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Erectile dysfunction (impotence) is defined as an inability to obtain or maintain an erection sufficient for penetration and for the satisfaction of both sexual partners.

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Regarding vascular etiologies of erectile dysfunction, a regular erectile function depends on adequate arterial inflow as well as venous outflow occlusion. Both arterial inflow stenosis or impaired venous outflow occlusion compromises filling of the corporeal bodies. Either problem, namely compromised arterial inflow or venous leakage, may result in vasculogenic erectile dysfunction (3).
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Liver toxicity has generally been associated with oral forms of TRT, but does not appear to be a risk in injection or transdermal therapy.39 In patients with marked obstructive sleep apnoea or untreated severe congestive heart failure, these issues should be resolved before initiating TRT.37

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Herbal supplements such as ginkgo biloba, saw palmetto, and yohimbe have been touted as sexual enhancers, and some men have been tempted to try them to treat erectile dysfunction. Bennett warns, however, that none has been approved by the FDA or even shown by any reliable studies to prevent, treat, or improve erectile dysfunction. Moreover, supplements are unregulated and can have many side effects or interfere with prescribed medications you’re already taking. Don’t jeopardize your health by taking a supplement to treat erectile dysfunction without first talking with your doctor.
Top Picks Talking to Your Partner About ED Penis Enlargement: Does It Work? ED: Tips for Talking With Your Doctor Men's Super Foods: Some Fight ED Photos: When Your Body Won't Cooperate 10 Things That Can Deflate Your Erection

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However, it can be a sign of an underlying medical condition such as high blood pressure or cholesterol, side effects of medication, or hormonal issues.

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The exercise guide by best andrologist in India Dr Chirag Bhandari can help you to overcome Erectile dysfunction naturally. A combination of kegel exercises, pilates, pelvic floor exercises and cardio workouts is the best regime to cure ED. You can download the PDF of picture erectile dysfunction chart from here

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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.

    Research has found that doing Kegel exercises twice a day can help a man build a strong pelvic floor. The benefits of a strong pelvic floor include maintaining longer and more rigid erections.
    Did you know that certain medical condition may be responsible for ED? Some causes of impotence are medically treatable and reversible. Learn more about what can be done about erectile dysfunction with the Impotence Quiz.

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    Men with a rare heart condition known as long QT syndrome should not take vardenafil since this may lead to abnormal heart rhythms. The QT interval is the time it takes for the heart's muscle to recover after it has contracted and is measured on an electrocardiogram (EKG). In addition, vardenafil is not recommended for men taking medications that can affect the QT interval such as quinidine, procainamide, amiodarone, and sotalol.

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    Certain street drugs such as "poppers" also can cause serious problems if taken with PDE5i medications. These poppers are often types of nitrates and can cause severe drops in blood pressure. Ecstasy is another street drug that may increase sexual desire but interferes with performance. This has prompted some men to combine ecstasy with PDE5i medications. This mixture (a combination sometimes called "sextasy") can improve erection ability but also causes severe headache and priapism. (Priapism is an abnormally prolonged erection that becomes extremely painful and may result in permanent damage to the erection mechanism.) There are also potentially dangerous effects to your heart from mixing PDE5i medications with various other street drugs.

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    Picture of penile tourniquet. This is one of many types of constricting devices placed at the base of the penis to diminish blood outflow and improve the quality and duration of the erection. These may be used in conjunction with oral drugs, injection therapy, and with vacuum devices.

    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
    When did you first notice symptoms of ED?What are your main symptoms?How often do you have erections?If you have erections, how firm are they?Do you have erections at night or in the morning?What sexual techniques do you use?Do you notice that your ability to get an erection changes at different times during sex?Are there problems in your current relationship?How has ED affected your current relationship?Do you have problems with sex drive or arousal?

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    The needle used is very fine, so pain from the injection site is usually minimal. It is very important that you receive these injections by a trained urologist. Penile injections not administered under the supervision of a urologist or other trained medical professional can result in serious side effects in some men. Most insurance plans will cover the cost of these injections when you are under the care of a urologist. Erection occurs in five to 20 minutes following injection and lasts up to one hour Can be used anytime Erection feels natural No surgery necessary Can be costly if not covered by insurance May cause bleeding and scarring at the injection site Can cause painful erections that last longer than two hours Lack of spontaneity May require surgery if erection is prolonged 75 percent of men stop using injections after one year Urethral Suppositories

    Taking a home blood test properly is the key to getting accurate blood test results. To ensure your health check-up goes...
    Your doctor may ask you to fill out questionnaires, which are used to assess different aspects of your sexual health. The most common are: The International Index for Erectile Function (IIEF) The Sexual Health Inventory for Men (SHIM) The International Prostate Symptom Score (IPSS) The Clinical Depression Questionnaire

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In some cases, ED can be a warning sign of a more serious disease. One study suggests it can predict heart attack, stroke, and even death from cardiovascular disease. If you’re diagnosed with ED, get checked for cardiovascular disease. This doesn’t mean every man with ED will develop heart disease, or that every man with heart disease has ED, but you should be aware of the link.

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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.

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Treatment options for ED have evolved considerably over the past decade to encompass psychological counseling; oral, topical, intraurethral, and intracavernosal vasoactive therapy; oral therapies with other or unknown mechanisms; hormone replacement; vacuum constriction devices; and surgery, including vascular bypass procedures and penile implants. The goal of treatment is to restore satisfactory erections with minimal adverse effects. Men have demonstrated a strong preference for oral treatments even if they have low efficacy.

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“Exercise improves function whether you want to prevent erection problems or whether those problems are just starting,” says Gerbild.

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