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DiabetesHigh blood pressureHeart or thyroid conditionsClogged arteries (atherosclerosis)DepressionNervous system disorders, such as multiple sclerosis or Parkinson disease

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Energy Wave Therapy is an exciting new, non-invasive approach to treating erectile dysfunction that uses low-frequency sound waves to increase blood flow to the penis to optimize erections, sensitivity, and sexual performance. With energy wave therapy men can achieve natural, spontaneous erections without ED medications.
A 2004 Harvard Study found that walking for at least 30 minutes every day reduces the risk of ED by about 40%. .

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Due to the perceived stigma that goes along with erectile dysfunction, there is a lot of bad information floating around about it. Some men are so embarrassed that they don’t even talk to their doctor about it. We put together this short video quiz to clear up some of those ED myths. 1. Is erectile dysfunction just a natural process that all men go through as they get older?
Erectile dysfunction is a common condition and its frequency increases with age. Whilst for some men it may only occur occasionally, being related to fatigue, stress or alcohol intake, for others, it can occur more frequently. The male erection is the culmination of two aspects of sexual function – a reflex aspect, controlled by the nerves in the body, and a psychogenic aspect, which is the result of emotional or erotic stimuli, and involving the brain’s limbic system (which controls emotions and feelings).

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Urethral suppositories (MUSE) have the same ingredient as ED injections (alprostadil) only they are in pellet form. You will insert the pellet into your urethra (urinary channel), where it will dissolve.
Doctors have not tested the PDE5 inhibitors in patients with retinitis pigmentosa, an eye condition that affects the retina and can cause blindness, and so caution is recommended if you have this health condition.

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There are several areas of the brain involved in sexual behavior and erections. In psychogenic ED, the brain may send messages that prevent (inhibit) erections or psychogenic ED may be related to the body's response to stressors and the release of chemicals (catecholamines) that tighten the penile muscles, preventing them from relaxing.

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Having erectile dysfunction isn't something you just have to live with. Almost all cases of erectile dysfunction are treatable, and treatment can lead to better overall physical and emotional health for nearly every patient as well as improve intimacy for couples.

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    Have you been able to get and keep erections in the past?Are you having trouble getting an erection or keeping erections?Do you have erections during sleep or in the morning?How long have you had trouble with erections?

    We are happy to meet with you within 48 hours on Monday through Friday to provide an e-consult. Please provide the information below so we can contact you. May we share your question and the answer with others? We will not expose your name or any identifying information. Patients: Make an Appointment Select a departmentUrologic Subspecialty Clinic at Parnassus (non-cancer)Urologic Surgical OncologyWomen’s Center for Bladder and Pelvic HealthMale Reproductive HealthPediatric Urology (Children)Lifetime Congenital Urology Program (L-CUP)
    Thankfully, if you’re experiencing these issues, you don’t have to rely solely on expensive medications or complicated and extensive therapies. There are several exercises, specifically Kegel exercises, that can strengthen the core and pelvic area of the body.

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    PDE5i medications are absolutely not to be taken by men with heart conditions who are taking nitrates such as nitroglycerine or isosorbide (Isordil, Ismo, Imdur). Those with serious heart disease, exertional angina (chest pain), and those taking multiple drugs for high blood pressure are advised to seek the advice of a heart specialist before beginning therapy with sildenafil.

    Erectile dysfunction (ED), commonly known as “impotence,” is defined by the National Institute of Health as: “Inability of the male to attain and maintain erection of the penis to permit satisfactory sexual intercourse.” In other words, ED is the difficulty for a man to get and keep a firm penis for sexual activity.
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    An erection problem is usually not "all in your head." In fact, most erection problems have a physical cause. Below are some common physical causes.

    Ultrasound tests for determining ED can not be done at home but only in a professional clinic and hospitals. Under the surveillance of a professional doctor, the wandlike device known as a transducer is kept over the blood vessels. By seeing the video image of the blood supply to the penis, one can identify the level of ED. On your sexual behavior for the past 6 months, try to answer the question honestly and assign the points assigned to particular answers. After you finish answering all five main questions, total up all the points to check the result.
    A closer look at the relationship between hypertension and ED, including how certain blood pressure medications may affect your symptoms.

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    • Medications, most commonly blood pressure medications (especially beta-blockers or thizides), anti-depressants (such as SSRI), anti-androgens, and a variety of other medications

    Aspirators Catheters Cystoscopes Evacuators Lasers Lithotomy Instruments Lithotrites Nephroscopes Prostatic Punches Resectoscopes Urethrotomes & Dilators Urethroscopes Instruments in Other Collections
    If you have symptoms of ED, your doctor will probably start with a physical exam to check your overall health.

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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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Surgery provides the only true cure, but men typically want to explore other, less invasive options first.

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Erectile dysfunction is a potential complication following prostate cancer treatments. The nerves that control an erection lie very close to the prostate and may be injured during treatment. However, some men may regain their previous level of erectile function with nerve-sparing procedures. But it may take up to a year while some men may never recover their ability to have a natural erection.

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