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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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Exercise that results in losing weight, particularly around the waistline, can cut a man’s risk of ED. A man with a 32-inch waistline has only half the likelihood of erectile dysfunction as a man with a 42-inch waistline. Losing excess weight is one of many factors that can affect penile dysfunction.
AtherosclerosisDiabetes High blood pressureChronic kidney diseaseHeart diseaseMultiple sclerosisPeyronie’s diseaseProstate cancerInjury to the penis or surrounding organs .

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Hemoglobin A1c or HbA1c is a protein on the surface of red blood cells. The HbA1c test is used to monitor blood sugar levels in people with type 1 and type 2 diabetes over time. Normal HbA1c levels are 6% or less. HbA1c levels can be affected by insulin use, fasting, glucose intake (oral or IV), or a combination of these and other factors. High hemoglobin A1c levels in the blood increases the risk of microvascular complications, for example, diabetic neuropathy, eye, and kidney disease.
Social attitudes that suggest that having a particular illness or being in a particular situation is something to be ashamed of. Stigma can be questioned and challenged.

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Advanced ageCardiovascular diseaseHypertensionDiabetes mellitusHigh cholesterolCigarette smokingRecreational drug useDepression or other psychiatric disordersPelvic surgery, including radical prostatectomy and colorectal surgeryPelvic radiation, such as for prostate cancer and some colorectal cancersTrauma to the pelvis (pelvic fracture), penis (penile fracture), and perineum
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If you have erections in the morning or at night while you sleep, it is likely not a physical cause. Most men have 3 to 5 erections at night that last about 30 minutes. Talk with your provider about how to find out if you have normal nighttime erections.

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General good health, particular cardiovascular, is important for sexual function. Avoiding obesity and belly fat can help you avoid and treat erectile dysfunction. A good diet and exercise should be part of your daily regimen.

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    BJU International: “Acupuncture for treating erectile dysfunction: a systematic review.”

    In rare cases, men who take these drugs develop vision problems that include seeing a blue haze, temporary increased brightness, and even temporary vision loss in a few cases. The effect is usually temporary, lasting a few minutes to several hours. Men at risk for eye problems who take PDE5 inhibitors should have regular eye examinations with an ophthalmologist. Men should also see an eye doctor if visual problems last more than a few hours.
    What is menopause? What are the signs of menopause? What age does menopause start? Learn about menopause and perimenopause symptoms. Find the latest treatments for menopause.

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    An erection problem occurs when a man cannot get or keep an erection that is firm enough for intercourse. You may not be able to get an erection at all. Or, you may lose the erection during intercourse before you are ready. Erection problems do not usually affect your sex drive.

    According to Professor Bente Klarlund Pedersen from the University of Copenhagen and Ellids Kristensen, doctor and research scientist at the Sexological Clinic in Copenhagen, these conclusions are supported by known mechanisms that can explain the link to erectile dysfunction: Physical activity makes the blood vessels more elastic, allowing more blood to flow to the sex organs. Physical activity stimulates the body’s production of nitrogen oxide, allowing the blood vessels to expand. This is essentially just what the popular medicine, Viagra, does.
    Exercise can help reverse some of the risk factors for E.D., such as being overweight or obese, having high blood pressure, being stressed, or having weak pelvic floor muscles.

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    You can usually get an erection within five to 10 minutes of injecting this medicine. Your erection should last between 20 minutes to an hour.

    "[Thomas] applied science to a puzzle put to him by the elders," said Bruce Maclean, a coordinator of community monitoring for the Athabasca Chipewyan and the Mikisew Cree First Nations.
    Liver toxicity has generally been associated with oral forms of TRT, but does not appear to be a risk in injection or transdermal therapy.39 In patients with marked obstructive sleep apnoea or untreated severe congestive heart failure, these issues should be resolved before initiating TRT.37

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    Treatment for ED includes lifestyle advice, medications (such as Viagra and Cialis), injections, pellets that are placed in the urethra, vacuum devices, hormone replacement therapy, psychological/talking therapies, surgical pumps and/or specialist pelvic floor physiotherapy.

    Erectile dysfunction can result from a number of factors such as medical conditions, psychological conditions, certain medical treatments, injuries and drug and alcohol use. While most cases of erectile dysfunction are caused by physical issues, sometimes a combination of physical and psychological issues can contribute to developing the condition.
    PDE5 inhibitors are a good choice for men of any age who are in good health and who do not have conditions that prevent taking them.

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Yale Medicine’s Department of Urology has enrolled thousands of patients over the past 20 years in the penile injection program. “The treatment sounds scary, but we spend the time to teach patients the correct techniques so they and their partners are comfortable.” Says Dr. Honig: “We try to involve the partner as much as possible. This relieves much anxiety for the patients and makes for a more personal touch for the couple.”

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Psychoteraphy is often the first form of treatment recommended for depression. Psychotherapy helps depression by helping people understand the behaviors, emotions and ideas that contribute to their depression, regain a sense of control and pleasure in life, and learn coping techniques as well as problem solving skills.

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In addressing why your manhood shrinks tend to answer the question earlier asked about your age as findings show that penis shrinking has to do with aging in men. It is believed that as men age, more plaque is said to accumulate in the arteries in the penis which interferes with blood flow. Aging is also characterised by muscle atrophy and a decline in testosterone, both of which can be associated with a slight decline in penis size.

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To diagnose erectile dysfunction, the doctor will ask questions about the symptoms and medical history. A complete physical exam is done to detect poor circulation or nerve trouble. The physician will look for abnormalities of the genital area that could cause problems with erections.

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