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The vacuum device is relatively well tolerated but may cause pain, bruising and numbness.

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For Women Chronic UTIs diVa Laser Vaginal Therapy Interstitial Cystitis (IC) MonaLisa Touch Laser Vaginal Therapy Overactive Bladder (OAB) Pelvic Organ Prolapse Stress Urinary Incontinence Women’s Sexual Health Women’s Urology Leading Edge Surgery Minimally Invasive Surgery Radical Prostatectomy Reconstructive Urology Robotic Surgery
While popularized in the media, Viagra is not the only erectile dysfunction drug. Other erectile dysfunction drugs include: .

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Trouble getting an erectionTrouble keeping an erection for a long enough period of timeReduced sex driveFeelings of embarrassment or guiltLow self-esteemSymptoms of Other Sexual Disorders
A wide variety of treatments for ED are now available. Remember, however, that not all men are entitled to treatment through the NHS.

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Side effects of intraurethral alprostadil include pain in the penis and sometimes in the testicles, mild urethral bleeding, dizziness, and vaginal itching in the sex partner. Patients rarely report syncopal (fainting) episodes with initial use, and thus the first trial of this medication should be performed in the physician's office.
Your blood test results will be displayed in an easy to read format and any readings that aren’t optimal will be highlighted clearly. Your results will also be reviewed by a clinician who can offer advice based on the outcome of your test.

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Some men will have issues with erections (erectile dysfunction or ED) within a few years of external beam radiation for prostate cancer. Some of these men may have erections that allow penetration, but only a small portion report their erections are as good as they were before treatment.

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Whether you want to learn about treatment options, get advice on coping with side effects, or have questions about health insurance, we’re here to help. We can even find you a free ride to treatment or a free place to stay when treatment is far from home. Explore Treatment & Support Featured Resources Patient Programs and Services Clinical Trials When Natural Disasters Strike Choosing Your Treatment Team Understanding Recurrence NAVIGATING TREATMENT Personal Health Manager Caregiver Resource Guide Treatment Videos Survivorship Care Plans News Top Story Common Questions About the COVID-19 Outbreak

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    Diabetes is the second most common cause of erectile dysfunction. Half of men with diabetes will experience ED within ten years of their diagnosis.

    Injection therapy: The modern age of such drug therapies began in 1993 when the injection of papaverine (Pavabid), an alpha-blocker that produces vasodilatation (widening of the blood vessels), was shown to produce erections when injected directly into the penis. Soon afterward, other vasodilators, such as prostaglandin E1 (PGE 1) monotherapy (Caverject, Edex), PGE1 and phentolamine (Regitine), and Trimix (papaverine, phentolamine and prostaglandin E1), were demonstrated to be effective. The benefit of combination therapy is the decreased dosing of each with less side effects. Most important is the reduction of the prostaglandin PGE1 dosing, which is associated to the localized pain.
    Based on the severity of the ED issue, your doctor will suggest treatments from least to most invasive. Something as simple as making healthy lifestyle changes (such as quitting smoking, reducing alcohol consumption, and losing weight) may help to solve the issue.

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    Kegels or pelvic floor exercises are most suitable for erectile dysfunction. These exercises target the muscles which are at the bottom side of the pelvis. The muscle which gets targeted by this exercise is pubococcygeus. So, performing pelvic floor exercises will definitely strengthen the pubococcygeus. Thus, prove to be very effective in coping up with erectile dysfunction.

    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.
    After learning more about your health, our providers perform a physical examination and tests to gather more information.These tests may require blood and urine samples. We also may use a penile Doppler ultrasound device, which is anon-invasive imaging test that lets doctors study blood flow in the penis.

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    Erectile dysfunction (ED) and cardiovascular disease share common risk factors, like obesity, smoking, high cholesterol, high blood pressure, and lack of exercise. ED can be an early sign of heart disease because problems with blood flow affect erectile function. This is why men who experience ED should go to the doctor to get checked for heart disease. Anxiety Depression Feelings of self-inadequacy Low self-esteem Inability to describe emotions Stress

    If these medications fail to work or if you are deemed unfit to take them, your urologist can recommend one or more of the following therapies: Penile pump (vacuum erection device [VED] or vacuum constriction device [VCD]) Penile injections (intracavernous injection [ICI], intracavernosal alprostadil) Intraurethral (IU) medication (alprostadil) Surgical procedure involving fitting a penile implant into the penis
    Your doctor might perform a combination of different exams to determine if you have erectile dysfunction (ED).

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    Avanafil shares the common PDE5 inhibitor side effects, contraindications, and cautions. No changes in dose are need for men with mild or moderate kidney disease. Individuals with severe kidney disease, severe liver disease, or those on kidney dialysis should not use avanafil.

    Acupuncture is the practice of inserting needles into the body to reduce pain or induce anesthesia. More broadly, acupuncture is a family of procedures involving the stimulation of anatomical locations on or in the skin by a variety of techniques.
    Even when ED has a physical cause, psychotherapy can help. A therapist can teach the man and their partner techniques to reduce performance anxiety and improve intimacy. Therapy can also help couples adjust to the use of vacuum devices and implants.

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Contributors DFM and NB wrote the majority of the manuscript. MK wrote the section on testosterone and made review comments and approved the final manuscript along with the attached figure.

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It may be uncomfortable for you to discuss your sex life with a urologist or a sexologist, but it is the most effective way to deal with your concerns. Together with your doctor, you can identify what is important in your sex life and choose the best treatment option to have a satisfactory sex life. If you have a partner, it is important to include them in these consultations.

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KEGEL EXERCISE FOR MEN: Ultimate Manual to Improve Sexual Performance, Prevent Premature Ejaculation and Bladder Control

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Click here to watch a short video about erectilel dysfunction from the NHS Health & Care Video Library.

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