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A psychological component, often called "performance anxiety", is common in men with impotence. However, a purely psychological problem is seen in only 10%.

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Let's talk about erections, or lack thereof. If you are a man and you are having difficulty with erections, know that you are not alone. There are about 18 million men in the US suffering from ED. The rate of ED triples between the ages of 40 and 65.
This test is done to confirm that a person is able to maintain erections at night or not. It is possible for an ordinary person to get an erection at night during a normal sleep routine. There are several causes of ED like emotional, mental, or physical and this test helps in determining the exact cause of the sexual problem. .

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The Mediterranean diet and other similar diets, rich in fruits and vegetables, lean sources of proteins, and healthy fats, promote overall good health and decrease the risk of obesity. Maintaining a healthy weight can improve erectile function and testosterone levels.
Sometimes called Doppler ultrasound, this is another way to check blood flow to the penis. It may be used along with the injection test.

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Other drugs may be used to treat erectile dysfunctions such as self-injections of medication at the base of the penis, hormone replacement for low testosterone, or suppositories.
You can buy extract of the bark of the yohimbe tree – long used as an aphrodisiac in western Africa -- as a dietary supplement. Its promoters claim it can help erectile dysfunction. But the science shows mixed results.

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Complete List Top Erectile Dysfunction (ED, Impotence) Related Articles Acupuncture

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Some men with erectile dysfunction report having either a partial erection that is unable to sustain sexual intercourse, or the total absence of swelling of the penis. The severity of erectile dysfunction can be assessed using the International Index of Erectile Function (IIEF-5), which uses a questionnaire to grade ED as either mild, moderate or severe.

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    Because of the relation between erectile dysfunction and heart disease the doctor generally does a cardiac risk evaluation as part of the diagnosis. Your doctor may refer you to a cardiologist for further evaluation and specific cardiac tests, such as a ‘stress test.’

    You should speak to your doctor if it keeps happening, so they can investigate further.
    Often, men with ED benefit from talking to a therapist, especially if they suffer from depression, anxiety, or low self-esteem. If relationship problems are a factor, couples therapy may be useful.

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    Your doctor will check your penis and testicles to make sure they look normal and their nerves work as expected. They may also look for hair loss and larger-than-normal breasts. Both of these can be signs that you have a hormone problem.

    For many of the 30 million Americans affected by erectile dysfunction, Viagra, Levitra, and Cialis are the first line of ED treatment — and they’re successful for about 80 percent of men. These drugs, called phosphodiesterase-5 inhibitors, are approved by the U.S. Food and Drug Administration (FDA) and work by increasing blood flow to an erection. Common side effects include nasal congestion and headache. Note: If you take nitroglycerin pills for heart disease, you won’t be able to take ED pills, as they can cause a dangerous drop in blood pressure.
    Surgery provides the only true cure, but men typically want to explore other, less invasive options first.

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    MedicineNet does not provide medical advice, diagnosis or treatment. See additional information. sexual health center/sexual health a-z list/erectile dysfunction ed impotence center /erectile dysfunction (ed, impotence) article Erectile Dysfunction (ED, Impotence) Medical Author: Pamela I. Ellsworth, MD Medical Editor: Melissa Conrad Stöppler, MD

    Premature ejaculation is the unwanted or uncontrollable early release of semen during sexual intercourse. While premature ejaculation is not considered a medical condition, it can have negative effects on a male’s self-confidence and can affect his sexual relationships.
    The diagnosis of erectile dysfunction is made clinically, based on a patient’s symptoms. It therefore is important for patients to be evaluated by their GP in the first instance. At this appointment, a full history will be taken from the patient regarding the current symptoms and other medical issues. Regular medications will also be reviewed to ensure that there are no contributing factors. Questions regarding alcohol intake and smoking will also be asked. A general physical examination will be performed by the GP, which may include checking blood pressure and an examination of the genitals. Examination of the vascular system and peripheral nervous system may also be undertaken.

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    And when it comes to erectile dysfunction, exercises don't only look like going for a jog or riding a bike.

    Conditions Treated Erectile Dysfunction Treating ED Peyronie’s Disease Making a Bent Penis Straight Again Ejaculation, Orgasm, and Size Prostate Cancer & Penile Implants
    The role of endothelial dysfunction in CAD is well known.32,33 Also, endothelial-derived NO induces vasodilatation, which in turn is an important event to achieve normal erectile function.34–36 Moreover, systemic endothelial-dependent vasodilatation has been shown to be reduced in men with ED.37,38

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Sexual health clinics treat problems with sexual health. They can provide the same treatment you would get at your GP surgery.

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Erectile dysfunction (ED) or male impotence is defined as the inability of a male to achieve and/or maintain a hard enough erection sufficient for satisfactory completion of sexual activity.

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Caffeine and nicotine both narrow blood vessels, reducing blood flow into the penis and increasing the risk of E.D. when it is secondary to vascular problems. Several studies have found that smoking is the leading modifiable cause of E.D., particularly in younger men.

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If these fail to improve symptoms, second-line treatments include a topical cream (alprostadil, prostaglandin E1) which works by relaxing the blood vessels, improving blood supply to the penis, and so causing an erection. Alternatively, alprostadil (prostaglandin E1) may also be injected into the penis, to relax blood vessels

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