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In 1973, Dr Brantley Scott from Baylor College of Medicine reported on the implantable inflatable prosthesis that urologists still use today.5

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Conditions like vascular disease, surgery, diabetes, and medications are some of the top causes of erectile dysfunction. If you suffer from ED, schedule an evaluation with your doctor and get the help you need
Watch videos of Chesapeake Urology Erectile Dysfunction specialists and testimonials from real patients whose lives were restored thanks to Chesapeake Urology's erectile dysfunction experts. .

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Considering who’s giving you this quiz, we’d hope you already know that the answer isn’t A. Actually, a blood test is one of the first thing a doctor would want from someone complaining of ED. The actual answer is D. There is no call to stick a catheter up you in order to diagnose the problem.
Clinicians should be aware of these possible detrimental effects of TRT and the possible contraindications, and to prescribe and monitor in an appropriate manner, which may vary from patient to patient.

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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.
Given that erectile dysfunction can be a sensitive marker of vascular pathology, it is also recommended that all patients with erectile dysfunction undergo an assessment of cardiovascular risk, including assessing risk factors for cardiovascular disease.

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Erectile dysfunction (ED) is a common condition. Although it is not life-threatening, it can negatively affect your quality of life. Because it can be related to other conditions, such as heart disease, it is important that you get the right treatment. There are various treatment options for ED, discuss with your doctor which option is best for your individual situation.

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Sildenafil (Viagra) was the first oral phosphodiesterase type 5 (PDE5) inhibitor approved by the FDA in the United States for the treatment of erectile dysfunction (it is not approved for women). Sildenafil inhibits PDE5, which is an enzyme that destroys cGMP. By inhibiting the destruction of cGMP by PDE5, sildenafil allows cGMP to accumulate. The cGMP in turn prolongs relaxation of the smooth muscle of the corpora cavernosa. Relaxation of the corpora cavernosa smooth muscle allows blood to flow into the penis resulting in increased engorgement of the penis. In short, sildenafil increases blood flow into the penis and decreases blood flow out of the penis.

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    Don’t hold your breathDon’t push down — instead, squeeze your pelvic muscles together tightly as if you are trying to lift something up with those musclesTry to keep your stomach muscles relaxed throughoutRelax your pelvic floor muscles between each squeeze

    If the lining of the blood vessels (known as the endothelium) becomes damaged and inflamed, this can also disrupt nitric oxide (NO) production.
    Checking the penis for sensitivity determines any nervous system origins. Inspection of penile appearance helps rule out Peyronie's disease. A blood pressure check rules out circulation problems by checking wrist and ankle pulse.

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    Beat your erectile dysfunction with our medically proven range of ED treatments. Simply get started with our online consultation and our licensed prescribers will review your order and create your personalised plan if medically approved. We will have your prescription home-delivered to get you back in the game in no time at all.

    Erectile dysfunction is very common, affecting about 30 million men in the United States. It can be an uncomfortable subject for people. However, a healthy sex life positively impacts quality of life and health. Your doctor is trained to discuss sensitive material and may be able to help you address the issue when consulted.
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    Check out the illustrations below for further insight into various ED treatments.

    Our patients often undergo a full body exam to determine whether they have early cardiovascular disease, vascular disease or a metabolic condition such as diabetes. Treatment is addressed with a multi-disciplinary approach.
    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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    Sexual dysfunction and ED become more common as you get older. Only about 5% of men age 40 have it. But the number rises to 15% of men age 70. This doesn’t mean growing older is the end of your sex life. Doctors can treat ED no matter your age. Age isn’t the only cause. Type 2 diabetes, obesity, smoking, and high blood pressure all make it more likely.

    Associate Professor of Urology, Director of Newport Beach Urology, Director of Men's Health, Chief, Division of Men's Health and Reconstructive Urology
    We recommend that ALL of our patients with ED get a heart and stroke screening checkup with their primary doctor. Low testosterone (male hormone) levels Peyronie’s Disease (penile curvature and plaque formation) Neurological diseases - like neuropathy, multiple sclerosis, spinal cord injury Drug Side Effects - most commonly implicated drugs are blood pressure medications (which may cause ED simply by doing what they are intended to do—lower blood pressure) and antidepressants, due to their neurological effects Psychogenic - only 10% of cases are related to a psychological problems like anxiety, post traumatic stress disorder, depression, stress, relationship problems

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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.

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Resistance training (which includes weightlifting) has also been shown to help improve cardiovascular health. And as we’ve mentioned, cardiovascular health is intrinsically linked to erectile health.

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Tadalfil has the same side effects, except for the flushing and possible changes in vision. It can also cause back pain and muscle aches. For each of the medicines, headache is the most common side effect. Vision changes are the least common. Talk to your doctor if you have any side effect that bothers you.

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There are lifestyle changes that you can make to help with ED including pelvic floor muscle exercises that are evidenced to help in idiopathic ED. Consider buying a special saddle that reduces perineal pressure If you are overweight, consider reducing it If you do not take regular exercise, consider getting fitter Talking to a counsellor is often useful. Your GP or physiotherapist can recommend a specialist psychosexual counsellor or in many regions you can self-refer for talking therapy If you are a smoker, consider smoking cessation If you drink alcohol regularly, consider reducing the number of units you have per week or you may feel you need support to help you reduce your input: If you use recreational drugs, consider reducing these Where to go to next Speak to your GP who may wish to refer you for investigations You can also ask your GP if there is a specialist Men’s Health physiotherapy service that he/she can refer you to. If this isn’t available in your area or there is a long waiting list and you would like to find a specialist private physiotherapist, use the link below: A specialist men’s health physiotherapist can help you to strengthen your pelvic floor muscles, particularly the small pelvic floor muscles called the bulbocavernosus and the ischiocavernosus. If your pelvic floor muscles are tight, treatment will targeted at down training them. The physiotherapist will advise on lifestyle changes and support you in gradually adopting these new strategies. Your physiotherapist will discuss whether or not you feel there is a psychological component to your ED and will be able to sign post you to psychological help/talking therapy if you agree that this would be useful/ appropriate. Pregnancy Related Physiotherapy: the childbearing year - an entry level course Explore Further Events Designed & Developed by LightMedia Cookie Policy Privacy Policy Retention Policy Login ‹ › × × Previous Next

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