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With so many possible causes, your doctor has a number of tests they can use to figure out the best treatment for you.

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“Street” drugs can dampen a man’s feelings of arousal as well as other sensations. Illicit drugs can take away the pleasure of sex and make a man impotent. Some men use drugs to cope with other issues that could be the root of their penile dysfunction. Using drugs only compounds a man’s difficulty in achieving and maintaining erections.
Erectile dysfunction (ED) refers to difficulty getting or maintaining an erection. It is more common in men who have any of the following: .

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They're not always available on the NHS. Speak to a doctor about where to get a vacuum pump.
Exercise and maintain a healthy weight.Stop smoking.Avoid alcohol and substance abuse.Keep diabetes under control.

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It is important to understand that ED is frequently, if not usually, directly related to endothelial dysfunction, and that the release of NO by the vasculature of the penile arteries is directly related to the function of intact, healthy endothelium. In the face of endothelial dysfunction, the process of erection fails to occur in a normal fashion.16
It's common for ejaculation problems to occur as you age. Ejaculation problems usually don’t pose health concerns, but they can be embarrassing to experience. Learn how to fix ejaculation problems and talk to your doctor.

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You can buy extract of the bark of the yohimbe tree – long used as an aphrodisiac in western Africa -- as a dietary supplement. Its promoters claim it can help erectile dysfunction. But the science shows mixed results.

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The causes of primary premature ejaculation are often psychological, such as having a traumatic sexual experience at an early age.

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    The medical treatments for erectile dysfunction may provide satisfying erections, but they do not give you a long-term cure for your problem. If anything, they are band-aids for the symptoms but not a total solution. An erection that is rigid and satisfying for sexual activity, The ability to be spontaneous in their sex lives, The ability to predict and control how long the erection lasts and how often they can use it, and An erection that naturally occurs without devices or other impediments.

    The pulses in your legs will normally be assessed and the nerve reflexes involving your legs, and your penis or anus (back passage). Rectal examination (pictured) may be performed to assess the tone of your anal muscles and to feel your prostate gland.
    Tests for evaluation of pituitary dysfunction (e.g., measurement of luteinizing hormone, follicle-stimulating hormone, and prolactin levels) if serum testosterone level is below normal

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    Lab tests can help diagnose ED. Blood cell counts, blood sugar levels, cholesterol levels, and liver tests can reveal medical conditions that play a role in ED.

    “It’s important that men receive this information. Many men with high blood pressure or heart problems, for example, also suffer from erectile dysfunction. And here’s something they can do about it themselves without needing to go to the psychologist or look at their relationship with their partner, which some men find difficult,” says lead-author Helle Nygaard Gerbild, PhD student from the Research Unit of General Practice, Institute of Public Health at the University of Southern Denmark.
    Kegels erectile dysfunction exercise is recommended by 90% of doctors because it is the best way to recover from erection failures. For removing erectile dysfunction, it is essential to improve your pelvic area strength that Kegels do easily.

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    MetS is a combination of maladies that can cause ED. The five hallmarks of MetS are: hypertension, elevated fasting glucose levels, elevated triglycerides, central obesity, and reduced high density lipoprotein levels of cholesterol. MetS causes inflammation and hormonal imbalances that can lead to ED. Treatment for MetS can include lifestyle changes, testosterone replacement, pharmaceuticals, and bariatric surgery – such as gastric bypass.

    Men with a rare heart condition known as long QT syndrome should not take vardenafil since this may lead to abnormal heart rhythms. The QT interval is the time it takes for the heart's muscle to recover after it has contracted and is measured on an electrocardiogram (EKG). In addition, vardenafil is not recommended for men taking medications that can affect the QT interval such as quinidine, procainamide, amiodarone, and sotalol.
    David F Mobley1, Mohit Khera2, Neil Baum3 1 Department of Urology, Weill-Cornell Medicine, Houston, Texas, USA 2 Department of Urology, Baylor College of Medicine, Houston, Texas, USA 3 Department of Urology, Tulane Medical School, New Orleans, Louisiana, USA Correspondence to Dr David F Mobley, Department of Urology, Weill-Cornell Medicine, 18300 Katy Fwy, Ste 325, Houston 77094, TX, USA; mobleyresearch{at}gmail.com

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    The common PDE5 inhibitor drugs approved in the United States are sildenafil (Viagra), vardenafil (Levitra and Staxyn, the generic form), tadalafil (Cialis), or avanafil (Stendra). All of the currently approved PDE5 inhibitors work in the same way. They differ in the number of available doses, how quickly they work and last in your system, the dosing, and to some extent in the side effects. However, they generally share the same indications and contraindications. Currently, tadalafil is the only medication that patients can take on a daily basis and is approved for the treatment of both ED and BPH (benign enlargement of the prostate).

    Most men have their first conversations about ED with their primary care doctors. “It’s a sensitive subject to talk about, and many patients don’t want to talk about ED or their sex lives,” Dr. Baumgarten says. “A man might have a consistent inability to sustain an erection sufficient for intercourse, brief erections, or erections that aren’t rigid enough for intercourse. We’re here for all of those patients and want to help.”
    Risk of infection, scar tissue formation with distortion of the penis, and painful erections QUESTION Erectile dysfunction (ED) is… See Answer

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Pam Ronn did extensive research on prostate cancer in order to help find the best treatment for her husband Alan's cancer. Get In Touch About INTEGRIS Health Services Tools Locations Resources Also at INTEGRIS Health

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Smoking, excessive use of alcohol and illicit drugs are also associated with ED.13 A study in 2005 suggests that ED is not only more likely among men who smoked compared with those who never did, but that in younger men with ED, cigarette smoking is very likely the cause of their impotence.14 15

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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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Men with a rare heart condition known as long QT syndrome should not take vardenafil since this may lead to abnormal heart rhythms. The QT interval is the time it takes for the heart's muscle to recover after it has contracted and is measured on an electrocardiogram (EKG). In addition, vardenafil is not recommended for men taking medications that can affect the QT interval such as quinidine, procainamide, amiodarone, and sotalol.

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