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Similarly, clinical studies have shown that moderate exercises gradually helped middle aged men improve their performance in the bedroom.

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The penis is either flaccid or erect depending on the state of arousal. In the flaccid, or unerect penis, the following normally occurs: .

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You'll know you're activating pelvic floor muscles if you feel the contraction more towards the front of your body than the back.
It's never too late to improve your sex life. Learn how older adults can overcome common health conditions affecting seniors over...

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Chemotherapy can also affect the ability to have an erection because it can affect sexual desire. If this happens, sexual touching might be needed before an erection can happen. If you’re having trouble with interest in sex or erectile function, think about erections in a different way—as a response to sexual touch. Erections may happen with sexual touching instead of on their own when you think about or feel the urge to have sex.

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Reviewed by: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. Choose a location Mount Sinai Beth IsraelMount Sinai BrooklynThe Mount Sinai HospitalMount Sinai MorningsideMount Sinai QueensMount Sinai South NassauMount Sinai West New York Eye and Ear Infirmary of Mount SinaiMount Sinai-Union Square Choose a location Mount Sinai-Union Square Urgent CareMount Sinai Doctors-Urgent Care & Multispecialty, Upper West SideMount Sinai Doctors-Urgent Care & Multispecialty, InwoodMount Sinai Doctors West 23rd StreetMount Sinai Doctors East 34th StreetMount Sinai Doctors-Urgent Care, DumboMount Sinai Doctors-Urgent Care, Brooklyn HeightsMount Sinai Express Care at The Mount Sinai Hospital Toggle navigation Urologic Surgery UC Davis HealthUrologic Surgery Erectile Dysfunction

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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.

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    Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain a hard enough erection for satisfactory completion of sexual activity. Erectile dysfunction is different from other health conditions that interfere with male sexual function, such as lack of sexual desire (decreased libido) and problems with ejaculation release of the fluid from the penis (ejaculatory dysfunction) and orgasm/climax (orgasmic dysfunction), and penile curvature (Peyronie's disease), although these problems may also be present. ED affects about 50% of men age 40 and over. This article focuses on the evaluation and treatment of erectile dysfunction.

    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.
    The majority of adult men who are in good health can safely take Viagra for ED, but it is important to consult with your physician before starting Viagra, as some side effects are possible. Men who have certain health conditions, including chest pain or heart disease, or those who are taking nitrate medications, should not take Viagra. During your consultation, Dr. Kasraeian will help determine whether Viagra is safe and appropriate for you. Restore your confidence and enjoy a better sex life with advanced erectile dysfunction treatment in Jacksonville, FL

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    If you have erectile dysfunction, there are many ways your doctor can help you treat it. But you may want to consider complementary or alternative therapies, such as nutritional supplements, herbal remedies, acupuncture, and talk therapy. Just be sure to talk to your doctor first.

    Sulfonureas and meglitinides are classes of drugs also prescribed for treatment. These drugs cause the pancreas to release more insulin. Since the pancreas can only work so hard, these drugs have a limited duration of usefulness.
    Phosphodiesterase inhibitor medications, such as sildenafil (Viagra) can cause a reduction in blood pressure, and so should not be taken by patients known to have low blood pressure (hypotension), or in those who have recently had a stroke or heart attack. Similarly, they should not be used in patients who take nitrate medication (such as glyceryl trinitrate, GTN, or isosorbide mononitrate) for chest pain. Phosphodiesterase inhibitor medications are associated with some side-effects, which include headaches, hot flushes, and dizziness. More serious side-effects may occur less commonly, including chest pains, prolonged and painful erections (priapism) or a change in vision. If patients experience any of these symptoms, they should seek immediate medical attention.

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    I have severe erectile dysfunction, and it’s really affecting my self-esteem and marriage. I’ve been too embarrassed to seek help, but my wife has put her foot down and demanded I seek treatment for impotence. What is the treatment for severe ED?

    Erectile dysfunction (ED) is the inability to achieve or maintain an erection firm enough for sexual intercourse. Signs of ED vary from a total inability to get an erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Symptoms Inability to achieve or maintain an erection Inconsistent ability to achieve/maintain erection Tendency to sustain only brief erections Causes
    Premature ejaculation (ejaculating too soon)The inability to have an orgasm after sufficient stimulationDelayed ejaculation (when ejaculation takes too long)

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    Education of patient and partner, if available.Evaluation of possible lifestyle factors such as smoking, alcohol, or other substance use.Management of comorbid illnesses, such as diabetes, obesity, or heart and vascular disease.Review of potential changes in medications - always consult with your physician.If appropriate, trial of various psychosexual therapies and interpersonal therapies may be tried. Treatments can be provided along with these therapies.

    Our physicians are experienced in treating the complete range of urologic conditions and diseases, from kidney stones and sexual dysfunction to prostate cancer, incontinence and infertility. Chesapeake Urology Erectile Dysfunction Dr. Karen Boyle Dr. Julio Davalos Dr. David Fenig Energy Wave Therapy diVa Laser Vaginal Therapy Endourology Fellowship Chesapeake Aesthetic Surgery \ Prostate Cancer Care Vasectomy Reversal of America Women's Personal Health UroLift for BPH Zero Prostate Cancer Challenge locations Patient Portal Online Bill Pay contact PUTTING THE I BACK INTO INTIMACY OUR SPECIALISTS WORK HARD TO BRING THE SPARK ERECTILE DYSFUNCTION SPECIALISTS WHO FOCUS ON YOU... ...SO YOU CAN FOCUS ON HER.
    When a man orgasms, another set of nerves will create a signal. When this signal reaches the penis it causes the muscular tissues of the penis to begin to contract. The blood is then released back into circulation. At this time the erection will go down.

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What is Erectile Dysfunction or Impotence?Erectile dysfunction (ED) or impotence is an erection problem of men. A man is not able to get or maintain a proper erection that is hard enough to have intercourse with a woman.

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A common misconception is that erectile dysfunction only occurs in older men. While that is mostly true, it doesn’t mean that ED isn’t common among younger men. Lifestyle choices among younger men has led to a sharp increase in the number of young men suffering from erectile dysfunction. A 2013 study published by the Journal of Sexual Medicine found that 1 in every 4 men who were newly diagnosed with ED were below the age of 40, and roughly 50% of them were suffering from severe ED. Causes of Erectile Dysfunction Obesity Fatigue Excessive smokingAlcoholism Substance abuse Diabetes Prostate cancer Cardiovascular disease Treatment for Erectile Dysfunction

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