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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.

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Injection therapy: The modern age of such drug therapies began in 1993 when the injection of papaverine (Pavabid), an alpha-blocker that produces vasodilatation (widening of the blood vessels), was shown to produce erections when injected directly into the penis. Soon afterward, other vasodilators, such as prostaglandin E1 (PGE 1) monotherapy (Caverject, Edex), PGE1 and phentolamine (Regitine), and Trimix (papaverine, phentolamine and prostaglandin E1), were demonstrated to be effective. The benefit of combination therapy is the decreased dosing of each with less side effects. Most important is the reduction of the prostaglandin PGE1 dosing, which is associated to the localized pain.
Nearly 95% of men with erectile dysfunction can obtain an erection sufficient for sexual satisfaction with a vacuum constriction device. Only vacuum constriction devices containing a vacuum limiter should be used. All FDA approved devices have such a limiter. Vacuum constriction devices can be a useful second-line treatment option especially in the patient with a supportive partner in a stable relationship. Virtually all men of all ages and with all types of erectile dysfunction can have successful intercourse with a vacuum constriction device. .

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Certain medications can also cause erectile dysfunction as their side effect. These are Anti-hypertensive medicines (medicines for blood pressure) Antiandrogens (medicines used for prostate cancer therapy) Antidepressants (medications for depression) Sedatives (medicines that make a person sleepy) Medicines for ulcers Antihistamines (medicines for cold and allergies) Appetite suppressants

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It affects approximately half of all men over age 40 While erectile dysfunction is usually a physical problem, it can also have psychological roots. More often than not, it is a combination of both. And help is available. “We have a treatment for everyone,” says Stanton Honig, MD, a director of the Yale Medicine Male Reproductive Health Program. “It's just a matter of what option you choose.”
“Erectile Dysfunction (ED).” UW Health. Retrieved from: http://www.uwhealth.org/urology/erectile-dysfunction-ed/20537

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Once, a girlfriend found my pills and asked what they were. It was so awkward, I just pretended not to hear her. The secret put a strain on our relationship and we eventually broke up. I wish I had talked to her about it but I just felt so ashamed.

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Type 2 diabetes can be reversed with diligent attention to changing lifestyle behaviors. Type 2 diabetes is caused by a combination of genetics and unhealthy lifestyle habits.

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    Home About Us Conditions Erectile Dysfunction Peyronie’s Disease Treatment Premature Ejaculation Treatment Weight Management Treatments Acoustic Shockwave Therapy Hormone Testing Supplements Pharmaceuticals Penis Pump Pelvic Floor Physiotherapy Psychologist FAQ Blog Research Contact Us View Our Locations | Call Us: 905-469-4465 Home About Us Conditions Erectile Dysfunction Peyronie’s Disease Treatment Premature Ejaculation Treatment Weight Management Treatments Acoustic Shockwave Therapy Hormone Testing Supplements Pharmaceuticals Penis Pump Pelvic Floor Physiotherapy Psychologist FAQ Blog Research Contact Us SCHEDULE CONSULTATION Do I Have Erectile Dysfunction? ED Symptoms and Diagnosis

    If unsuccessful, interferes with other treatmentsFully Inflatable ImplantsMimics natural process of rigidity-flaccidity
    Mild and moderate ED affects about 10 percent of men per decade of life. That means 50 percent of men in their fifties suffer, 60 percent of men in their sixties, and so on.

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    Many couples keep having sex, even if the man can’t get a firm erection. People can still have orgasms with caressing, oral sex, or other types of stimulation. Think about getting a sex toy (e.g., vibrator). A vibrator works well if you’re tired or if you get tired using your hands to stimulate your partner. You can also lie facing your partner and rub your genitals against each other or use a vibrator between you. Make sure to use a good lubricant to make it feel good and decrease pain from friction.

    Choose activities you enjoy so the focus is staying motivated and having fun, instead of improving erectile dysfunction or improving cardiovascular health (those are just bonuses).
    While ED medication works for most patients, there are other treatment options. These include external vacuum devices that draw blood into the penis and injections that men administer themselves to dilate the arteries of the penis and allow blood to flow in. Another option is penile implants, which Dr. Walker calls the “gold standard” for men who cannot tolerate the drugs and for whom other treatments fail. Flexible cylinders are embedded in the penis. The man pumps fluid into them from a reservoir when he wants to perform sexually.

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    Copyright© 2017 – 2021 Sexual MD Solutions. All Rights Reserved. GAINSWAVE and the GAINSWave® logos are trademarks of The Anti-Aging Group, LLC, used with permission.

    Some exercises help improve the strength and endurance of the pelvic region in a body, which ultimately promotes blood flow in the male reproductive part for long-lasting erection.
    Insulin is only recommended for individuals with type 2 diabetes when they have not been able to get blood sugars low enough to prevent complications through other means. To avoid insulin, those with this health condition should work very hard to follow a healthy eating plan that includes a lot of vegetables and lean proteins, exercise every day, and keep stress in perspective. They also should take their oral drugs regularly. It can be difficult to follow these recommendations and the help of your doctor, nutritionist, diabetes educator, health coach, or integrative medicine practitioner may be helpful. If you want to avoid taking medicine, work with health professionals who are knowledgeable about lifestyle medicine and can help you understand how to fit the changes into your life.

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    to reconstruct arteries in order to increase the flow of blood to the penis; andto block veins that drain blood from the penis (currently not recommended).Currently, placement of a penile prosthesis is the most common surgical procedure performed for erectile dysfunction. Penile prosthesis placement is typically reserved for men who have tried and failed (either from efficacy or tolerability) or have contraindications to other forms of therapy including PDE5 inhibitors, intraurethral alprostadil, and injection therapy.Penile prosthesis

    The effects of the pandemic, including losing jobs and the impact of stay-at-home orders, can also affect people’s moods and contribute to erectile dysfunction, Jannini said.
    Age: This is something you don’t have total control on. But however, as you age your penis starts to function less effectively – enlarge prostate, erectile dysfunction, problems in urination are just a few things to name.

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Erectile Dysfunction is not a normal part of aging and now you don't have to live with it anymore.

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Oral phosphodiesterase type 5 inhibitors (PDE5 inhibitors) unless contraindicated are the recommended first line medical therapy for erectile dysfunction. Currently, there are four different PDE5 inhibitors available. They all work the same way and have essentially the same results. They differ in how long they last in your body and in side effects.

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Impotence does not go hand in hand with aging. Other factors, such as a person's physical health and emotional well-being, are more likely to be the reason for the lack of sexual performance in an individual.

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