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Citrulline is an amino acid. It is a precursor to L-arginine, an amino acid that dilates blood vessels and increases blood flow. Despite the fact that citrulline is not a component of muscle, it appears to stimulate muscle growth (Bahri et al., 2013). Increasing blood flow and muscle mass are two advantages that will help you lose weight and improve your cardiovascular health.

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A small number of men have experienced sudden hearing loss in one ear, sometimes accompanied by ringing in the ears and dizziness. If you have this symptom, immediately contact your doctor.
In response, a number of erectile dysfunction treatments have been developed, with varying efficacy and side effects. .

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Besides PDE5 inhibitors and among second-line therapies are VCDs which are clear plastic chambers placed over the penis, tightened against the lower abdomen with a mechanism to create a vacuum inside the chamber. This directs blood into the penis. If an adequate erection occurs inside the chamber, the patient slips a small constriction band off the end of the VCD and onto the base of the penis. An erection beyond 30 min is not recommended. These devices can be a bit cumbersome, but are very safe.40
The production of testosterone and other hormones naturally decreases with age, and this can disrupt erections. Also, in rare instances, kidney failure and liver disease may throw off the balance of hormones necessary for proper erection and intercourse. In most cases, testosterone replacement therapy can bring levels of the hormone back to normal.

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College of Sexual and Relationship Therapists (COSRT)Institute of Psychosexual Medicine Home Health A to Z Live Well Mental health Care and support Pregnancy NHS services Coronavirus (COVID-19) NHS App Find my NHS number Your health records About the NHS Healthcare abroad Contact us Other NHS websites Profile editor login About us Accessibility statement Our policies Cookies Allergy & Asthma Beauty & Cosmetics Cancer Cold & Flu Diet & Nutrition Diseases & Conditions Fitness Heart Health Men's Health Mental Health Oral Health Pediatrics Senior Health Skin Health Wellness Women's Health A-Z Index Privacy Policy About Us Contact Us Terms of Use Advertising Policy Erectile Dysfunction (ED) Causes and Treatment
André B Silva1, Nelson Sousa1,2, Luís F Azevedo3,4, http://orcid.org/0000-0001-8561-5167Carlos Martins1 1 Family Medicine Unit, Social Sciences and Health Department of the Faculty of Medicine of Porto, Porto, Portugal 2 Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), University of Trás-os-Montes e Alto Douro, Vila Real, Portugal 3 CIDES—Department of Health Information and Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal 4 CINTESIS—Centre for Health Technology and Services Research, University of Porto, Porto, Portugal Correspondence to Dr André B Silva, Faculdade de Medicina da Universidade do Porto, Al. Prof. Hernâni Monteiro, Porto 4200-319, Portugal; andreborgessilva{at}outlook.com

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Many men are uncomfortable speaking with their physician about erectile dysfunction symptoms; however, it is important to treat your symptoms as ED can be a warning sign of current or future heart disease.

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These diseases include high blood pressure, diabetes, clogged arteries, heart and blood vessel disease, high cholesterol, and chronic kidney disease. Other possible causes include: Nerve injury: The penis, spinal cord, prostate, bladder or pelvis may have sustained a physical injury that needs to be treated. This includes a large group of men who have had surgery or radiation treatment for prostate cancer. Unhealthy lifestyle: This includes smoking, excessive alcohol use, obesity and not exercising. Mental health: Depression, stress and anxiety surrounding sexual failure can all lead to erectile dysfunction. Medications: Some medications, including antidepressants, can cause sexual side-effects. Hormones: A small number of erectile dysfunction cases result from low levels of the male hormone testosterone.

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    If you have diabetes, you have a higher risk of heart disease and heart attack. Because of this, it is important to control cholesterol and high blood pressure in addition to blood sugar. The good news is that all of these diseases are responsive to healthy lifestyle changes.

    The penile implant allows men to achieve an erection through an implanted device. These devices can be effective in restoring sexual activity for a man and his partner. At Yale Medicine, our doctors have specialized experience with placing the penile prosthesis.
    Therefore, men with these health conditions should not use vardenafil without having these conditions evaluated and stabilized first. For example, men with uncontrolled high blood pressure should have their blood pressure controlled; and men with potentially life-threatening abnormal heart rhythms should have these rhythms controlled.

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    If you have long-term ED, a penile implant could help you have sex again. An inflatable implant uses two cylinders you can pump full of pressurized fluid. A malleable implant uses rods that let you adjust the position of your penis.

    (2012). “Should men do pilates for pelvic floor muscle strength?” Prostate.net. Retrieved from: http://prostate.net/articles/pilates-for-pelvic-floor-muscles
    In the first study of its kind, experts analysed data from 650 men who used pelvic floor exercises to combat their ED and premature ejaculation.

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    Can we develop a simple yet accurate method to distinguish organic from psychogenic ED?

    Erectile DysfunctionPremature EjaculationLow Testosterone/ AndropauseLow LibidoRetrograde EjaculationDelayed EjaculationPainful EjaculationPeyronie’s DiseaseMale InfertilityForeskin ProblemsPenis ProblemsTestes ProblemsSexually Transmitted Infections
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    While the ED experience might feel overwhelming, know that there are medically backed treatment options available for erectile dysfunction.

    Erectile dysfunction (or impotence) is when you cannot get or keep an erection that enables you to have sex.
    Injection into the erectile tissue of the penis (Caverject or Edex)Suppository pellets placed in the urethra through an applicator (MUSE system)

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There are many possible causes for ED, which is why it’s important to talk to your doctor about it. Some risk factors include: Cardiovascular disease Complications after bladder or prostate surgery or radiation Diabetes (people with diabetes are up to three times more likely to develop ED) Drug or alcohol abuse High blood pressure Injury to the bladder, pelvis, penis, prostate or spinal cord Kidney disease Multiple sclerosis Obesity Peyronie’s disease (a buildup of scar tissue that causes the penis to curve) Prostate cancer Psychological conditions, such as depression or anxiety Side effects of certain medications Diagnosis of erectile dysfunction

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Finally, my doctor suggested a penis implant. It consists of two plastic rods that go inside the penis and an attached bag of saline solution that sits inside my stomach. It works with a pump hidden in my ball sack. Before sex I squeeze it about 10 times and it inflates the arteries in my penis to make it hard. It only goes down when I press the release button. I can still ejaculate as normal.

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You must remember that these are prescription-only medications. Do NOT share these medications with your friends or family as they may have medical conditions that would prevent them from taking this medicine. What if ED Pills Don't Work?

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Did you know that certain medical condition may be responsible for ED? Some causes of impotence are medically treatable and...

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