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Can we develop a simple yet accurate method to distinguish organic from psychogenic ED?

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A wide range of ED rates have been reported, even in men who haven’t had surgery. But for the most part, the younger a man is, the more likely he is to regain full erections after surgery. Men under 60, and especially those under 50, are more likely to recover their erections than older men.
Exercises have helped many with erectile problems. For a normal erection to happen, .

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The dose of PDE5 inhibitor that you start with may vary with underlying medical conditions and medications that you are taking. Thus, it is important to review all medications (even over the counter medications) with your physician. Typically, one starts with a lower dose and increases as needed. Some medical conditions prevent going up to higher doses. You can review the drug prescribing information or consult with your doctor regarding the dose(s) that are appropriate for you.
The phrase “penis exercise” actually refers to exercises known as pelvic floor or Kegel exercises, in which a man focuses on strengthening the muscles that control the flow of urine and ejaculation. These exercises are often recommended to men who are recovering from prostate cancer treatment, have problems with ejaculation, or have a hard time holding their urine, but they do not appear to help erectile dysfunction. Medical Editor: John P. Cunha, DO, FACOEP Pelvic Floor Muscles What Are the Pelvic Floor Muscles? Kegels for Men How Are Kegel Exercises Performed in Men? Guide Are Kegel Exercises Good For ED? Topic Guide Kegels are exercises used to strengthen the muscles of the pelvic floor, which can help prevent incontinence, prevent accidentally passing gas or stool, and improve orgasms. Kegel exercises can also help men with erectile dysfunction (ED) and enhance sexual performance.

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Erectile dysfunction (ED) is the inability to achieve or maintain an erection firm enough for sexual intercourse. Signs of ED vary from a total inability to get an erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Symptoms Inability to achieve or maintain an erection Inconsistent ability to achieve/maintain erection Tendency to sustain only brief erections Causes
Pilot can help you on your journey with erectile dysfunction, with a prescription plan that is personalised for you by one of our Australian doctors and delivered to your door discreetly.

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Adjustment of medications that adversely affect erectile function should be considered whenever possible.

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Erectile dysfunction (ED) is a problem that needs to be diagnosed correctly, to find what causes it so that you get the appropriate treatment.

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    Given that erectile dysfunction can be a sensitive marker of vascular pathology, it is also recommended that all patients with erectile dysfunction undergo an assessment of cardiovascular risk, including assessing risk factors for cardiovascular disease.

    Aetna considers penile re-vascularization for vasculogenic erectile dysfunction medically necessary only in men less than 55 years old who meet all of the following criteria: A focal blockage of arterial inflow is demonstrated by duplex Doppler ultrasonography or arteriography; and Diagnostic work-up reveals normal corporeal venous function; and Member is not actively smoking; and Member is not diabetic and has no evidence of systemic vascular occlusive disease; and The erectile dysfunction is the direct result of an arterial injury caused by blunt trauma to the pelvis and/or perineum.
    Aetna considers testosterone injection experimental and investigational for Peyronie’s disease because of a lack of evidence from prospective randomized controlled clinical studies of the effectiveness of this approach for this indication.

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    Every day, UW Medicine makes a difference in the lives of our patients and families. At our hospitals and clinics, we help them move from difficult diagnoses toward brighter, healthier futures. Looking for a Sub Internship?

    If you are experiencing erectile issues, it is important to speak with your physician. There could be a health condition contributing to your erectile dysfunction. A men’s health specialist will play an active role in your health and treatment plan for ED. Top 5 Common Causes of ED Vascular disease Endocrine disorders Medications Pelvic surgery Neurological disorders ED & Vascular Disease
    How much exercise is necessary to improve your sexual health? It all depends on the person, so it's best to check with your physician. Experts say even short periods of exercise, such as regular brisk walks, can improve your sexual well-being. You do have to be careful not to overdo it, though.

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    Swimming is a cardiovascular exercise that has been proven to be beneficial in overcoming erectile dysfunction.

