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When you visit a urologist, the first step in the diagnosis of the problem is a thorough sexual, medical and psychosocial history. Physical examination with emphasis on the genitourinary, neurologic and vascular systems is performed. From the information gathered, the urologist may request hormone tests (testosterone, luteinizing hormone, and thyroid – stimulating hormone, prolactin and serum hormone-binding globulin), urinalysis, PSA (prostate-specific antigen), lipid profile, and serum chemistry. Functional tests such as prostaglandin E1 injection, formal neurologic testing, nocturnal penile tumescence testing and biothesiometry may be requested, together with imaging studies such as transrectal, testes and penile ultrasonography and angiography.
If you’re wondering about these tests, please don’t be concerned. This testing is covered under OHIP at certified labs. .

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Aetna considers the external penile vacuum pump device medically necessary durable medical equipment (DME) when it is prescribed by a physician as an alternative to other therapies for erectile dysfunction. External penile pumps are considered experimental and investigational for other indications including for the prevention of erectile dysfunction following prostatectomy because their effectiveness for these indications has not been established.
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Unstable angina (chest pain due to coronary artery disease that occurs at rest or with minimal physical exertion)Low blood pressure (a resting systolic blood pressure less than 90 mm Hg)Uncontrolled high blood pressure (greater than 170/110 mm Hg)Recent stroke or heart attack (within six months)Uncontrolled, potentially life-threatening abnormal heart rhythmsSevere liver diseaseSevere kidney failure requiring dialysisSevere heart failure or disease of the heart's valves, for example, aortic stenosis (hardening of the main artery in the body)Retinitis pigmentosa (a condition that affects the retina of the eye and can cause blindness)
At first glance, much of the above might seem like involuntary bodily movements, and a lot of the time, they are. But for people experiencing erectile dysfunction, these processes often aren't functioning properly.

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A person with an erectile dysfunction will see improvement after making changes to lifestyle. This will reduce the need for medication and will benefit the person in their overall health.

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Andrology and Genito-Urethral Surgery Endourology Female, Neurological and Urodynamic Urology Oncology

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    Erectile dysfunction itself may be treated with both medical and non-medical treatments.

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    An erection problem is usually not "all in your head." In fact, most erection problems have a physical cause. Below are some common physical causes.

    You may feel a slight scratch when taking a blood sample with a finger prick test. However, any feelings of discomfort should subside shortly after carrying out the test. What safety information should I be aware of when using the Erectile Dysfunction Test Kit?
    Surgical or radiation treatments for prostate cancer, bladder cancer, or prostate enlargement (BPH) can sometimes damage nerves and blood vessels near the penis. Occasionally, the nerve damage is permanent and the patient requires treatment to achieve an erection. Sometimes, surgery causes temporary erectile dysfunction that improves on its own after 6 to 18 months.

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    You’re taking the first important step by researching ED online. But every man’s situation is unique, and a specialist is the best way for you to be diagnosed accurately.

    This is often seen in men who suffer from erectile dysfunction (ED), which is defined as having trouble getting an erection – sometimes or at all – or being unable to keep an erection long enough for sex. Many men associate erections with masculinity and believe that a good sex life is the essence of being male.
    Aetna considers topical cream or gel containing vasodilators, such as verapamil cream, experimental and investigational for the treatment of erectile dysfunction because their effectiveness for this indication has not been established.

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    Pelvic floor muscles can be identified by attempting to stop the flow of urine mid-stream. These are the muscles that will be used. Start with an empty bladder and tighten the pelvic floor muscles for 5 seconds, then relax for 5 seconds. Attempt to do 5 repetitions (reps) the first day. Work up to 10 seconds at a time. Aim for 3 sets of 10 reps daily. Avoid tightening muscles in the abdomen, thighs, or buttocks and avoid holding your breath. SLIDESHOW Sex-Drive Killers: The Causes of Low Libido See Slideshow Men's Health Resources When Prostate Cancer Spreads12 Devices That Can Help Your Low Vision https://bjui-journals.onlinelibrary.wiley.com/doi/pdf/10.1111/j.1464-410X.2005.05690.x https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3275865/ Q&A Rachel Baxter 13 April 2015

    So, whilst Erectile Dysfunction treatment with medication may be helpful, it’s important to remember that staying fit and active, and performing Kegel Exercises can be natural ways to improve symptoms.
    Conditions like vascular disease, surgery, diabetes, and medications are some of the top causes of erectile dysfunction. If you suffer from ED, schedule an evaluation with your doctor and get the help you need

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What Is Erectile Dysfunction (ED)? Symptoms, Causes, Diagnosis, Treatment, and PreventionBy Julie MarksNovember 24, 2020

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But studies have shown that aerobic exercise can improve both endothelial function and NO production. This, by contrast, is great news for strong erections. And it gets better.

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

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