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The prostate gland is located just below the bladder and is surrounded by nerves and blood vessels. These nerves and blood vessels are needed to achieve a normal erection. Much research has been done to understand where these nerves are located and how to prevent them from getting damaged during surgery or other treatments.

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It is also worth noting that many medications used for the treatment of depression and other psychiatric disorders may cause erectile dysfunction or ejaculatory problems. Readers Comments 1 Share Your Story Advanced age Cardiovascular disease Hypertension Diabetes mellitus High cholesterol Cigarette smoking Recreational drug use Depression or other psychiatric disorders Pelvic surgery, including radical prostatectomy and colorectal surgery Pelvic radiation, such as for prostate cancer and some colorectal cancers Trauma to the pelvis (pelvic fracture), penis (penile fracture), and perineum SLIDESHOW Erectile Dysfunction (ED) Causes and Treatment See Slideshow
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In addition, hormones and other substances determine how your nerves transmit ‘sexual signals’ and how blood vessels respond to the received signals. Arousing thoughts or nervous-system mechanisms such as touch reflexes are 2 ways you can get an erection.
Several FDA-approved phosphodiesterase-5 (PDE5) inhibitor medications exist to treat ED in men. These medications work by enhancing the effects of nitric oxide to relax the penile muscles, expand blood vessels that go into the penis, and improve penile blood flow. This helps improve the ability to get and maintain erections.

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The lab testing obtained for the evaluation of erectile dysfunction may vary with the information obtained on the health history, physical examination, and recent lab testing. A testosterone level is not necessary in all men; however, a physician will order labs to determine a patient's testosterone level if other signs and symptoms of hypogonadism (low testosterone) such as decreased libido, loss of body hair, muscle loss, breast enlargement, osteoporosis, infertility, and decreased penile/testicular size are present.
Penile implant is a very reliable method to treat ED, however, it involves surgery and post-surgical recovery. It is not recommended for older men, as the recovery time is a risk.

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Can over-the-counter (OTC) and/or natural or home remedies treat erectile dysfunction?

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Any of the PDE-5 inhibitors can also cause your blood pressure to drop (though Stendra is less likely to cause this to happen). You might think that’s a good thing, but blood pressure that gets too low is also dangerous. If you get dizzy from taking any of these medications, you should discuss with a healthcare provider; this could indicate a potentially unsafe drop in blood pressure. No planning needed — you take a pill once a day Can be taken with or without food Can also be taken only as needed Proven among the most effective ED treatments Tends to be preferred by men and their partners, compared to sildenafil More affordable than medications like Stendra Far more affordable than brand-name equivalents Costs a little more than sildenafil Risk of mild side effects is slightly higher than Stendra

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    Did you know that certain medical condition may be responsible for ED? Some causes of impotence are medically treatable and reversible. Learn more about what can be done about erectile dysfunction with the Impotence Quiz.

    Get an early start on good lifelong health by learning about the services and advice your family doctor can… © 2022 American Academy of Family Physicians | Privacy Policy | Copyright & Permissions
    ED is a common condition that can impact men’s confidence in their relationships and overall quality of life. Effective treatment will depend on the cause that causes your ED. However, there are natural remedies that can improve your ED and overall well-being.

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    If you’ve experienced any of these symptoms, talk to a doctor about treatment options.

    For men searching for ED medication, there are many newer erectile dysfunction treatments (all prescription drugs) that help you get an erection firm enough to have sex, and most have few side effects.
    Erectile Dysfunction (or impotence) is the inability to get or keep an erection long enough to have sex. It’s very common in men, especially as you get older. According to research from the Irish Heart Foundation, almost 20% of men in their 50s suffer from ED, climbing to 38% of men in their 60s, and 57% of men over 70.

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    Even in your credit card something discreet would be shown up like leadingedgehealth.com. So you can safely buy the pills without letting others smell the contents of the packages.

    Your doctor may ask you to fill out questionnaires, which are used to assess different aspects of your sexual health. The most common are: The International Index for Erectile Function (IIEF) The Sexual Health Inventory for Men (SHIM) The International Prostate Symptom Score (IPSS) The Clinical Depression Questionnaire
    Diet, lifestyle, and home remedies may help prevent or treat erectile dysfunction (ED).

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    Smoking, excessive use of alcohol and illicit drugs are also associated with ED.13 A study in 2005 suggests that ED is not only more likely among men who smoked compared with those who never did, but that in younger men with ED, cigarette smoking is very likely the cause of their impotence.14 15

    Metabolism (breakdown) of vardenafil can be slowed by aging, liver disease, and concurrent use of certain medications (such as erythromycin [an antibiotic], ketoconazole [Nizoral, a medication for fungal/yeast infections], and protease inhibitors [medications used to treat AIDS]). Slowed breakdown allows vardenafil to accumulate in the body and potentially increases the risk for side effects. Therefore, in men over 65 years of age with liver disease, or who are also taking medication(s) that can slow the breakdown of vardenafil, the doctor will initiate vardenafil at low doses to avoid its accumulation. For example, men taking erythromycin or ketoconazole should not take more than 5 mg of vardenafil in 24 hours; men taking high doses of ketoconazole (Nizoral) should not take more than 2.5 mg of vardenafil in 24 hours; men with moderately severe liver disease also should not take more than a 5 mg dose of vardenafil within 24 hours; men taking the protease inhibitor (for the treatment of HIV/AIDS) indinavir (Crixivan) should not take more than 2.5 mg of vardenafil in 24 hours; and men taking another protease inhibitor ritonavir (Norvir), erythromycin, or ketoconazole, should not take more than 2.5 mg of vardenafil every 72 hours.
    In the past, erectile dysfunction was considered to be a psychological issue about 90 percent of the time. But as physicians learned more about erectile dysfunction — and as effective treatments were developed — today, only about 10 percent of cases are considered to have psychological causes.

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Erectile dysfunction can be cured by drinking coffee. Coffee increases the blood flow to the penis and improves the sexual function.

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Sensate focus exercises are intimacy exercises you do with your partner. Sensate focus is about setting the stage for sensuality rather than sexuality, focusing on touch and being touched, and being mindful during the experience. The exercises are progressed in steps starting from non-genital touching. Read more about sensate focus exercises

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American association of sexuality educators,counselors and therapists https://www.aasect.org/certification Randrup E , Wilson S , Mobley D , et al . Clinical experience with Mentor Alpha I inflatable penile prosthesis. Report on 333 cases. Urology 1993;42:305–8. doi:10.1016/0090-4295(93)90620-P Khera M , Albersen M , Mulhall JP . Mesenchymal stem cell therapy for the treatment of erectile dysfunction. J Sex Med 2015;12:1105–6. doi:10.1111/jsm.12871 Frey A , Sønksen J , Fode M . Low-intensity extracorporeal shockwave therapy in the treatment of postprostatectomy erectile dysfunction: a pilot study. Scand J Urol 2016;50:1–5. doi:10.3109/21681805.2015.1100675 Soni SD , Song W , West JL , et al . Nitric oxide-releasing polymeric microspheres improve diabetes-related erectile dysfunction. J Sex Med 2013;10:1915–25. doi:10.1111/jsm.12216

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