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This patient education application provides patients and Health Care Practitioners with easy to access information on Erectile Dysfunction management. The developer, BuiltByDoctors, has not provided details about its privacy practices and handling of data to Apple.

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The vacuum device is relatively well tolerated but may cause pain, bruising and numbness.
Another injection option is the combination of phentolamine and aviptadil. This is effective, but requires simultaneous sexual stimulation to achieve its desired effect.73 Side-effects include headache, facial flushing and, rarely, tachycardia and palpitation.73 .

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André B Silva1, Nelson Sousa1,2, Luís F Azevedo3,4, http://orcid.org/0000-0001-8561-5167Carlos Martins1 1 Family Medicine Unit, Social Sciences and Health Department of the Faculty of Medicine of Porto, Porto, Portugal 2 Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), University of Trás-os-Montes e Alto Douro, Vila Real, Portugal 3 CIDES—Department of Health Information and Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal 4 CINTESIS—Centre for Health Technology and Services Research, University of Porto, Porto, Portugal Correspondence to Dr André B Silva, Faculdade de Medicina da Universidade do Porto, Al. Prof. Hernâni Monteiro, Porto 4200-319, Portugal; andreborgessilva{at}outlook.com
Preventing or treating erectile dysfunction could also combat these underlying conditions.

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Physicians make a diagnosis of erectile dysfunction in men who complain of troubles having a hard enough erection or a hard erection that does not last long enough. It is important as you talk with your doctor that you be candid in terms of when your troubles started, how bothersome your erectile dysfunction is, how severe it is, and discuss all your medical conditions along with all prescribed and nonprescribed medications that you are taking. Your doctor will ask several questions to determine if your symptoms are suggestive of erectile dysfunction and to assess its severity and possible causes. Your doctor will try to get information to answer the following questions:
Having a healthy sex life and enjoying sexual activity is a normal, enjoyable part of living. Regular pelvic exercises can improve sexual performance by preventing premature ejaculation, help maintain an erection and even eliminate ED.

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Risk factors for ED and cardiovascular disease (CVD) are similar. The most cases of ED result from a vascular disturbance of the endothelium. Risk factors are such as: Diabetes Dyslipidemia Hypertension Low levels of testosterone Neurologic diseases (e.g. Parkinson’s disease, spinal cord injury) Nerve damage to the penis or the pelvic area Obesity Pelvic surgery Radiation therapy to the pelvic area Smoking

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Hypertension can affect endothelial function in many ways. It can reduce endothelium-dependent vasodilatation by increasing the vasoconstrictor tone as a result of increased peripheral sympathetic activity.41–43 Another mechanism is hypertension-induced increase in cyclooxygenase activity that leads to an increase in reactive oxygen species; these in turn damage endothelial cells and disrupt their function.44–46 In some cases, endothelial NO synthase (eNOS) gene variations may relate to hypertension-associated endothelial dysfunction.6

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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.

    “Erectile Dysfunction (ED).” UW Health. Retrieved from: http://www.uwhealth.org/urology/erectile-dysfunction-ed/20537
    Urology, Male Infertility & Reproductive Health, Stone Disease, Urologic Oncology

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    Currently, three pills (Viagra/sildenafil, Levitra/vardenafil, Cialis/tadalafil) are available and FDA-approved for erectile dysfunction. They are all called phosphodiesterase inhibitors, which means they act by blocking a chemical that stops erections.

    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.
    Men being treated for prostate cancer with treatments such as radical prostatectomy, radiation therapy or the use of Lutenizing hormone-releasing hormone (LHRH) agonists and antagonists can expect that ED may accompany these treatments.12

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    Erectile dysfunction (ED) is the inability to achieve or maintain an erection to satisfactorily engage in sexual intercourse. It is estimated that around 18 million American men experience erectile dysfunction, with prevalence increasing as age increases. One in three men will experience some form of ED in their lifetime.

    These are the conclusions of a new study where scientists have reviewed almost 2,000 scientific studies published between 2006 and 2016.
    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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    Footnotes*Note: Coverage of injectable medications is subject to the terms of the member’s benefit plan. Please check benefit plan descriptions for details.

    Some men with erectile dysfunction report having either a partial erection that is unable to sustain sexual intercourse, or the total absence of swelling of the penis. The severity of erectile dysfunction can be assessed using the International Index of Erectile Function (IIEF-5), which uses a questionnaire to grade ED as either mild, moderate or severe.
    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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Understanding the signs and causes of ED is the first step toward achieving a better sex life.

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The various PDE5 inhibitors for the treatment of ED share several common side effects, including headache, flushing, nasal congestion, nausea, dyspepsia (stomach discomfort), and diarrhea. Differences exist in side effects of the different PDE5 inhibitors, and thus it is important to be familiar with the prescribing information of the PDE5 inhibitor you are prescribed.

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Home Archive Volume 93, Issue 1105 Recent advances in the treatment of erectile dysfunction

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Aging and ED can slow men's sexual health, but pleasure is not only possible, it can also improve quality of life in men 60 and older.

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