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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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Kegels are pelvic floor exercises and, as their name says it helps strengthen the pelvic bones and muscles. There are some sets of Kegels that you can do on a daily basis, like standing pelvic floor activation and sitting pelvic floor activation.
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Advanced ageCardiovascular diseaseHypertensionDiabetes mellitusHigh cholesterolCigarette smokingRecreational drug useDepression or other psychiatric disordersPelvic surgery, including radical prostatectomy and colorectal surgeryPelvic radiation, such as for prostate cancer and some colorectal cancersTrauma to the pelvis (pelvic fracture), penis (penile fracture), and perineum
Personalized care and treatments - working together to find the one that's just right for you.

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Learn about the symptoms, causes and treatment options for erectile dysfunction here at Advanced Urology Institute.
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men taking erythromycin or ketoconazole should not take more than 5 mg of vardenafil in a 24-hour period;men taking high doses of ketoconazole (Nizoral) should not take more than 2.5 mg of vardenafil in a 24-hour period;men with moderately severe liver disease also should not take more than a 5 mg dose of vardenafil in a 24-hour period;men taking the protease inhibitor (for the treatment of HIV/AIDS) indinavir (Crixivan) should not take more than 2.5 mg of vardenafil in a 24-hour period; andmen taking another protease inhibitor ritonavir (Norvir), erythromycin, or ketoconazole, should not take more than 2.5 mg of vardenafil every 72 hours.

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A quick web search will reveal dozens of "dietary supplements" that claim to treat ED. But the FDA warns that many of these are not what they seem. These pills often contain prescription drugs not listed on the label, including the active ingredient in sildenafil (Viagra). This can cause problems if the medication interacts with something else you take.

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    The exercise guide by best andrologist in India Dr Chirag Bhandari can help you to overcome Erectile dysfunction naturally. A combination of kegel exercises, pilates, pelvic floor exercises and cardio workouts is the best regime to cure ED. You can download the PDF of picture erectile dysfunction chart from here

    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.
    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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    Youtube: “Kegel Exercises for Men - Beginners Pelvic Floor Strengthening Guide.” Michelle Kenway.

    Erectile dysfunction is often associated with a number of common medical conditions, such as diabetes, high blood pressure, heart disease, nervous system disorders, depression, and the medications used to treat these conditions. Psychologic problems such as anxiety and stress can also affect erectile function.
    Erectile dysfunction is very common, affecting about 30 million men in the United States. It can be an uncomfortable subject for people. However, a healthy sex life positively impacts quality of life and health. Your doctor is trained to discuss sensitive material and may be able to help you address the issue when consulted.

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    Acupuncture is the practice of inserting needles into the body to reduce pain or induce anesthesia. More broadly, acupuncture is a family of procedures involving the stimulation of anatomical locations on or in the skin by a variety of techniques.

    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.
    ED is most commonly caused by medical conditions such as diabetes and high blood pressure or pelvic surgeries. Age related decline in erectile function is also thought to occur. An injury A disease (e.g. diabetes, high blood pressure, or high cholesterol) Various studies have estimated that between 20% – 71% of individuals with diabetes suffer from erectile dysfunction. An operation (e.g. prostate gland removal) Substance use (e.g. tobacco, drugs, alcohol or medications) Stress, anxiety, depression, psychological trauma Approximately 30 million American men suffer from erectile dysfunction. Most men with erectile dysfunction still have the ability to have an orgasm and father a child, but often have difficulty doing these things because they can’t get or sustain an erection. Erectile dysfunction is not normal, and is by no means an inevitable consequence of aging. Most men at one time or another during their sexual lives are unable to get or keep an erection. This is normal and does not indicate a problem. However, millions of men of all ages experience this inability as a continuing problem. In most cases, erectile dysfunction can be overcome using medical or surgical options. We typically start with questionnaires such as the International Index of Erectile Function (IIEF) to determine the severity. Penile injections such as Trimix may be used to assess the quality of your erection and to differentiate among the many causes. Occasionally a penile duplex ultrasound is indicated if there is concern for disease in the blood vessels or penile scarring. Treatment Options for Erectile Dysfunction

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    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.

    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.
    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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Men can increase the blood flow throughout their bodies by engaging in regular physical activity. Increased blood flow to the penis decreases the risk of ED and enhances sexual performance.

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Men presenting with ED should have consideration for a cardiovascular work-up as significant numbers of these men have occult or asymptomatic heart or vascular disease.

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After learning more about your health, our providers perform a physical examination and tests to gather more information.These tests may require blood and urine samples. We also may use a penile Doppler ultrasound device, which is anon-invasive imaging test that lets doctors study blood flow in the penis.

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Both physical and psychological tests are used to make a diagnosis. You’ll probably be asked about your medical and sexual history as well.

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