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• 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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Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain a hard enough erection for satisfactory completion of sexual activity. Erectile dysfunction is different from other health conditions that interfere with male sexual function, such as lack of sexual desire (decreased libido) and problems with ejaculation release of the fluid from the penis (ejaculatory dysfunction) and orgasm/climax (orgasmic dysfunction), and penile curvature (Peyronie's disease), although these problems may also be present. ED affects about 50% of men age 40 and over. This article focuses on the evaluation and treatment of erectile dysfunction.
Use the links below to find information relating to various urological procedures. .

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Tell your physician about any health problems you’ve had in the past and all the medications you take, both prescribed and over-the-counter. It’s also important to let your doctor know if you use recreational or illegal drugs, drink alcohol, or use tobacco products.
University of Utah Health offers shockwave therapy as an option for patients suffering from ED. Shockwave therapy is typically recommended for patients who do not respond well to medication or do not want more invasive treatments.

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You get an erection when blood fills two chambers known as the corpora cavernosa. This causes your penis to expand and stiffen, much like a balloon as it is filled with water. Impulses from the brain and genital nerves start the process. Anything that blocks these impulses or restricts blood flow to the penis can cause ED.
Medically approved drugs which help men struggling to get an erection include Viagra, Cialis, Levitra and Spedra – Viagra is now available in the UK without a prescription. Share or comment on this article: Pelvic floor exercises could help men overcome erectile dysfunction Most watched News videos Newest Oldest Best rated Worst rated The views expressed in the contents above are those of our users and do not necessarily reflect the views of MailOnline. Site Web Enter search term: Search Follow DailyMail Subscribe Daily Mail Follow @dailymail Follow DailyMail Follow MailOnline Follow Daily Mail Today's headlines Most Read Find the best deals on Home Gym from your favorite brands. Find the best deals on Gear from your favorite brands. Find the best deals on Fitness Nutrition from your favorite brands. Deals and discounts in Womens Active Shoes & Sneakers you don’t want to miss. Deals and discounts in Baby Gear you don’t want to miss. Find the best deals on Kids Essentials from your favorite brands. Find the best deals on Maternity from your favorite brands. Save up to 50% on Games & Activities when you shop now. Shop our favorite Furniture finds at great prices. Shop our favorite Decor finds at great prices. Shop the best selection of deals on Storage & Organization now. Home U.K. News Sports U.S. Showbiz Australia Femail Health Science Money Video Travel Shop DailyMailTV Sitemap Archive Video Archive Topics Index Mobile Apps Screensaver RSS Text-based site Reader Prints Our Papers Top of page dmg media Contact us How to complain Leadership Team Advertise with us Contributors Work with Us Terms Do not sell my info CA Privacy Notice About MailOnline Privacy policy & cookies AFRICAN JOURNALS ONLINE (AJOL) Journals Search USING AJOL RESOURCES Ethiopian Journal of Health Sciences Search articles for Home Current Archives About About the Journal Editorial Team Information for Authors Contact Register Login Home / Archives / Vol. 21 No. 3 (2011) / Articles Effects of Aerobic Exercise in the Management of Erectile Dysfunction: A Meta Analysis Study on Randomized Controlled Trials L Sikiru EC Agbanusi CR Nwacha Keywords: Erectile dysfunction, Impotence, Exercise, Index of erectile function Abstract BACKGROUND: Penile erection is a hemodynamic process involving increased arterial inflow and restricted venous outflow, coordinated with corpus cavernosum and penile arterial smooth muscle relaxation. Any problem in this mechanism results in Erectile Dysfunction and its etiology is generally multifactorial. This study is aimed at determining the objective outcome of aerobic training in the management of Erectile Dysfunction of arterogenic origin using Meta analysis.

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Your partner may suffer without saying much, so it is very important that you openly discuss the best way to cope with this condition.

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Erectile Dysfunction is not a normal part of aging and now you don't have to live with it anymore.

