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Contact our Referral Center to initiate a referral on behalf of your patient or to request a physician-to-physician phone consultation. Related Links UC Davis Medical Center UC Davis Comprehensive Cancer Center UC Davis Children's Hospital UC Davis Department of Surgery Quick Links Social Media Faculty Directory Academic Administrative Team UC Davis Health Newsroom UC Davis UC Davis Health Encompasses School of Medicine Betty Irene Moore School of Nursing Medical Group Medical Center

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Erectile dysfunction, also known as impotence or ED, is the inability to achieve or maintain an erection sufficient for sexual intercourse. Almost all cases of erectile dysfunction are treatable, says Dr. Honig.
Psychogenic ED was thought to be the most common cause of ED, however, psychologic causes often coexist with physical or functional causes of ED. .

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The first time he experienced ED in his mid-50s he thought it was just a fluke, which was a reasonable assumption to make. More than half of men experience episodic erectile dysfunction at some time in their life from things like stress, too much alcohol, or as a side effect of medication. Read More About Gene's Story

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A healthy nervous system that conducts nerve impulses in the brain, spinal column, and penisHealthy arteries in and near the corpora cavernosa that when stimulated can bring increased blood flow into the penisHealthy muscles and fibrous tissues within the corpora cavernosa, which can distend to allow the penis to fill with bloodAdequate levels of nitric oxide in the penisNormal-functioning tunica albuginea that allows for compression of the veinsAppropriate psychosocial interactions
Find a comfortable position sitting in a chair.Squeeze your penis with just its muscles as if you are trying to stop urine from coming out, hold for five seconds, then release.Repeat step two, eight to 10 times, and then do three to five sets.

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Further office hours are provided by our experts at the Hirslanden Clinic Aarau, the Medical Center Brugg, the Hospital Zofingen and the Medical Center Täfernhof. Back to top © 2018 Institute for Erectile Dysfunction ImprintData Protection

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Erectile dysfunction (ED), also known as impotence, is the persistent inability to have an erection that is hard enough for penetration and/or a hard erection that lasts long enough for completion of sexual activity. Erectile Dysfunction Home Remedies Lifestyle changes can improve ED No matter what erectile dysfunction treatment or treatments (whether herbal remedies or not) a man ultimately decides upon, experts say it's important to eat healthily and to avoid smoking and heavy drinking. Moreover, adequate exercise, stress reduction, and sleep can improve erectile dysfunction in many.

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    Writing in the journal Physiotherapy, Mr Myers said 30 per cent of men suffer from premature ejaculation.

    Lifestyle choices can contribute to ED. Smoking, heavy drinking, and drug use disorder can damage the blood vessels and reduce blood flow to your penis. Being overweight and getting too little exercise also raise your odds. Studies show that men who exercise regularly have a lower risk of ED.
    It may be uncomfortable for you to discuss your sex life with a urologist or a sexologist, but it is the most effective way to deal with your concerns. Together with your doctor, you can identify what is important in your sex life and choose the best treatment option to have a satisfactory sex life. If you have a partner, it is important to include them in these consultations.

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    Furthermore, certain medications can lead to erectile dysfunction including antiandrogens (testosterone blockers) used in conjunction with prostate cancer therapy, certain antidepressants, blood pressure medications, sedatives or tranquilizers, some ulcer medications, and appetite suppressants.

    “For men who have failing erections, the penis is a barometer of what’s happening in the rest of the body,” explains urologist Wayne Hellstrom, MD, professor of urology at the Tulane University School of Medicine in New Orleans.
    It is recommended that prior to proceeding with other therapies, patients reporting failure of their PDE5 inhibitors should be evaluated to determine whether the trial was adequate. This would include discussion of fatty food ingestion, which is important with sildenafil, and specific patient population such as prostatectomy and diabetes. Furthermore, patients should be encouraged to continue attempts at intercourse up to the eighth to tenth dose of PDE5 inhibitor as improvements in success rate are seen up to the eighth to tenth dose.

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    According to a survey taken by a hospital, about 5% of males that are more than 40 years of age have complete ED, and this percentage increases gradually up to 15 percent when the age reaches 70. And not only Erectile Dysfunction but the risk of other sexual problems also increases as the age of a man increases.

    FDA: "Hidden Risks of Erectile Dysfunction 'Treatments' Sold Online," "FDA Approves Stendra for Erectile Dysfunction."
    Currently, three pills (Viagra/sildenafil, Levitra/vardenafil, Cialis/tadalafil) are available and FDA-approved for erectile dysfunction. They are all called phosphodiesterase inhibitors, which means they act by blocking a chemical that stops erections.

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    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.

    There is insufficient information on the safety of vardenafil in men with the following health disorders:
    If you and your partner have trouble talking about your relationship, it may cause problems with sex. Counseling can help both you and your partner.

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Gerbild recommends giving up smoking, drinking less, and following a healthier diet in combination with exercise.

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Researchers also found that a traditional Western diet was associated with lower semen quality (La et al., 2018). Avoid high-fat, high-calorie foods and beverages in favor of non-processed foods such as fruits, vegetables, nuts, and grains whenever possible.

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Your doctor takes a device that looks like a wand and holds it over your penis. It uses sound waves to create a video of your blood vessels so your doctor can look at blood flow.

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Other types of treatment for other types of cancer sometimes affect sexual desire and erections because certain drugs slow down testosterone output. Whether chemotherapy, targeted therapy, or immunotherapy drugs cause problems with erections depends on the type of cancer being treated and the type of drug or drugs being given. Some of the medicines used to prevent nausea during chemo can also upset a man’s hormone balance. But hormone levels should return to normal after treatment ends.

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