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Erections that are too soft for sex.Erections that are don’t last long enough for sex.An inability to get an erection.

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For most men with erectile dysfunction, undergoing a physical exam and answering questions about your medical history are sufficient for your doctor to diagnose erectile dysfunction and make recommendations for treatment.
Like any other issue, Erectile Dysfunction is also treated at IASH with the methodologies and treatments. Under the guidance of professional sexual health experts and doctors, they also offer special exercise guides and plans for the patients to help them overcome Erectile Dysfunction symptoms. Institute of Andrology and Sexual Health is a well-renowned and Jaipur’s best male reproductive health and wellness clinic that offers treatments and guidance for all types of sexual health issues at a single roof. Dr. Chirag Bhandari is the best sexologist in Jaipur and director of IASH, Jaipur that offers the world’s best treatments with the latest technology and methods. .

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To diagnose ED, your doctor may only need to ask you some questions and perform a physical exam.
While erectile dysfunction can occur at any age, the risk of developing erectile dysfunction increases with age.

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Figures suggest more than half of men over the age of 50 have erectile dysfunction, which gets more common with age.
Men can have several types of issues including poor sex drive and problems with ejaculation. But ED refers specifically to trouble getting or keeping an erection. You might have a healthy sex drive, but a body that won’t respond. Most of the time there is a physical basis for the problem.

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The first line of treatment for erectile dysfunction is usually non-invasive and can involve lifestyle changes such as losing weight or quitting smoking. Medications called phosphodiesterase type-5 inhibitors that increase penile blood flow may be prescribed:

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Pelvic floor exercises tighten the muscles around the base of the penis. These muscles exert pressure on the blood vessels that drain the penis. Tightening these muscles can help keep blood in the penis longer and therefore help maintain an erection. Pelvic floor exercises (also called Kegel exercises) can tighten the muscles that sag and weaken as we age (Meldrum et al., 2014).

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    You may not be able to use these drugs if you have any of the following conditions:

    ED is defined as the inability to achieve a full erection or the inability to maintain an erection adequate for sexual intimacy. Other types of sexual dysfunction such as premature ejaculation and low libido may occur; however, the most common and disruptive problem in men is ED. Although most men will experience periodic episodes of ED, these episodes tend to become more frequent with advancing age.
    "We were given information by those land users saying that they were seeing reduced litter sizes, fewer pups ... at some of these traplines," he said. "So they were concerned that there might have been a reproductive failure.

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    So what’s going on here? Why does having more sex keep the male organ in trim instead of wearing it out? The likely elixir is oxygen, says study lead author Dr. Juha Koskimäki, consulting urologist at Tampere University Hospital -- specifically, oxygen molecules summoned to particular parts of the penis by erections.

    The primary symptom of erectile dysfunction is the inability to get or keep an erection. This condition prevents you from having or completing sexual activity.
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    Erection problems usually produce a significant psychological and emotional reaction in most men. This is often described as a pattern of anxiety, low self-esteem, and stress that can further interfere with normal sexual performance. This "performance anxiety" needs to be recognized and addressed by your health care provider.

    The recreational drug ‘poppers’ should not be used with any erectile dysfunction medications as this could result in a potentially fatal drop in blood pressure.
    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

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    Diuretics (pills that increase urine flow)High blood pressure medsAntihistaminesAntidepressantsParkinson's disease drugsAntiarrhythmics (drugs for irregular heartbeat)Tranquilizers and sedativesMuscle relaxantsNonsteroidal anti-inflammatory drugs (NSAIDs)Histamine H2-receptor antagonistsHormonesChemotherapy medicationsProstate cancer drugsAnti-seizure medications

    The penis is composed of three cylinders, two on the top and one on the underside of the penis. The top two cylinders are involved in the erectile process. The urethra, the tube that urine and semen pass through, is on the underside of the penis. The top two penile cylinders, the corpora cavernosa, are composed of tissue that is analogous to a sponge, containing spaces that can fill with blood and expand. These two cylinders are surrounding by a strong layer of tissue, like Saran wrap, the tunica albuginea. For an erection to occur, there must be properly functioning nerves, arteries, veins, and normal penile tissues. Share Your Story
    There is also no definitive evidence that testosterone treatment helps improve symptoms such as sexual function in men who have low testosterone levels. While the benefits of testosterone treatment are unclear, there is proven evidence of potential health risks. If you are considering testosterone replacement therapy, be sure to discuss with your doctor all of its possible risks and benefits.

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Heart disease or atherosclerosis (inflammation and narrowing of the arteries)High blood pressureHigh cholesterolObesityDiabetesStrokeMetabolic syndrome (a cluster of risk factors that includes high blood pressure, elevated insulin levels, high cholesterol and triglycerides, and increased body fat around the waist)Parkinson’s diseaseMultiple sclerosis (MS)A brain or spinal cord injuryChronic kidney diseaseNerve disordersHypogonadism (a condition where the body doesn’t make enough testosterone)Peyronie’s disease (scar tissue inside the penis)Sleep disorders

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In patients who either fail to respond to first or second-line therapy, or are not interested in the conservative therapies, penile prosthesis implantation is available. Malleable and rigid implants were available for many years, but in 1973 the world of penile prosthetics took a giant leap forward with the advent of the inflatable penile implant. Most implants done nowadays are of the inflatable variety. Adverse events including malfunction and infection are rare, and patient satisfaction is very high.45

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Doctors are investigating the use of drug-coated stents (similar to those used in angioplasty for heart blockages) for treating ED in men who have not been helped by drug therapy. The stents are tiny, expandable metal mesh tubes that are implanted in an artery that provides blood flow to the penis. Only men with specific types of blood flow blockages caused by atherosclerosis are candidates for this procedure. These stents are currently only being studied in clinical trials. They have not yet been approved for ED treatment.

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35-90% of diabetic men also experience ED. Hyperglycemia can have a negative impact on several aspects of erectile function. Complications and changes associated with diabetes can compromise macrovascular and microvascular structures, the nervous system, and blood vessel linings.

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