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    Health Topics Symptoms and Signs Supplements Medications Slideshows Images Quizzes Medical Author: Pamela I. Ellsworth, MD Medical Editor: John P. Cunha, DO, FACOEP What Is Impotence/Erectile Dysfunction? What Are Impotence Symptoms and Signs? What Causes Impotence/Erectile Dysfunction? How Do Health Care Professionals Make a Diagnosis of Erectile Dysfunction? What Specialized Tests Do Doctors Use to Investigate Erectile Dysfunction? What Are Impotence/Erectile Dysfunction Treatment Options and Medications? What Are Surgical Treatments for Impotence? What Is the Prognosis of Erectile Dysfunction? Illustrations: Methods of Diagnosing the Cause of Erectile Dysfunction Illustrations: Other Nonsurgical Interventions for Erectile Dysfunction Illustrations: Surgical Interventions for Erectile Dysfunction Erectile Dysfunction (Impotence) Topic GuideDoctor's Notes on Impotence/Erectile Dysfunction Symptoms

    If pills don't work for you or the side effects bother you severely, we can use alternative treatments. These include: injections, suppositories, vacuum devices, shockwave therapy, or surgery. ED Vacuums
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    Tools & Resources How an Erection Occurs Lifestyle Changes to Improve ED ED Myths and Facts Why Can't I Get an Erection? Erections: Use It or Lose It? Protect Your Erection: 11 Tips

    Treatment for ED is based on the cause of the problem. Some of the treatments that may be used include:
    Finally, penile implants or surgery to bypass penile artery damage in younger men with a history of severe pelvic trauma may be performed.

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    Our doctors, including Dr. Honig, are leaders in the field and stand at the forefront of research in men's health issues.

    The doctor will perform a complete physical examination, to check for abnormalities in the penis, scrotum, and testicles. To check for heart disease the doctor will take your blood pressure, measure your heart rate, and order a blood test to check your level of cholesterol. Your doctor will do a digital rectal examination to feel the size, shape, and consistency of the prostate, and if necessary check the level of prostate-specific antigen (PSA) in your blood. To check for diabetes the doctor may order a test to measure the level of glucose in your blood. It could also be necessary to assess your testosterone levels in the morning. This is also done with a blood test.
    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.

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    In patients who either fail to respond to first or second-line therapy, or are not interested in the conservative therapies, penile prosthesis implantation is available. Malleable and rigid implants were available for many years, but in 1973 the world of penile prosthetics took a giant leap forward with the advent of the inflatable penile implant. Most implants done nowadays are of the inflatable variety. Adverse events including malfunction and infection are rare, and patient satisfaction is very high.45

    If you suspect that you have erectile dysfunction, you need to talk to your doctor about it. Then you can work with the doctor to determine the underlying factor or cause of the condition. Actually, ED can only be effectively treated if what is causing it is known. In fact, you may find that your condition improves with only simple lifestyle changes, such as losing weight, quitting smoking or drinking less alcohol. And if it is a medication you’re taking that is causing the problem, your doctor may treat the condition by reducing the dosage or having you try another drug.The treatment options for ED include lifestyle changes, counseling, medications, penile injections, vacuum pumps and surgery.
    The pulses in your legs will normally be assessed and the nerve reflexes involving your legs, and your penis or anus (back passage). Rectal examination (pictured) may be performed to assess the tone of your anal muscles and to feel your prostate gland.

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Sildenafil (Viagra) 50 mg and 100 mg on demandTadalafil (Cialis) 10 mg and 20 mg on demand; 2.5 mg and 5 mg once dailyVardenafil (Levitra) 10 mg and 20 mg on demandAvanafil (Stendra) 50 mg, 100 mg, and 200 mgHow Do PDE5 Inhibitors Work?

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Erectile dysfunction (ED, impotence) varies in severity; some cannot have an erection at all, whereas other men sometimes have troubles getting a hard erection, and others get a hard erection but it only lasts for a short period of time. Approximately 50% of men over the age of 40 have troubles with erectile dysfunction.

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A series of blood tests helps determine many medical conditions known to cause ED. A urinalysis indicates any positive signs of kidney problems, testosterone levels or diabetes. Using a nocturnal penile tumescence (NPT) procedure is common. Ultrasound testing and injections may be useful when diagnosing erectile dysfunction.

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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

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