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The process is incredibly easy, with an initial text-based doctor consultation, followed by the fast delivery of your personalised meds and free check-ups with your doctor to ensure the treatment is working for you.

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Learn More About Diagnosing Erectile Dysfunction: Tests and Screenings, Early Diagnosis, and Your Doctors
Men should be wary of advertising that pushes testosterone replacement therapy for "low T," an informal term for low testosterone that many doctors regard with skepticism. Testosterone levels decrease with aging and there is no scientific consensus on what testosterone levels constitute "low T". Furthermore, male hypogonadism is a condition that involves more than simply low testosterone levels. .

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The most common sexual problem in men as they age is erectile dysfunction (ED). In general, the younger a man is, the better his sexual function will be.
There are several known risk factors for developing erectile dysfunction. Many of these risk factors also cause restricted blood flow throughout the body, causing poor circulation that in turn can cause erectile dysfunction. Some of the common risk factors associated with erectile dysfunction include: Age (men over the age of 50 are more likely to develop ED) High blood sugar High blood pressure High cholesterol Obesity Smoking Alcohol consumption Use of illegal drugs Sedentary lifestyle

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A recent study published in the Journal of Sexual Medicine reported that men with severe periodontal disease were three times more likely to have consistent difficulties having an erection. While this may be a case of correlation rather than causation, poor dental health has long been associated with vascular disease, which is known to contribute to ED.
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Testosterone is a hormone required for male development and sexual function and is produced primarily in the testicles.Testosterone is responsible for building muscle and bone mass, sperm production, and sex drive.Testosterone influences male pattern fat distribution, bone density, and red blood cell production.In the normal developing male, testosterone peaks during early adulthood. Once you reach age 30, testosterone levels slowly decline by approximately 1% a year. This is a normal part of aging.What are normal ranges or levels of testosterone in men?

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Avid cyclists suffer more erectile dysfunction than other athletes because the shape of some bicycle seats causes pressure on the nerves that are vital to sexual arousal. Cyclists who ride for many hours each week may benefit from seats designed to protect the perineum.

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    General ageingConditions affecting cardiovascular health like high blood pressure, diabetes, high cholesterolExperiencing an acute myocardial infarction (heart attack)Cardiovascular disease

    It is important to consider both the physical and the psychological reasons behind sexual problems. If you have experienced impotence in the past, you may fear not being able to get an erection during sex. Your anxiety around sexual performance may add to an existing physical cause and worsen the problem.
    Risk exposure is important to consider in the PDE5 inhibitors. Cardiovascular diseases may be a contraindication to treatment, as severely impaired patients may run the risk of a cardiac complication related to vigorous sexual activity. Likewise, patients actively taking nitrates, including nitroglycerine and other agents, are contraindicated from receiving prescriptions for PDE5 inhibitor. Relative contraindications to the use of PDE5 inhibitor include alpha-adrenergic antagonists. Visual disturbances can be seen with sildenafil (blue haze to the visual field) as a result of inhibition of the PDE6 enzyme.

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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.

    You can usually get an erection within five to 10 minutes of injecting this medicine. Your erection should last between 20 minutes to an hour.
    You’ve probably heard of sildenafil (Viagra), but it isn’t the only pill for ED. This class of drugs also includes avanafil (Stendra), tadalafil (Cialis), and vardenafil (Levitra, Staxyn). All work by improving blood flow to the penis during arousal. They're generally taken 30-60 minutes before sexual activity and should not be used more than once a day. You can take tadalafil up to 36 hours before sexual activity. It also comes in a lower, daily dose. All require an OK from your doctor first for safety.

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    Penile erection is caused by the engorgement of the penis with blood. This engorgement occurs when the blood vessels delivering blood to the penis increase the delivery of blood and the blood vessels carrying blood away from the penis decrease the removal of blood. Under normal conditions, sexual stimulation leads to the production and release of nitric oxide in the penis. Nitric oxide then activates the enzyme, guanylate cyclase, which causes the production of cyclic guanosine monophosphate (cGMP). It is the cGMP that is primarily responsible for the erection by affecting the amount of blood that the blood vessels deliver and remove from the penis.

    If my supply of pills ran out, I would panic and make excuses to get out of having sex. Even when the drugs worked, I still didn’t enjoy sex. The fear of losing my hard-on nagged at me constantly.
    Many men experience erectile dysfunction intermittently, especially during times of stress. If it is a recurring event, however, it can signal an underlying medical or emotional issue. This should be addressed by a healthcare professional.

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    An inability to pick up scents can reduce the ability to become aroused, Jannini said.

    There have been rare reports of priapism (prolonged and painful erections lasting more than six hours) with the use of PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil. Patients with blood cell diseases such as sickle cell anemia, leukemia, and multiple myeloma have higher than normal risks of developing priapism. Untreated priapism can cause injury to the penis and lead to permanent impotence. Therefore, if your erection lasts four hours, you should seek emergency medical care.
    Ultimately, how successful the medical treatment is and how well it is accepted depends, in large part, on the man's expectations and how he and his partner both adapt to the procedure.

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Learn sex tips for men that lead to more sexual pleasure such as better communication, focusing on pleasurable sensations,...

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The process is incredibly easy, with an initial text-based doctor consultation, followed by the fast delivery of your personalised meds and free check-ups with your doctor to ensure the treatment is working for you.

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Premature ejaculation is the unwanted or uncontrollable early release of semen during sexual intercourse. While premature ejaculation is not considered a medical condition, it can have negative effects on a male’s self-confidence and can affect his sexual relationships.

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But research now suggests they could help around three quarters of men battling either of the common sexual issues.

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