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In order that erectile dysfunction may be diagnosed, you have to "bring it up". Talk with your physician – your erectile dysfunction is not obvious to anyone outside of your sexual partner(s). Once addressed, your physician will likely conduct a detailed history and physical examination in an attempt to elucidate the potential causes of your ED. Blood sugar Cholesterol Blood pressure Hormonal levels (particularly testosterone) Genital examination Inguinal pulses (blood vessels in the groin) Neurological evaluation Medication history Recreational drug history Alcohol use and/or abuse Tobacco history

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The doctor will examine the liver, kidney, fat, blood. For those who have low sexual desire, you may need to take hormone to increase testosterone. Also observe the erection of the penis during sleep if it cannot erect at night or at dawn, the cause is probably caused psychological.
An erection problem occurs when a man cannot get or keep an erection that is firm enough for intercourse. You may not be able to get an erection at all. Or, you may lose the erection during intercourse before you are ready. Erection problems do not usually affect your sex drive. .

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Erectile Dysfunction is seen because of not having a good blood flow in the body and especially in the male reproductive area. By having a nutritious and healthy food diet, one can improve the blood flow for better functioning and curing ED at home.
ED is a very intimate and private condition. Most patients consult multiple sources of information for erectile problems: friends, the Internet, media, a sexual health shop, a pharmacist, a psychologist, or a medical doctor.

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ED can have a negative effect on your sex life. It is difficult to feel attractive and confident or be intimate with your partner when you do not feel able to give him or her pleasure. This can have an effect on trust, intimacy, and closeness. Your intimacy as well as your daily interaction may be affected.
In addition, your doctor may address underlying conditions. They may suggest counseling or medication changes. They also may suggest lifestyle changes, including increased exercise or dietary changes. It is also a good idea to avoid drugs, alcohol, and cigarettes. American Urological Association: “Erectile Dysfunction (ED).” Andrologia: “Erectile dysfunction, physical activity and physical exercise: Recommendations for clinical practice.” Coronary Artery Disease: “A Home-Based Walking Program Improves Erectile Dysfunction in Men with an Acute Myocardial Infarction.” Memorial Sloan Kettering Cancer Center: “Pelvic Floor Muscle (Kegel) Exercises for Men.” National Institute of Diabetes and Digestive and Kidney Diseases: “Erectile Dysfunction (ED).”

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Burnett AL, Nehra A, Breau RH, et al. Erectile dysfunction: AUA guideline. J Urol. 2018;200(3):633-641. PMID: 29746858 pubmed.ncbi.nlm.nih.gov/29746858. Version Info

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Aetna considers genetic polymorphism testing experimental and investigational for the evaluation of response to phosphodiesterase 5 (PDE5) inhibitors in members with erectile dysfunction.

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    Increased consumption of long-chain fats, which are found in most fish, was associated with lower levels of blood vessel inflammation (Lopez-Garcia & Hu, 2004). Blood flow into the penis and surrounding tissue can be improved by reducing inflammation in small blood vessels.

    To help your erections, your doctor may suggest taking medication as a pill or as an injection in your penis, or using a mechanical device. And you'll need to deal with the underlying medical condition, too.
    Erectile dysfunction is a common symptom and causes problems in men. About 30 million men in the United States have erectile dysfunction. Based on this figure, more than 100 million men worldwide are sexually impotent. About 52% of men aged 40-70 years of sexual dysfunction among these people, there are many stressors that affect family relationships. And may cause depression, decreased self esteem and bad image of themselves. Drink up to 2 glasses of alcohol a day. Non smoking Consult a therapist about improving communication with your partner. 90/5 Moo 13, King Kaew Rd., Tambon Rachadeva, Amphoe Bangplee, Samutprakarn 10540

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    Erectile dysfunction (ED) is the inability to achieve or maintain an erection to satisfactorily engage in sexual intercourse. It is estimated that around 18 million American men experience erectile dysfunction, with prevalence increasing as age increases. One in three men will experience some form of ED in their lifetime.

    Erectile dysfunction is common and becomes increasingly more so with age. Complete impotence occurs in 5% of men aged 40 years and 15% of men aged 70 years old. Milder forms of impotence can affect 50% of men aged 50 years old, increasing to 70% of men over 70 years old.
    Talking about sexuality isn’t easy for many people. Embarrassment, shame, or anxiety can prevent partners from having meaningful conversations about sex or talking to their doctor about problems in the bedroom.

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    Health Topics Symptoms and Signs Supplements Medications Slideshows Images Quizzes Medical Author: Pamela I. Ellsworth, MD Medical Editor: John P. Cunha, DO, FACOEP What Is Impotence/Erectile Dysfunction? What Are Impotence Symptoms and Signs? What Causes Impotence/Erectile Dysfunction? How Do Health Care Professionals Make a Diagnosis of Erectile Dysfunction? What Specialized Tests Do Doctors Use to Investigate Erectile Dysfunction? What Are Impotence/Erectile Dysfunction Treatment Options and Medications? What Are Surgical Treatments for Impotence? What Is the Prognosis of Erectile Dysfunction? Illustrations: Methods of Diagnosing the Cause of Erectile Dysfunction Illustrations: Other Nonsurgical Interventions for Erectile Dysfunction Illustrations: Surgical Interventions for Erectile Dysfunction Erectile Dysfunction (Impotence) Topic GuideDoctor's Notes on Impotence/Erectile Dysfunction Symptoms
    Adhering to a set sleep schedule is a natural erectile dysfunction remedy, and can help ensure that those signals are clear and consistent.

