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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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“We can’t see any limit. Perhaps, you can’t have too much of a good thing,” says Gerbild.
Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction. .

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Recently, the US Food and Drug Administration (FDA) has issued a safety announcement regarding TRT. In part it reads ‘The benefit and safety of these medications have not been established. We are also requiring these manufacturers to add information to the labeling about a possible increased risk of heart attacks and strokes in patients taking testosterone.’37
Erectile dysfunction, or ED, is the inability to achieve or sustain an erection suitable for sexual intercourse. Causes include medications, chronic illnesses, poor blood flow to the penis, drinking too much alcohol, or being too tired. Latest News & Features How Low Testosterone Affects Your ‘New Year, New Me’ Goals Doc Does Vasectomy Instead of Circumcision Vaping May Raise Risk for Impotence More Articles

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InexpensiveFrequent side effects (40%) include headache, indigestion, facial flushing, nasal stuffiness, and rarely visual changes (temporary blue tint)
Treatment options vary widely according to the specific diagnosis. Regardless, common treatment includes referral for counseling or therapy due to residual effects ED has to strip the man of confidence and self-esteem.

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A healthy nervous system that conducts nerve impulses in the brain, spinal column, and penisHealthy arteries in and near the corpora cavernosa that when stimulated can bring increased blood flow into the penisHealthy muscles and fibrous tissues within the corpora cavernosa, which can distend to allow the penis to fill with bloodAdequate levels of nitric oxide in the penisNormal-functioning tunica albuginea that allows for compression of the veinsAppropriate psychosocial interactions

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You have a question that many men are concerned about. You go online to research the question: do I have erectile dysfunction?

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    The benefits of exercise for your blood vessels last only as long as you keep exercising on a regular basis. Experts recommend that men who want to prevent impotence make a long-term commitment to exercise. Here are some tips to remember:

    Your GP may help you to complete a symptom questionnaire. The most commonly used are the International Index of Erectile Function and the Sexual Health Inventory for Men. They are generally used as aids to further assessment and to find a focus for the discussion of treatment options. understand your needs & expectations; identify the most suitable treatments; help you & your partner share in decision-making; and decide whether psychosexual counselling might be helpful.
    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.

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    Heart diseaseHypertensionHigh cholesterolObesityStressPsychological factors- stress, anxiety, and depression

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    The bottom line is that taking steps to keep your endothelium healthy will help you prevent or reduce your erectile dysfunction risk. Being more physically active is important to the health of your endothelium and, therefore, to the health of your heart and your penis.

    Membership of BAUS is open to any medical practitioner in urological practice interested in promoting the objects or the organisation.
    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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    Mechanical vacuum devices cause an erection by creating a vacuum around the penis that draws blood into the penis, engorging it, and expanding it. The devices have three components:

    Monitoring erections that occur during sleep (nocturnal penile tumescence) can help you and your doctor to understand if the erectile dysfunction is due to psychological or physical causes. The nocturnal penile tumescence test is a study to evaluate erections at night. Normally men have three to five erections per eight hours of sleep. The test can be performed at home or in a sleep lab. The most accurate way to perform the test involves a special device that is connected to two rings. The rings are placed around the penis, one at the tip of the penis and the other at the bottom (base) of the penis. The device records how many erections occur, how long they last, and how rigid they are. The test is limited in that it does not assess the ability to penetrate.
    Liver toxicity has generally been associated with oral forms of TRT, but does not appear to be a risk in injection or transdermal therapy.39 In patients with marked obstructive sleep apnoea or untreated severe congestive heart failure, these issues should be resolved before initiating TRT.37

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Aetna considers the following diagnostic workup of erectile dysfunction medically necessary: Comprehensive history and physical examination (including medical and sexual history and psychosocial evaluation) Duplexscan (Doppler and ultrasound) in conjunction with intracorporeal papaverine Dynamic infusion cavernosometry and cavernosography only for members who are to undergo re-vascularization procedures and meet medical necessity criteria for penile re-vascularization (see below) Pharmacological response test for erectile dysfunction (using vasoactive drugs, e.g., papaverine HCl, phentolamine mesylate, prostaglandin E1) Pudendal arteriography (angiography) only for members who are to undergo penile re-vascularization and meet the medical necessity criteria for penile revascularization (see below).

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Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction.

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You may see many herbs and supplements that claim to help sexual performance or desire. However, none have been proven to successfully treat ED. Plus, they may not always be safe. DO NOT take anything without talking with your provider first.

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But, the odds of ED increased with age across all racial and ethnic groups when health, relationship, lifestyle, psychological, and sociodemographic factors were controlled for.

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