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NOTE: Some of the information provided contains graphic, medical images which individuals may find upsetting

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Some estimates indicate that about 40% of men over the age of 40 will have erection problems at times. being unable to get an erection experiencing a partial erection having an erection of a shorter than usual duration. What causes an erection to fail?
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Always seek the advice of your health care provider before beginning any new treatment or if you have questions regarding a medical condition.
Erectile dysfunction can be caused by many factors and may have a gradual or sudden onset. It can be very upsetting and result in a lot of stress and worry. It can feel embarassing to discuss this with your doctor but it is important that you do, so that you can receive the appropriate help. Erectile dysfunction can also be a sign of other illnesses such as heart disease or diabetes, so it is important that you seek medical advice. What are the facts about impotence? Erectile dysfunction becomes commoner with increasing age and is seen in 50 - 55% of men between 40 and 70 years old; It is often associated with obesity, high blood pressure, high cholesterol & diabetes which are all significant risks to health; Investigation is only indicated if both partners wish to pursue treatment; Most treatable causes can be identified by a clinical history, physical examination and routine blood tests; If there is no treatable cause, treatment with tablets is the first option for most men; Other methods of treatment are only indicated if medication proves ineffective, causes side-effects or cannot be used because of specific medical conditions. What should I expect when I visit my GP?

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An enlarged prostate, or benign prostatic hyperplasia, is a common condition affecting men over 50. While uncomfortable, BPH is not life threatening.
VEDs provide a simple way of obtaining an erection for 30-45 minutes by sucking blood into the penis and holding it in place with a constriction (pictured). Ejaculation may be restricted by the ring but this technique is simple, safe and has no known side-effects. Unfortunately, most patients have to purchase VEDs themselves.

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It's more likely to be an emotional problem if you only have erection problems some of the time. For example, you get an erection when waking up in the morning, but not during sexual activity.

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Yale Medicine Urology offers many advanced medical and surgical options to address erectile dysfunction. The department is guided by personalized care to treat the patient.

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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.

    Men who want to treat their ED have another option. The GAINSWave® treatment is a safe, non-surgical therapy that can restore sexual function and help to prevent erectile dysfunction in men who don’t have ED.
    What is erectile dysfunction, and what are the signs and symptoms? Learn about the risks and causes of erectile dysfunction and what treatments are available for erectile dysfunction.

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    Our patients often undergo a full body exam to determine whether they have early cardiovascular disease, vascular disease or a metabolic condition such as diabetes. Treatment is addressed with a multi-disciplinary approach.

    You can help reduce your risk of cancer by making healthy choices like eating right, staying active and not smoking. It’s also important to follow recommended screening guidelines, which can help detect certain cancers early. Explore Stay Healthy Featured Resources Screening Guidelines by Age Sun Safety Videos Nutrition & Activity Quiz BMI Calculator Videos, Quizzes, & Calculators Healthy Recipes Related Topics Learn About Carcinogens Genetics & Cancer Alcohol Use & Cancer Signs & Symptoms of Cancer Cancer Prevention News Treatment & Support
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    Some medicines, including over-the-counter medicines, can cause sexual problems, including getting and maintaining an erection. Medication is a common cause of erectile dysfunction for 25 out of 100 men using medication. This varies depending on the person and type of medication. Medicines known to cause sexual problems in some people Some antidepressants, particularly SSRIs Antipsychotics Some medicines for heart problems, particularly thiazide diuretics and spironolactone – beta blockers only have a small increased risk of erectile dysfunction (5 per 1000) Some anti-epileptic medicines Opioids such as morphine, oxycodone (thought to be due to reducing testosterone levels) Anti-androgens Some treatments for cancer Some medicines for bladder and prostate problems Corticosteroids such as prednisone, dexamethasone

    If the problem doesn't go away, it could be an early warning sign of a more serious, larger condition. For example, the penile artery can get narrower because of coronary artery disease or diabetes.
    Penile self-injection therapy is a shot that is inserted into the penis and produces an erection for up to an hour or more. This injection is mostly used to treat erectile dysfunction, but can help with other penile conditions as well.

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    Supine foot rise is a unique set of pilate exercises for strengthening your abdomen and lower back issues. Lay down on the floor and raise your leg in the air slowly. Hold the position and breathe while holding it. Take the leg to the original place. Do this exercise regularly to see positive results.

    Titrating doses of injectable impotence medications that are administered in a physician's office and the accompanying office visits are considered medically necessary. This includes in office titrating doses of papaverine, alprostadil (prostaglandin E1 or Caverject) and phentolamine. Except for phentolamine, which is not generally used alone, these drugs can be used alone or in combination. The drug MUSE, a pellet from of alprostadil, is also used as an alternative to alprostadil injections.
    Youtube: “Kegel Exercises for Men - Beginners Pelvic Floor Strengthening Guide.” Michelle Kenway.

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Written by Leann Poston, M.D. Athletes are using platelet-rich plasma (PRP) injections to speed up healing and decrease the recovery time from injuries such as hamstring pulls, rotator cuff injurie...

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The primary cause of the problem is considered to be a psychological problem. Any person suffering from anxiety, depression, stress, fear may find it hard to enjoy intimate moments. In some cases, smoking, drugs have also been considered a common cause of erectile Dysfunction.

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Engaging in an active lifestyle can help with weight management, stress, anxiety, and depression – all of which help with other conditions and decrease the risk of developing ED. The accumulation of fat in the body can cause a drop in active testosterone levels. In addition, being overweight can cause cardiovascular problems that are known to contribute to ED.

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