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    In men, Kegel exercises can help with erectile dysfunction (ED) and enhance sexual performance. One study of men with ED found that after 6 months of performing Kegel exercises, 40% of men regained normal erectile function. Helping prevent incontinence (which can be important after prostate surgery) Longer time between bathroom visits Fewer “accidents” and leaking Drier underwear Preventing accidental passage of gas or stool Bulbocavernosus (BC) muscle Squeezes semen or urine out of the urethra Squeezes more blood into the end of the penis This is the main muscle used when performing Kegels Pubococcygeus (PC) muscle Plays a role in urination and bowel movements Forms a large part of the pelvic floor, supporting lower organs Contracts during orgasm Iliococcygeus (IC) muscle Forms part of the strength of the pelvic floor Pulls the anus back up after a bowel movement

    Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex, feeling stressed either at home or at work, or feeling troubled in your current sexual relationship. In these cases, treatment incorporating psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress, leading to further erectile failure. Individuals suffering from psychogenic ED may benefit from psychotherapy, treatment of the ED, or a combination of the two. Also, medications used to treat psychologic troubles may cause ED; however, it is best to consult with your physician prior to stopping any medications that you are taking. Althof, S.E., E.W. Corty, S.B. Levine, et al. "EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction." Urology 53.4 April 1999: 793-799. American Foundation for Urologic Disease. American Foundation for Urologic Disease. American Urological Association. "Erectile Dysfunction." 2011. . Andersson, K.E., and G. Wagner. "Physiology of Penile Erection." Physiol Rev 75.1 January 1995: 191-236. Cheitlin, M.D., A.M. Hutter Jr., R.G. Brindis, et al. "ACC/AHA Expert Consensus Document. Use of Sildenafil (Viagra) in Patients With Cardiovascular Disease. American College of Cardiology/American Heart Association." J Am Coll Cardiol 33.1 January 1999: 273-282. The European Alprostadil Study Group. "The Long-Term Safety of Alprostadil (Prostaglandin-E1) in Patients With Erectile Dysfunction. Br J Urol 82.4 October 1998: 538-543. Feldman, H.A., I. Goldstein, D.G. Hatzichristou, et al. "Impotence and Its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study." J Urol 151.1 January 1994: 54-61. Laumann, E.O., A. Paik, and R.C. Rosen. "Sexual Dysfunction in the United States: Prevalence and Predictors." JAMA 281.6 Feb. 10, 1999: 537-544. National Kidney and Urologic Diseases Clearinghouse. National Kidney and Urologic Diseases Clearinghouse. Available at http://kidney.niddk.nih.gov/. NIH Consensus Conference. Impotence. NIH Consensus Development Panel on Impotence. JAMA 270.1 July 7, 1993: 83-90. The Process of Care Consensus Panel. "The Process of Care Model for Evaluation and Treatment of Erectile Dysfunction." Int J Impot Res 11.2 April 1999: 59-70; discussion 70-74. Segraves, R.T., M. Bari, K. Segraves, and P. Spirnak. "Effect of Apomorphine on Penile Tumescence in Men With Psychogenic Impotence." J Urol 145.6 June 1991: 1174-1175. United States. FDA Center for Drug Evaluation and Research. FDA Center for Drug Evaluation and Research. Available at http://www.fda.gov/cder/.
    Patients should start with a low dose and increase in small doses until the dose that results in a rigid enough erection for completion of sexual activity is achieved. If one injects and there is an inadequate response, one should not reinject another dose of the medication at that time, due to the risk of priapism.

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The good news is that the medically reviewed research suggests physical activity with a moderate to high intensity completed for 40 minutes, four times a week can result in a significant improvement of ED symptoms, as well as preventing cardiovascular disease.

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Peyronie's disease is a condition that results from a penis injury, causing scar tissue to form and the shaft to curve. Sexual intercourse is often difficult.

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While many cases of ED are caused by medical conditions that can’t be cured, various treatment options can help restore sexual function.

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It’s well known that there are medicines available to treat E.D. However men with this condition may be unaware that there are specific exercises which may offer effective Erectile Dysfunction treatment, and could make all the difference in the bedroom. Kegel exercises for men can help to improve sexual function, as well as urinary and bowel incontinence, by strengthening the pelvic floor. Erectile Dysfunction treatment with Kegel Exercises: Find the right muscles by stopping urination midstream, or tightening the muscles which stop you from passing wind Perform some reps – hold the muscles for 5 seconds then relax. Slowly build up the number of reps until you can repeat this 10 or 20 times, 2 to 3 times per day. Start by doing them lying down, and then progress to doing while sitting, standing or walking

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