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Oral drugs such as Viagra, Cialis, Levitra, or StendraTestosterone therapyPenis injectionsVacuum erection pumpsIntraurethral medicationPenile implants such as semi-rigid implants or inflatable implantsSurgery to repair artery damage after trauma to the penis

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Even when the nerves are spared, research has shown that the healing process takes up to 2 years for most men. We don’t know all the reasons some men regain full erections and others do not. We do know that men are more likely to recover erections when nerves on both the left and right sides of the prostate are spared.
• Medications, most commonly blood pressure medications (especially beta-blockers or thizides), anti-depressants (such as SSRI), anti-androgens, and a variety of other medications .

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Alprostadil should not be used in men with urethral stricture (scarring and narrowing of the tube that urine and the ejaculate pass through), balanitis (inflammation/infection of the glans [tip] of the penis, severe hypospadias (a condition where the opening of the urethra is not at the tip of the penis, rather on the underside of the penis), penile curvature (abnormal bend to the penis), and urethritis (inflammation/infection of the urethra).
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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Oral pills called phosphodiesterase type-5 inhibitors are the most commonly prescribed medications for ED and include: Viagra (sildenafil) Cialis (tadalafil) Levitra (vardenafil) Stendra (avanafil)
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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There are also specific treatments for some of the causes of erectile dysfunction. Treatments for some causes of erectile dysfunction Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol Medicine to lower blood pressure, statins to lower cholesterol Hormone problems Hormone replacement (for example, testosterone) Side effects of prescribed medicine Change to medicine after discussion with GP

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Blood cell counts Cholesterol levels Blood sugar levels Liver function tests

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    Once the treatment is complete, you will be able to return home. You should be able to safely drive yourself home. If you experience pain, your doctor will recommend over-the-counter (OTC) medications, such as acetaminophen or ibuprofen for pain relief. Most people can return to normal activity the following day after shockwave therapy, but your urologist will discuss whether you should restrict your activity for longer to recover. Shockwave Therapy Risks You may experience some side effects, but they are rare and generally mild. These may include: pain at the site during the procedure, bleeding or bruising on and around the penis, blood in the urine, skin infection on the penis, painful erection, or penile curvature that worsens.

    Picture of the three components of inflatable penile implant. This inflatable penile device has three major components. The two cylinders are placed within the penis, a reservoir is placed beneath the rectus muscle, and the pump is placed in the scrotum. When the pump is squeezed, fluid from the reservoir is transferred into the two cylinders, producing a firm erection. Squeezing the top of the pump causes a reversal of flow of the fluid from the cylinders back into the reservoir.
    Andrology and Genito-Urethral Surgery Endourology Female, Neurological and Urodynamic Urology Oncology

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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.

    Note: Many Aetna pharmacy benefit plans exclude coverage of drugs for lifestyle enhancement or performance. Please check benefit plan descriptions for details. Under these plans, sildenafil citrate (Viagra), vardenafil hydrochloride (Levitra) and tadalafil (Cialis) are covered only when required by state regulation or when a plan sponsor has elected an optional rider under the pharmacy plan, or, for indemnity or PPO plans without a separate pharmacy benefit, when the plan sponsor has added optional coverage under the medical plan.
    Aetna considers the following laboratory tests medically necessary for the diagnosis of erectile dysfunction: Biothesiometry (Note: Biothesiometry is considered an integral part of the comprehensive history and physical examination.) Blood glucose Complete blood count Creatinine Hepatic panel Lipid profile Prostate specific antigen Serum testosterone

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    One of the best things men can do to reduce ED is to quit smoking. Smoking leads to cardiovascular disease, which can cause erectile dysfunction. In addition to affecting a man’s blood vessels, smoking itself increases his risk of ED.

    Erections that are too soft for sex.Erections that are don’t last long enough for sex.An inability to get an erection.
    The Penis Book: A Doctor's Complete Guide to the Penis--From Size to Function and Everything in Between

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    VEDs are generally safe (although there have been some very rare but serious complications). Pros Cons Works Well No drug effects Cheapest option Cumbersome Unnatural erection Bruising or burst blood vessels Penile pain Pain with ejaculation Numbness "Hinging" or instability of erection Penis may feel cold to partner Poor overall satisfaction ED Injections

    Recently, the US Food and Drug Administration (FDA) has issued a safety announcement regarding TRT. In part it reads ‘The benefit and safety of these medications have not been established. We are also requiring these manufacturers to add information to the labeling about a possible increased risk of heart attacks and strokes in patients taking testosterone.’37
    Low self-esteemStressAnxietyRelationship issuesA lack of intimacyAn unfulfilling sex lifeInability to get your partner pregnant

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1. Identify the pelvic floor muscles: To find the pelvic floor muscles, you can either stop urination midstream or squeeze the muscles that stop you from passing gas.

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At first glance, much of the above might seem like involuntary bodily movements, and a lot of the time, they are. But for people experiencing erectile dysfunction, these processes often aren't functioning properly.

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When a man is at the age of 40, he might face diabetes problems or bp problems, which may also affect the proper blood flow and can also lead to an erection problem.

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