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Sildenafil (Viagra) was the first oral phosphodiesterase type 5 (PDE5) inhibitor approved by the FDA in the United States for the treatment of erectile dysfunction (it is not approved for women). Sildenafil inhibits PDE5, which is an enzyme that destroys cGMP. By inhibiting the destruction of cGMP by PDE5, sildenafil allows cGMP to accumulate. The cGMP in turn prolongs relaxation of the smooth muscle of the corpora cavernosa. Relaxation of the corpora cavernosa smooth muscle allows blood to flow into the penis resulting in increased engorgement of the penis. In short, sildenafil increases blood flow into the penis and decreases blood flow out of the penis.

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• Medications, most commonly blood pressure medications (especially beta-blockers or thizides), anti-depressants (such as SSRI), anti-androgens, and a variety of other medications
The majority of adult men who are in good health can safely take Viagra for ED, but it is important to consult with your physician before starting Viagra, as some side effects are possible. Men who have certain health conditions, including chest pain or heart disease, or those who are taking nitrate medications, should not take Viagra. During your consultation, Dr. Kasraeian will help determine whether Viagra is safe and appropriate for you. Restore your confidence and enjoy a better sex life with advanced erectile dysfunction treatment in Jacksonville, FL .

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Walk-In Lab is contracted with LabCorp (LC) and Quest Diagnostics (QD) for routine lab testing. Please choose LC or QD to complete your order. If you prefer to receive a kit by mail for specimen collection, please see our Home Test Kits. LC and QD tests must be ordered separately. An Erectile Dysfunction (ED) #1 Baseline Blood and Urine Blood Test Panel includes a Thyroid + TSH, Complete Blood Count (CBC), Testosterone Total & Free, Urinalysis. The Erectile Dysfunction (ED) #2 Essential Blood and Urine Blood Test Panel includes a Thyroid + TSH, Complete Blood Count (CBC), Testosterone Total & Free, Urinalysis plus Wellness #2 Essential Blood Test Panel, Follicle-stimulating Hormone (FSH) & Luteinizing Hormone (LH), Hemoglobin A1c w/eAG and Prostate-specific Antigen (PSA). The Male Blood Spot Profile I checks the primary male sex hormones and their main binding globulin, and screens adrenal health using morning cortisol. The Male Comprehensive Profile II Saliva and Blood will test cortisol 4 times throughout the day in saliva, and the sex and thyroid hormones are all tested in dried blood spot. Comprehensive testing allows for the treatment to restore balance and achieve overall wellness. The Male Blood Spot Profile II checks the primary male sex hormones and their main binding globulin, and screens adrenal health using morning cortisol in addition to accessing the overall thyroid health. The Comprehensive Male Profile I Saliva and Blood is a combination of the male version of ZRT's Salivary Hormone Profile III and the Essential Thyroid Profile and include both saliva and dried blood spot tests. The profile provides a broad assessment of possible hormonal imbalances because they assess sex, adrenal, and thyroid hormone levels. Test Categories All Tests New Tests Most Popular Tests Anti-Aging Tests Autoimmune Tests Blood Disorder Tests Cancer Screening Tests Diabetes Tests Digestive System Tests Discount Panels Drug and Alcohol Tests Exposure Tests Heart Health Tests Home Test Kits Hormone Tests Immunity Tests Infectious Disease Tests Kidney Tests Liver Tests Men Specific Tests Sensitivity and Allergy Tests STD Tests Stress and Fatigue Tests Thyroid Tests Vitamin, Mineral & Nutrition Tests Wellness Panels Women Specific Tests Homepage How It Works About Us FAQs Lab Locator Terms & Conditions Cancellation Policy Privacy Policy HIPAA Policy Resources
Learn More About Diagnosing Erectile Dysfunction: Tests and Screenings, Early Diagnosis, and Your Doctors

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Erectile dysfunction (ED) is a problem that needs to be diagnosed correctly, to find what causes it so that you get the appropriate treatment.
“Exercise improves function whether you want to prevent erection problems or whether those problems are just starting,” says Gerbild.

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You may have a lot of questions regarding your condition. EAU Patient Information on ED covers many of these questions but it does not deal with your personal situation. The urologist and the sexologist are the best people to discuss this with and you should not feel embarrassed about addressing any of your concerns. Why have I developed this problem? Why is this happening to me? What will happen in the next months and years if I do not get treatment? What will happen in the next months and years if I choose to have treatment? Which are the available treatment options? Which treatment option do you recommend for me? Why do you recommend this treatment option for me? What can I expect from that treatment? What are the possible side effects or risks of this treatment? Will it cure my condition? How long will I need to be treated for?

