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Blood in the semen (haematospermia) Blood in the urine (haematuria) Erectile dysfunction (impotence) Fertility problems Incontinence of urine Kidney stones Male menopause (androgen deficiency in the ageing male) Premature ejaculation Prostate symptoms (bladder outlet obstruction) Raised PSA Testicle missing Testicular lump Tight foreskin (phimosis) Urinary infection (adult) Urinary infection (child)

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Injection therapy: The modern age of such drug therapies began in 1993 when the injection of papaverine (Pavabid), an alpha-blocker that produces vasodilatation (widening of the blood vessels), was shown to produce erections when injected directly into the penis. Soon afterward, other vasodilators, such as prostaglandin E1 (PGE 1) monotherapy (Caverject, Edex), PGE1 and phentolamine (Regitine), and Trimix (papaverine, phentolamine and prostaglandin E1), were demonstrated to be effective. The benefit of combination therapy is the decreased dosing of each with less side effects. Most important is the reduction of the prostaglandin PGE1 dosing, which is associated to the localized pain.
Erectile dysfunction can occur if a man doesn't meet one or more of these requirements. The following are 13 common causes of erectile dysfunction, and many men have more than one potential cause: QUESTION Erectile dysfunction (ED) is… See Answer Readers Comments 1 Share Your Story .

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The developer will be required to provide privacy details when they submit their next app update. Provider Built by Doctors World Ltd. Category Medical Compatibility iPhone Requires iOS 8.0 or later. iPad Requires iPadOS 8.0 or later. iPod touch Requires iOS 8.0 or later. Mac Requires macOS 11.0 or later and a Mac with the Apple M1 chip. Age Rating 17+ Infrequent/Mild Horror/Fear Themes Frequent/Intense Sexual Content or Nudity Frequent/Intense Medical/Treatment Information
Discussing ED with your family doctor or urologist may be uncomfortable, but it is important to do so. Together you can discuss which treatment is right for you.

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English (EN) Tests A-Z BiopsyCystoscopyDigital rectal examinationMRI-scanUrodynamic testing Treatments Treatments A-ZTreatments per disease Double J StentPCNL (Percutaneous Nephrolithomy)SWL (Shock-wave Lithotripsy)TURBT (Transurethral resection of the bladder)URS (Ureteroscopy) Side effects Library Leaflets Videos Annual EAU Congress EAU22 EAU21 Newsletters Bladder Cancer NewslettersKidney Cancer NewslettersProstate Cancer Newsletters Erectile dysfunction Download leaflet
17th Century 18th Century 19th Century Ancient China Ancient Egypt Ancient Greece Ancient India Ancient Israel Arabic Medicine Imperial China Mayan Medicine Medieval Europe Mesopotamia Prehistory Roman Medicine The Dark Ages BAUS Home Patients “I think I might have...” Erectile dysfunction (impotence) Share

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Prior to starting testosterone therapy, it is important for a doctor to perform a thorough evaluation on the patient.

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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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    If you think any medicine you are taking may be causing erection problems, talk with your provider. You may need to lower the dose or change to another drug. DO NOT change or stop taking any medicine without first talking to your provider.

    What we treatErectile DysfunctionHair LossPremature EjaculationSleepAcneDaily Skin RoutineGenital HerpesCold Sores
    Alongside your doctor-prescribed treatment, you might also want to consider other holistic ways to manage your health, which in turn, help with the ED experience. One of these options is through various forms of exercise.

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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.

    Blood cell counts Cholesterol levels Blood sugar levels Liver function tests
    Two studies demonstrate the potential benefits of a diet high in antioxidants in preventing E.D. In a study of 17 men who ate 100 grams of pistachio nuts for three weeks, men reported a significant improvement in erectile function (Aldemir et al., 2011). In an animal study, pomegranate extract significantly improved intracavernosal blood flow and erectile function (Zhang et al., 2011). PistachiosDark chocolateBlueberries and other berriesArtichokesPomegranateGreen tea Foods and Drink That May Increase E.D. Symptoms Caffeine

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    To get an erection, your brain, nerves, hormones, and blood vessels all need to work together. If something gets in the way of these normal functions, it can lead to erection problems.

    Did you know that diabetes can contribute to erectile dysfunction and other men’s health conditions? Find out more about why treating your diabetes is important. Get more education on diabetes awareness.
    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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    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.

    The placement of a penile prosthesis is typically an outpatient procedure and is typically performed through a single incision. All of the parts of the prosthesis are hidden under the skin. Antibiotics are given to decrease the risk of an infection. A catheter may be left in the penis in some men for a short period. After placement, there will be a time period of healing prior to the ability to use the prosthesis.
    The recommended starting dose is 100 mg taken as early as 15 minutes prior to sexual activity, no more than once a day. The maximum dose is 200 mg. Avanafil may be taken with or without food. As with the other PDE5 inhibitors, sexual stimulation is necessary for avanafil to work.

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One study of 50 men with ED who had sought prescriptions for Viagra found that although none of them had any symptoms of heart disease, six were found to have blockages in all three major heart arteries, seven had two arteries that showed narrowing and one artery was blocked in another seven. Overall, 40% of the men were at significant risk of angina or a heart attack.

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There are many potential causes for erectile dysfunction, such as these conditions/circumstances: Vascular conditions: High blood pressure Elevated cholesterol Cardiovascular disease Diabetes Trauma: Spinal cord injury Pelvis injury Neurologic disease: Stroke Parkinson’s disease Alzheimer’s disease Radiation to the pelvis for cancer Endocrine: Hypogonadism (low testosterone) Hyperprolactinemia (high prolactin levels) Pelvis surgery: Radical prostatectomy (a surgical procedure for the partial or complete removal of the prostate) Surgeries for rectal cancer or bladder cancer Medication side effects: Antidepressants Antihypertensives (high blood pressure medicine) Antiandrogens (testosterone blockers) Antiarrhythmics (heart rhythm medicine) Alcohol Cigarette smoking Cocaine and marijuana Diabetes & ED View full infographic.

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If your doctor rules out other causes, he or she may prescribe Sildenafil (brand name: Viagra), tadalfil (brand name Cialis), and vardenafil (brand name Levitra). These medicines are taken by mouth to help you maintain an erection.

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However, it can be a sign of an underlying medical condition such as high blood pressure or cholesterol, side effects of medication, or hormonal issues.

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