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Once, a girlfriend found my pills and asked what they were. It was so awkward, I just pretended not to hear her. The secret put a strain on our relationship and we eventually broke up. I wish I had talked to her about it but I just felt so ashamed.

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“The social stigma is stronger,” says Dr. Walker. “Much of their identity is connected to their sexuality, and ED can have a profound effect on their relationships. They must admit to their partner that they have a problem and then they have to seek help. That’s intimidating.” While most partners are understanding, some react with feelings of inadequacy or even distrust. “I’ve had patients with ED say their girlfriend or wife thinks they’re cheating on them.”
However, low testosterone as the sole cause of ED likely affects only a small percentage of men. Hypogonadism is also associated with very small or shrinking testicles, loss of muscle mass, increased body fat, reduced bone density, fatigue, anemia, and declining sperm production. Many men with hypogonadism are infertile. .

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Your physician team will work with your primary care physician, as well as your cardiologist, if ED is related to a heart problem. Providers may also recommend lifestyle changes, changing your prescribed medications or seeking mental health counseling to help treat the underlying causes of ED.

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Erectile dysfunction can be caused by low testosterone, stress, injury, or poor blood flow into the penis. Smoking, illicit drugs, and alcohol abuse are also risk factors. In addition, conditions such as obesity, hypertension, lipid disorders, diabetes, and depression may play a role in the development of ED.

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Other alternative therapies that may help reduce stress, and in turn, ease ED symptoms, include:

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Find a comfortable position sitting in a chair.Squeeze your penis with just its muscles as if you are trying to stop urine from coming out, hold for five seconds, then release.Repeat step two, eight to 10 times, and then do three to five sets.

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    Keep your testicles slightly (about 3 degrees F) lower than body temperature to help prevent shrinkage. Use boxers rather than briefs which can help keep temperatures lower.
    This problem affects men of all ages, but as men get older, there is a greater chance of developing erection problems. Population studies show that nearly 20% of men over age 20 and about 50% of men over the age of 50 have ED. The primary cause of ED is poor circulation to the penis. Just as poor circulation to the heart may result in a heart attack, so too in ED, the penis often suffers from lack of adequate circulation which results in poor erections. Age High Blood Pressure Diabetes Smoking High cholesterol Cardiovascular disease such as previous heart attacks or strokes

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    If you do Kegels every day you will surely see some positive after-effects on ED issues. There are also some mistakes that need to be avoided while performing kegel exercises.

    Your doctor may recommend pursuing some mental health support to alleviate the impact of stress, depression, or anxiety on your ED. Seeking help from a mental health professional can help treat erectile dysfunction.
    The protein collagen is the major component in structural tissue in the body, including in the penis. However, excessive amounts of collagen can form scar tissue, which can impair erectile function.

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    Online medicines are not always regulated and the ingredients in them can vary from one pack to another. They can cause unpleasant side effects, or may not be suitable for you.

    1. Consume food that is rich in zinc such as turkey, chicken, prawns, peanuts, avocado, mushrooms, whole grain products, yogurt, beef and lamb. It will help in boosting the production of testosterone and enhance sperm mobility too.
    This problem affects men of all ages, but as men get older, there is a greater chance of developing erection problems. Population studies show that nearly 20% of men over age 20 and about 50% of men over the age of 50 have ED. The primary cause of ED is poor circulation to the penis. Just as poor circulation to the heart may result in a heart attack, so too in ED, the penis often suffers from lack of adequate circulation which results in poor erections. Age High Blood Pressure Diabetes Smoking High cholesterol Cardiovascular disease such as previous heart attacks or strokes

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    If you think any medicine you are taking may be causing erection problems, talk with your provider. You may need to lower the dose or change to another drug. DO NOT change or stop taking any medicine without first talking to your provider.

    Speedy, gentle, and enduring treatment is the ideal help for any problem. Physical activity can help you restore your sexual wellness.
    Other medical therapies under evaluation include ROCK inhibitors and soluble guanyl cyclase activators. Melanocortin receptor agonists are a new set of medications being developed in the field of erectile dysfunction. Their action is on the nervous system rather than the vascular system. PT-141 is a nasal preparation that appears to be effective alone or in combination with PDE5 inhibitors. The main side effects include flushing and nausea. These drugs are currently not approved for commercial use.

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A doctor may ask for the following laboratory tests in the evaluation of erectile dysfunction:

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Peyronie's disease or curvature of the penis (Peyronie disease) is a condition in which scar tissue develops inside the penis. This scar tissue causes the penis to develop an abnormal curvature in the scarred area. At this time, there is no known cause of Peyronie's disease. Symptoms of Peyronie's disease include pain during intercourse or ejaculation, erectile dysfunction (ED, impotence), the inability to have sexual intercourse, anxiety, stress, an indentation of the shaft at the site where there is plaque or scarring, and an angulation of the penis when erect or flaccid. There is no cure for Peyronie's disease, however, there are medications that can reduce symptoms of the disease. Surgery or penile implants may be an option for severe cases.

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Forty-three percent of women and 31% of men have some form of sexual dysfunction, with obesity and a lack of exercise often being factors, according to the National Institutes of Health. A study published in The Journal of Sexual Medicine found men with either a high waist circumference or elevated BMI were 50% more likely to have erectile dysfunction, while approximately half of obese women reported problems with sexual activity, desire and performance, at least some of the time, in a study published in Obesity.

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