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One must be very careful using both PDE5 inhibitors and medications commonly used to treat an enlarged prostate, alpha-blockers (for example, tamsulosin [Flomax], terazosin [Hytrin]). It is recommended that one be on a stable dose of the alpha-blocker prior to starting a PDE5 inhibitor and that one start on a low dose of the PDE5 inhibitor and increase as tolerated and needed to treat the erectile dysfunction. Similarly, if you are on a PDE5 inhibitor and your doctor recommends that you start an alpha-blocker for your prostate, you should start at a low dose and increase as tolerated and needed to treat your prostate symptoms.

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If you and your partner have trouble talking about your relationship, it may cause problems with sex. Counseling can help both you and your partner.
Avanafil has been demonstrated to be effective in treating ED in men of various ages and has been shown to be effective in men with ED related to diabetes mellitus. .

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Professor Vlachopoulos noted that changing hypertensive medications in men with erectile dysfunction must be handled with caution. He said: “First, if a co-existing disease dictates using a specific drug category (for example, beta blockers for coronary artery disease and heart failure, diuretics for heart failure), then switching is not advocated. Alternatives might be considered if patients are at risk of stopping lifesaving therapy because of the detrimental impact of erectile dysfunction on their life.”
The placement of a penile prosthesis is typically an outpatient procedure and is typically performed through a single incision. All of the parts of the prosthesis are hidden under the skin. Antibiotics are given to decrease the risk of an infection. A catheter may be left in the penis in some men for a short period. After placement, there will be a time period of healing prior to the ability to use the prosthesis.

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Your doctor will be able to diagnose the cause of your erectile dysfunction and decide on what the best treatment is.
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?

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Erectile dysfunction (ED) is defined as the recurrent or chronic inability to achieve or maintain an erection sufficient for sexual intercourse. It is not uncommon, and affects as many as 15-30 million men in the United States today. Although increasing age is a risk factor, ED is itself is not an inevitable part of aging. Erection problems are more common in older men but can effect men at any age. ED is, in most cases, treatable.

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In one study, 55 men with E.D. were either taught pelvic floor exercises with biofeedback and lifestyle changes (treatment group) or advised on lifestyle changes (control group). After six months, 40 percent of men who performed pelvic floor exercises regained normal erectile function (Dorey et al., 2005).

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    Home Remedies for Erectile DysfunctionThere are many natural remedies for erectile dysfunction. They should be tried for three months before seeking the help of a doctor. These will not cause any harm to you. There are some long term and some short term recommendations to overcome the problem. There are other recommendations that can be practiced regularly.

    It is a priority for CBC to create a website that is accessible to all Canadians including people with visual, hearing, motor and cognitive challenges.
    The various PDE5 inhibitors for the treatment of ED share several common side effects, including headache, flushing, nasal congestion, nausea, dyspepsia (stomach discomfort), and diarrhea. Differences exist in side effects of the different PDE5 inhibitors, and thus it is important to be familiar with the prescribing information of the PDE5 inhibitor you are prescribed.

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    Conclusions The present study suggests that physical activity and exercise interventions improve patient-reported erectile dysfunction, particularly aerobic exercise with moderate-to-vigorous intensity.

    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.
    Pelvic surgeries are a common cause of sexual dysfunction. Erectile dysfunction is a potential complication following prostate cancer surgery.

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    Engaging in an active lifestyle can help with weight management, stress, anxiety, and depression – all of which help with other conditions and decrease the risk of developing ED. The accumulation of fat in the body can cause a drop in active testosterone levels. In addition, being overweight can cause cardiovascular problems that are known to contribute to ED.

    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
    Your ED specialist is interested in your physical and mental health, your relationships, and if medications, drugs, or alcohol could also be contributing factors. There is no judgment, and your honest responses can lead to a more effective ED treatment. How long have your ED symptoms been happening?Did your symptoms happen suddenly, or were they gradual?Do you ever have firm erections?Are your erections harder in particular situations or with different types of stimulation?Do you awake with an erection or feel an erection at night (a nocturnal erection)?Are you aware of any underlying health conditions?Have you suffered a pelvic injury or had any pelvic surgery?Do you take prescription drugs? Do you have problems feeling desire, having an orgasm, or ejaculating during sex?How often do you have sex?Do you have sex less often now? What is your current relationship status?Do you and your partner have expectations for each other?Has your relationship or your expectations changed? Have your stress levels increased?Do you use tobacco, alcohol, or nonprescription drugs more frequently or to de-stress? Additional Testing

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    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.

    Antioxidants can increase nitric oxide levels in blood vessels, increasing blood flow. Antioxidants have been shown to improve vascular and erectile function (Meldrum et al., 2012).
    GBL is found in products marketed for improving sexual function (Verve and Jolt). This substance can convert to a chemical that can cause toxic and life-threatening effects, including seizures and even coma.

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The penis is the male sex organ, reaching its full size during puberty. See a picture of the Penis and learn more about the health topic.

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Erectile dysfunction (ED) or male impotence is defined as the inability of a male to achieve and/or maintain a hard enough erection sufficient for satisfactory completion of sexual activity.

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Stress, both in and out of the bedroom, can make it difficult for a man to achieve an erection. Depression, anxiety, and the medications to treat them may also contribute to impotence.

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When you do your Kegels, try not to contract the muscles in your pelvis or thighs. The goal is to focus your attention on contracting the pelvic floor muscles.

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