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To get an erection, your brain, nerves, hormones, and blood vessels all need to work together. If something gets in the way of these normal functions, it can lead to erection problems.

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Understanding the signs and causes of ED is the first step toward achieving a better sex life.
Aetna considers the diagnosis and treatment of erectile dysfunction (ED; impotence) medically necessary according to the criteria outlined below. .

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Exercise does more than improve penile blood flow, however. Staying fit keeps a man’s weight under control, may increase his testosterone levels, and boosts his confidence. It can also reduce depression and anxiety. These factors can affect erections as well as other aspects of sexual health.
Find a comfortable position sitting in a chair.Squeeze your penis with just its muscles as if you are trying to stop urine from coming out, hold for five seconds, then release.Repeat step two, eight to 10 times, and then do three to five sets.

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Your doctor will ask you to describe the firmness and duration of your morning erections and sexually stimulated ones. The doctor will also ask if you have problems with arousal, ejaculation, and orgasm.
Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction.

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Unstable angina (chest pain due to coronary artery disease that occurs at rest or with minimal physical exertion)Low blood pressure (a resting systolic blood pressure less than 90 mm Hg)Uncontrolled high blood pressure (greater than 170/110 mm Hg)Recent stroke or heart attack (within six months)Uncontrolled, potentially life-threatening abnormal heart rhythmsSevere liver diseaseSevere kidney failure requiring dialysisSevere heart failure or disease of the heart's valves, for example, aortic stenosis (hardening of the main artery in the body)Retinitis pigmentosa (a condition that affects the retina of the eye and can cause blindness)

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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.

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    Impotence does not go hand in hand with aging. Other factors, such as a person's physical health and emotional well-being, are more likely to be the reason for the lack of sexual performance in an individual.

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    Schover LR. Sexual healing in patients with prostate cancer on hormone therapy. ASCO Education Book. 2015;e562-566.

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    There is reliable evidence that oral phosphodiesterase-5 (PDE-5) inhibitors (e.g., sildenafil, vardenafil, tadalafil, mirodenafil, and udenafil) improve erectile functioning in men with ED. However, there is a lack of reliable evidence of the efficacy of hormonal treatments and the value of hormone testing for ED. The American College of Physicians (ACP) developed guidelines on hormonal testing and pharmacological treatments of ED (Qaseem et al, 2009). Current drug therapies include PDE-5 inhibitors as well as hormonal treatment. The ACP recommended clinicians initiate therapy with a PDE-5 inhibitor in men who seek treatment for erectile dysfunction and who do not have a contra-indication to PDE-5 inhibitor use, and clinicians base the choice of a specific PDE-5 inhibitor on the individual preferences of men with erectile dysfunction, including ease of use, cost of medication, and adverse effects profile.

    Erectile Dysfunction is one of the most commonly seen sexual issues in males. The point to note is that if occasional erection issues are there, then there is no point of concern, but getting frequent ones can actually destroy your sexual life and your relationship as well.
    Sculpted Grecian Body: The Greek Art of Quick Workouts That Build Muscle, Burn Fat And Keep You Injury-Free

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    A proper nerve system is essential for a man to keep having a normal erection. Men may find difficulty in erection when they suffer nerve damage. Nerve damage can be caused due to;

    Surgery provides the only true cure, but men typically want to explore other, less invasive options first.
    If BPH is Your Diagnosis, HoLEP May be Your Best Treatment OptionNovember 19, 2021

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    If your doctor rules out other causes, he or she may prescribe Sildenafil (brand name: Viagra), tadalfil (brand name Cialis), and vardenafil (brand name Levitra). These medicines are taken by mouth to help you maintain an erection.

    Collagenases are proteinases that hydrolyze collagen in its native triple helical conformation under physiological conditions, resulting in lysis of collagen deposits. The signs and symptoms of Peyronie’s disease have been found to be caused by a collagen plaque. Injection of collagenase clostridium histolyticum into a Peyronie’s plaque, which is comprised mostly of collagen, may result in enzymatic disruption of the plaque. Following this disruption of the plaque, penile curvature deformity are reduced (Endo Pharmaceuticals, 2021). Measurement of Serum Melatonin Levels for the Diagnosis of Erectile Dysfunction
    Yes, the vacuum device is effective. In fact, with use of the vacuum device, 88% of men will have an erection that is satisfactory for completion of sexual activity. The vacuum device may be the only therapy that is effective after the removal of a penile prosthesis. Patients also use vacuum devices as part of penile rehabilitation after radical prostatectomy to help preserve the tissue of the penis and prevent scarring within the penis and loss of penile length. Its use, however, is limited by the mechanical nature of it and the time taken to pump the device and apply the band. Sex partners may complain of the penis being cool to touch.

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But moderation is key: it's not necessary (or recommended!) to suddenly launch into a workout program that's designed for an Olympic athlete.

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If regular exercise doesn’t resolve the issue, consult with your doctor. There are other options available to treat erectile dysfunction. Your doctor may suggest any of the following:

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