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Some endocrine conditions are associated with erectile dysfunction and include those that cause a low testosterone level (hypogonadism), although the mechanism by which this results in erectile dysfunction is not yet fully known, and some men can continue to have normal sexual function despite low levels of testosterone. Prolactin is a hormone produced by the pituitary gland within the brain. Certain conditions can cause a raised prolactin level (hyperprolactinaemia), which can suppresses the production of other hormones (called luteinising hormone, LH, and follicle stimulating hormone, FSH) from the pituitary gland, and therefore in turn result in low testosterone levels. Low testosterone levels can subsequently predispose to erectile dysfunction.

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MUSE should not be used in men with a history of urethral stricture (narrowing of the tube in the penis that urine and semen pass through), inflammation or infection of the glans (tip) of the penis (balanitis), severe hypospadias (a condition where the opening of the urethra is not at the tip of the penis, rather on the underside of the penis), penile curvature (abnormal bend to the penis), and urethritis (inflammation/infection of the urethra).
Associate Professor of Urology, Director of Newport Beach Urology, Director of Men's Health, Chief, Division of Men's Health and Reconstructive Urology .

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Oral pills called phosphodiesterase type-5 inhibitors are the most commonly prescribed medications for ED and include: Viagra (sildenafil) Cialis (tadalafil) Levitra (vardenafil) Stendra (avanafil)
Exercise may be the ticket to a more active sex life, but we’re talking about regular cardio and strength workouts, not targeted “penis exercises.” Research shows that even a little bit of physical activity — the equivalent of walking 30 minutes a day a few times a week — may lower the risk of erectile dysfunction.

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Erectile Dysfunction refers to a health condition in which a man loses its ability to maintain or get erections after stimulation during sexual intercourse. And because of this reason, newly married couples find it difficult to get pleasurable sex as, without a hard and proper erection, not a single person can attain successful intercourse.
Your partner may relate his or her own attractiveness and sexual attraction with the ability to get you sexually aroused. He or she can feel vulnerable, rejected, and fear infidelity or abandonment. These feelings may get worse the more often ED prevents you from having fulfilling sexual activity. While treatment to cure ED may solve the physical aspect, the psychological consequences for you and your partner may also need to be dealt with. It could help if you see a therapist.

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It’s tough for men to ask for help but if you don’t ask when you need it, things generally only get worse. Especially during a major pandemic like Covid-19. So we’re asking.

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Side effects of intraurethral alprostadil include pain in the penis and sometimes in the testicles, mild urethral bleeding, dizziness, and vaginal itching in the sex partner. Patients rarely report syncopal (fainting) episodes with initial use, and thus the first trial of this medication should be performed in the physician's office.

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    The treatment may depend on what is causing the problem and how healthy you are. Your provider can talk with you about the best treatment for you.

    Can over-the-counter (OTC) and/or natural or home remedies treat erectile dysfunction?
    A study in Massachusetts Aging Study reported the following epidemiological findings: Erectile dysfunction: The patient can’t reach erection for almost every sexual intercourse. Moderate dyspnea: the main symptom perceived by patients affected by chronic respiratory diseases affecting sexual activity Severe diarrhea: The patient who have a higher risk of developing erectile dysfunction.

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    If you do Kegels every day you will surely see some positive after-effects on ED issues. There are also some mistakes that need to be avoided while performing kegel exercises.

    Vardenafil shares the same side effects as sildenafil but is not associated with the abnormal vision that may occur with sildenafil.
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    Other medical therapies under evaluation include ROCK inhibitors and soluble guanyl cyclase activators. Melanocortin receptor agonists are a new set of medications being developed in the field of erectile dysfunction. Their action is on the nervous system rather than the vascular system. PT-141 is a nasal preparation that appears to be effective alone or in combination with PDE5 inhibitors. The main side effects include flushing and nausea. These drugs are currently not approved for commercial use.

    The risk of having ED after prostate cancer treatment depends on the surgical technique or type of radiation used by your doctor, but also on your:
    The most obvious symptom of erectile dysfunction (ED) is an inability to get an erection.

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    Stopping urination midstream is one way of tightening the muscles, building their strength and control. Drawing the testicles upwards is another.

    Home Archive Volume 51, Issue 19 Physical activity and exercise for erectile dysfunction: systematic review and meta-analysis
    - Simple sexercises that you can do even in public to enhance your sexual performance.

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An erection problem occurs when a man cannot get or keep an erection that is firm enough for intercourse. You may not be able to get an erection at all. Or, you may lose the erection during intercourse before you are ready. Erection problems do not usually affect your sex drive.

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Continuing Professional Development (CPD) Education Committee E-Learning Revalidation

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Premature ejaculation (ejaculating too soon)The inability to have an orgasm after sufficient stimulationDelayed ejaculation (when ejaculation takes too long)

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ED is more than a quality of life issue; numerous studies have indicated that men with ED are at increased risk of developing cardiovascular disease and even dying form cardiac disease.

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