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In patients who either fail to respond to first or second-line therapy, or are not interested in the conservative therapies, penile prosthesis implantation is available. Malleable and rigid implants were available for many years, but in 1973 the world of penile prosthetics took a giant leap forward with the advent of the inflatable penile implant. Most implants done nowadays are of the inflatable variety. Adverse events including malfunction and infection are rare, and patient satisfaction is very high.45
Your doctor will take a medical history to understand your general state of health. As part of the medical history your doctor will ask about any other conditions you may have. If you take any medication If you smoke When and how much you drink If you drink much coffee or alcohol If you use recreational drugs on a regular basis If you ever had pelvic surgery If you have any heart and/or vascular problems If you have hormonal disorders If you have any psychological problems .

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This problem affects men of all ages, but as men get older, there is a greater chance of developing erection problems. Population studies show that nearly 20% of men over age 20 and about 50% of men over the age of 50 have ED. The primary cause of ED is poor circulation to the penis. Just as poor circulation to the heart may result in a heart attack, so too in ED, the penis often suffers from lack of adequate circulation which results in poor erections. Age High Blood Pressure Diabetes Smoking High cholesterol Cardiovascular disease such as previous heart attacks or strokes
An accurate diagnosis is important because it helps doctors identify the most effective treatment for you.

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Other than strengthening the pelvic floor, the most effective workout is aerobic. Aerobic exercise of moderate-to-vigorous intensity can help improve function and reduce other conditions that can contribute to ED such as high blood pressure and excess weight. Even a regular routine of gentle walking can contribute to penis health.
Harvard Health. 2021. Benefits of exercise for the prostate and erectile dysfunction help – Harvard Health. [online] Available at:  [Accessed 14 October 2021].

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Erectile Dysfunction Test: A Step Towards Sexual WellnessHomeMens HealthErectile Dysfunction Test: A Step Towards Sexual Wellness

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Speedy, gentle, and enduring treatment is the ideal help for any problem. Physical activity can help you restore your sexual wellness.

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    Symptoms of erectile dysfunction include erections that are too soft for sexual intercourse, erections that last only briefly, and an inability to achieve erections. Men who cannot have or maintain an erection at least 75% of the time that they attempt sex are considered to have erectile dysfunction.

    Reduction of “bad” cholesterol (low-density lipoprotein or LDL) levels in the blood, as well as the total level of cholesterolReduction in body weight (obesity is associated with cardiovascular disease) Increase in insulin sensitivity (exercise increases the body’s ability to control glucose levels in the blood)Increase in “good” cholesterol (high-density lipoproteins)
    Vardenafil is effective in men of all ages, different nationalities, and in men with such medical conditions as diabetes mellitus and erectile dysfunction after prostate surgery.

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    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.

    When other treatment options are not successful, penile implant surgery can provide excellent patient and partner satisfaction. Both malleable (bendable) and inflatable devices can be implanted to allow penile rigidity and satisfactory sexual intercourse.
    Gerbild recommends giving up smoking, drinking less, and following a healthier diet in combination with exercise.

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    If you smoke, talk to your doctor about quitting and whether prescription aids can help you.

    The causes of erectile dysfunction are many, including physical problems like diabetes, heart disease, obesity, high blood pressure, high cholesterol, and even sleep disorders. Medication taken for health conditions can result in erectile dysfunction, as can alcohol and smoking.
    It is estimated that ED occurs in 10% of healthy men without any apparent physical cause. This is known as idiopathic ED. the blood supply to the penis, hormonal abnormalities, interruption of normal nerve supply, certain medications, psychogenic factors weak or tight pelvic floor muscles.

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    The At-Home Health MOT (One-Off) is a blood test that measures important biomarkers (such as your testosterone, cholesterol, and vitamin D levels) to give you an accurate insight into your health. It also tests the function of your thyroid, kidneys, and liver to tell you if they’re working as they should. Each At-Home Health MOT comes with a free review from a UK clinician who can offer personalised health advice based on the outcome of your test.

    Improvements in your lifestyle, such as a eating healthy diet, reducing alcohol intake, losing weight and increasing your exercise can dramatically improve erectile dysfunction. More specific treatment usually involves: weight loss and increased exercise (this may reduced the risk of erectile dysfunction by up to 70%) treatment of any hormone abnormality (testosterone treatment is only indicated if your testosterone levels are low and may be harmful if your the levels are normal); lifestyle modification (e.g. reduce stress, stop smoking, reduce alcohol consumption & stop illicit drugs); treatment of any anatomical abnormality if present (e.g. circumcision, frenuloplasty, penile straightening); psychological support if necessary.
    The stress of erectile dysfunction and its toll on self-confidence and/or a relationship can be hard to deal with. Speaking to a psychologist or counselor about how to cope emotionally can be of great benefit to some people.

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When possible, “nerve-sparing” methods are used in radical prostatectomy, radical cystectomy, AP resection, or TME. In nerve-sparing surgery, doctors carefully try to avoid these nerves. When the size and location of a tumor allow for nerve-sparing surgery, more men recover erections than with other techniques. But even if the surgeon is able to spare these nerves, they might still be injured during the operation and need time to heal.

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AntidepressantsBlood pressure medicines (especially beta-blockers)Heart medicines, such as digoxinSleeping pillsSome peptic ulcer medicines

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Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex, feeling stressed either at home or at work, or feeling troubled in your current sexual relationship. In these cases, treatment incorporating psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress, leading to further erectile failure. Los of desire or interest in sexual activity can be psychological or due to low testosterone levels.

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Copyright © 2021 Hoppe and Diehm. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. COMMENTARY ORIGINAL ARTICLE People also looked at Health News Study: Fish Oil Pills Do Not Help Prevent Depression Work Email After Hours Can Harm Your Health Procter & Gamble Recalls 30 Aerosol Spray Products Podcast: Does Everyone Need Therapy? Omicron Variant: What We Know Today Featured Topics In Memoriam WebMD Loses Cherished Leader Kristy Hammam Get Our Newsletters Health News and Information, Delivered to Your Inbox

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