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Some men find that the treatment options listed above are not suitable for them due to medical conditions, lifestyles, personal preference, or the treatment option may be ineffective. In this case, a penile implant may be an appropriate option.

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Injection therapy: The modern age of such drug therapies began in 1993 when the injection of papaverine (Pavabid), an alpha-blocker that produces vasodilatation (widening of the blood vessels), was shown to produce erections when injected directly into the penis. Soon afterward, other vasodilators, such as prostaglandin E1 (PGE 1) monotherapy (Caverject, Edex), PGE1 and phentolamine (Regitine), and Trimix (papaverine, phentolamine and prostaglandin E1), were demonstrated to be effective. The benefit of combination therapy is the decreased dosing of each with less side effects. Most important is the reduction of the prostaglandin PGE1 dosing, which is associated to the localized pain.
Your healthcare provider may recommend a vacuum device, also called a “penis pump,” to help you get an erection. The pump helps pull blood into your penis, so you can achieve an erection that lasts long enough for sexual intercourse. It’s paired with an elastic ring that helps you maintain an erection. .

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Exercise does more than improve penile blood flow, however. Staying fit keeps a man’s weight under control, may increase his testosterone levels, and boosts his confidence. It can also reduce depression and anxiety. These factors can affect erections as well as other aspects of sexual health.

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Exercise is one of the best things you can do to boost the health of your body and mind. The best time of day to exercise is whenever is best for you.
The common PDE5 inhibitor drugs approved in the United States are sildenafil (Viagra), vardenafil (Levitra and Staxyn, the generic form), tadalafil (Cialis), or avanafil (Stendra). All of the currently approved PDE5 inhibitors work in the same way. They differ in the number of available doses, how quickly they work and last in your system, the dosing, and to some extent in the side effects. However, they generally share the same indications and contraindications. Currently, tadalafil is the only medication that patients can take on a daily basis and is approved for the treatment of both ED and BPH (benign enlargement of the prostate).

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Erectile dysfunction (ED, impotence) varies in severity; some cannot have an erection at all, whereas other men sometimes have troubles getting a hard erection, and others get a hard erection but it only lasts for a short period of time. Approximately 50% of men over the age of 40 have troubles with erectile dysfunction.

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Many medications can cause or contribute to erectile dysfunction, including certain blood pressure drugs, antidepressants, and tranquilizers. Men with erectile dysfunction should talk with their doctor if they suspect a prescription or over-the-counter drug may be causing erectile problems. Born This Way? Physiology and Erectile Dysfunction

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    Men with a known hypersensitivity to alprostadil should not use intraurethral prostaglandin E1.

    Cancer and cancer treatments that involve the pelvic area including colon cancer surgery, prostate cancer surgery or radiation treatments may cause neurological as well as vascular damage which may lead to sexual dysfunction as well.
    Advanced Urology Institute offers exceptional and innovative urologic care at more than thirty locations in the state of Florida.

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    Survey says more then 50 percent with erectile dysfunction problems during partnered sex don’t have a problem when watching porn.  

    In order to achieve and maintain an erection, your nerves must be working properly. Neurological conditions like multiple sclerosis, Parkinson’s disease and Alzheimer’s, can cause erectile dysfunction. Nerve damage from spinal cord injuries and stroke can also cause ED. Erectile Dysfunction Treatment
    Diuretics (pills that increase urine flow)High blood pressure medsAntihistaminesAntidepressantsParkinson's disease drugsAntiarrhythmics (drugs for irregular heartbeat)Tranquilizers and sedativesMuscle relaxantsNonsteroidal anti-inflammatory drugs (NSAIDs)Histamine H2-receptor antagonistsHormonesChemotherapy medicationsProstate cancer drugsAnti-seizure medications

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    Penile rejuvenation has the highest success of getting rid of ED and there have been various successful transplants to date all over the world. Any day-by-day doctors are learning more and more to make these methods safer and more effective. Penile Shockwave therapy is the most effective and painless treatment done for curing Erectile Dysfunction in a body. It involves passing the low-intensity sound-waves through the erectile tissues in a body. By doing this, the blood functioning is improved and new blood vessels are grown to improve the erection issues.

    Erosion of the prosthesis, whereby it presses through the corporal tissue into the urethra, may occur. Symptoms and signs may include pain, blood in the urine, discharge, abnormal urine stream, and malfunction. If the prosthesis erodes into the urethra, a physician must remove it. If the other cylinder remains intact, it can be left in place. A physician leaves a catheter in place to allow the urethra to heal.
    If pills don't work for you or the side effects bother you severely, we can use alternative treatments. These include: injections, suppositories, vacuum devices, shockwave therapy, or surgery. ED Vacuums

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    Surgery to repair arteries (penile arterial reconstructive surgery) can reduce impotence caused by obstructions that block the flow of blood to the penis. The best candidates for such surgery are young men with discrete blockage of an artery because of a physical injury to the pubic area or a fracture of the pelvis. The procedure is less successful in older men with widespread blockage of arteries.

    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.
    Feelings of inadequacy or failure may complicate ED symptoms. ED may result in an inability to maintain an erection sometimes, but not every time. Other signs are the ability to get an erection but unable to maintain it to complete sexual relations, or an inability to attain an erection at all.

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What is the role of testosterone therapy in the treatment of erectile dysfunction?

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The results have surprised other scientists who describe it as a thorough and substantiated study, which clearly shows physical activity improves erectile problems among men.

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ED is a complex condition that can be caused by a variety of factors. Often, there’s more than one issue that’s responsible for ED.

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GAINSWave®, the clinically proven, non-invasive therapy, was specifically developed for men seeking an erectile dysfunction treatment that would improve their sexual performance.

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