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If a man has nocturnal erections, it is likely that psychological issues are affecting his erectile function. The fact that he can have erections during the night shows that his body is working normally. Men might consider seeing a sex therapist or counselor at this point, although a physician should always be consulted for erection problems. Men’s Sexual Health Public Prev Next Clinical Policy Bulletins Medical Clinical Policy Bulletins Policy

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You’ll need to take these pills at least four times before deciding if they work for you or not. headache, facial flushing, upset stomach, back pain (Cialis), sensitivity to light, or blurry vision.
To diagnose ED, your doctor may only need to ask you some questions and perform a physical exam. .

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• Medications, most commonly blood pressure medications (especially beta-blockers or thizides), anti-depressants (such as SSRI), anti-androgens, and a variety of other medications
As sexual activity often involves a partner, it is important to try to involve the partner in the evaluation and management of erectile dysfunction and determine if assistance with relationship problems will be needed. Sex therapists are helpful in assisting couples deal with sexual relationship difficulties.

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“Erectile Dysfunction (ED).” UW Health. Retrieved from: http://www.uwhealth.org/urology/erectile-dysfunction-ed/20537
Because of changes in regulations, you no longer need a prescription to get sildenafil.

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Based on the severity of the ED issue, your doctor will suggest treatments from least to most invasive. Something as simple as making healthy lifestyle changes (such as quitting smoking, reducing alcohol consumption, and losing weight) may help to solve the issue.

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    With this self-test you can easily find out if there are any serious indications of pathological erectile dysfunction in your body. This test is based on the so-called IIEF-score. IIEF stands for «International Index of Erectile Function». In medicine, the IIEF-score is not only used for the diagnosis of erectile dysfunction, but also for success monitoring of therapies.
    There are several areas of the brain involved in sexual behavior and erections. In psychogenic ED, the brain may send messages that prevent (inhibit) erections or psychogenic ED may be related to the body's response to stressors and the release of chemicals (catecholamines) that tighten the penile muscles, preventing them from relaxing.

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    So, that’s it! How did you do? Let us know in the comments or on our Facebook & Twitter pages. Until next time. Tags blood testblood testingcauses of erectile dysfunctionEDerectile dysfunctionhealthhealth carevideo quizwalk in labWalk In Lab At Home TestsWalk In Lab TestsWalkInLab.Comwww.walkinlab.com Recent Posts What does your Thyroid do? Why would my doctor want me to get a Hepatic Function (Liver) Panel Blood Test? Why does my child need a Liver Kidney Microsomal Antibody test? Understanding PSA Blood Test Ranges What Can Increase Your Risk of Prostate Cancer?

    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.
    You’ve probably heard of sildenafil (Viagra), but it isn’t the only pill for ED. This class of drugs also includes avanafil (Stendra), tadalafil (Cialis), and vardenafil (Levitra, Staxyn). All work by improving blood flow to the penis during arousal. They're generally taken 30-60 minutes before sexual activity and should not be used more than once a day. You can take tadalafil up to 36 hours before sexual activity. It also comes in a lower, daily dose. All require an OK from your doctor first for safety.

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    It is estimated that ED occurs in 10% of healthy men without any apparent physical cause. This is known as idiopathic ED. the blood supply to the penis, hormonal abnormalities, interruption of normal nerve supply, certain medications, psychogenic factors weak or tight pelvic floor muscles.
    If erectile dysfunction is caused by a blockage in an artery leading to the penis, surgery can be used to restore blood flow. Optimal candidates are typically younger men whose blockage stems from an injury to the crotch or pelvis. The surgery is not recommended for older men with widespread narrowing of the arteries throughout their bodies.

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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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    Individuals at higher risk for priapism (painful erection lasting longer than six hours), including men with sickle cell anemia, thrombocytopenia (low platelet count), polycythemia (increased red blood cell count), multiple myeloma (a cancer of the white blood cells), and history of blood clots (for example, deep venous thrombosis [DVT]) or hyperviscosity (thick blood) syndrome are at increased risk for priapism with MUSE.

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Trouble getting an erectionTrouble keeping an erectionHaving an erection that is not firm enough for intercourseLess interest in sex

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Conclusions The present study suggests that physical activity and exercise interventions improve patient-reported erectile dysfunction, particularly aerobic exercise with moderate-to-vigorous intensity.

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You shouldn’t use these medicines if you take nitroglycerin or any other nitrates for chest pain. If you have heart problems, tell your doctor before taking any ED medicines. These medicines can have serious side effects in people who have heart problems.

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Another potential new treatment consists of penile low-intensity shock wave lithotripsy. This consists of 1500 shocks twice a week for 3–6 weeks. The purpose is to stimulate neovascularisation to the corporal bodies with improvement in penile blood flow and endothelial function. The use of low-intensity shock wave lithotripsy may convert PDE5 inhibitor non-responders to responders.47

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