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The prostate gland is located just below the bladder and is surrounded by nerves and blood vessels. These nerves and blood vessels are needed to achieve a normal erection. Much research has been done to understand where these nerves are located and how to prevent them from getting damaged during surgery or other treatments.

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Aetna considers Xiaflex as experimental and investigational for all other indications except for Dupuytren's contracture, see CPB 0800 - Dupuytren's Contracture Treatments.
These changes can be very difficult to deal with because for most men sexuality and erection remain important throughout their whole life. You may even go into denial or suffer from depression. That is why the effect of ED on your quality of life should not be underestimated. .

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If necessary, your doctor may refer you to a neurologist, a psychiatrist, an andrologist, or an endocrinologist for further tests.
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. Pelvic Health Physiotherapy: Managing complex female pelvic pain and pelvic floor dysfunction - advancing your practice : Stockport Explore Further Events Designed & Developed by LightMedia Cookie Policy Privacy Policy Retention Policy Login ‹ › × × Previous Next

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• Low testosterone. Some men with low testosterone have weak erections or are unable to have erections at all. Similarly, low testosterone has been linked to depression. • Poor muscle relaxation- In order to get a firm erection, the muscles in a man’s penis need to relax and allow blood to flow in. It’s possible that depression affects areas of the brain that release compounds involved with this process. • Medications. Many medications used to treat depression have performance side effects, which may include ED.
Folic acid, also known as folate, can decrease high levels of homocysteine. Homocysteine is an amino acid. At high concentrations, it can damage the lining of your blood vessels. High levels of homocysteine have been linked to heart disease and stroke.

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Health conditions like diabetes, high blood pressure, stroke, neurological disorders, high cholesterol or narrowing of the blood vessels may contribute to erectile dysfunction. The main issue is not enough blood flow to the penis. Other issues include low levels of the male hormone testosterone, injury or nerve damage to the penis or surrounding area and surgery to the penis or surrounding area (e.g. prostate surgery). Some medications can also cause erectile dysfunction as a side effect, particularly if they affect hormone levels like testosterone.

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Erectile dysfunction can occur at any age and could be due to a physical or psychological problem. Other health conditions, like diabetes, heart problems or neurological problems can also cause or contribute to erectile dysfunction in younger men.

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    InexpensiveFrequent side effects (40%) include headache, indigestion, facial flushing, nasal stuffiness, and rarely visual changes (temporary blue tint)

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    Many medications can cause or contribute to erectile dysfunction, including certain blood pressure drugs, antidepressants, and tranquilizers. Men with erectile dysfunction should talk with their doctor if they suspect a prescription or over-the-counter drug may be causing erectile problems. Born This Way? Physiology and Erectile Dysfunction

    to reconstruct arteries in order to increase the flow of blood to the penis; andto block veins that drain blood from the penis (currently not recommended).Currently, placement of a penile prosthesis is the most common surgical procedure performed for erectile dysfunction. Penile prosthesis placement is typically reserved for men who have tried and failed (either from efficacy or tolerability) or have contraindications to other forms of therapy including PDE5 inhibitors, intraurethral alprostadil, and injection therapy.Penile prosthesis
    Erectile dysfunction (ED) or male impotence is defined as the inability of a male to achieve and/or maintain a hard enough erection sufficient for satisfactory completion of sexual activity.

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    Stability ball is one of the most versatile exercise equipment out there. You can use it to stretch and strengthen any part of your body. Vidyut, for instance, has incorporated it into his kalari sutra workout. He has placed his feet atop it while being in a plank position and pushed his hips upward and downward in an alternate motion, so as to stretch and strengthen the joints. When you do this exercise, make sure you maintain proper balance and stop your legs from falling off the stability ball. Go down on all fours. Place your palms on the floor in line with your shoulders. Lift your legs off the floor and place them on a stability ball. Keep your elbows and knees straight. Raise your hips to make a mountain with your body. Lower your hips and bring them as close to the floor as possible without touching it. Repeat in a seamless motion.

    Erectile dysfunction (ED) is when a man cannot get or keep an erection. The condition prevents the man from having sex or finishing sex. This condition used to be called impotence. ED can occur at any age, but it is more common in men older than 75 years of age.
    Sometimes, we will refer patients to a cardiologist in order to determine if there is underlying cardiovascular disease. getting more exercise , quitting tobacco products, losing weight, and eating a healthy diet. Diabetes Erectile Dysfunction and Other Endocrine Disorders

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    It is known that certain lifestyle factors can increase the likelihood of erectile dysfunction, and therefore patients may be advised to reduce their alcohol intake and stop smoking. Regular exercise may also help symptoms, as it may improve physical health, in addition to reducing any symptoms of anxiety or stress that may be contributing to the condition. However, cycling for more than 3 hours a week has been shown to increase the likelihood of erectile dysfunction, and so if patients cycle more than this, they should be advised to seek alternative means of exercise. Related websites and support groups Institute of Psychosexual Medicine Relate Sexual Advice Association Related Endocrine Conditions Diabetes insipidus Diabetes mellitus Male hypogonadism View all Endocrine conditions Related Hormones Testosterone View all Hormones Related Glands Testes View all Glands You and Your Hormones

    ED is more than a quality of life issue; numerous studies have indicated that men with ED are at increased risk of developing cardiovascular disease and even dying form cardiac disease.
    Cardiovascular diseasesDiabetesObesityIncreased ageRelationship issuesHigh blood pressureDamage in the pelvic zone due to surgery

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Zinc is a micronutrient that plays a role in testosterone production. Low testosterone is associated with severe to moderate deficiency. The consequences of marginal levels are unknown (Prasad et al.,1996). Zinc is also important for immune function.

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The first line of treatment for erectile dysfunction is usually non-invasive and can involve lifestyle changes such as losing weight or quitting smoking. Medications called phosphodiesterase type-5 inhibitors that increase penile blood flow may be prescribed:

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This penile tumescence monitor is placed on the penis. It is connected to a monitor that records a continuous graph depicting the force and duration of erections that occur during sleep. The monitor is strapped to the leg. The nocturnal penile tumescence or NPT test is conducted on several nights to obtain an accurate indication of erections that normally occur during sleep. Click to view larger image.

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Erectile dysfunction (ED) or male impotence is defined as the inability of a male to achieve and/or maintain a hard enough erection sufficient for satisfactory completion of sexual activity.

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