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Urethral suppositories, also called intraurethral pellet therapy or medicated urethral system for erections (MUSE®), are a self-administered treatment for erectile dysfunction that may be effective for men who dislike penile injections or for whom oral medications are not effective. Alprostadil, a drug used for penile injection therapy, is also available as a small suppository that is placed directly into the urethra to achieve an erection, usually within five to 10 minutes.

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Resistance training (which includes weightlifting) has also been shown to help improve cardiovascular health. And as we’ve mentioned, cardiovascular health is intrinsically linked to erectile health.
Erectile dysfunction (ED), also known as impotence, is the most common sexual problem amongst men. ED is defined as the inability to achieve or sustain an erection for sexual intercourse. At least 25% of men over the age of 50 are diagnosed with ED. The numbers continue to increase as age increases. Young males can suffer from ED as well. Roughly 8-10% of men between 20-30 years old suffer from ED. .

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Choose a position. Lying on your back on a comfortable mat, knees bent, is a good place to start, even placing your hands on your lower abdomen to make sure you're contracting the right muscles. Make sure you have your feet flat on the floor. Once you're comfortable performing kegel exercises, you can try the rest of the steps while sitting or standing.Contract and relax. Think of this as pelvic floor muscle training.Contract your pelvic floor muscles for three to five secondsRelax for three to five secondsRepeat this contract and relax cycle 10 times
If it happens only occasionally, it's not likely to be serious. All men have problems with erections at some time in their lives.

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Yes, urologists treat erectile dysfunction (ED). They are specialized doctors who treat disorders of the urinary tract and male reproductive system. Since ED is an inability to get or maintain an erection for penetrative sex, that would fall under the urology category.
If your doctor doesn't take your problem seriously, ask to be referred to a specialist. Don't let yourself be fobbed off with comments like "What do you expect at your age?"

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IASH listens to their patient calmly and understands the symptoms before starting the treatment.

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Liver toxicity has generally been associated with oral forms of TRT, but does not appear to be a risk in injection or transdermal therapy.39 In patients with marked obstructive sleep apnoea or untreated severe congestive heart failure, these issues should be resolved before initiating TRT.37

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    The foods you eat can have a direct impact on erectile dysfunction, Dr. Mucher says. A diet rich in fruit, veggies, whole grains, and fish, and with fewer servings of red meat and refined grains, decreases the risk for ED.

    When it comes to erectile dysfunction, there is a lot of misinformation out there. Understand the facts about Erectile Dysfunction in our Frequently Asked Questions section.
    Another way to increase the flexibility of your pelvis and restore sexual energy is by stretching your hip joints specifically. To do this, go into a plank and push your hips upwards and then downwards in an alternate motion. This will also strengthen your lower back and tone your thigh muscles. Your core is also made stronger when you maintain this position for some time. The arms and shoulders, moreover, are strengthened when they carry the weight of your upper body. Go into a plank position. Place your palms firmly on the floor in line with your shoulders. Extend your legs at the back. Keep your elbows and knees straight. Bring your body in one straight line from head to toe. Raise your hips so that your body is in the shape of a mountain. Lower your hips and bring it as close to the floor as possible without touching it. Repeat in a seamless motion. Bridge pose

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    The penis is composed of three cylinders, two on the top and one on the underside of the penis. The top two cylinders are involved in the erectile process. The urethra, the tube that urine and semen pass through, is on the underside of the penis. The top two penile cylinders, the corpora cavernosa, are composed of tissue that is analogous to a sponge, containing spaces that can fill with blood and expand. These two cylinders are surrounding by a strong layer of tissue, like Saran wrap, the tunica albuginea. For an erection to occur, there must be properly functioning nerves, arteries, veins, and normal penile tissues. Share Your Story

    Injections work quite well for most men, but not everyone is willing to stick a needle into one's penis. Most of my patients actually do quite well after a teaching session that we do in the office. It also helps that the needle is tiny and the part of the penis where you have to inject does not generally hurt.
    Erectile dysfunction (E.D.) is often caused by blood vessel damage or suboptimal hormone levels; however, it can also be caused by stress or poor lifestyle choices such as smoking, an unhealthy diet, or not making time for physical activity.

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    You may be able to improve your sex life with a few lifestyle changes. Giving up smoking, losing weight, and exercising more often can improve your blood flow. If you suspect a medication could be to blame, talk to your doctor about adjusting the dosage or switching to another drug.

    Individuals must remove the rubber band immediately after completing intercourse. Leaving the band on too long can harm the penis. Rarely, bruising of the penis or blood in the ejaculate/urine may occur.
    The authors stated that this was the first study evaluating serum melatonin level as a causative factor in this patient group. A low serum melatonin level may result in an inadequate erection by preventing sufficient antioxidant capacity. There is a need for additional studies to determine the exact role of melatonin deficiency in ED patients. The drawbacks of this study were the absence of Doppler ultrasound findings, the lack of a treatment group and follow-up data on melatonin levels and the small sample size (n = 62). They stated that future studies may evaluate the association or a possible correlation between serum melatonin levels and Doppler ultrasound parameters of erectile function. Pelvic Floor Muscle Training for Erectile Dysfunction Following Radical Prostatectomy Use of Serum Homocysteine Levels as Biomarkers for the Development and/or Progression of Erectile Dysfunction

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    Unlike the other PDE5 inhibitors, sildenafil (Viagra) may affect another phosphodiesterase enzyme in the eye, causing transient abnormal vision (a bluish hue or brightness).

    Andrology and Genito-Urethral Surgery Endourology Female, Neurological and Urodynamic Urology Oncology
    Prostate cancer is a malignant tumour in the prostate gland. It is the most common form of cancer in older men. There are various treatment options for localised prostate cancer. Two of the most common ones are radical prostatectomy and radiation therapy. These treatment options can affect sexual health, and men frequently experience erectile dysfunction (ED) after treatment.

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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.

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Getting an erection is a process that includes physical, hormonal, and psychological elements. The penis is made of soft, spongy, elastic tissue that fills with blood to make it grow in size and become rigid. Around the spongy tissue and the prostate, there are nerves that send signals so that the blood vessels supply the blood (Fig. 1). These signals are controlled by the male hormone testosterone.

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The recent shift in the management and evaluation of ED, with primary care physicians replacing urologists in the forefront of ED diagnosis and therapy, has been a welcome and timely change.

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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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