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A physical examination helps in diagnosing ED. Some additional testing may rule out underlying health issues.

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Lue TF. Physiology of penile erection and pathophysiology of erectile dysfunction. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 26.
FatigueFrequent urinationExcess thirstBlurry or cloudy visionWounds that won't healTingling or numbness in the feetErectile dysfunction (ED)Dark skin under the armpits and around the groin SLIDESHOW Type 2 Diabetes: Signs, Symptoms, Treatments See Slideshow .

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Sometimes, ED happens when your hormones are out of balance. Your doctor can perform a blood test to check your hormones.
Erectile dysfunction is a potential complication following prostate cancer treatments. The nerves that control an erection lie very close to the prostate and may be injured during treatment. However, some men may regain their previous level of erectile function with nerve-sparing procedures. But it may take up to a year while some men may never recover their ability to have a natural erection.

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A haul truck carrying a full load drives away from a mining shovel at the Albian Sands oilsands mine near Fort McMurray, Alta. (Jeff McIntosh/The Canadian Press)
Neurologic diseases, such as Parkinson disease, multiple sclerosis, and stroke, can cause ED.

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Erectile dysfunction is a sexual disorder that prevents a man from getting firm erections that are necessary to satisfy a woman during intercourse. If a man is not able to gain or hold the erection for a longer time, it can be due to physical or psychological disorders.

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Male erectile problems often produce a significant emotional reaction based on the impact of erectile dysfunction on confidence, self-esteem, and morale in most men. This is described as a pattern of anxiety and stress that can further interfere with normal sexual function. Such "performance anxiety" needs to be recognized and addressed by a doctor.

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    This patient education application provides patients and Health Care Practitioners with easy to access information on Erectile Dysfunction management.

    The most common symptom of erectile dysfunction is being unable to consistently get an erection. This may happen every time you try to have sex, or it may only happen sometimes. You may be able to get an erection but not keep it during sexual activity. Or you may only be able to get a partial erection.
    Most men are sometimes unable to have an erection, perhaps caused by drinking too much alcohol, using recreational drugs, anxiety or tiredness. Occasional problems are not necessarily a cause for concern, but ongoing erectile dysfunction should be investigated by a doctor.

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    Ketogenic DietIntermittent FastingPaleo DietMediterranean DietLow-Carb DietAtkins DietDASH DietMIND DietSee All

    Choose a position. Lying on your back on a comfortable mat, knees bent, is a good place to start, even placing your hands on your lower abdomen to make sure you're contracting the right muscles. Make sure you have your feet flat on the floor. Once you're comfortable performing kegel exercises, you can try the rest of the steps while sitting or standing.Contract and relax. Think of this as pelvic floor muscle training.Contract your pelvic floor muscles for three to five secondsRelax for three to five secondsRepeat this contract and relax cycle 10 times
    3. Keep everything else relaxed. Make sure you aren't inadvertently tensing your glutes, abs or leg muscles — it's only the pelvic muscles we want to engage. And remember to breathe!

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    Surgery is also an option for some men with ED. During this procedure, doctors place penile implants in the penis. There are different types of procedures, depending on your goals and preferences.

    Women who exercised up to six hours per week, in contrast, showed lower sexual distress and resistance in their clitoral arteries compared to women who did not exercise, according to a 2021 study published in The Journal of Sexual Medicine. The exercisers also showed significantly higher levels of desire, arousal, lubrication and orgasm.
    Impotence does not go hand in hand with aging. Other factors, such as a person's physical health and emotional well-being, are more likely to be the reason for the lack of sexual performance in an individual.

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    Lycopene can be found in a variety of bright red fruits and vegetables. It is a carotenoid that acts as an antioxidant and helps the body scavenge free radicals that can damage DNA. Lycopene may also reduce LDL (bad) cholesterol, a risk factor for high blood pressure and reduced blood flow (Arab & Steck, 2000).

    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.
    There are several different types of injection therapy ranging from injection of a single chemical (monotherapy) to a combination of chemicals, Bimix and Trimix. The selection of which therapy to use will vary with the severity of your erectile dysfunction and whether or not you tried and had pain with MUSE.

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About Contact Events News Search Menu Students Teachers Patients Browse About Contact Events News Topical issues Practical Information You and Your Hormones Search Home Topical issues Erectile dysfunction Erectile dysfunction (ED) is the inability to have or maintain an erection for sexual intercourse. Hormones and fetal growth In vitro fertilisation treatment (IVF) Glossary All Topical issues Resources for Topical issues

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Understanding the signs and causes of ED is the first step toward achieving a better sex life.

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Mild and moderate ED affects about 10 percent of men per decade of life. That means 50 percent of men in their fifties suffer, 60 percent of men in their sixties, and so on.

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The treatment you receive for your ED will depend on the underlying cause. Your doctor may recommend adjusting your medications to eliminate side effects that could be causing problems. If psychological causes are suspected, your provider may suggest counseling. Lifestyle changes like losing weight and quitting drinking can also have a big impact.

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