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Peyronie's disease is a condition that results from a penis injury, causing scar tissue to form and the shaft to curve. Sexual intercourse is often difficult.

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Your hormonal status for testosterone (the male hormone) is evaluated, particularly if one of your symptoms is low sexual desire (low libido).Blood tests for testosterone should ideally be taken early in the morning because that is when levels are usually at their highest.Blood may also be tested for other hormones that can affect sexual function (eg, luteinizing hormone, prolactin).Your blood may be checked for glucose (sugar), cholesterol, thyroid function, triglycerides, and prostate specific antigen (PSA).A urinalysis looking for blood cells, protein, and glucose (sugar) may also be done.
These tests are only done in certain patients who have not responded to initial therapies, and may include: Ultrasonography (penile Doppler) to check blood flow in the penis A special injection into the penis to check erection Arteriography (an imaging test that uses X-rays and a special dye to see inside the arteries) Magnetic resonance imaging (MRI) or computed tomography (CT) scan Nocturnal penile tumescence or NPT (using a special electronic device to monitor nocturnal erections) .

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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 ACP did not recommend for or against routine use of hormonal blood tests or hormonal treatment in the management of patients with ED.

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Second, there is a range of medically reviewed, evidence-based options for treating ED. The best part? You can start today.
As blood flows into the penis, the corpora cavernosa swell, and this swelling compresses the veins (blood vessels that drain the blood out of the penis) against the tunica albuginea. Compression of the veins prevents blood from leaving the penis. This creates a hard erection. When the amount of cGMP decreases by the action of a chemical called phosphodiesterase type 5 (PDE5), the muscles in the penis tighten, and the blood flow into the penis decreases. With less blood coming into the penis, the veins are not compressed, allowing blood to drain out of the penis, and the erection goes down. Could Semen Hold Key to New OTC Contraceptive? Could the 'Love Hormone' Help Drive Sex Addiction? Fragile Male Egos Have Many Women 'Faking It' Many Teens Don't Realize STD Risks From Oral Sex Proof That COVID Vaccines Won't Harm Fertility Daily Health News More Dangerous Omicron Subvariant When to Use Antibiotic Creams Vitamins, Supplements Against COVID Senior Health Care Management Child Milestone Checklists More Health News » Trending on MedicineNet Triple-Negative Breast Cancer Causes of Stool Color Changes Good Heart Rate By Age Laminectomy Recovery Time Normal Blood Pressure By Age Read Doctor's View Readers Comments 2 Share Your Story

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The NIDDK provides relevant and detailed information about ED, treatments, prevention strategies, and clinical trials.

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Choose a position. Lying on your back on a comfortable mat, knees bent, is a good place to start, even placing your hands on your lower abdomen to make sure you're contracting the right muscles. Make sure you have your feet flat on the floor. Once you're comfortable performing kegel exercises, you can try the rest of the steps while sitting or standing.Contract and relax. Think of this as pelvic floor muscle training.Contract your pelvic floor muscles for three to five secondsRelax for three to five secondsRepeat this contract and relax cycle 10 times

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    Nearly every man can experience brief problems with erectile function. In almost all cases it is related to certain and specific life circumstances, problems, or stressful situations. Usually, these erectile problems disappear once the situation is resolved or changed. You generally don’t need to go to the doctor.

    Physical examination. This might include careful examination of your penis and testicles and checking your nerves for sensation. If the penis does not reach erection, it might be caused by the endocrine.
    An injection test is also called an intracavernosal test. Your doctor injects a medicine into the base of your penis that should give you an erection. If you don’t get one, you may have a problem with blood flow to your penis.

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    In general, PDE5i works successfully in about 65%-70% of all men with erectile dysfunction (impotence). The greater the degree of damage to the normal erection mechanism and severity of the ED, the lower the overall success rate. Men with diabetes and those with spinal cord injury reported between 50%-60% responding successfully to treatment with oral PDE5i medications. The lowest success rate has been in men who developed ED (impotence) after prostate cancer surgery (radical prostatectomy) for more advanced prostate cancer that required removal of both sets of nerves around the prostate. In men who did not have the nerves removed/damage, there is a better chance of response to PDE5 inhibitors.

    Picture of penile vacuum pump. A vacuum device can be used to produce an erection. Elements of the device include the cylinder, a pump to create a vacuum, and a constriction ring to be placed at the base of the penis after an erection has been obtained in order to maintain the erection.
    Background A growing body of evidence suggests that physical activity and exercise may improve erectile function.

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    Prevention of some of the causes that contribute to the development of erectile dysfunction can decrease the chances of developing the problem. For example, if a person decreases their chances of developing diabetes, heart disease, and hypertension, they will decrease their chances of developing erectile dysfunction. Other things like stopping smoking, eating a healthy diet (heart healthy with adequate vitamin intake), and exercising daily may reduce a person's risk.

    Erectile dysfunction often has more than one cause. Many diseases can cause blood flow problems, damage nerves, arteries and muscles, which can impair erectile function.
    “We can’t see any limit. Perhaps, you can’t have too much of a good thing,” says Gerbild.

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    The therapy doesn’t require any downtime, so a man’s schedule is not in jeopardy. GAINSWave® therapy providers are all over the United States for men’s convenience. Interested parties can reach out to a provider of the GAINSWave® treatment for more information. Dr. Ocampo is an expert physician specializing in anti-aging, hormone therapy, pathology and environmental medicine. He received his medical degree from Columbia State Medical School in Montreal, Canada. Dr. Ocampo’s comprehensive medical experience includes working as medical officer for the U.S. Public Health Service and C.D.C, National Institute for Occupational Health, medical director for the U.S. Public Health Service, and as a Principal Investigator for American Pharmaceutical Companies. What is GAINSWave? What to expect? How it works? Comparing treatments Frequently asked questions Medical advisory board Clinical research Find a provider near you → New York Texas Florida California Colorado Arizona Washington See all locations → Men’s Health Guide GW Magazine As Seen On For Providers Provider Resources For Affiliates For Press Partnership Facebook Instagram Twitter Youtube Linkedin Tiktok

    - What your pelvic floor muscles are and why strengthening them will turn you into a stud.
    Smoking is an independent risk factor for ED. Tobacco smoking causes direct toxicity to endothelial cells, including decreased eNOS activity, increased adhesion expression and impaired regulation of thrombotic factors.6 A meta-analysis of 19 studies by Tengs and Osgood suggested that 40 % of the impotent men studied were current smokers compared with 28 % who had never smoked.49

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Though you're the one with ED, your partner is also affected. Talking openly about ED will help your partner understand the diagnosis and treatment options. This can reassure them that you haven't lost interest.

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“Perhaps some men will be more motivated to know that they can improve their erectile function, sexual health, and quality of life, rather than just being told that they can live longer,” says Gerbild.

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There are a variety of methods for treating erectile dysfunction. Your doctor can discuss all of these options with you in more detail. All decisions regarding your best option for treating E.D. should be made between you and your physician, with consideration given to your individual needs and the pros and cons of each treatment options.

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The surgery for placement of a penile prosthesis is typically an outpatient surgery. Doctors often perform a penile prosthesis through a single incision, and all of the components are hidden under the skin. Health care professionals often give patients antibiotics at the time of surgery and often after the surgery to decrease the risk of developing an infection. Depending on your health history, a health care provider may leave a catheter in your penis to drain your bladder overnight.

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