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“Perhaps some men will be more motivated to know that they can improve their erectile function, sexual health, and quality of life, rather than just being told that they can live longer,” says Gerbild.

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A safe and non-drug treatment in which a cylinder-shaped device is placed on the penis and with the magic of negative pressure, the device pulls the blood in to the shaft of the penis to produce an erection.
In patients with low testosterone, testosterone treatment can improve libido and erectile dysfunction, but many men still may need additional oral medications such as sildenafil, vardenafil, or tadalafil. Some studies suggest that men with ED and low testosterone may respond better to PDE5 inhibitors when given testosterone therapy; however, this is controversial. .

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Lifestyle choices, such as smoking, alcohol abuse, and obesity can impair blood circulation and lead to erectile dysfunction. Smoking, excessive drinking, and drug abuse may damage the blood vessels and reduce blood flow to the penis. Smoking makes men with atherosclerosis even more vulnerable to erectile dysfunction. Smokers have almost twice the risk of erectile dysfunction compared with nonsmokers. Being overweight and getting too little exercise also contribute to erectile dysfunction. Men who exercise regularly have a lower risk of erectile dysfunction.
This condition is characterized by the bending or curvature of the penis, or narrowing of the penile shaft. Scarring related to Peyronie’s disease can cause circulation problems in the penis.

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Did you know that certain medical condition may be responsible for ED? Some causes of impotence are medically treatable and reversible. Learn more about what can be done about erectile dysfunction with the Impotence Quiz.
University of California, San Francisco UCSF Medical Center About UCSF Search UCSF Skip to navigation Skip to main content Secondary menuMake a Gift Refer a Patient You are hereHome / Patient Care & Info / Urologic Subspecialties / Male Sexual & Reproductive Health

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“ED can definitely be a standalone issue,” Dr. Baumgarten says. “Erections are complicated, involving nerves, blood vessels, and the brain.” When the brain triggers anxiety or doesn’t trigger sexual desire, it can impact erectile function. “For example, patients may have performance anxiety, and sometimes they can benefit from sex therapy.”

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Men with erectile dysfunction should talk with their doctors before trying supplements for erectile dysfunction. They can contain 10 or more ingredients and may complicate other health conditions. Asian ginseng and ginkgo biloba (seen here) are popular, but there isn't a lot of good research on their effectiveness. Some men find that taking a DHEA supplement improves their ability to have an erection. Unfortunately, the long-term safety of DHEA supplements is unknown. Most doctors do not recommend using it.

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    Other treatments also have possible side effects and complications. Ask your provider to explain the risks and benefits of each treatment.

    The therapy of Stem Cells involves an injection given of your stem cell into your penis during the procedure. This method is proven to be an effective and the safest way to treat ED.
    These results do not necessarily mean that depression and ED cause each other directly.

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    Using your mobile phone camera - scan the code below and download the Kindle app.

    General ageingConditions affecting cardiovascular health like high blood pressure, diabetes, high cholesterolExperiencing an acute myocardial infarction (heart attack)Cardiovascular disease
    While ED medications are safe for most men, some people should not take them. Men who are taking nitrite medications – usually for chest pain, congestive heart failure, or pulmonary hypertension – should avoid ED pills, as they can cause a severe drop in blood pressure.

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    In one study, 55 men with E.D. were either taught pelvic floor exercises with biofeedback and lifestyle changes (treatment group) or advised on lifestyle changes (control group). After six months, 40 percent of men who performed pelvic floor exercises regained normal erectile function (Dorey et al., 2005). Concentrate on lifting and pulling in your genitals for a count of 5. Slowly relax your muscles. Don’t hold your breath while performing this exercise. Repeat 10 times, aim for two to three times per day. Be sure you are not contracting your stomach, legs, or buttocks.If you are unsure whether you are contracting the correct muscles. Try stopping your stream of urine periodically to feel these muscles tighten. Pilates

    It is a myth to assume that erection dysfunction is inevitable while aging. The major reason why anyone suffers from erection problems is uneven or improper blood flow in the penis.
    The first time he experienced ED in his mid-50s he thought it was just a fluke, which was a reasonable assumption to make. More than half of men experience episodic erectile dysfunction at some time in their life from things like stress, too much alcohol, or as a side effect of medication. Read More About Gene's Story

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    Given that ED isn't openly spoken about, it can feel like an isolating experience but it doesn't have to be. There are simple and effective ways to treat erectile dysfunction (that's where Pilot comes in!) that will help ensure that your sex life, and in turn, you, are happy and healthy.

    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.
    While ED is not life threatening, the condition may result in withdrawal from sexual intimacy, reduced quality of life, decreased working productivity, and increased healthcare utilization. Patterns of care may shift away from surgical and device therapies provided by urologists and toward pharmacologic treatments and/or multidisciplinary approaches. With men increasingly seeking to preserve sexual function and quality of life as they age, the treatment of ED will take on even greater importance in the years to come.

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The key to all of this is the endothelium, the inner lining of blood vessels that helps blood flow smoothly. Regular exercise has been shown to improve the way the endothelium works. The endothelium lines the blood vessels in the heart and the penis, explains Dr. Hellstrom, but the blood vessels in the penis are about one-third the size of those in the heart. So if you fail to have erections due to vascular problems, that indicates that you’re at risk for heart problems as well.

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On the horizon is gene therapy that would deliver genes that produce products or proteins that may not be functioning properly in the penile tissue of men with ED. Replacement of these proteins may result in improvement in erectile function. Experimental animal models have demonstrated improvement in erectile function with gene therapy. Human studies may also demonstrate success with this therapy. Gene therapy may take a long time for regulatory approval and public acceptance.

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Your doctor will also ask you questions about your sex life, which could be very personal but are necessary for proper diagnosis and treatment. Some of the questions could be: The status of your previous sexual relationships Your current sexual relationships Your current emotional state When the erectile problems started How long have the erectile problems lasted If you have seen another doctor specifically for ED If you have received treatment for ED before

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Prior to starting testosterone therapy, it is important for a doctor to perform a thorough evaluation on the patient.

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