. Paik, and R.C. Rosen. "Sexual Dysfunction in the United States: Prevalence and Predictors." JAMA 281.6 Feb. 10, 1999: 537-544. National Kidney and Urologic Diseases Clearinghouse. National Kidney and Urologic Diseases Clearinghouse. Available at http://kidney.niddk.nih.gov/. NIH Consensus Conference. Impotence. NIH Consensus Development Panel on Impotence. JAMA 270.1 July 7, 1993: 83-90. The Process of Care Consensus Panel. "The Process of Care Model for Evaluation and Treatment of Erectile Dysfunction." Int J Impot Res 11.2 April 1999: 59-70; discussion 70-74. Segraves, R.T., M. Bari, K. Segraves, and P. Spirnak. "Effect of Apomorphine on Penile Tumescence in Men With Psychogenic Impotence." J Urol 145.6 June 1991: 1174-1175. United States. FDA Center for Drug Evaluation and Research. FDA Center for Drug Evaluation and Research. Available at http://www.fda.gov/cder/.

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Vacuum devices for erectile dysfunction, also called pumps, offer an alternative to medication. To use a pump, the penis is placed inside a cylinder. Then the pump draws air out of the cylinder to create a partial vacuum around the penis causing it to fill with blood, leading to an erection. An elastic band worn around the base of the penis is used to maintain the erection during intercourse. Individuals should discuss the use of this device with their doctor, and especially the elastic band use to avoid potential penile damage.
“The fact is that science doesn’t know,” Sharlip says. His own advice to patients: “Do as the spirit moves you and make decisions about sexuality that are comfortable for you and your partner.” .

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“Erectile Dysfunction (ED).” UW Health. Retrieved from: http://www.uwhealth.org/urology/erectile-dysfunction-ed/20537
You shouldn’t use these medicines if you take nitroglycerin or any other nitrates for chest pain. If you have heart problems, tell your doctor before taking any ED medicines. These medicines can have serious side effects in people who have heart problems.

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Cardiovascular disease, high blood pressure and diabetes are three conditions which can cause ED. They are commonly brought on by an unhealthy lifestyle, and a manageable exercise routine is often recommended as part of the management plan. Strengthening the heart, allowing it to pump blood more effectively around the body, including the penis Lowering high blood pressure, a condition which can damage and harden the arteries diminishing blood flow to the penis Maintaining a healthy weight (obese men are more likely to suffer from ED) Exercise can build strength in the muscles associated with erections
Pelvic surgeries are a common cause of sexual dysfunction. Erectile dysfunction is a potential complication following prostate cancer surgery.

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Learn More About Diagnosing Erectile Dysfunction: Tests and Screenings, Early Diagnosis, and Your Doctors

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The diagnosis of erectile dysfunction is made clinically, based on a patient’s symptoms. It therefore is important for patients to be evaluated by their GP in the first instance. At this appointment, a full history will be taken from the patient regarding the current symptoms and other medical issues. Regular medications will also be reviewed to ensure that there are no contributing factors. Questions regarding alcohol intake and smoking will also be asked. A general physical examination will be performed by the GP, which may include checking blood pressure and an examination of the genitals. Examination of the vascular system and peripheral nervous system may also be undertaken.

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    Erectile dysfunction or impotence is a man's inability to achieve and maintain a penile erection suitable for sexual intercourse.

    Ultrasound (and ultrasonography) is imaging of the body used in the medical diagnosis and screening of diseases and conditions such as: TIAs, stroke, aneurysm's, heart valve irregularities, carotid artery disease, heart disease, gallstones, kidney stones, liver disease, diseases of the female reproductive, and diseases of the male reproductive organs.
    The FDA has issued a warning that testosterone products may increase the risk for heart attack, stroke, and death from cardiovascular causes. The FDA has also required that all testosterone products' labels include information on increased risk for blood clots in the veins. These products can have other serious health risks as well.

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    Unlike other treatments for erectile dysfunction, PDE5i medications requires sexual stimulation to function. Without stimulation, these medications will not provide any effect.

    Some research has suggested chronically low levels of oxygen in the corpora cavernosa tissue might reduce its flexibility and gradually turn it into a sort of scar tissue that won’t respond well to chemical signals during sexual arousal.
    Injections Some medicines can be injected or placed inside the penis to help create an erection.Testosterone Your doctor may recommend that you take this hormone if your levels are low.Devices and Surgery

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    Erectile dysfunction, also known as impotence or ED, is the inability to achieve or maintain an erection sufficient for sexual intercourse. Almost all cases of erectile dysfunction are treatable, says Dr. Honig.

    The study included 356 men with erectile dysfunction and no history of diabetes or cardiovascular disease who attended a clinic between 2006 and 2019. The cohort was divided into three categories according to blood pressure: normal, high-normal, and hypertension. A total of 164 (46%) patients were being treated with antihypertensive medications.
    This site uses cookies to bring you the best experience. Find out more My Links Use this area to add quick shortcuts to your favourite pages. Add this page Home Patient Information Men's Health Erectile Dysfunction

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    Pills are an easy way to treat ED, but you might get a stronger erection from injecting medication directly into your penis. That’s because these drugs widen your blood vessels so your penis fills with blood. Another option: A medicated pellet you put into the opening at the end of your penis. The pellet can trigger an erection within 10 minutes.

    Hormone imbalance including abnormal levels of estrogen, testosterone, cortisol, progesterone, and other hormones may lead to symptoms like weight gain, fatigue, and mood swings. Hormonal imbalance may be due to natural states, like menopause, or other conditions. See your doctor for suspected imbalances in hormonal systems.
    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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Erectile dysfunction (ED) is defined as the recurrent or chronic inability to achieve or maintain an erection sufficient for sexual intercourse. It is not uncommon, and affects as many as 15-30 million men in the United States today. Although increasing age is a risk factor, ED is itself is not an inevitable part of aging. Erection problems are more common in older men but can effect men at any age. ED is, in most cases, treatable.

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Have you been able to get and keep erections in the past?Are you having trouble getting an erection or keeping erections?Do you have erections during sleep or in the morning?How long have you had trouble with erections?

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You’ve probably heard of sildenafil (Viagra), but it isn’t the only pill for ED. This class of drugs also includes avanafil (Stendra), tadalafil (Cialis), and vardenafil (Levitra, Staxyn). All work by improving blood flow to the penis during arousal. They're generally taken 30-60 minutes before sexual activity and should not be used more than once a day. You can take tadalafil up to 36 hours before sexual activity. It also comes in a lower, daily dose. All require an OK from your doctor first for safety.

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