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Watts and coworkers, in their review article, make several points about this ED/CAD nexus. Endothelial dysfunction is present in both CVD and ED, and is linked through the NO mechanism. The authors note that PDE5 inhibitors improve endothelial function and have a salutary effect on both CVD and ED. Both ED and cardiac disease respond to modifications in lifestyle as well as pharmacologic manipulation. These authors also report that the presence of ED gives the clinician an opportunity to assess CVD and prevention as well.20

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GAINSWave® treatment is a simple procedure that highly trained medical professionals perform in an office. Patients don’t have to get admitted to the hospital or have surgery. GAINSWave® therapy is non-invasive and drug-free. Men who cannot take prescription erectile dysfunction medications because of a heart condition or other health issues can use GAINSWave® therapy.

Some men may be able to gain an erection by using this medication. It involves the placement of a small pellet into the urethra which may subsequently cause the penis to become engorged with blood. This medication proves to be efficacious in only about 30% of men. Medication price is also an issue.
According to the American Urological Association, ED affects as many as 30 million men in the United States.
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Cat and cow is a yoga asana that involves contracting and expanding your torso in a seamless motion, so as to stretch your upper body and increase your lung capacity. It requires you to be on all fours and keep your back flat to begin with. Then, you must arch your back towards the ceiling while inhaling and arch your stomach towards the floor while exhaling. This will release stiffness from your lower back and increase the range of motion of your hip joints. Go down on all fours. Place your palms on the floor in line with your shoulders. Place your knees on the floor in line with your hips. Let your back be flat. Inhale as you arch your back towards the ceiling. Look up at the ceiling at the same time. Exhale as you arch your stomach towards the floor. Look down at the same time. Repeat in a seamless motion. Hip raises

Women who exercised up to six hours per week, in contrast, showed lower sexual distress and resistance in their clitoral arteries compared to women who did not exercise, according to a 2021 study published in The Journal of Sexual Medicine. The exercisers also showed significantly higher levels of desire, arousal, lubrication and orgasm.
It is still a rough guide at this stage, but it will be refined by future research, says Gerbild. For example, future research should consider whether exercise is particularly beneficial to certain groups of patients, and whether the stage of the disease has any effect on the benefits of exercise, she says. For now the results only apply to a general picture of men suffering from erectile dysfunction.
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It is a form of pilate exercise in which a man has to open his thighs without moving his torso and touch the ground with his knees. Knee fallouts help in developing stability to the pelvic region of a man when done regularly.
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
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If it happens more often, it may be caused by physical health or emotional problems. Non-urgent advice: See a GP or go to a sexual health clinic if:

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.
Exercising on a regular basis boosts the blood flow to the pelvis and allows the reproductive organs to function properly. Not just this, exercising also strengthens the core of the body. Exercises that strengthen the muscles of the pelvic floor can benefit the people suffering from erectile dysfunction. The pelvic floor muscles are important in sustaining the blood flow to the penis and maintaining erections. The muscles do this by putting the pressure on the penile veins. The pressure then prevents blood from leaving the area, making an erection possible.
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Another impressive and impactful erectile dysfunction exercise to recover from erection failures is by doing pilates exercises. Pilates helps improve the blood flow in the body and increases the energy level in the body that promotes firm erections.

Risk of ED is higher if you have high blood pressure, diabetes, vascular disease, low testosterone, history of prostate surgery, or take certain medications. Stress and other psychological aspects can sometimes play a role.
Taking a home blood test properly is the key to getting accurate blood test results. To ensure your health check-up goes...
Erectile Dysfunction (ED), also known as impotence, is a type of male sexual dysfunction characterized by the inability to maintain an erection long enough and firm enough for sexual intercourse.
Some men may be able to gain an erection by self-injecting drugs into the penis, causing it to become engorged with blood. The advantage of injection therapy that it can easily be self-administered and in most patients leads to a strong erection when given the right dose. Potential side effects of injection therapy include: fibrosis (scarring) and long-lasting painful erections. Injections are shown to have a long-term dropout rate of about 37% – 76%. Reasons for dropping out of drug therapy include: Desire for a permanent treatment alternative Inadequate response Return of spontaneous erections Fear of needles Concern over side effects
Ultrasound tests for determining ED can not be done at home but only in a professional clinic and hospitals. Under the surveillance of a professional doctor, the wandlike device known as a transducer is kept over the blood vessels. By seeing the video image of the blood supply to the penis, one can identify the level of ED. On your sexual behavior for the past 6 months, try to answer the question honestly and assign the points assigned to particular answers. After you finish answering all five main questions, total up all the points to check the result. !

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Sexual dysfunction is more common as men age. According to the Massachusetts Male Aging Study, about 40% of men experience some degree of inability to have or maintain an erection at age 40 compared with 70% of men at age 70. And the percentage of men with erectile dysfunction increases from 5% to 15% as age increases from 40 to 70 years. erectile dysfunction can be treated at any age.

