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Many factors can contribute to sexual dysfunction in older men, including physical and psychological conditions, comorbidities and the medications used to treat them. Aspects of an ageing man’s lifestyle and behaviour and androgen deficiency, most often decreasing testosterone levels, may affect sexual function as well. A study of men between the ages of 30 and 79 years showed that 24% had testosterone levels below 300 ng/dL and 5.6% had symptomatic androgen deficiency.2

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Often men with erectile dysfunction are able to improve sexual function by making a few lifestyle changes. Stopping smoking, losing weight, and exercising regularly can help by improving blood flow. If you suspect a medication could be contributing to erectile dysfunction, talk to your doctor about it.
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A number of medical treatment options exist for erectile dysfunction include the following:
One day, I totally broke down and ended up telling my mum everything. I was sitting in her kitchen telling her that if I got to 30 and this problem still wasn’t sorted, I’d kill myself. She was shocked but so supportive. She booked me an appointment with a new doctor straight away.

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Certain medications can alter testicular function, including some diuretics (water pills), some seizure medications, long-acting oral opiate pain medications, antipsychotic medications, and oral steroids.
Weight loss (calories are burned as a result of increases in lean body mass and basal metabolism)Prevention and management of diabetes (which is associated with ED)3. Pelvic floor exercises (aka Kegels)

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It may come as no surprise that many men are embarrassed to come forward for treatment and may also suffer from low self-esteem and depression and experience difficulties in establishing and maintaining a relationship.

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The Bulbocavernosus muscle is involved in squeezing semen or urine out of the urethra, as well as pumping blood flow into the penile veins to maintain an erectionThe Pubococcygeus muscle, which forms a large part of the pelvic floor, plays a major role in urination, and is contracted during orgasmThe Iliococcygeus muscle, involved in contracting the anus back up after a bowel movement

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    Low intensity shockwave therapy(LiST) is a groundbreaking “drug and surgery-free” procedure that uses acoustic waves to stimulate a cascade of biological actions that lead to the healing and regeneration of the sexual organs. Simply…LiST helps your body heal itself! Learn more about Low Intensity Shockwave Therapy. Oral medications for ED are called PDE-5 inhibitors. The drugs in this class include medications like Viagra, Levitra, Cialis, Stendra and more. This class of drugs is considered first line therapy for those men presenting with ED. Learn More About Oral Medications for ED. Penile injection therapy involves an injection of a medication into the shaft of the penis on an as needed basis to produce a rapid erection. It is commonly used by patients who have failed oral medications. Learn more about this very effective treatment. The same medicine used for penile injection may be used as a very small suppository placed into the tip of the penis to provoke an erection.

    Diabetic eye diseaseHeart diseaseFoot problems such as wounds that don't heal, loss of feeling, or pins and needles sensationsNeuropathy or nerve pain especially in the legs and feetSexual issues such as erectile dysfunction, inability to orgasm or feel full sensationUrinary frequencyUnusual odor to urine
    Erectile dysfunction is a frustrating condition where your penis cannot get or maintain an erection firm enough for sex. There is no specific treatment to reverse damage to blood vessels caused by diabetes, there are several options to help you have erections.

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    Conclusions are based on a combination of patients’ own evaluations of whether their erection had improved, and more objective measures such as circulation of blood through the penis.

    Neurological problems: Suffering from stroke, neck or back injuries also have a similar effect on the penis as reduced circulation and restricted blood flow interfere with most of its normal functioning.
    Exercises have helped many with erectile problems. For a normal erection to happen,

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    Erectile dysfunction (formerly called impotence) is the inability to achieve or maintain an erection that is sufficiently rigid for sexual intercourse. Sexual drive and the ability to have an orgasm are not necessarily affected. Because all men have erection problems from time to time, doctors diagnose erectile dysfunction if a man fails to maintain an erection satisfactory for intercourse on at least 25% of attempts. Worldwide, erectile dysfunction occurs in close to 20% of men.

    There needs to be proper blood flow in the groin to make it hard or cause an erection. Working out improves the blood flow and helps in erection. But if you’re excessively working out or have any diseases like Peyronie disease, low libido, then you still can find problems in erection.
    See how first impressions, staying active, good hygiene and more lifestyle tips can improve your overall health and well-being.

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    Normal erections are dependent upon complex interactions between the vascular, hormonal, neurologic, and physiological systems. A disruption within any of these systems can compromise a man’s ability to achieve an erection.

    Adjustment of medications that adversely affect erectile function should be considered whenever possible.
    Erectile dysfunction (ED) can occur at any age and can severely impact on the quality of life of men and their partners.

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Matthew was concerned he might have a medical problem, so Leah encouraged him to get help. Last fall he made an appointment with Charles Walker, MD, a urologist who specializes in ED who was then at Yale Medicine. ED is difficulty getting and keeping an erection. The visit involved an examination as well as some counseling, which surprised Matthew. “I was able to open up and really talk about the issues,” he says.

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The role of the endothelium in erectile function became clearer with the observation that the phosphodiesterase type 5 (PDE5) inhibitor, sildenafil, enhanced erectile function. Erection occurs with the release of nitric oxide (NO) from the vascular endothelial cells.17 The reduction in endothelial cell production of NO results in the negative impact on the smooth muscles in the corporal bodies and results in less relaxation of the smooth muscle cells with decrease in blood supply and resulting ED. A similar phenomenon is well known to impact the coronary arterial system resulting in CVD.

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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.

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It's more likely to be an emotional problem if you only have erection problems some of the time. For example, you get an erection when waking up in the morning, but not during sexual activity.

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