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Everyone deserves to feel comfortable and confident during intimacy. If ED is holding you back, we can help. To learn more about the exciting erectile dysfunction solutions offered at Kasraeian Urology, call our knowledgeable team to schedule your private consultation in Jacksonville, FL with board-certified urologists Dr. Ahmad Kasraeian and Dr. Ali Kasraeian today! Tags Ahmad Kasraeian, M.D., FACS Ali Kasraeian, M.D., FACS Jacksonville Beach Location Jacksonville Location North Jacksonville Location Erectile Dysfunction Shockwave Therapy Jacksonville Location Jacksonville Beach Location North Jacksonville Location

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Of the 90% of men who have an underlying physical cause, the main abnormalities found are: Cardiovascular disease in 40%; Diabetes in 33%; Hormone problems (e.g. high prolactin or low testosterone levels) & drugs (e.g. antihypertensives, antipsychotics, antidepressants, antihistamines, heroin, cocaine, methadone) in 11%; click here to watch a short video about testosterone deficiency from the NHS Health & Care Video Library. Neurological disorders in 10%; Pelvic surgery or trauma in 3-5%; and Anatomical abnormalities in 1-3% (e.g. tight foreskin, short penile frenulum, Peyronie's disease, inflammation, penile curvature). What treatments are available for this problem?
(2012). “Should men do pilates for pelvic floor muscle strength?” Prostate.net. Retrieved from: http://prostate.net/articles/pilates-for-pelvic-floor-muscles .

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- Natural ways to reverse erectile dysfunction without resorting to expensive pharmaceuticals.
Treatment options vary widely according to the specific diagnosis. Regardless, common treatment includes referral for counseling or therapy due to residual effects ED has to strip the man of confidence and self-esteem.

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The conclusion builds upon trials of moderate to high intensity exercise. Moderate intensity is the equivalent of a brisk walk. High intensity exercise is indicated by sweating and shortness of breath and could be anything from cycling to work, cross country skiing, or any other activity you enjoy.
In order to achieve and maintain an erection, your nerves must be working properly. Neurological conditions like multiple sclerosis, Parkinson’s disease and Alzheimer’s, can cause erectile dysfunction. Nerve damage from spinal cord injuries and stroke can also cause ED. Erectile Dysfunction Treatment

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Picture of vasodilator injection into penis. A vasodilator such as prostaglandin E1 can be injected. If the blood vessels are capable of dilating, a strong erection should develop within five minutes.

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The NIDDK provides relevant and detailed information about ED, treatments, prevention strategies, and clinical trials.

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    Click here to use our feedback form & send us your comments about this section of the BAUS website; this will help us to improve it for the benefit of our patients

    Nearly 95% of men with erectile dysfunction can obtain an erection sufficient for sexual satisfaction with a vacuum constriction device. Only vacuum constriction devices containing a vacuum limiter should be used. All FDA approved devices have such a limiter. Vacuum constriction devices can be a useful second-line treatment option especially in the patient with a supportive partner in a stable relationship. Virtually all men of all ages and with all types of erectile dysfunction can have successful intercourse with a vacuum constriction device.
    They work for most men and can be used if medicine is not suitable or does not work.

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    Among the most popular treatment options for erectile dysfunction are pharmaceuticals. Drugs such as Viagra (Sildenafil), Levitra (Vardenafil), and Cialis (Tadalafil) are popular and boast an 80% success rate. These drugs are classified as phosphodiesterase-5 inhibitors (PDE-5) – which enable an erection, temporarily, but are not the best for maintaining an erection over time.

    Other tests, if indicated, are normally arranged by the urology specialist clinic and will be discussed with you.
    Vacuum Erection Device is one such external device that is FDA approved and is easy and safe to use. At IASH, we explain step by step procedure for the safe and competent use of this device.

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    Psychoteraphy is often the first form of treatment recommended for depression. Psychotherapy helps depression by helping people understand the behaviors, emotions and ideas that contribute to their depression, regain a sense of control and pleasure in life, and learn coping techniques as well as problem solving skills.

    Lay down on the floor, stand or sit as per your like to start the exercises. After you decide your position, clench your bulbocavernosus muscles and take a pause for 2 to 3 minutes. Release your hands to complete the set. Repeat this exercise more than five times a day to see better results.
    Your urologist will perform a physical examination to check your health. They will examine your genitals (testes and scrotum) for any signs of injury or problems that point to erectile dysfunction. They will also check your heart rate and blood pressure to know about your cardiovascular health. They may even perform a rectal examination to check your prostate.

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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

    Aetna considers iontophoresis or intra-lesional injection of nicardipine or verapamil experimental and investigational for Peyronie’s disease because of a lack of evidence from prospective randomized controlled clinical studies of the effectiveness of this approach for this indication.
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One must be very careful using both PDE5 inhibitors and medications commonly used to treat an enlarged prostate, alpha-blockers (for example, tamsulosin [Flomax], terazosin [Hytrin]). It is recommended that one be on a stable dose of the alpha-blocker prior to starting a PDE5 inhibitor and that one start on a low dose of the PDE5 inhibitor and increase as tolerated and needed to treat the erectile dysfunction. Similarly, if you are on a PDE5 inhibitor and your doctor recommends that you start an alpha-blocker for your prostate, you should start at a low dose and increase as tolerated and needed to treat your prostate symptoms.

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Nearly 1000 years later, the Egyptian Papyrus Ebers, a medical Egyptian document dated 1600 BC, describes a cure for impotence in which baby crocodile hearts were mixed with wood oil and applied topically to the penis.4

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Treatment for ED is based on the cause of the problem. Some of the treatments that may be used include:

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The most targeted exercise that you can do to help erectile dysfunction is strengthening your pelvic floor. Pelvic floor exercises can help men improve or even ultimately overcome ED.

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