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The bottom line is that taking steps to keep your endothelium healthy will help you prevent or reduce your erectile dysfunction risk. Being more physically active is important to the health of your endothelium and, therefore, to the health of your heart and your penis.

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The hard facts could provide additional motivation to do the exercise that doctors are perhaps already recommending to patients suffering from obesity, atherosclerosis, cardiac problems, or other conditions where the blood vessels do not work as well as they should.
There are also specific treatments for some of the causes of erectile dysfunction. Treatments for some causes of erectile dysfunction Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol Medicine to lower blood pressure, statins to lower cholesterol Hormone problems Hormone replacement (for example, testosterone) Side effects of prescribed medicine Change to medicine after discussion with GP .

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Oral drugs Popular medicines like sildenafil (Viagra), tadalafil (Adcirca, Cialis), vardenafil (Levitra, Staxyn), and avanafil (Stendra) work by boosting the effects of nitric oxide — a chemical that relaxes muscles in the penis. Note that drugs in this class (PDE-5 inhibitors) are contraindicated in patients who take nitrates in any form, because the combination can lead to severe hypotension.
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.

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High blood pressure can damage blood vessels, and this damage may lead to cardiovascular disease – the leading cause of erectile dysfunction.
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Erectile dysfunction can be treated at any age. Treatment depends on your overall health and the underlying cause of the problem.

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Oral drugs Popular medicines like sildenafil (Viagra), tadalafil (Adcirca, Cialis), vardenafil (Levitra, Staxyn), and avanafil (Stendra) work by boosting the effects of nitric oxide — a chemical that relaxes muscles in the penis. Note that drugs in this class (PDE-5 inhibitors) are contraindicated in patients who take nitrates in any form, because the combination can lead to severe hypotension.

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    Erectile dysfunction itself may be treated with both medical and non-medical treatments.

    Exercise may be the ticket to a more active sex life, but we’re talking about regular cardio and strength workouts, not targeted “penis exercises.” Research shows that even a little bit of physical activity — the equivalent of walking 30 minutes a day a few times a week — may lower the risk of erectile dysfunction.
    Many conditions are closely related to ED and may contribute to symptoms, including the following:

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    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.

    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.
    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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    Similarly, clinical studies have shown that moderate exercises gradually helped middle aged men improve their performance in the bedroom.

    Urinalysis or blood tests to check for health conditions such as diabetes, heart problems, or low testosteroneA device you wear at night to check for normal nighttime erectionsUltrasound of your penis to check for blood flow problemsRigidity monitoring to test how strong your erection isPsychological tests to check for depression and other emotional problems
    It is known that certain lifestyle factors can increase the likelihood of erectile dysfunction, and therefore patients may be advised to reduce their alcohol intake and stop smoking. Regular exercise may also help symptoms, as it may improve physical health, in addition to reducing any symptoms of anxiety or stress that may be contributing to the condition. However, cycling for more than 3 hours a week has been shown to increase the likelihood of erectile dysfunction, and so if patients cycle more than this, they should be advised to seek alternative means of exercise. Related websites and support groups Institute of Psychosexual Medicine Relate Sexual Advice Association Related Endocrine Conditions Diabetes insipidus Diabetes mellitus Male hypogonadism View all Endocrine conditions Related Hormones Testosterone View all Hormones Related Glands Testes View all Glands You and Your Hormones

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    An injection test is also called an intracavernosal test. Your doctor injects a medicine into the base of your penis that should give you an erection. If you don’t get one, you may have a problem with blood flow to your penis.
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ED can be frustrating in its own right, but it can also lead to any of the following:

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ED is a complex condition that can be caused by a variety of factors. Often, there’s more than one issue that’s responsible for ED.

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This depends on whether you know what it is causing your ED. There are some things you can do that may help prevent ED, including: Avoid drinking too much alcohol, smoking, or abusing drugs. Ask your doctor if ED is a side effect of a new or current medicine you are taking. He or she may have an alternative medicine. Control your blood sugar and blood pressure. Try to relax and avoid stress.

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ED doesn’t have to be a part of getting older. As a man ages, he may need more stimulation (stroking and touching) to get an erection. He might also need more time between erections. Older men should still be able to get an erection and enjoy sex. Diabetes (high blood sugar). Hypertension (high blood pressure). Atherosclerosis (hardening of the arteries). Stress, anxiety, or depression. Alcohol and tobacco use. Some prescription medicines. This includes antidepressants, pain medicine, and high blood pressure medicine. Fatigue. Brain or spinal cord injuries. Hypogonadism (a condition that leads to low levels of the male hormone, testosterone). Multiple sclerosis. Parkinson’s disease. Radiation therapy to the testicles. Stroke. Some types of prostate or bladder surgery.

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