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This page was last reviewed in September 2019. It is due for review in September 2022.

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In other words, sex is not unlike sports. If you want to be a good tennis player, play lots of tennis; if you want to be a good lover, make lots of love.
The most common cause of ED is a lack of flowing blood to erectile tissue. Plaque and damaged vessels can restrict circulation enough to disrupt function. Typically, symptoms begin with difficulty maintaining an erection before advancing to a complete inability to obtain one. .

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The third and final exercise which may be of benefit if you have erectile dysfunction is pelvic floor exercise (Kegels).
Endocrinologic conditions include diseases or conditions that involve abnormalities of the glands and hormonal imbalance. Hypogonadism, known informally as "low T," is a medical condition that results from low levels of the male hormone testosterone (androgen deficiency). Symptoms of hypogonadism can include reduced sexual desire (low libido) and ED.

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(2012). “Should men do pilates for pelvic floor muscle strength?” Prostate.net. Retrieved from: http://prostate.net/articles/pilates-for-pelvic-floor-muscles
Prior to starting with treatment of erectile dysfunction, it is important to make sure that it is safe from a medical standpoint to participate in sexual activity. Sexual activity is physical exertion, and in some men with significant heart disease, this increase in physical exertion can increase the risk of a heart attack. Thus, it is very important to discuss your cardiovascular risks with your doctor prior to trying any medication or treatment for erectile dysfunction.

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Our patients often undergo a full body exam to determine whether they have early cardiovascular disease, vascular disease or a metabolic condition such as diabetes. Treatment is addressed with a multi-disciplinary approach.

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The lab testing obtained for the evaluation of erectile dysfunction may vary with the information obtained on the health history, physical examination, and recent lab testing. A testosterone level is not necessary in all men; however, a physician will order labs to determine a patient's testosterone level if other signs and symptoms of hypogonadism (low testosterone) such as decreased libido, loss of body hair, muscle loss, breast enlargement, osteoporosis, infertility, and decreased penile/testicular size are present.

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    If you are taking medications (alpha-blockers) for problems with an enlarged prostate, you should discuss your prostate medications with your doctor. Alpha-blockers also can cause lowering of the blood pressure. Thus your doctor will need to carefully watch your blood pressure when you start the PDE5 inhibitor. Common alpha-blockers include doxazosin (Cardura), terazosin (Hytrin), and tamsulosin (Flomax).

    This type of diabetes develops gradually, over years, so the signs and symptoms can seem subtle, and you might think it is something you "just have to live with." If you are overweight or obese, this is the major symptom, but not everyone will be overweight. In fact, weight loss can be a symptom.
    In making a diagnosis of erectile dysfunction (ED), your doctor will start by taking a detailed medical and psychosexual history and conducting a thorough physical examination.

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    Indulging in some sports activities and physical activities (PA) will not only help you with sexual dysfunction but also build a healthy and active body that gives sure shot chances of better sexual intercourse.

    A 2004 Harvard Study found that walking for at least 30 minutes every day reduces the risk of ED by about 40%.
    Pulmonary hypertension is elevated pressure in the pulmonary arteries that carry blood from the lungs to the heart. The most common symptoms are fatigue and difficulty breathing. If the condition goes undiagnosed, more severe symptoms may occur. As pulmonary hypertension worsens, some people with the condition have difficulty performing any activities that require physical exertion. While there is no cure for pulmonary hypertension, it can be managed and treated with medications and supplemental oxygen to increase blood oxygen levels.

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    There are secrets women would love for you to know. These relationship secrets are based on the study of healthy, happy couples,...

    An erection occurs when blood fills the penis. Normally, when a man becomes sexually aroused, blood vessels, muscles, nerves, and hormones work together to create an erection. Symptoms of ED can occur when this process is disrupted.
    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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    In many situations, identifying an underlying minor physical problem relieves the anxiety component of erectile dysfunction, and many patients see improvement without further intervention.

    The pathogenesis of organic ED is related to dysfunction of the endothelium. Endothelial cells can become injured through a variety of mechanisms, most of which cause oxidative stress on the tissues. Many of these causes of oxidative stress are related to lifestyle issues which lead to hypertension, diabetes and dyslipidaemia (figure 1). Endothelial cell dysfunction results in reduction of endothelium-dependent vasorelaxation as well as increased adhesion of leukocytes to the endothelium. Endothelial cell injury then leads to a variety of sequelae, including ED, other types of vasoconstriction, atherosclerosis and thrombus formation.18
    Many physical and psychological situations can cause ED, and brief periods of ED are normal. Every man experiences ED from time to time. Nevertheless, if the problem persists, men should seek professional help, particularly since ED is usually treatable and may also be a symptom of an underlying health problem. It is important to treat any medical condition that may be causing ED.

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According to a study on Physical activity’s impact on ED taken in 2018, not only Kegels and Pilates but aerobics are also very impactful in treating ED issues. If a person performs aerobics at least four times a week then he can eliminate his Erectile Dysfunction naturally. Aerobics is basically cardiovascular exercises that even keep your heart healthy.

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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.

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Due to the fact that ED and CVD share many of the same risk factors, it is not surprising that there is a high incidence of ED in men who present with CVD. A study by Montorsi et al found that ED was present in roughly 50% of patients with acute chest pain and confirmed CAD on angiography.21

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