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Your ED specialist is interested in your physical and mental health, your relationships, and if medications, drugs, or alcohol could also be contributing factors. There is no judgment, and your honest responses can lead to a more effective ED treatment. How long have your ED symptoms been happening?Did your symptoms happen suddenly, or were they gradual?Do you ever have firm erections?Are your erections harder in particular situations or with different types of stimulation?Do you awake with an erection or feel an erection at night (a nocturnal erection)?Are you aware of any underlying health conditions?Have you suffered a pelvic injury or had any pelvic surgery?Do you take prescription drugs? Do you have problems feeling desire, having an orgasm, or ejaculating during sex?How often do you have sex?Do you have sex less often now? What is your current relationship status?Do you and your partner have expectations for each other?Has your relationship or your expectations changed? Have your stress levels increased?Do you use tobacco, alcohol, or nonprescription drugs more frequently or to de-stress? Additional Testing

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Conclusions are based on a combination of patients’ own evaluations of whether their erection had improved, and more objective measures such as circulation of blood through the penis.
We understand your concerns and can answer your questions about male sexual issues. We’ve heard it all before, and we can find the answers—and the treatment—that is personally best for you. .

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Your free consultation with our doctors can ensure you find the right ED meds for your needs.
A surgical procedure that involves the placement of a balloons inside the shaft of the penis that a patient is able to manually pump the device to inflate and get an erection. The erection lasts as long as needed and with a simple push of a button, the penis is once again soft. Learn more about the implant option by clicking here. ED is rarely caused by severe pelvic trauma from major accidents in younger patients. Revascularization is an operation to bring new or additional blood vessels to the penis to improve the circulation that may have been severed by the initial trauma. This is a very rare type of treatment and is not recommended for the typical patient. After identification of a psychogenic source for ED, we will refer patients to a therapist with expertise in treating sexual dysfunction. We often recommend low dose medications for ED in conjunction with the therapist’s recommendations.

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What are truly the norms for testosterone levels in men and could we better determine which might actually benefit, and thus, should receive TRT?

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Complication rates of endovascular treatment are low (5.2%), comprising mainly minor complications. Major complications such as pulmonary embolism are rare (<1%).

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The diagnosis of erectile dysfunction is made clinically, based on a patient’s symptoms. It therefore is important for patients to be evaluated by their GP in the first instance. At this appointment, a full history will be taken from the patient regarding the current symptoms and other medical issues. Regular medications will also be reviewed to ensure that there are no contributing factors. Questions regarding alcohol intake and smoking will also be asked. A general physical examination will be performed by the GP, which may include checking blood pressure and an examination of the genitals. Examination of the vascular system and peripheral nervous system may also be undertaken.

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    One rough-and-ready way of working out whether your ED has a physical cause is to see whether there any circumstances in which you get an erection. If you can produce one when masturbating but not with a partner, wake up with an erection, or have erections during the night, then there's a good chance that your ED has psychological causes. How can I prevent it? Have a healthy lifestyle. Quitting smoking and drinking alcohol in moderation will help. Regular aerobic exercise and a low-fat diet will also reduce the risks of atherosclerosis. If you have diabetes, ensure it's properly controlled. Should I see a doctor?

    It's also important to know that drinking alcohol won't help you maintain an erection. In fact, excessive alcohol use can be a cause of erectile dysfunction.
    Discussing ED with your family doctor or urologist may be uncomfortable, but it is important to do so. Together you can discuss which treatment is right for you.

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    On the mental and emotional side of things, anxiety, depression, and stress all play a role. Relationship issues can also be a factor.

    You have a question that many men are concerned about. You go online to research the question: do I have erectile dysfunction?
    Increased consumption of long-chain fats, which are found in most fish, was associated with lower levels of blood vessel inflammation (Lopez-Garcia & Hu, 2004). Blood flow into the penis and surrounding tissue can be improved by reducing inflammation in small blood vessels.

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    Many conditions are closely related to ED and may contribute to symptoms, including the following:

    A closer look at the relationship between hypertension and ED, including how certain blood pressure medications may affect your symptoms.
    ©2022 WebMD, Inc. All rights reserved. eMedicineHealth does not provide medical advice, diagnosis or treatment. See Additional Information.

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    Other tests, if indicated, are normally arranged by the urology specialist clinic and will be discussed with you.
    Lifestyle choices can contribute to ED. Smoking, heavy drinking, and drug use disorder can damage the blood vessels and reduce blood flow to your penis. Being overweight and getting too little exercise also raise your odds. Studies show that men who exercise regularly have a lower risk of ED.

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The good news is that the medically reviewed research suggests physical activity with a moderate to high intensity completed for 40 minutes, four times a week can result in a significant improvement of ED symptoms, as well as preventing cardiovascular disease.

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Exercise is good for the circulatory system. It keeps blood flowing smoothly throughout the body.

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Erection problems can affect men at any age, but are more common as you get older. Physical causes are more common in older men. Emotional causes are more common in younger men.

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A range of physical and psychological factors contribute to erectile dysfunction and this can occur at any age in men. However, the problem is more common in older men due to the aging process and the effect this process has on our circulatory systems, blood pressure and natural elasticity of our blood vessels.

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