    If you have erectile dysfunction, there are many ways your doctor can help you treat it. But you may want to consider complementary or alternative therapies, such as nutritional supplements, herbal remedies, acupuncture, and talk therapy. Just be sure to talk to your doctor first.
    There are many treatment solutions for ED including oral medications, injections, hormone replacement therapy, vacuum therapy, and implants. Your healthcare provider will prescribe a treatment plan based on your situation and menMD will provide treatment progress updates and data driven recommendations to ensure your continuous treatment success. Treatments +Pros oConsiderations PDE5 Inhibitors (oral medications) +Oral +Easy to take +Relatively inexpensive +Non-invasive o 30%-35% of men don’t respond o Cannot take if on nitrates or if you have advanced cardiovascular disease o 17% loss of efficacy leads to discontinuation Intraurethral Gels +Few side effects o Requires training to administer o Can cause pain when inserted o Only 43%-60% effective Injection Therapy +Few side effects +Up to 90% effective o Injection o Can cause priapism and penile pain Testosterone +Topical and patch formulations are easy to administer o Only effective in men with hypogonadism o 30%-35% of men don’t respond Vacuum Devices +No systemic side effects +Very inexpensive +70%-94% effective o Unnatural erection o Can cause pain, numbness, and bruising o Can cause trapped ejeculation Implants +Highly effective o Requires surgery and anesthesia o Irreversible o Eventually requires replacement Herbals +All natural (plant derived) +No Rx required o Not as effective o Unregulated Treatments +Pros oCons PDE5 Inhibitors (oral medications) +Oral +Easy to take +Relatively inexpensive +Non-invasive o 30%-35% of men don’t respond o Cannot take if on nitrates or if you have advanced cardiovascular disease o 17% loss of efficacy leads to discontinuation Gels +Few side effects o Requires training to administer o Can cause pain when inserted o Only 43%-60% effective Injection Therapy +Few side effects +Up to 90% effective o Injection o Can cause priapism and penile pain Testosterone +Topical and patch formulations are easy to administer o Only effective in men with hypogonadism o 30%-35% of men don’t respond Devices +No systemic side effects +Very inexpensive +70%-94% effective o Unnatural erection o Can cause pain, numbness, and bruising o Can cause trapped ejeculation Implants +Highly effective o Requires surgery and anesthesia o Irreversible o Eventually requires replacement Herbals +All natural (plant derived) +No Rx required o Not as effective o Unregulated

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    Suppose you find that dietary and exercise changes are not enough to restore your erectile function to normal. In that case, we hope you will consider contacting the telemedicine professionals at Invigor Medical to learn more about the wide range of medical treatment options that can supplement your dietary and exercise regimen.

    Although sexual interest and testosterone levels can decline with age, ED isn’t an inevitable result, Dr. Baumgarten adds.
    A man’s psychological state is clearly an essential consideration when addressing issues of sexual function. While ED that is purely psychological is not common, many men who experience difficulty with erections may develop anxiety or fear about being able to get an erection the next time they try. This anxiety may lead to a stress response involving activation of the sympathetic nervous system and release of adrenaline, which will tend to make it even more difficult to get an erection. Conflict with a partner (or the absence of a partner) will also tend to increase stress and potentially interfere with erectile function.

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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.

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Erectile dysfunction: A consistent inability to sustain an erection sufficient for sexual intercourse. Commonly known as impotence. Medically, the term erectile dysfunction is used to properly differentiate this form of impotence from other problems that interfere with sexual intercourse, such as disease, injury, drug side effects, or a disorder that impairs the nerve supply or the blood flow to the penis. Other forms of impotence include lack of sexual desire and problems with ejaculation and orgasm. Erectile dysfunction is treatable in all age groups, and treatment includes using medication (notably Viagra) and penile implants. Abbreviated ED. QUESTION Erectile dysfunction (ED) is… See Answer Health Solutions From Our Sponsors Drug Categories Drugs & Medications Slideshows Pill Identification Tool Vitamins, Herbs, & Dietary Supplements Images Diseases Symptom Checker Dictionary Quizzes RxList About Us Consumer Contact RxList Terms of Use Privacy Policy Sponsor Policy Pharmaceutical Companies A-Z Site Map WebMD Network WebMD Medscape Reference Medscape MedicineNet eMedicineHealth OnHealth WebMDRx

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