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If you have a problem getting or keeping an erection hard enough for you to have sex with your partner, you may have erectile dysfunction. The condition is common in men over 40 years of age, although it can affect men of all ages. Symptoms may differ from person to person. Some men do not get an erection at all, others may be able to get an erection but can’t maintain it long enough for sex and some men get an erection, but it is not hard enough for sex. Lose weight if you are overweight Stop smoking, as it damages blood vessels Don’t drink more than 14 units of alcohol per week Eat a healthy, balanced diet Exercise regularly Try to reduce your stress levels

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Bullet point: In men with ED, assessing androgen status is a simple evaluation, and therapy when indicated can be beneficial, and in most men, safe.
Erectile Dysfunction is the consistent inability to sustain an erection sufficient for sexual intercourse. A total inability to achieve an erection – You can never get an erection. An inconsistent ability to do so – You can only occasionally get an erection. A tendency to sustain only brief erections – You can get an erection, but can’t keep it long enough for satisfying sex. .

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In most healthy men, some of the drug will remain in the body for more than two days after a single dose of tadalafil. Metabolism (clearing of the drug from the body) of tadalafil can be slowed by liver disease, kidney disease, and concurrent use of certain medications (such as erythromycin, ketoconazole, and protease inhibitors). Slowed breakdown allows tadalafil to stay in the body longer and potentially increase the risk for side effects. Therefore, doctors have to lower the dose and frequency of tadalafil in the following examples:
Patients should continue testosterone therapy only if there is improvement in the symptoms of hypogonadism and should be monitored regularly. You will need periodic blood tests for testosterone levels and blood tests to monitor your blood count and PSA. Testosterone therapy has health risks, and thus doctors should closely monitor its use. Testosterone therapy can worsen sleep apnea and congestive heart failure.

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Some men are hesitant to tell their doctors about their symptoms of ED because they’re embarrassed or afraid. You should know that your doctor is there to help you through this process and provide any support that you might need.
In a study of 24 men with mild-to-moderate E.D. who took a placebo for one month followed by a month of L-citrulline, half of the men reported an improvement in erection hardness from mild E.D. to normal erectile function (Cormio et al., 2011).

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To diagnose ED, the doctor will ask about your symptoms and medical history. They’ll do a complete physical exam to look for signs like poor circulation or nerve trouble. They’ll also check for problems in your genital area that could cause trouble with erections.

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Combination therapy for the treatment of erectile dysfunction has been under investigation. Most of these studies have been small trials, and long-term data regarding their effectiveness and safety are lacking. However, with thorough evaluation and counseling, there may be a use for combination therapy for certain individuals with ED.

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    Penile erection is the result of a complex sequence of events involving nerves, arteries, veins, and erectile tissues of the penis. A man’s psychological state and his feelings about his relationship/partner(s) also have important implications for penile erection. Issues with any of these systems can result in difficulty achieving and maintaining an erection.

    Erectile dysfunction can occur at any age and could be due to a physical or psychological problem. Other health conditions, like diabetes, heart problems or neurological problems can also cause or contribute to erectile dysfunction in younger men.
    A man could try new activities, like swimming. Yard work and gardening count as physical activity. A man’s goal should be to be physically active for 30 minutes a day, at least four days a week.

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    Perhaps the most well-known treatment for erectile dysfunction is the oral medication Viagra (Sildenafil). While Viagra can certainly be a fantastic option for improving the quality of erections, many men are interested in more natural, convenient, affordable, or reliable alternatives to Viagra. Some of the most popular treatments for ED in the Jacksonville Beach area include: Oral medication (Viagra, Cialis®, Stendra®, etc.) TriMix injection Penile implant/pump Vacuum constrictor device Psychotherapy/counseling Behavioral modification Hormone replacement therapy Shockwave therapy

    If ED comes from a blocked artery leading to the penis, surgery can restore blood flow. The procedure usually works best on men under 30. Doctors don’t recommend it for older men with widespread narrowing of the arteries.
    Stem cell therapy is an attractive treatment modality and an appealing option for tissue regenerative therapy for ED. Stem cells are pluripotent cells that can be produced from multiple regions within the body. They have the potential to divide and differentiate into numerous kinds of human cells, such as endothelial cells and smooth muscle.79 The efficacy and safety of gene and stem cell therapy in patients with ED and IHD need to be extensively investigated because both seem to have the potential to correct underlying abnormalities in ED. This would be a huge development in terms of management options for patients with ED and IHD.

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    Erectile dysfunction refers specifically to problems achieving or maintaining an erection. Other forms of male sexual dysfunction include poor libido and problems with ejaculation. Men with erectile dysfunction often have a healthy libido, but their bodies fail to respond in the sexual encounter by producing an erection. Usually there is a physical basis for the problem.
    Kegel exercises, or pelvic exercises, have proven to be effective in addressing erectile dysfunction, and it should be used as the first-line of treatment. The ischiocavernosus and bulbocavernosus muscles in the pelvic area surround the penis and are active during an erection. The following exercises aim to strengthen these muscles.

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    Physical disorders associated with erectile dysfunction can sometimes be related to hormones in the body. Non-hormonal causes include conditions that affect the blood supply to the penis (such as high blood pressure, type 1 or type 2 diabetes and smoking) and those that affect the nerves supplying the penis (such as Parkinson’s disease and damage to the nerves in the body e.g. due to both type 1 or type 2 diabetes). Erectile dysfunction can also be a side-effect of a medical intervention or treatment. Potential treatments that may be implicated in the cause of erectile dysfunction include certain antidepressants and treatment for high blood pressure (antihypertensives).

    Erectile dysfunction or impotence is a man's inability to achieve and maintain a penile erection suitable for sexual intercourse.
    Kegel exercises, or pelvic exercises, have proven to be effective in addressing erectile dysfunction, and it should be used as the first-line of treatment. The ischiocavernosus and bulbocavernosus muscles in the pelvic area surround the penis and are active during an erection. The following exercises aim to strengthen these muscles.

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Collagenase clostridium histolyticum is available as Xiaflex for intralesional injection as single-use glass vials containing 0.9 mg of collagenase clostridium histolyticum as a sterile, lyophilized powder for reconstitution. Sterile diluent for reconstitution is provided in the package in a single-use glass vial containing 3 mL of 0.3 mg/mL calcium chloride dihydrate in 0.9% sodium chloride.

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A doctor can help decide what medication(s) may be the best for the patient. This is an important step to do so the doctor can help choose the best and safest drug(s) and other treatments so that men with other medical problems can get individualized care appropriate for their medical conditions. Read Doctor's View Readers Comments 12 Share Your Story

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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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