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Johns Hopkins Bloomberg School of Public Health: “18 Million Men in the United States Affected by Erectile Dysfunction.”

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Two outer parallel columns of spongy tissue called the corpora cavernosa, or erectile bodies.A central spongy chamber called the corpus spongiosum, which contains the urethra, the tube that carries urine as well as sperm through the penis. The corpus spongiosum ends in an expansion called glans penis, which contains the opening of the urethra.
What is prostate cancer? Prostate cancer is the most common cancer in men. Learn the signs and symptoms of prostate cancer, along with causes and treatments. Know the stages, survival rates and how to lower your risk of prostate cancer. .

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Other treatments also have possible side effects and complications. Ask your provider to explain the risks and benefits of each treatment.
The major breakthrough occurred in 1998 when sildenafil became the first oral drug to be approved to treat ED.4 This was followed by the use of tadalafil and vardenafil as similar phosphodiesterase-5 inhibitor oral medications for treating ED in 2003.4

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Couples can learn new ways to please one another and to show affection. This can reduce anxiety about having erections. Feeling nervous about sex. This could be because of a bad experience or a previous episode of ED. Feeling stressed, including work and family stress. Feeling depressed. Feeling self-conscious about your body or performance. Thinking your partner is reacting negatively toward you.
Metabolism (breakdown) of vardenafil can be slowed by aging, liver disease, and concurrent use of certain medications (such as erythromycin [an antibiotic], ketoconazole [Nizoral, a medication for fungal/yeast infections], and protease inhibitors [medications used to treat AIDS]). Slowed breakdown allows vardenafil to accumulate in the body and potentially increase the risk for side effects. Therefore, in men over 65 years of age with liver disease, or who are also taking medication(s) that can slow the breakdown of vardenafil, the doctor will initiate vardenafil at low doses to avoid its accumulation. For example,

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If you are looking for a urologist with many years of experience, contact Kasraeian Urology's office in Jacksonville, FL.

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You are not alone 50% of men in their 50s are affected by ED symptoms (University of Wisconsin Health, 2019). Sometimes a man becomes nervous during sex, or perhaps he’s had too many drinks beforehand. While this may affect his sexual performance, it doesn’t necessarily mean a man has ED.

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    "Pelvic floor exercises and biofeedback are an effective treatment for men with erectile dysfunction" – The British Journal of General Practice.

    The International Society of Sexual Medicine (ISSM) defines premature ejaculation as occurring within one minute of penetration.
    Alprostadil is derived from a natural substance, prostaglandin E1, which opens (relaxes) blood vessels. This medicine is an effective treatment for many men with ED. It can be administered by:

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    A man could try new activities, like swimming. Yard work and gardening count as physical activity. A man’s goal should be to be physically active for 30 minutes a day, at least four days a week.

    With so many possible causes for ED, your doctor has a number of tests they can use to figure out the best treatment for you.
    From their review, Gerbild and colleagues can recommend a 40 minutes workout, four times a week over a period of six months.

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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.

    “The progressive decrease in penile blood flow velocity across the three blood pressure categories in men not taking antihypertensive medication indicates significant structural changes in the penile blood vessels from longstanding hypertension,” said study author Professor Charalambos Vlachopoulos of the National and Kapodistrian University of Athens, Greece. “The blood flow differences across the three blood pressure categories disappeared with treatment, suggesting a medication effect.”
    At first glance, much of the above might seem like involuntary bodily movements, and a lot of the time, they are. But for people experiencing erectile dysfunction, these processes often aren't functioning properly.

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    Erectile dysfunction has various physical and psychological causes. It is often associated with conditions that affect blood flow in the penis, including diabetes, high cholesterol, high blood pressure, cigarette smoking, obesity and heart disease. Other factors commonly linked to erectile dysfunction include older age, low testosterone levels, alcohol or drug use, anxiety and depression.

    In addition, your doctor may address underlying conditions. They may suggest counseling or medication changes. They also may suggest lifestyle changes, including increased exercise or dietary changes. It is also a good idea to avoid drugs, alcohol, and cigarettes. American Urological Association: “Erectile Dysfunction (ED).” Andrologia: “Erectile dysfunction, physical activity and physical exercise: Recommendations for clinical practice.” Coronary Artery Disease: “A Home-Based Walking Program Improves Erectile Dysfunction in Men with an Acute Myocardial Infarction.” Memorial Sloan Kettering Cancer Center: “Pelvic Floor Muscle (Kegel) Exercises for Men.” National Institute of Diabetes and Digestive and Kidney Diseases: “Erectile Dysfunction (ED).”
    All patients underwent a penile colour Doppler ultrasound which is the standard method for evaluating penile blood vessels and erectile dysfunction. The method involves injecting a drug into the base of the penis to open the blood vessels then measuring blood flow. Penile blood flow is considered impaired when the velocity is lower than 25 cm/s.

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As described above, there are many risk factors and causes for ED. Therefore, our team investigates the potential causes for each patient thoroughly and independently to ensure the best possible outcome. Our work up for ED may include:

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If you have high blood pressure you are at risk of developing life threatening diseases like stroke and heart attack.

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Treatment options may vary depending on the presumed cause of your ED. Our team will work with and may suggest the following treatments: Oral medications, such as Viagra, Cialis, or Levitra Vacuum devices Penile self-injection therapy Lifestyle modifications Surgical procedures

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Similarly, clinical studies have shown that moderate exercises gradually helped middle aged men improve their performance in the bedroom.

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