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Offering in-person, video and telephone visits. Call today to see which option is right for you. Male Urology > Erectile Dysfunction Erectile dysfunction is a challenging and embarrassing problem for men.

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Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction.
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Moment A. Sexuality, intimacy, and cancer. In Abrahm JL, ed. A Physician’s Guide to Pain and Symptom Management in Cancer Patients. Baltimore, MD: Johns Hopkins University Press; 2014:390-426.

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Urinalysis (urine test, drug test) is a test performed on a patient's urine sample to diagnose conditions and diseases such as urinary tract infection, kidney infection, kidney stones, and inflammation of the kidneys, or screen for progression of conditions such as diabetes and high blood pressure.
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Performance anxiety. People with depression tend to think more negatively and may feel less confident. A depressed man might think, “I don’t have what it takes to please my partner” and then have erection difficulties.

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Various surveys have shown that it is now possible to get occasional and mild symptoms of Erectile Dysfunction.

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    There are several causes of erectile dysfunction. Some important erectile dysfunction causes are as follows:

    VEDs provide a simple way of obtaining an erection for 30-45 minutes by sucking blood into the penis and holding it in place with a constriction (pictured). Ejaculation may be restricted by the ring but this technique is simple, safe and has no known side-effects. Unfortunately, most patients have to purchase VEDs themselves.
    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

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    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.

    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
    For men searching for ED medication, there are many newer erectile dysfunction treatments (all prescription drugs) that help you get an erection firm enough to have sex, and most have few side effects.

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    Typically, the medication is taken 1-4 hours prior to sexual activity and no more than once per day. Sildenafil and tadalafil are available in generic form, making the pills significantly less expensive than the brand-name versions.

    A surgical procedure that involves the placement of a balloons inside the shaft of the penis that a patient is able to manually pump the device to inflate and get an erection. The erection lasts as long as needed and with a simple push of a button, the penis is once again soft. Learn more about the implant option by clicking here. ED is rarely caused by severe pelvic trauma from major accidents in younger patients. Revascularization is an operation to bring new or additional blood vessels to the penis to improve the circulation that may have been severed by the initial trauma. This is a very rare type of treatment and is not recommended for the typical patient. After identification of a psychogenic source for ED, we will refer patients to a therapist with expertise in treating sexual dysfunction. We often recommend low dose medications for ED in conjunction with the therapist’s recommendations.
    S.NoTestosterone LevelImpact on the body1.<300 ng/dLIt becomes hard for a person to maintain an erection.2.>900Excess of the hormone can create high sexual desires that are hard to please.

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    If you have erectile dysfunction, there are many ways your doctor can help you treat it. But you may want to consider complementary or alternative therapies, such as nutritional supplements, herbal remedies, acupuncture, and talk therapy. Just be sure to talk to your doctor first.

    If we think more broadly about blood flow, aerobic exercises improve circulation in the entire body, including the penis. This is backed up by a whole heap of medically reviewed research.
    ED is usually easy to diagnose. If you are tempted to self-diagnose, talk to your doctor. He or she will want to make sure it isn’t related to another health condition.

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It’s important to visit a doctor to see if there is an underlying cause for your Erectile Dysfunction, and to discuss Erectile Dysfunction treatment.

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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.

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Dr. Baumgarten says a growing number of men are asking about shockwave therapy, a procedure that uses low-intensity soundwaves similar to those used to break up kidney stones. In theory, shockwave therapy applied to the penis increases blood flow and promotes the growth of new blood vessels.

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Clinical studies have generally shown shockwave therapy to be effective and safe, but more research is needed to identify potential risks and the best treatment protocols for someone with erectile dysfunction. How Long Does Shockwave Therapy Take to Work?

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