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With so many possible causes, your doctor has a number of tests they can use to figure out the best treatment for you.
A thorough review of your past medical history and psychosocial history examines your symptoms, overall health, and sexual history. You may fill out a questionnaire. This information helps your ED specialist to evaluate your situation, and it remains confidential. .

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There are various over the counter supplements and herbs that promise to enhance erections. One thing that has been proven time and time again is that because these substances are not regulated, there is no way to guarantee that the supplement contains the correct herb or is in a safe and correct dose. Multiple studies examining ED supplements show that the majority of them are laced with pharmaceutical ED medications like Viagra, at times in doses that are not safe to the public. Broward Urology Center does not promote any herbal or OTC ED supplementation at this time. Stay Updated on Social Media Home Our Team Treatments Patient Info Common Conditions Contact Find Doctors Services Locations Patients & Visitors Medical Professionals Research Community Medical Learners Volunteers Donors Employees Job Seekers Quick Links Make An Appointment Our Services MyUHCare PHR Price Estimate Pay My Bill Patient Satisfaction Locations About UH Give to UH Careers at UH Updated Coronavirus Information COVID-19 Information COVID-19 Testing COVID-19 Vaccine for Kids COVID-19 Vaccine for Adults Schedule Online Primary Care Gynecology Dermatology Pediatrics Digestive Health More Options Find Doctors Services Locations Rainbow Sign-In / Sign-Up Cart About Locations Patient Resources More Men's Sexual Health Menu Home Services Urology Services Men's Sexual Health Erectile Dysfunction
Picture of vasodilator injection into penis. A vasodilator such as prostaglandin E1 can be injected. If the blood vessels are capable of dilating, a strong erection should develop within five minutes.

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If you are not satisfied by this test then you can have your Erectile Dysfunction Test and can be assured about the ED
any online pharmacy is registered with the General Pharmaceutical Council (GPhC)any online doctor service is registered with the Care Quality Commission (CQC)all doctors are registered with the General Medical Council (GMC) Things you can do to help with erectile dysfunction

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90% of men with impotence (erectile dysfunction) have at least one underlying physical cause for their problem

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Moderate exercise can help reduce a man’s risk of erectile dysfunction (ED) and improve his sexual function. Also, specific exercises can help him to build a strong pelvic floor to enhance his sexual performance.

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    Erectile dysfunction, commonly called impotence or ED, can happen for many reasons — excessive alcohol consumption, stress, aging or even relationship problems. However, if you are regularly having issues getting and keeping an erection, it could be a physical problem, not a psychological one. The urology team at MultiCare can help get your sexual function back on track.

    As with surgery, the older you are, the more likely it is you will have problems with erections. And men with heart or blood vessel disease, diabetes, or who have smoked heavily seem to be at greater risk for erection problems. This is because their arteries may already be damaged before radiation treatment. Doctors are looking at whether early penile rehabilitation could help after radiation therapy, too. (Penile rehabilitation is discussed above, in the surgery section.)
    As part of BAUS membership, registered members may join Urolink and up to three other sections which are relevant to their particular areas of practice.

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    Medications such as erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), ritonavir (Norvir), and indinavir (Crixivan) can slow the breakdown of tadalafil. Therefore, men taking these medications should not take more than 10 mg of tadalafil and should not take tadalafil more frequently than every 72 hours.If you have kidney troubles, your doctor may recommend that you try a lower dose of tadalafil or change how often you use the tadalafil depending on your kidney function. Men with severe liver disease should not take tadalafil. Men with mild to moderate liver disease should not exceed tadalafil dose of 10 mg once daily.

    Moreover, there is no evidence to suggest that patients will maintain an exercise regime based solely on the recommendation of their doctor.
    Conclusions are based on a combination of patients’ own evaluations of whether their erection had improved, and more objective measures such as circulation of blood through the 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.

    men taking erythromycin or ketoconazole should not take more than 5 mg of vardenafil in a 24-hour period;men taking high doses of ketoconazole (Nizoral) should not take more than 2.5 mg of vardenafil in a 24-hour period;men with moderately severe liver disease also should not take more than a 5 mg dose of vardenafil in a 24-hour period;men taking the protease inhibitor (for the treatment of HIV/AIDS) indinavir (Crixivan) should not take more than 2.5 mg of vardenafil in a 24-hour period; andmen taking another protease inhibitor ritonavir (Norvir), erythromycin, or ketoconazole, should not take more than 2.5 mg of vardenafil every 72 hours.
    Evaluation should include a breast examination, rectal examination of the prostate, and a PSA level (prostate specific antigen) blood test. Patients who have breast and prostate cancers should not use testosterone.

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    To achieve erection, a complex process has to take place within the man’s body. Because this process is so in-depth and complex, sexual dysfunction and ED are extremely common in men. It is estimated that as many as 30 million men in the United States are affected by ED (The National Institutes of Health).

    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.
    A wide variety of treatments for ED are now available. Remember, however, that not all men are entitled to treatment through the NHS.

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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.

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The results have surprised other scientists who describe it as a thorough and substantiated study, which clearly shows physical activity improves erectile problems among men.

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Recent studies have found that even if medication is used as part of treating erectile dysfunction, it's way more likely to be effective if lifestyle changes are also addressed.

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Sildenafil (Viagra) was the first oral phosphodiesterase type 5 (PDE5) inhibitor approved by the FDA in the United States for the treatment of erectile dysfunction (it is not approved for women). Sildenafil inhibits PDE5, which is an enzyme that destroys cGMP. By inhibiting the destruction of cGMP by PDE5, sildenafil allows cGMP to accumulate. The cGMP in turn prolongs relaxation of the smooth muscle of the corpora cavernosa. Relaxation of the corpora cavernosa smooth muscle allows blood to flow into the penis resulting in increased engorgement of the penis. In short, sildenafil increases blood flow into the penis and decreases blood flow out of the penis.

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