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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.

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Erectile dysfunction (ED) is most often characterized by the inability to achieve and/or maintain a reliable, firm, prolonged erection that is adequate for sexual activity. For some men, problems with erections are isolated or situational, while others experience chronic ED due to an underlying condition or mechanical abnormality. Oftentimes, ED is multifactorial, meaning there is more than one factor contributing to the patient’s symptoms. Some of the most common erectile dysfunction risk factors and causes include: Hormone imbalance/low testosterone Andropause Age Poor circulation Heart disease Obesity Certain medications Drug/alcohol use Psychological factors Stress/anxiety Trauma Previous surgery/prostate surgery
If it looks more likely that a mental or emotional issue is the source of the problem, your doctor will ask you standard questions about your mental well-being. They help them check for depression, anxiety, and other common causes of erectile dysfunction. .

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If you can’t get or keep an erection that lasts long enough or is rigid enough for sex, you have erectile dysfunction.
The process is incredibly easy, with an initial text-based doctor consultation, followed by the fast delivery of your personalised meds and free check-ups with your doctor to ensure the treatment is working for you.

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Keep in mind that these medications are amplifiers, not magic pills; you must have sexual stimulation for them to work. These pills also typically do not work the first few times. Here are instructions for how to properly take Viagra, Levitra, or Cialis: Take your medication one hour before sexual activity. Take the pills prior to a meal or after a light snack, especially for Viagra. They do not absorb well if you have a full stomach.
Luckily, exercise is great at combating stress, anxiety and depression, which can translate into a revived sex drive. Antidepressants are also notorious for negatively affecting your libido, Eilber said, so if exercising can help you lower your dosage or scrap them altogether, all the better.

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A surgical procedure that involves the placement of a balloons inside the shaft of the penis that a patient is able to manually pump the device to inflate and get an erection. The erection lasts as long as needed and with a simple push of a button, the penis is once again soft. Learn more about the implant option by clicking here. ED is rarely caused by severe pelvic trauma from major accidents in younger patients. Revascularization is an operation to bring new or additional blood vessels to the penis to improve the circulation that may have been severed by the initial trauma. This is a very rare type of treatment and is not recommended for the typical patient. After identification of a psychogenic source for ED, we will refer patients to a therapist with expertise in treating sexual dysfunction. We often recommend low dose medications for ED in conjunction with the therapist’s recommendations.

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Certain diseases or conditionsPsychological or emotional issuesObesity or a history of smoking

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    As with most other organ system in the human body, changes and loss of function is normal consequence of the ageing process. This is also true of the endocrine system, specifically the levels of testosterone production from the Leydig cells of the testicle. Accompanying the decrease in testosterone is a decrease in erections which also has a component in decrease in the blood supply to the penis making erection not as frequent and not as rigid compared with a young man’s erectile function. Although these changes are in itself not life threatening, they can impact a man’s relationship with his partner, and also ED may be a harbinger of other undiagnosed conditions such as coronary artery disease (CAD), hypercholesterolaemia or diabetes mellitus.6

    According to Professor Bente Klarlund Pedersen from the University of Copenhagen and Ellids Kristensen, doctor and research scientist at the Sexological Clinic in Copenhagen, these conclusions are supported by known mechanisms that can explain the link to erectile dysfunction: Physical activity makes the blood vessels more elastic, allowing more blood to flow to the sex organs. Physical activity stimulates the body’s production of nitrogen oxide, allowing the blood vessels to expand. This is essentially just what the popular medicine, Viagra, does.
    The same concerns regarding the use of sildenafil with nitrates and alpha-blockers apply to vardenafil.

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    While erectile dysfunction can occur at any age, the risk of developing erectile dysfunction increases with age.

    Insertion of a penile prosthesis (implant) (pictured) is an end stage solution when all other treatment options have failed. It involves a surgical procedure through a small incision in the junction between the penis and scrotum. Patients go home the following day if the procedure is uncomplicated, and the prosthesis can be used for sexual intercourse at 6 weeks following the operation. Complication rates are low in centres that conduct the surgery in large numbers. The risk of infection is <2% and over 85% of the devices are still functioning at 10 years.
    Both products belong to the same class of drugs and the way they act on the body is essentially the same. If you think the medicine you are using is too weak, contact us to discuss the change to your treatment plan. Our doctors will assess and decide if a higher dose of medicine may be appropriate.

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    If you have a blockage of one of the larger arteries supplying the area of the pelvis or penis then microsurgical reconstruction of the arteries or anangioplasty to re-establish erections may be indicated. The blockage in these situations normally follows traumatic injuries to the pelvis.

    You should not take more than 1 dose in 24 hours. Tadalfil and vardenafil come in tablets of 2.5 mg, 5 mg, 10 mg and 20 mg. Sildenafil comes in tablets of 25 mg, 50 mg and 100 mg.
    This is the preliminary exercise to master before attempting other kegel-based exercises. To do it: Lie down with your knees bent, your feet flat on the ground, and your arms stationary at your sidesAs you exhale, squeeze the pelvic floor muscles and count to three as you do so.Follow it up by inhaling and exhaling while you count out three seconds.Be careful to make sure you are identifying and targeting the right muscles (and not the abdomen or buttocks). Pelvic Floor Activation While Sitting Sit with your arms flat against your sides and your feet flat on the floor.Make sure your feet are roughly hip-width apart. Utilizing the same technique you used above, activate your pelvic floor muscles while counting out three seconds, and release them doing the same. Again it is imperative that you are targeting your pelvic floor muscles and not your abdomen and/or buttocks. Pelvic Floor Activation While Standing Upright You must stand straight with your arms resting at your sides, and again with your feet hip-width apart.Using the same 1-2-3 counting method activate and then relax your pelvic floor muscles, again while ensuring you are isolating the correct muscles. Pilates Exercises

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    Recent stroke or heart attackSevere heart disease, such as unstable angina or irregular heartbeat (arrhythmia)Severe heart failureUncontrolled high blood pressureUncontrolled diabetesVery low blood pressure

    Patients should continue testosterone therapy only if there is improvement in the symptoms of hypogonadism and should be monitored regularly. You will need periodic blood tests for testosterone levels and blood tests to monitor your blood count and PSA. Testosterone therapy has health risks, and thus doctors should closely monitor its use. Testosterone therapy can worsen sleep apnea and congestive heart failure.
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DiabetesAny type of Heart DiseasesKidney Related issuesHormonal issues like low testosterone level and others.

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Therefore, men with these health conditions should not use tadalafil without having these conditions evaluated and stabilized first. For example, men with uncontrolled high blood pressure should have their blood pressure controlled; and men with potentially life-threatening abnormal heart rhythms should have these rhythms controlled.

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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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Picture of erection-measuring snap gauge. A number of devices have been developed to determine if an erection occurs during sleep. This snap gauge is fastened around the penis but opens when an erection occurs.

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