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The doctor will examine the liver, kidney, fat, blood. For those who have low sexual desire, you may need to take hormone to increase testosterone. Also observe the erection of the penis during sleep if it cannot erect at night or at dawn, the cause is probably caused psychological.

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“Kegel exercises for men: understand the benefits.” Mayo Clinic. Retrieved from: http://www.mayoclinic.org/healthy-lifestyle/mens-health/in-depth/kegel-exercises-for-men/art-20045074
L-citrulline can be converted to L-arginine in the body. L-arginine widens blood vessels, increasing blood flow. .

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Picture of device used to measure penile nerve sensation. The presence of normal skin sensation adequate to produce an erection is measured with this device.
Couple therapy- Seek a therapist to do away with the stress, anxiety or depression leading to erectile dysfunction.

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This is where Kegels come in: they are pelvic floor exercises that help strengthen these muscles, leading to pelvic floor activation, and can improve erectile function.

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Treatment for ED is based on the cause of the problem. Some of the treatments that may be used include:

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Schover LR. Sexual healing in patients with prostate cancer on hormone therapy. ASCO Education Book. 2015;e562-566.

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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?

    To help your erections, your doctor may suggest taking medication as a pill or as an injection in your penis, or using a mechanical device. And you'll need to deal with the underlying medical condition, too.
    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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    In the past, ED was thought to be due to psychological problems. It is now known that for most men ED is caused by physical problems. These are most often related to the blood supply of the penis.

    About the EAU Contact Us Mission & Ambition of EAU PI Terms and Conditions Project partners National Societies Working Group Reviewers Other resources
    Erectile dysfunction (ED) is the inability to achieve or maintain an erection to satisfactorily engage in sexual intercourse. It is estimated that around 18 million American men experience erectile dysfunction, with prevalence increasing as age increases. One in three men will experience some form of ED in their lifetime.

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    It is important for clinicians prescribing these drugs to make the patient aware of the action of the drugs especially the fact that they do not result in an immediate erection, and that they do not cause an erection without sexual stimulation. There is frequently a great expectation when men begin using these drugs and it is wise to temper their enthusiasm and explain they do not work immediately, and may not work every time, but also let the patient know that if these drugs do not work, there are other options.

    Some men experience symptoms of sexual disorders that are related to erectile dysfunction, including: Ejaculation happens too fast — this is called premature ejaculationEjaculation happens too slowly (a man needs stimulation for more than 30 minutes) — this is called delayed ejaculationEjaculation doesn’t happen, or a man doesn’t orgasm — this is called anorgasmia What Causes ED?
    Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction.

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    Mechanical vacuum devices cause an erection by creating a vacuum around the penis that draws blood into the penis, engorging it, and expanding it. The devices have three components:

    Erectile dysfunction is a common symptom and causes problems in men. About 30 million men in the United States have erectile dysfunction. Based on this figure, more than 100 million men worldwide are sexually impotent. About 52% of men aged 40-70 years of sexual dysfunction among these people, there are many stressors that affect family relationships. And may cause depression, decreased self esteem and bad image of themselves. Drink up to 2 glasses of alcohol a day. Non smoking Consult a therapist about improving communication with your partner. 90/5 Moo 13, King Kaew Rd., Tambon Rachadeva, Amphoe Bangplee, Samutprakarn 10540
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Picture of penile vacuum pump. A vacuum device can be used to produce an erection. Elements of the device include the cylinder, a pump to create a vacuum, and a constriction ring to be placed at the base of the penis after an erection has been obtained in order to maintain the erection.

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The symptoms include persistent trouble getting or keeping an erection, reduced sexual desire or premature ejaculation. “These symptoms can also be a sign of an underlying health condition. So, one should not be embarrassed and must consult the doctor as treating the underlying condition is sufficient to reverse ED,” Dr Banga explains.

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Zinc is a micronutrient that plays a role in testosterone production. Low testosterone is associated with severe to moderate deficiency. The consequences of marginal levels are unknown (Prasad et al.,1996). Zinc is also important for immune function.

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