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Risk of ED is higher if you have high blood pressure, diabetes, vascular disease, low testosterone, history of prostate surgery, or take certain medications. Stress and other psychological aspects can sometimes play a role.

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35-90% of diabetic men also experience ED. Hyperglycemia can have a negative impact on several aspects of erectile function. Complications and changes associated with diabetes can compromise macrovascular and microvascular structures, the nervous system, and blood vessel linings. .

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Removal of a penile implant is considered medically necessary for infected prosthesis, intractable pain, mechanical failure, or urinary obstruction.
If you have symptoms of ED, your doctor will probably start with a physical exam to check your overall health.

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If these medications fail to work or if you are deemed unfit to take them, your urologist can recommend one or more of the following therapies: Penile pump (vacuum erection device [VED] or vacuum constriction device [VCD]) Penile injections (intracavernous injection [ICI], intracavernosal alprostadil) Intraurethral (IU) medication (alprostadil) Surgical procedure involving fitting a penile implant into the penis
The most obvious symptom of erectile dysfunction (ED) is an inability to get an erection.

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This book dives into a subject it may even be considered a taboo, so I believe the first step is admitting this problem is real, common and it can be tackled and solved. “Curing Erectile Dysfunction” by Jason Brown is a book that broadly and intelligibly covers a taboo topic.

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The man must be sufficiently stimulated psychologically.His nerves which carry the signal of initiating an erection must be intact and in good health.The blood vessels in the penis or groin which carry the blood must be healthy.Pelvic muscles must be toned enough to lift the penis up when the blood fills the penis, thus solving all the penis problems.

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    Your doctor will do a physical exam and ask you questions about your symptoms. He or she may do a blood or urine test. Your doctor may consider other tests to rule out other conditions.

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    Doctors are more and more convinced that sexual health is directly correlated to overall health. A recent study showed that 44% of men who suffer from erectile dysfunction experience this problem because of health complications like diabetes and hypertension (high blood pressure).

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    If you use sildenafil, tadalfil, or vardenafil and get chest pains, be sure to tell the paramedics, nurses or doctors at the hospital that you use it and when you used it last.

    The good news is that there’s a cure for ED. Depending on the underlying cause of the problem, your doctor can opt for one of these treatment options;
    Erectile dysfunction essentially refers to not being able to obtain or keep an erection and is often coupled with a reduced desire for sex. ED can have a range of causes, both physical and psychological. Certain risk factors for developing erectile dysfunction can include:

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    Erectile dysfunction may have a significant impact on both patients and their relationships. It therefore is important to seek appropriate help and support, both from GPs and from other organisations, such as Relate.

    GAINSWave® therapy does not involve drugs or invasive procedures. There are few to no side effects. The therapy is clinically proven to treat erectile dysfunction and enhance sexual performance. When a man improves blood flow in the penis, sexual performance benefits. GAINSWave® therapy uses extracorporeal shockwave therapy to increase blood flow. The sound waves help men grow new tissue, including blood vessels, in the penis, thereby increasing blood flow.
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    If these fail to improve symptoms, second-line treatments include a topical cream (alprostadil, prostaglandin E1) which works by relaxing the blood vessels, improving blood supply to the penis, and so causing an erection. Alternatively, alprostadil (prostaglandin E1) may also be injected into the penis, to relax blood vessels

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    A man suffering from erectile Dysfunction will experience one or many of these significant symptoms:

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Alprostadil is an FDA-approved erectile dysfunction drug that can be injected directly into the penis to trigger an automatic erection. "Penile injection is the most effective type of ED treatment for men who can't take oral treatment," says Nelson Bennett, MD, a urologist at the Lahey Clinic in Burlington, Mass. In fact, it has an 85 percent success rate. Possible side effects include a burning sensation and priapism, an erection that lasts more than four hours and requires medical treatment.

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Despite conflicting findings in clinical studies, men should monitor the effects of alcohol use on erectile function. Alcohol can lower testosterone levels, decrease blood flow into the penis, and cause fatigue. At least in some men, alcohol can exacerbate symptoms of E.D.

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PDE5i medications do not work like an aphrodisiac and will not increase desire or libido.

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