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Erectile dysfunction (ED) is the inability to achieve or maintain an erection to satisfactorily engage in sexual intercourse. It is estimated that around 18 million American men experience erectile dysfunction, with prevalence increasing as age increases. One in three men will experience some form of ED in their lifetime. .
Clinicians should be aware of these possible detrimental effects of TRT and the possible contraindications, and to prescribe and monitor in an appropriate manner, which may vary from patient to patient.
Oral phosphodiesterase type 5 inhibitors (PDE5 inhibitors) unless contraindicated are the recommended first line medical therapy for erectile dysfunction. Currently, there are four different PDE5 inhibitors available. They all work the same way and have essentially the same results. They differ in how long they last in your body and in side effects.
To reduce your risk of erectile dysfunction, exercise and maintain a healthy weight, stop smoking, avoid alcohol and substance abuse, and keep your diabetes under control, if you have it.
Regardless, it is important to remember that exercise can improve erectile dysfunction as long as you maintain the exercise regime. Falling back into old habits will erase any of the benefits established by regular exercise and risks developing further erectile problems, says Gerbild.
Blood levels of testosterone, prolactin, FSH (follicle-stimulating hormone), LH (luteinising hormone) and thyroid hormones will normally be measured.
Patients should continue testosterone therapy only if there is improvement in the symptoms of hypogonadism and should be monitored regularly. You will need periodic blood tests for testosterone levels and blood tests to monitor your blood count and PSA. Testosterone therapy has health risks, and thus doctors should closely monitor its use. Testosterone therapy can worsen sleep apnea and congestive heart failure.
One study indicated that intensive glycemic control might decrease the chances of ED in diabetic men.
Adopt a regular exercise program, and your general health will improve. Working out may even help you stave off serious conditions such as high blood pressure and diabetes, which sometimes require medications that inhibit arousal. These two medical conditions also can damage the tiny arteries in the penis, resulting in erectile dysfunction. In fact, erectile dysfunction is often one of the first noticeable side effects of high blood pressure and diabetes.
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Similarly, clinical studies have shown that moderate exercises gradually helped middle aged men improve their performance in the bedroom.
Impotence does not go hand in hand with aging. Other factors, such as a person's physical health and emotional well-being, are more likely to be the reason for the lack of sexual performance in an individual.
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If your erection problems have a medical cause, your doctor can explain the treatment options, the techniques needed to make them work and their suitability for your needs based on your overall health.
With this alternative ED treatment, there are no expensive prescriptions to remember to take or refill, and no penile implants or surgery. There are none of the harmful side effects with this ED treatment as with oral drugs.
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