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The EAU Annual Congress 2019 achieved the Patients Included™ status. Patients Included™ status is self-assessed. Read more.

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Gerbild agrees, but stands by the recommendation as a goal for people looking to improve erectile function.
If regular exercise doesn’t resolve the issue, consult with your doctor. There are other options available to treat erectile dysfunction. Your doctor may suggest any of the following: .

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Up to three quarters of patients with erectile dysfunction develop atherosclerosis, obesity, cardiovascular problems, diabetes, and similar diseases.
Second line therapies for ED include the use of intraurethral prostaglandin E1 (Muse), the vacuum device, and intracavernous injection therapies.

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There are hundreds of medications that have the side effect of ED and/or decreased libido. Examples of drugs implicated as a cause of ED include hydrochlorothiazides and beta-blocking agents. Medications used to treat depression, particularly the SSRIs such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Prozac Weekly, Sarafem), fluvoxamine (Luvox, Luvox CR), paroxetine (Paxil, Paxil CR, Pexeva) and sertraline (Zoloft), may also contribute to ED.9 Bupropion (Wellbutrin) which has a predominant effect on blocking the reuptake of dopamine is an antidepressant with lower incidence of ED.10 The side effects of 5ARIs occurring in fewer than 5% of patients can include gynaecomastia, ED, loss of libido and ejaculatory dysfunction.11
At times the baseline work-up may be entirely negative or normal. It is at this point that your physician may refer you to a specialist or urologist. The use of nocturnal penile tumescence testing helps to differentiate physical causes of ED from psychological causes. There are low and high tech methods that document the presence and frequency of erections while you sleep. One method is a penile strap attached to the flaccid (limp) penis at bedtime. If the band is broken upon rising, then an erection is recorded. The typical number of nocturnal erections is three to four per night. A simple evaluation is the presence or absence of morning erections (piss hard-on). When present in the face of sexual difficulties, the problem is likely psychological. sexual health center/sexual health a-z list/do urologists treat erectile dysfunction center /do urologists treat erectile dysfunction article Do Urologists Treat Erectile Dysfunction? What They Will Ask What questions will the urologist ask? Treatment Options How do urologists treat erectile dysfunction? Medical Author: Dr. Jasmine Shaikh, MD Medical Reviewer: Pallavi Suyog Uttekar, MD What They Will Ask What questions will the urologist ask? Treatment Options How do urologists treat erectile dysfunction? Center Do Urologists Treat Erectile Dysfunction? Center Urologists are the doctors that can examine, diagnose and treat your erectile dysfunction (ED).

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Like many health conditions, erectile dysfunction can cause a lot of stress or shame, which doesn't help and can often exacerbate the problem further. So, there are two important things to keep in mind:

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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.

    Patients must ask themselves how important erections are – and which treatments they’re willing to consider. One option is penile injection therapy, where the man injects a medication into his penis for an immediate erection. Alternately, a device known as a penile prothesis that permanently corrects ED can be surgically implanted. Two less popular treatments are a vacuum device that pulls blood into the penis and a suppository that’s inserted into the urethra prior to intercourse.
    Aetna considers the following treatments experimental and investigational for erectile dysfunction because their effectiveness has not been established: Acupuncture Acoustical wave therapy (Alpha Wave SwissWave Protocol) Botulinum toxin Endovascular treatment (e.g., angioplasty and drug-eluting stent placement for the treatment of vasculogenic ED) Epalrestat Extracorporeal shock wave therapy (ESWT) Gene therapy Pelvic floor muscle training (for ED following radical prostatectomy) Percutaneous electrostimulation of the perineum Statins Stem cell therapy (including adipose-derived stem cells and mesenchymal stem cells) Tacrolimus.

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    Erection problems are common. Almost all adult men have trouble getting or keeping an erection at one time or another. Often the problem goes away with little or no treatment. But for some men, it can be an ongoing problem. This is called erectile dysfunction (ED).

    But, the odds of ED increased with age across all racial and ethnic groups when health, relationship, lifestyle, psychological, and sociodemographic factors were controlled for.
    Monitoring erections that occur during sleep (nocturnal penile tumescence) can help you and your doctor to understand if the erectile dysfunction is due to psychological or physical causes. The nocturnal penile tumescence test is a study to evaluate erections at night. Normally men have three to five erections per eight hours of sleep. The test can be performed at home or in a sleep lab. The most accurate way to perform the test involves a special device that is connected to two rings. The rings are placed around the penis, one at the tip of the penis and the other at the bottom (base) of the penis. The device records how many erections occur, how long they last, and how rigid they are. The test is limited in that it does not assess the ability to penetrate.

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    If you have erections in the morning or at night while you sleep, it is likely not a physical cause. Most men have 3 to 5 erections at night that last about 30 minutes. Talk with your provider about how to find out if you have normal nighttime erections.
    One of the most important causes for ED is vascular disease; examples include diabetes (Types I and II), high blood-pressure, high cholesterol/lipids, tobacco use, obesity, and lack of exercise. All of these conditions can lead to impaired response of the blood vessels responsible for controlling penile erection. There is evidence that men who have vascular disease and make healthy lifestyle changes (e.g. increasing exercise, losing weight, quitting smoking) may experience improvement in erectile function. It is important to remember that whatever is good for the heart is also good for the penis.

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    Weight loss (calories are burned as a result of increases in lean body mass and basal metabolism)Prevention and management of diabetes (which is associated with ED)3. Pelvic floor exercises (aka Kegels)

    Erectile dysfunction (ED) refers to difficulty getting or maintaining an erection. It is more common in men who have any of the following:
    Erectile dysfunction is a potential complication following prostate cancer treatments. The nerves that control an erection lie very close to the prostate and may be injured during treatment. However, some men may regain their previous level of erectile function with nerve-sparing procedures. But it may take up to a year while some men may never recover their ability to have a natural erection.

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You may feel a slight scratch when taking a blood sample with a finger prick test. However, any feelings of discomfort should subside shortly after carrying out the test. What safety information should I be aware of when using the Erectile Dysfunction Test Kit?

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Many medications can cause or contribute to erectile dysfunction, including certain blood pressure drugs, antidepressants, and tranquilizers. Men with erectile dysfunction should talk with their doctor if they suspect a prescription or over-the-counter drug may be causing erectile problems. Born This Way? Physiology and Erectile Dysfunction

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Erectile dysfunction is usually a side effect of physical disease, injury, or drugs. Treatment is an option for virtually any man needing to improve the quality of his sex life. Corbin Floyd Hardin La Grange Lexington Louisville Madisonville Paducah Richmond Baptist Health Medical Group العربية Ikirundi 東話 通话 Nederlands Français Deutsch 本語 국어 नेपाली Pennsylvaanisch Deitsch Ρусский Srpski Oromo Español Tagalog Tiếng Việt What Is Erectile Dysfunction (ED)?

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If medications do not work, we would discuss either penis injections or the vacuum pump. There is also something called MUSE, which is basically a small medication pellet that gets inserted inside the urethra (the tube that transports urine) and releases medication directly into the penis. Some men prefer it, as it may be a bit more effective than oral medications, but some will complain of pain and burning with insertion.

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