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One way to test whether you’re doing the squeezing correctly is to try and stop urine flow for a few seconds. If you are able to do so, you are doing it correctly.
ED doesn’t have to be a part of getting older. As a man ages, he may need more stimulation (stroking and touching) to get an erection. He might also need more time between erections. Older men should still be able to get an erection and enjoy sex. Diabetes (high blood sugar). Hypertension (high blood pressure). Atherosclerosis (hardening of the arteries). Stress, anxiety, or depression. Alcohol and tobacco use. Some prescription medicines. This includes antidepressants, pain medicine, and high blood pressure medicine. Fatigue. Brain or spinal cord injuries. Hypogonadism (a condition that leads to low levels of the male hormone, testosterone). Multiple sclerosis. Parkinson’s disease. Radiation therapy to the testicles. Stroke. Some types of prostate or bladder surgery. .

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An accurate diagnosis is important because it helps doctors identify the most effective treatment for you.
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Erectile dysfunction (ED) refers to difficulty getting or maintaining an erection. It is more common in men who have any of the following:
Talk to your provider if your erection problems have to do with a fear of heart problems. Sexual intercourse is usually safe for men with heart problems.

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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.

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Burnett AL. Evaluation and management of erectile dysfunction. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 27.

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    Sexual side effects of these drugs happen to at least half of all people taking them, and by some counts up to 90 percent.

    Check out our Town Hall videos in leiu of in person Sub I's or reach out to our education team with questions or for more information at [email protected] or 206-685-1982. University of Washington Be boundless Connect with us: Facebook Twitter Instagram YouTube LinkedIn Pinterest Accessibility Contact Us Jobs Campus Safety My UW Rules Docket Privacy Terms Newsletter Billing & Insurance MyChart Search Menu Request an Appointment Refer a Patient Request an Appointment Refer a Patient What Is Erectile Dysfunction? Quick Links + Erectile Dysfunction (ED) Injections: Trimix Penile Implant Vacuum Erection Device (VED) Shockwave Therapy for ED
    You can consult the sexologist/ andrologist or specialist doctor for Erectile Dysfunction in the case of severity.

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    “The blood vessels in the penis often are the first ones impacted by cardiac issues,” Dr. Baumgarten says. The good news? “If we can correct the underlying reasons for ED, the patient may see in improvement in erectile function.”

    Antioxidants can increase nitric oxide levels in blood vessels, increasing blood flow. Antioxidants have been shown to improve vascular and erectile function (Meldrum et al., 2012).
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    Picture of inflatable penile prosthesis. This inflatable penile prosthesis has fluid located at the base of the device. When the tip of the device is squeezed, the fluid is transferred into the cylinder. Erection problems usually produce a significant psychological and emotional reaction in most men. This is often described as a pattern of anxiety, low self-esteem, and stress that can further interfere with normal sexual performance. This "performance anxiety" needs to be recognized and addressed by your health care provider.
    The At-Home Health MOT (One-Off) is a blood test that measures important biomarkers (such as your testosterone, cholesterol, and vitamin D levels) to give you an accurate insight into your health. It also tests the function of your thyroid, kidneys, and liver to tell you if they’re working as they should. Each At-Home Health MOT comes with a free review from a UK clinician who can offer personalised health advice based on the outcome of your test.

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    You'll know you're activating pelvic floor muscles if you feel the contraction more towards the front of your body than the back.

    Researchers at University of Utah Health and around the world are continuing to investigate other ways that COVID-19 can impact patients long-term – namely, erectile dysfunction in men. Urologic surgeon Dr. Jim Hotalin...
    Men with mild to moderate kidney or liver disease will need to use lower doses of the PDE5 inhibitors. None of the PDE5 inhibitors are recommended for men with severe kidney disease, those on dialysis, and those with severe liver disease.

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PDE 5 inhibitors are broken down primarily by enzyme, cytochrome P450enzyme CYP3A4. Medications that decrease or increase the activity of CYP3A4 may affect levels and effectiveness of PDE 5 inhibitors. Such drugs include medications for the treatment of HIV (protease inhibitors) and the antifungal medications ketoconazole and itraconazole. Thus caution is recommended.

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Background A growing body of evidence suggests that physical activity and exercise may improve erectile function.

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The first step in the medical management of erectile dysfunction is taking a thorough sexual, medical, and psychosocial history. This is a delicate topic, and your doctor should be sensitive and caring to make you comfortable about sharing these intimate details of your private life.

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