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Some men have occasional trouble getting or keeping an erection, which can be considered normal.

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Erectile Dysfunction is a complicated process that involves your brain, hormones and emotions, muscles, nerves, and blood vessels. Therefore, it can have many causes. Thus there are a variety of solutions, such as therapies, lifestyle changes, prescription medications, and natural remedies used to treat the condition.
There are plenty of lifestyle changes you can do for erectile dysfunction but among them, exercise is the erectile dysfunction treatment which will give you the greatest impact. Exercise will work on various several fronts to combat the development of erectile dysfunction and help to reverse it, once it is a problem. Exercise also improves blood flow, which is important for a strong erection. It also improves the blood pressure by increasing the amount of nitric oxide present in blood vessels. Weight-bearing exercise will increase the natural production of testosterone, which is a significant factor for erectile strength. .

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Other alternative therapies that may help reduce stress, and in turn, ease ED symptoms, include:
Surgery is an option in some cases of erectile dysfunction. Most surgery cases are performed for one of three reasons: to implant a device to initiate erections; to reconstruct arteries and increase penis blood flow; to block off veins that allow blood to leak from the penile tissues.

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https://pubmed.ncbi.nlm.nih.gov/15213209/ Erectile Dysfunction. (n.d.).
Checking the penis for sensitivity determines any nervous system origins. Inspection of penile appearance helps rule out Peyronie's disease. A blood pressure check rules out circulation problems by checking wrist and ankle pulse.

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FDA: "Hidden Risks of Erectile Dysfunction 'Treatments' Sold Online," "FDA Approves Stendra for Erectile Dysfunction."

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A trained professional will be able to help you work through many of the psychological effects of ED.

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    Low levels of testosterone play havoc and lower your libido and cause erectile dysfunction.

    The Mayo Clinic states that as many as 75% of all erectile dysfunction cases are the direct result of vascular problems in the penis. To remedy this, many men have turned to oral medications to help get an erection for sexual intercourse. However, these drugs aren’t right for everyone and can interact poorly with any preexisting health conditions. While these pills briefly provide an erection for sexual activity, a study from the Archives of Sexual Behavior says that continued use of these medications can cause additional problems relating to ED, including addiction and mind-and-body dissonance.
    With such help from these sex pills you can keep it up for a pretty long time with small practice and focus from your end. In this way the sex partners are able achieve intense climaxes and more and more control on ejaculation.

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    Seeing a psychologist or other mental health professional could help improve your ED symptoms. You may want to bring your partner along for counseling sessions to discuss ways to encourage each other. If you don’t know where to start to look for counseling, ask your doctor or urologist for a specific recommendation.

    L-arginine is an essential amino acid that improves blood flow and circulation. It’s converted into nitric oxide in the body, which causes your blood vessels to open wider. This is especially helpful for men with erectile dysfunction because the opening of the blood vessels in the penis is what allows for an erection to occur. L-arginine may also help to improve conditions that often lead to sexual dysfunction, including high blood pressure, cardiovascular disease and inflammation.
    It starts with your mind. To get hard, the arteries and tissue surrounding the penis need to be relaxed. But the human body is complex and we have what’s termed a ‘fight or flight response’. This is triggered by the sympathetic nervous system as a result of feeling distressed. Although historically, this was a useful tool for humans vulnerable to attack, these days, the physiological response is often a nuisance.

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    Erectile dysfunction can be diagnosed by physical examination alongside previous medical conditions.

    It starts with your mind. To get hard, the arteries and tissue surrounding the penis need to be relaxed. But the human body is complex and we have what’s termed a ‘fight or flight response’. This is triggered by the sympathetic nervous system as a result of feeling distressed. Although historically, this was a useful tool for humans vulnerable to attack, these days, the physiological response is often a nuisance.
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    Yohimbe root is a very strong extract that can put too much pressure on your heart if not used properly. If you decide you want to try yohimbe, be sure to consult with your doctor before beginning a regimen of use. There have been multiple studies that showed men with erectile dysfunction are more likely to have low levels of DHEA. In 2009, 40 men with ED participated in a study in which half of the subjects received 50 mg DHEA, and the other half received a placebo. The participants took the DHEA supplements once a day for six months. Those receiving the DHEA were found to be more likely to achieve and maintain an erection.

    Unfortunately, some men may not recover their ability to have a natural erection.
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Counseling. If stress, depression, or relationship problems contribute to your ED, talking to a counselor could help.

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If pills don't work for you or the side effects bother you severely, we can use alternative treatments. These include: injections, suppositories, vacuum devices, shockwave therapy, or surgery. ED Vacuums

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3427191/ Effect of Lifestyle Changes on Erectile Dysfunction in Obese Men: A Randomized Controlled Trial. (2004).

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"As we get older, there are some natural things we just can't change. The message from this study is, don't get a prescription, but get exercise. Get rid of the fat. Work on the depression," said Dr. David Samadi, chairman of the department of urology at Lenox Hill Hospital, New York.

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