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A number of medical treatment options exist for erectile dysfunction include the following:

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Some chemo drugs like cisplatin, vincristine, paclitaxel, bortezomib, and thalidomide can damage parts of the nervous system, usually the small nerves of the hands and feet. (This is called peripheral neuropathy.) These drugs have not been found to directly injure the nerve bundles that allow erection. But some people have concerns because the drugs are known to affect nerve tissue, and there are many nerves involved in sexual function.
Erectile Dysfunction is not a normal part of aging and now you don't have to live with it anymore. .

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Aetna considers implantation of semi-rigid penile prostheses or inflatable penile prostheses (implantable penile pumps) medically necessary for members with documented physiologic erectile dysfunction when all of the following criteria are met Absence of active alcohol or substance abuse; and Absence of drug-induced impotence related to: anabolic steroids, anticholinergics, antidepressants, antipsychotics or central nervous system depressants; and Absence of untreated depression or psychiatric illness; and Nonsurgical methods have proven ineffective or are contraindicated; and Normal prolactin and thyroid hormone levels; and Normal serum testosterone levels (low testosterone suggests treatable endocrine cause of impotence); and History of organic disease including any one or more of the following: Documented injury to perineum/genitalia; or Major pelvic trauma affecting bladder and/or anal and/or erection control; or Major vascular surgery involving aorta or femoral blood vessels; or Neurological disease (eg, diabetic neuropathy); or Peyronie’s disease; or Renal failure; or Secondary to spinal cord injury; or Status-post prostate, bladder, bowel or spinal surgery; or Vascular insufficiency or venous incompetence documented by dynamic infusion cavernosometry and cavernosography (DICC); or Venous leak of the penis.
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Cancer and cancer treatments that involve the pelvic area including colon cancer surgery, prostate cancer surgery or radiation treatments may cause neurological as well as vascular damage which may lead to sexual dysfunction as well.
Picture of penile tumescence monitor. This penile tumescence monitor is placed at the base and near the corona of 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 (NPT) test is conducted on several nights to obtain an accurate indication of erections that normally occur during the alpha phase of sleep.

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Lifestyle choices, such as smoking, alcohol abuse, and obesity can impair blood circulation and lead to erectile dysfunction. Smoking, excessive drinking, and drug abuse may damage the blood vessels and reduce blood flow to the penis. Smoking makes men with atherosclerosis even more vulnerable to erectile dysfunction. Smokers have almost twice the risk of erectile dysfunction compared with nonsmokers. Being overweight and getting too little exercise also contribute to erectile dysfunction. Men who exercise regularly have a lower risk of erectile dysfunction.

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The pathogenesis of organic ED is related to dysfunction of the endothelium. Endothelial cells can become injured through a variety of mechanisms, most of which cause oxidative stress on the tissues. Many of these causes of oxidative stress are related to lifestyle issues which lead to hypertension, diabetes and dyslipidaemia (figure 1). Endothelial cell dysfunction results in reduction of endothelium-dependent vasorelaxation as well as increased adhesion of leukocytes to the endothelium. Endothelial cell injury then leads to a variety of sequelae, including ED, other types of vasoconstriction, atherosclerosis and thrombus formation.18

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    Burnett AL, Nehra A, Breau RH, et al. Erectile dysfunction: AUA guideline. J Urol. 2018;200(3):633-641. PMID: 29746858 pubmed.ncbi.nlm.nih.gov/29746858. Version Info

    Bullet point: The relationship between the risk factors for CVD and ED are intimately interwoven, one with the other. Clinicians need to factor this in when counselling the man with ED.
    If prescribed, the cost of treatment at FROM MARS will depend on the specific medication and the quantity of medication you will receive.

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    Youtube: “Kegel Exercises for Men - Beginners Pelvic Floor Strengthening Guide.” Michelle Kenway.

    This site uses cookies to bring you the best experience. Find out more My Links Use this area to add quick shortcuts to your favourite pages. Add this page Home Patient Information Men's Health Erectile Dysfunction
    Check your pulse at your wrists and ankles to see whether your blood flow is normalListen to your heartbeat to make sure it sounds rightTake your blood pressure

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    Can over-the-counter (OTC) and/or natural or home remedies treat erectile dysfunction?

    In patients with suspected veno-occlusive dysfunction based on duplex ultrasound (e.g., high end-diastolic velocities), dynamic cavernosometry, and cavernosography (DICC) should be performed as accepted gold-standard for diagnostics (13). Dynamic cavernosometry requires pharmacological stimulation with intracavernosal injection of prostaglandin E1 in order to obtain a rigid erection. Subsequently, fluid is injected into the penis using certain rates and pressures in order to obtain information about changes of pressure within the corpora cavernosum during penile erection. For cavernosography, contrast medium is injected to visualize potential venous leakage on venogram during penile erection.
    Spinal cord traumaMultiple sclerosisDiabetic neuropathyPelvic surgery (prostate, bowel)Parkinson’s diseaseAlzheimer’s diseasePoor Blood Flow

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    Aetna considers testosterone injection experimental and investigational for Peyronie’s disease because of a lack of evidence from prospective randomized controlled clinical studies of the effectiveness of this approach for this indication.

    Drugs for treating erectile dysfunction can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. The most commonly used drugs on the market today include:
    Erectile dysfunction is the inability to obtain an erection that is firm enough to engage in sexual intercourse. It is not unusual for men to experience erectile dysfunction from time to time when stressful situations arise. If the condition becomes more of a frequent problem, one should consider being tested. Walk-In Lab offers the Erectile Dysfunction (ED)#1 and #2 Essential Blood and Urine Blood Test Panel. Thank you for browsing our selection of Erectile Dysfunction blood tests and panels. Shop additional Men Specific Tests confidentially and order online without insurance or a doctor's note.

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But if the symptoms are not properly diagnosed, it may lead to other major issues. Hence knowing symptoms and properly-getting it diagnosed with the sexologist, is the foremost thing to do to treat Erectile dysfunction.

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"Medications that create blood flow to the penis can't help when an erection is blocked by the fear or anxiety of the fight-or-flight response,” says Feloney. “This type of erectile dysfunction probably has a lot to do with evolution — men didn't need an erection when a dinosaur was chasing them." The best way to treat erectile dysfunction caused by performance anxiety, depression, a poor relationship, or stress may be with a combination of ED drug treatment and sex therapy, individual therapy, or couples therapy from sexual health professionals.

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Many supplements and alternative therapies are marketed to help men with ED. The U.S. Food and Drug Administration (FDA) warns that these products may contain potentially harmful drugs, contaminated formulations, or unknown dosages of pharmacologically active medications. They can also interact with other medications you take.

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Picture of vacuum device in action. This image demonstrates the vacuum device in place. Note the presence of the constricting ring at the base of the penis.

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