More than two drinks a day is considered a risk factor for ED. Alcohol can lower testosterone levels, decrease flowing blood to the penis, and cause nerve and hormonal imbalances. Low testosterone from alcohol or drug abuse can also affect your libido and performance, potentially leading to further psychological ED complications.
Your ED specialist is interested in your physical and mental health, your relationships, and if medications, drugs, or alcohol could also be contributing factors. There is no judgment, and your honest responses can lead to a more effective ED treatment. How long have your ED symptoms been happening?Did your symptoms happen suddenly, or were they gradual?Do you ever have firm erections?Are your erections harder in particular situations or with different types of stimulation?Do you awake with an erection or feel an erection at night (a nocturnal erection)?Are you aware of any underlying health conditions?Have you suffered a pelvic injury or had any pelvic surgery?Do you take prescription drugs? Do you have problems feeling desire, having an orgasm, or ejaculating during sex?How often do you have sex?Do you have sex less often now? What is your current relationship status?Do you and your partner have expectations for each other?Has your relationship or your expectations changed? Have your stress levels increased?Do you use tobacco, alcohol, or nonprescription drugs more frequently or to de-stress? Additional Testing
A study published in May 2014 in The Journal of Sexual Medicine found that some men can reverse erectile dysfunction with healthy lifestyle changes, such as exercise, weight loss, a varied diet, and good sleep. The Australian researchers also showed that even if erectile dysfunction medication is required, it's likely to be more effective if you implement these healthy lifestyle changes.
Depression, High Blood Pressure, Severe Anxiety and that’s why many people face erectile dysfunction at 17 or 20. The symptoms of ED at 20 are
If you use sildenafil, tadalfil, or vardenafil and get chest pains, be sure to tell the paramedics, nurses or doctors at the hospital that you use it and when you used it last.

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Erectile dysfunction (ED) is most often characterized by the inability to achieve and/or maintain a reliable, firm, prolonged erection that is adequate for sexual activity. For some men, problems with erections are isolated or situational, while others experience chronic ED due to an underlying condition or mechanical abnormality. Oftentimes, ED is multifactorial, meaning there is more than one factor contributing to the patient’s symptoms. Some of the most common erectile dysfunction risk factors and causes include: Hormone imbalance/low testosterone Andropause Age Poor circulation Heart disease Obesity Certain medications Drug/alcohol use Psychological factors Stress/anxiety Trauma Previous surgery/prostate surgery new-erectile-dysfunction-pills-over-the-counter-info

André B Silva1, Nelson Sousa1,2, Luís F Azevedo3,4, http://orcid.org/0000-0001-8561-5167Carlos Martins1 1 Family Medicine Unit, Social Sciences and Health Department of the Faculty of Medicine of Porto, Porto, Portugal 2 Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), University of Trás-os-Montes e Alto Douro, Vila Real, Portugal 3 CIDES—Department of Health Information and Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal 4 CINTESIS—Centre for Health Technology and Services Research, University of Porto, Porto, Portugal Correspondence to Dr André B Silva, Faculdade de Medicina da Universidade do Porto, Al. Prof. Hernâni Monteiro, Porto 4200-319, Portugal; andreborgessilva{at}outlook.com
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.
As described above, there are many risk factors and causes for ED. Therefore, our team investigates the potential causes for each patient thoroughly and independently to ensure the best possible outcome. Our work up for ED may include:
6. Mix it up. Along with the longer pelvic floor exercises, try practising short contractions (two to three seconds) as well, to ensure pelvic muscles are regularly activated.
A self-test erection is a test that any person can do all by himself just by sitting at his house and following whether the cause of the issue is psychological or physical.

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Pelvic Floor Rehabilitation(PFR) is a therapy to reinforce your pelvic floor muscles which play a significant role in sustaining an erection. The experienced pelvic floor therapist, with the help of specialized equipment, ensures stronger muscles especially ischiocavernosus and bulbospongiosus. These muscles lead to stronger erections and better ejaculations with the increase in Ejaculatory time.

Thankfully, if you’re experiencing these issues, you don’t have to rely solely on expensive medications or complicated and extensive therapies. There are several exercises, specifically Kegel exercises, that can strengthen the core and pelvic area of the body.
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Your hormonal status for testosterone (the male hormone) is evaluated, particularly if one of your symptoms is low sexual desire (low libido).Blood tests for testosterone should ideally be taken early in the morning because that is when levels are usually at their highest.Blood may also be tested for other hormones that can affect sexual function (eg, luteinizing hormone, prolactin).Your blood may be checked for glucose (sugar), cholesterol, thyroid function, triglycerides, and prostate specific antigen (PSA).A urinalysis looking for blood cells, protein, and glucose (sugar) may also be done.
Whilst erectile dysfunction may be related to both mental and physical disorders, in approximately 80% of cases, medical conditions may play a contributory role. It is therefore important for all patients experiencing erectile dysfunction to be reviewed by their GP.
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If it happens more often, it may be caused by physical health or emotional problems. Non-urgent advice: See a GP or go to a sexual health clinic if:

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