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In a nutshell, erectile dysfunction (ED) or impotence, is the inability to maintain an erection. Symptoms can include trouble getting or keeping an erection as well as reduced sexual desire.

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The NIDDK provides relevant and detailed information about ED, treatments, prevention strategies, and clinical trials.
Malleable implants usually consist of paired rods, inserted surgically into each of the corpora cavernosa. The rods are stiff, and to have an erection, one bends them up and then when finished with intercourse one bends them down. They do not change in length or width. The malleable implants are the least mechanical and thus have the lowest risk of malfunction. However, also have the least "normal appearance." .

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A thorough review of your past medical history and psychosocial history examines your symptoms, overall health, and sexual history. You may fill out a questionnaire. This information helps your ED specialist to evaluate your situation, and it remains confidential.

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The options for management beyond behaviour modification include TRT, PDE5 inhibitors, intracavernosal injection therapy, vacuum constriction devices (VCDs), intraurethral prostaglandin suppositories and surgical placement of a penile prosthesis.40
While we strive to always provide accurate, current, and safe advice in all of our articles and guides, it’s important to stress that they are no substitute for medical advice from a doctor or healthcare provider. You should always consult a practicing professional who can diagnose your specific case. The content we’ve included in this guide is merely meant to be informational and does not constitute medical advice. General News Erectile Dysfunction Anti-Aging Lifestyle Hair Loss Sexual Health Weight Loss Performance Nutrition

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Aetna considers continuation of Xiaflex (collagenase clostridium histolyticum) for the treatment of Peyronie's disease medically necessary when all of the following criteria are met: The member meets all initial selection criteria; and The member has curvature deformity of at least 15 degrees at the time of the continuation request; and The member has received less than 8 injections total, including any injections the member has received for any previous treatment. Dosage and Administration Peyronie’s Disease

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Getting an erection is a process that includes physical, hormonal, and psychological elements. The penis is made of soft, spongy, elastic tissue that fills with blood to make it grow in size and become rigid. Around the spongy tissue and the prostate, there are nerves that send signals so that the blood vessels supply the blood (Fig. 1). These signals are controlled by the male hormone testosterone.

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    This exercise is simple to do but it’s also important. It allows a person to activate pelvic floor muscles.

    Rarely, a doctor may perform an angiogram (injecting a dye into the arteries that supply the penis and taking X-rays to look for areas of narrowing of the arteries) in cases in which possible vascular surgery could be beneficial.
    Complete List Top What Is the Main Cause of Erectile Dysfunction Related Articles Erectile Dysfunction (ED, Impotence)

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    Rare side effects of all PDE5 inhibitors include a sudden loss of vision in one or both eyes (nonarteritic anterior ischemic optic neuropathy [NAION]) and sudden loss of hearing. Patients have reported these rare side effects with all of the PDE5 inhibitors. Seek immediate medical care if you develop loss of vision or hearing.

    If you are looking for a urologist with many years of experience, contact Kasraeian Urology's office in Jacksonville, FL.
    Tadalafil shares the common side effects of the PDE5 inhibitors, however, due to its effect on PDE11, another phosphodiesterase located in muscle, tadalafil has been associated with muscle aches. Back pain and muscle aches occur in less than 7% of men taking tadalafil and in most patients will go away without treatment within 48 hours. When treatment was necessary, acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin, Advil) or naproxen (Aleve) were effective. Rarely do the muscle aches and back pain cause men to stop using tadalafil.

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    Picture of rigid penile implant. Two rigid cylinders have been placed into the penis. This type of implant has no inflation mechanism but provides adequate rigidity to the penis to allow penetration.

    Surgery to repair arteries (penile arterial reconstructive surgery) can reduce impotence caused by obstructions that block the flow of blood to the penis. The best candidates for such surgery are young men with discrete blockage of an artery because of a physical injury to the pubic area or a fracture of the pelvis. The procedure is less successful in older men with widespread blockage of arteries.
    Once you feel comfortable with this feeling, you can incorporate this into a daily routine of performing pelvic floor exercises. It won't take long, and will soon feel like second nature.

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    One way to test whether you’re doing the squeezing correctly is to try and stop urine flow for a few seconds. If you are able to do so, you are doing it correctly.

    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.
    Aerobics can improve heart rate, PCSA, and Neural drive and help to perform better.

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People with erectile dysfunction (ED) have difficulty getting and/or keeping an erection. The difficulty may be constant or occasional. While ED is sometimes called “impotence,” healthcare professionals have increasingly moved away from a term that can be perceived as pejorative or confused with nonmedical definitions of the word.

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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.

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Exercise is an essential part of maintaining erectile health. It protects against cardiovascular disease, which is the leading cause of ED, and has a myriad of other benefits such as reducing body weight, managing blood glucose levels, and reducing “bad” cholesterol.

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Having erection problems? What is erectile dysfunction (ED)? Learn about erectile dysfunction causes and treatments such as drugs (pills), pumps, and more.

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