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Where psychological causes contribute significantly to erectile dysfunction, psychosexual or cognitive behavioural therapy could be helpful. Counselling should also be provided in cases where the primary cause is physical to reduce the associated psychological component. Counselling may also help with HIV-related stigma, reducing anxiety relating to erectile dysfunction and fear of HIV transmission.

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If you have a partner, involve them in treatment by discussing your sexual function with them. Include them in physical activity, even if it's starting with a home-based walking program.
“The drugs work well in these patients because once they get their erectile function back, their confidence improves, their performance anxiety gets better, and they get better,” Dr. Walker says. .

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Erectile dysfunction is a common condition which leaves men struggling to achieve or maintain an erection for sex.
Lifestyle factors than can affect the condition include obesity, smoking, cycling too much, drinking too much, and stress.

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Exercise may be the ticket to a more active sex life, but we’re talking about regular cardio and strength workouts, not targeted “penis exercises.” Research shows that even a little bit of physical activity — the equivalent of walking 30 minutes a day a few times a week — may lower the risk of erectile dysfunction.
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.

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If you’re battling ED, you’ll want to arm yourself with credible information. Here are some of Everyday Health’s top resources.

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In addition to serious interactions with nitrates, PDE5 inhibitors may also interact with certain antibiotics, such as erythromycin, and acid blockers, such as cimetidine (Tagamet, generic). Inform your doctor about all medications you take.

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    It's best to see a doctor before buying medicines online. They know your medical history and can discuss whether you might benefit from treatment.

    Viagra (sildenafil) is an oral drug that is used for treating impotence (or erectile disfunction, ED, the inability to attain or maintain a penile erection). It is in a class of drugs called phosphodiesterase inhibitors (PDE-5 inhibitors) that also includes tadalafil (Cialis), vardenafil (Levitra, Staxyn ODT), and avanafil (Stendra).
    I saw a counsellor too and started exploring the role anxiety plays in causing erectile dysfunction. I realised that not talking about it for so long had just increased my worry and made things worse. It was such a relief not to be sneaking around with this terrible secret anymore – finally doing something about it made me feel like a weight had been lifted off me.

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    Many people think that penis-in-vagina sex or sex with penetration are the only ways to have sex. But, most couples use touching and caressing as part of their routine. When couples can’t have intercourse because of erection problems, many give up on sex, but others continue to have sex in other ways. Think about trying something new.

    FatigueFrequent urinationExcess thirstBlurry or cloudy visionWounds that won't healTingling or numbness in the feetErectile dysfunction (ED)Dark skin under the armpits and around the groin SLIDESHOW Type 2 Diabetes: Signs, Symptoms, Treatments See Slideshow
    The hard facts could provide additional motivation to do the exercise that doctors are perhaps already recommending to patients suffering from obesity, atherosclerosis, cardiac problems, or other conditions where the blood vessels do not work as well as they should.

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    Because many cases of ED are due to reduced blood flow from blocked arteries, it is important to maintain the same healthy lifestyle habits used to prevent heart disease.

    It is known that certain lifestyle factors can increase the likelihood of erectile dysfunction, and therefore patients may be advised to reduce their alcohol intake and stop smoking. Regular exercise may also help symptoms, as it may improve physical health, in addition to reducing any symptoms of anxiety or stress that may be contributing to the condition. However, cycling for more than 3 hours a week has been shown to increase the likelihood of erectile dysfunction, and so if patients cycle more than this, they should be advised to seek alternative means of exercise. Related websites and support groups Institute of Psychosexual Medicine Relate Sexual Advice Association Related Endocrine Conditions Diabetes insipidus Diabetes mellitus Male hypogonadism View all Endocrine conditions Related Hormones Testosterone View all Hormones Related Glands Testes View all Glands You and Your Hormones
    He continues to visit Yale Medicine every six months. He and his wife, Leah, are expecting their second child this fall. Click here to contact Yale Medicine's reproductive health and sexual medicine specialists . [3873,1315,510,2449]{"namedChunks":["modules-news-news-details-components-NewsDetails-newsDetails"]} [3873,5038,6126,2449]{"namedChunks":["modules-news-news-details-components-NewsDetails-newsDetails"]}

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    More blood flows into the penis. In the two flexible tubes of spongy tissue that extend the length of the shaft (the corpora cavernosa, or “cave-like bodies”), muscle tissue slackens. Their tiny caverns swell with blood, straining against the surrounding membranes. Blood gets trapped in the organ. The result is a longer, stiffer penis -- and also, because blood brings oxygen with it, a thoroughly oxygenated one.

    Extra weight can make a man more likely to develop diabetes or cardiovascular disease, which are both associated with erectile dysfunction. Also, carrying fat around the middle can affect a man’s hormones, which can contribute to penile dysfunction.
    When 3724 men were questioned about their dietary habits, men who reported a higher caffeine intake were less likely to report E.D. However, this study was based on self-reported data and was not a prospective study (Lopez et al., 2015). Caffeine is a vasoconstrictor, which means that it can reduce blood flow into the penis. Further study is needed to determine whether caffeine improves or worsens E.D. symptoms.

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It is more likely that you’ll develop ED as you get older, but aging itself does not cause erectile dysfunction. Many factors can cause erectile dysfunction, including those that affect your endocrine, vascular and nervous systems.

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The International Society of Sexual Medicine (ISSM) defines premature ejaculation as occurring within one minute of penetration.

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Aerobics can improve heart rate, PCSA, and Neural drive and help to perform better.

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When you're working out regularly, you develop more endurance. That's important for your sexual health, because having sex is in itself a workout. The Mayo Clinic compares a bout of sexual intercourse to climbing two or three flights of stairs. And a study by the National Institutes of Health says a half-hour of sexual activity can burn 125 calories for men and nearly 100 for women, similar to walking at a 3 mile-per-hour pace.

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