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So what’s going on here? Why does having more sex keep the male organ in trim instead of wearing it out? The likely elixir is oxygen, says study lead author Dr. Juha Koskimäki, consulting urologist at Tampere University Hospital -- specifically, oxygen molecules summoned to particular parts of the penis by erections.

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Erectile dysfunction is a common symptom and causes problems in men. About 30 million men in the United States have erectile dysfunction. Based on this figure, more than 100 million men worldwide are sexually impotent. About 52% of men aged 40-70 years of sexual dysfunction among these people, there are many stressors that affect family relationships. And may cause depression, decreased self esteem and bad image of themselves. Drink up to 2 glasses of alcohol a day. Non smoking Consult a therapist about improving communication with your partner. 90/5 Moo 13, King Kaew Rd., Tambon Rachadeva, Amphoe Bangplee, Samutprakarn 10540
Turkish Journal of Urology: “Prevalence of erectile dysfunction in men over 40 years of age in Turkey: Results from the Turkish Society of Andrology Male Sexual Health Study Group.” .

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Men in generally good health who use terms such as “performance anxiety” usually suffer from stress-induced or substance-induced ED, which is caused by anxiety, distraction or too much drinking of alcoholic beverages. These patients often respond to such drugs as Cialis, Levitra and Viagra, all of which enhance the effects of nitric oxide, a natural chemical in the body that relaxes the penis muscles and increases blood flow.
Researchers have known for a long time that when a man has too much to drink, he can struggle to perform sexually. What few people realize is that heavy drinking has a long-term impact on a man’s ability to achieve erections, not just on the night in which he over-imbibes.

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Psychosexual counselling, or sex therapy, is an appropriate recommendation especially for men who are experiencing discord with their partner especially if the conflict is related to the man’s ED. Counselling usually consists of 5–20 sessions with counsellor. It is our recommendation that referral doctors treating men with ED make a referral to a psychotherapist or sex therapist who is certified by AASECT (American Association of Sexuality Educators, Counselors and Therapists) of certified sexuality educator.43
Yohimbe is derived from the bark of a West African tree. Side effects include nausea, insomnia, nervousness, and dizziness. Large doses of yohimbe can increase blood pressure and heart rate and may cause kidney failure. However, yohimbe has not been shown to be any better than placebo for enabling sexual intercourse.

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Erectile dysfunction refers specifically to problems achieving or maintaining an erection. Other forms of male sexual dysfunction include poor libido and problems with ejaculation. Men with erectile dysfunction often have a healthy libido, but their bodies fail to respond in the sexual encounter by producing an erection. Usually there is a physical basis for the problem.

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Men presenting with ED should have consideration for a cardiovascular work-up as significant numbers of these men have occult or asymptomatic heart or vascular disease.

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    It is very important to treat any underlying health conditions that may be causing ED. It is also important to engage in healthy lifestyle behaviors by eating right, staying physically active, reducing stress, and stopping smoking and substance abuse.

    General ageingConditions affecting cardiovascular health like high blood pressure, diabetes, high cholesterolExperiencing an acute myocardial infarction (heart attack)Cardiovascular disease
    You need at least three healthy things for an erection: a penis, blood vessels, and nerves. The most simplistic explanation of an erection is that nerves send signals to the blood vessels to deliver more blood to the penis. Then, spongy (erectile) tissue of the penis (corpus cavernosum) gets filled with blood and an erection occurs. If any of the above components are not functioning well, erection may not happen.

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    Drugs for treating erectile dysfunction can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. The most commonly used drugs on the market today include:

    Erectile dysfunction (ED), formerly called impotence, can affect men of all ages, although it is much more common among older men. It is normal for men to occasionally experience ED. However, if the problem becomes chronic, it can have adverse effects on relationships, emotional health, and self-esteem.
    If your inability to get an erection is stemming from an underlying psychological condition, it can be really hard to find the focus and motivation to start exercising – but with the help of counselling, relaxation techniques and open communication with loved ones, many people find that getting fit does wonders for their mood and sex life.

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    Call your doctor right away if you take one of these medications and have a prolonged erection that lasts 4 hours or longer. This condition may cause permanent impotence if not treated.

    You insert the tube into your urethral opening right after urination. (Urinating or urine leakage immediately after administration may reduce the amount of medication.)Press the button to release a pellet containing alprostadil.Roll your penis between your hands for 10 to 30 seconds to evenly distribute the drug. To avoid discomfort, keep your penis as straight as possible during administration.Stay upright (sitting, standing or walking) for about 10 minutes after administration. By that time, you should have achieved an erection that lasts 30 to 60 minutes. (If you lie on your back too soon after administration, blood flow to the penis may decrease and the erection may be lost.)The erection may continue after orgasm.
    Tadalafil shares the common side effects of the PDE5 inhibitors, however, due to its effect on PDE11, another phosphodiesterase located in muscle, tadalafil has been associated with muscle aches. Back pain and muscle aches occur in less than 7% of men taking tadalafil and in most patients will go away without treatment within 48 hours. When treatment was necessary, acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin, Advil) or naproxen (Aleve) were effective. Rarely do the muscle aches and back pain cause men to stop using tadalafil.

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    There is also no definitive evidence that testosterone treatment helps improve symptoms such as sexual function in men who have low testosterone levels. While the benefits of testosterone treatment are unclear, there is proven evidence of potential health risks. If you are considering testosterone replacement therapy, be sure to discuss with your doctor all of its possible risks and benefits.

    If you are experiencing sexual difficulties, a full sexual history, a physical examination and evaluation of cardiovascular risk needs to be done. Tests should include the measurement of testosterone levels, blood fats and sugars, and blood pressure. Your doctor should talk to you about reversible lifestyle risk factors that might affect erection quality (such as cigarette smoking, substance use, obesity or a sedentary lifestyle).
    Certain side effects are common to all methods of alprostadil administration, although they may differ in severity depending on how the drug is given:

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I started secretly ordering Viagra online from India. I would sneak off to the bathroom to take a pill before sex. Then I would go down on my girlfriend for about 20 minutes until I was hard enough for penetration.

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If a person has heart disease or suffers from frequent drops in blood pressure, they cannot use them because they might be dangerous. Hence, ask the doctor if suffering from these health issues before taking such medications. Alprostadil injectable (shots) Alprostadil urethral suppository (inserted in the urethra) Testosterone replacement therapy

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Studies have shown that strengthening these muscles by doing pelvic floor exercises can improve the hardness and duration of your erections. You can find a guide to pelvic floor exercises written by the UK’s National Health Service here.

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