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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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A variety of testosterone therapies are available, including oral, topical (gel, spray, patch), intramuscular, and pellets. Patient should review the advantages and disadvantages of each of these with a physician, as well as the health risks and benefits of testosterone therapy.
The pulsating waves of GAINSWave improves blood flow to the penis by dissolving plaque build-up and stimulating the growth of new blood vessels. The improvement results in stronger, harder, and more sustainable erections. .

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Most men begin seeing results after about a month of daily exercise. By the end of that month, you should be able to hold the squeezes for 10 seconds, and be able to do eight to 10 sets.
Men with ED without hypogonadism (a low testosterone level and symptoms related to this) should not use testosterone therapy.

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This is especially important for erections. When a man is sexually stimulated, his penis fills with blood. This blood gives him the firmness he needs for sexual activity. Once he ejaculates, the blood flows out of the penis and back into the rest of his body.
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:

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The urology specialists at University Hospitals understand the sensitive nature of your concerns. We provide empathetic and professional care, along with erectile dysfunction treatment options that can restore function and ease anxiety. Please contact us to schedule an appointment at 1-866-844-2273.

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MUSE offers an alternative route for administration of prostaglandin using a small pellet inserted using an applicator into the tip of the urethra (water pipe opening). Once massaged the prostaglandin is released and helps the blood to flow into the penis to gain an erection. Some men experience a mild burning sensation afterwards in the water pipe but this is a good alternative option for men who do not like the idea of using injection therapy.

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    Most men have their first conversations about ED with their primary care doctors. “It’s a sensitive subject to talk about, and many patients don’t want to talk about ED or their sex lives,” Dr. Baumgarten says. “A man might have a consistent inability to sustain an erection sufficient for intercourse, brief erections, or erections that aren’t rigid enough for intercourse. We’re here for all of those patients and want to help.”

    Erectile dysfunction or impotence is a man's inability to achieve and maintain a penile erection suitable for sexual intercourse.
    Making sure you are getting regular erections that are hard enough for penetration. It’s best if you can have an erection 2 to 3 times a week. This will help keep the tissue in your penis healthy.

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    Feeling embarrassed about ED may prevent many men from getting the medical care they need. This can delay diagnosis and treatment of more serious underlying conditions. ED itself is often linked to an underlying problem such as heart disease, diabetes, liver disease, or other health conditions. Talk with your healthcare provider if you have problems with ED. Help is available.

    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.
    Malleable implants usually consist of paired rods, inserted surgically into each of the corpora cavernosa. The rods are stiff, and to have an erection, one bends them up and then when finished with intercourse one bends them down. They do not change in length or width. The malleable implants are the least mechanical and thus have the lowest risk of malfunction. However, also have the least "normal appearance."

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    Gerbild agrees, but stands by the recommendation as a goal for people looking to improve erectile function.

    • The inability to achieve or maintain an erection sufficient for sexual intercourse •Symptoms include erection problems, decreased desire, and psychological distress •Treatments include medications, injection therapy, a vacuum erection device, and penile implant•Involves urology
    Hormonal therapy is not used as a primary therapy for the treatment of ED. Testosterone therapy is used if there is ED and symptoms of low testosterone, as well a low blood level of testosterone.

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    An erection occurs when blood fills the penis. Normally, when a man becomes sexually aroused, blood vessels, muscles, nerves, and hormones work together to create an erection. Symptoms of ED can occur when this process is disrupted.
    Oral phosphodiesterase type 5 (PDE5) inhibitors (sildenafil [Viagra], vardenafil [Levitra and the generic formulation Staxyn], tadalafil [Cialis]), and avanafil [Stendra])Intracavernosal injections (papaverine, phentolamine, and PGE1 [Trimix], Bimix, and alprostadil injection [Caverject, Edex])Intraurethral suppositories (MUSE)Testosterone in individuals with ED and other signs/symptoms of hypogonadism and an unequivocally low serum testosterone

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Taking a home blood test properly is the key to getting accurate blood test results. To ensure your health check-up goes...

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If we think more broadly about blood flow, aerobic exercises improve circulation in the entire body, including the penis. This is backed up by a whole heap of medically reviewed research.

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Follow your doctor’s instructions when taking ED medicine. Usually, a man takes 1 tablet 30 minutes to 1 hour before he plans to have sex. Sildenafil works for 4-8 hours; vardenafil works for up to 8 hours; and tadalafil works for up to 36 hours.

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“ED can definitely be a standalone issue,” Dr. Baumgarten says. “Erections are complicated, involving nerves, blood vessels, and the brain.” When the brain triggers anxiety or doesn’t trigger sexual desire, it can impact erectile function. “For example, patients may have performance anxiety, and sometimes they can benefit from sex therapy.”

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