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Erectile dysfunction essentially refers to not being able to obtain or keep an erection and is often coupled with a reduced desire for sex. ED can have a range of causes, both physical and psychological. Certain risk factors for developing erectile dysfunction can include:

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Kegel exercises, or pelvic exercises, have proven to be effective in addressing erectile dysfunction, and it should be used as the first-line of treatment. The ischiocavernosus and bulbocavernosus muscles in the pelvic area surround the penis and are active during an erection. The following exercises aim to strengthen these muscles.
“We listen to the patient and partner, understand the cause of the problem and work with the couple to start treatment that works best for the patient,” says Dr. Honig. PDE-5 inhibitors (phosphodiesterase type 5 inhibitors): These are medicines which relax muscle cells in the penis and increase blood flow. Vacuum erection device: This pulls blood into the penis, causing an erection. The erection is maintained by placing an elastic ring at the base of the penis. Injection therapy: Doctors use a very small needle to inject medication directly into the side of the penis. This relaxes the muscle allowing for blood flow and is a highly successful. Minimally invasive penile implant surgery: which our experienced physicians routinely perform. Most patients recover full sexual function in six to eight weeks. Yale Medicine Urology has extensive experience in standard and complicated penile implant surgery. .

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Men with a rare heart condition known as long QT syndrome should not take vardenafil since this may lead to abnormal heart rhythms. The QT interval is the time it takes for the heart's muscle to recover after it has contracted and is measured on an electrocardiogram (EKG). In addition, vardenafil is not recommended for men taking medications that can affect the QT interval such as quinidine, procainamide, amiodarone, and sotalol.

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Aetna considers exogenous testosterone replacement therapy, including transdermal preparations, experimental and investigational for the treatment of non-hypogonadal impotence because its effectiveness in non-hypogonadal impotence has not been established. (See CPB 0345 - Implantable Hormone Pellets.)
What Are the Best Three Exercises for Erectile Dysfunction? Learn whether exercises can help and what other treatments can help to relieve your symptoms. Health News Latest Facts on COVID-19 Vaccine Boosters Study Finds COVID Vaccine Protection Dropped Over 6 Months 28 Million Years of Life Lost to COVID COVID Expert Q&A: 'This Pandemic Still Has Legs' High Humidity + Heat Magnifies Climate Threat Featured Topics WebMD Exclusive How Breast Cancer Changed My Life ... and Me Get Our Newsletters Health News and Information, Delivered to Your Inbox Erectile Dysfunction Home News Reference Slideshows Quizzes Questions & Answers Medications Find a Doctor Erectile Dysfunction Guide Overview Symptoms & Risk Factors Testing &Treatment Living & Managing Related to Erectile Dysfunction Diabetes Drug Interaction Checker Heart Disease Hypertension Living Healthy Low T Assessment Smoking Cessation If you think you have ED, a good first step is to talk with your doctor. The treatment you need – ranging from lifestyle changes to medication to surgery - will depend on what’s causing it.

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If there seems to be a psychological cause contributing to your erectile dysfunction, the doctor may ask the patient questions to help determine stressor, events, and relationship issues that may be causing your erectile troubles. It may be helpful to have your sexual partner involved in this assessment.

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Alongside your doctor-prescribed treatment, you might also want to consider other holistic ways to manage your health, which in turn, help with the ED experience. One of these options is through various forms of exercise.

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    If you are dealing with ED, you are not alone: nearly one in every four men over sixty years of age will experience some degree of erectile dysfunction. Younger men often struggle with ED as well. By taking the time to become involved in discussing ED, you’ve made an important first step in finding a solution to Erectile Dysfunction. There’s a lot to learn and many options to consider, so let’s get started.

    The most common symptom of erectile dysfunction is being unable to consistently get an erection. This may happen every time you try to have sex, or it may only happen sometimes. You may be able to get an erection but not keep it during sexual activity. Or you may only be able to get a partial erection.
    Pull up on your pelvic floor. In order to do so, think of pulling in your genitals and lifting them up. Hold the muscles taut for five seconds before releasing for five. Try to perform ten repetitions several times a day.

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    Once the endothelium or smooth muscle becomes damaged, the penis may not function normally, even with adequate blood flow. Atherosclerosis (hardening of the arteries) is also more likely to develop. Plaque builds up on the artery walls, which can slow down or completely block blood flow.

    Performance anxiety. People with depression tend to think more negatively and may feel less confident. A depressed man might think, “I don’t have what it takes to please my partner” and then have erection difficulties.
    You can start by lying down, standing, or sitting down as per your preferences. After that, clench your bulbocavernosus muscles and pause for like 2 3 minutes. Repeat this routine four to five times. By doing this three times for better results.

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    The U.S. FDA (Food and Drug Administration) has a list of 29 OTC products that claim to treat erectile dysfunction. Patients should avoid these because many contain harmful ingredients. Other natural or herbal remedies such as DHEA, L-arginine, ginseng, and yohimbe are supplements that have been used but have not been proven safe and effective according to some researchers. Before using such compounds, individuals should consult their doctor. According to some experts, acupuncture does not effectively treat erectile dysfunction. Other home remedies for reducing ED symptoms include diet changes such as eating blueberries and citrus fruits and drinking red wine.

    Some men will have issues with erections (erectile dysfunction or ED) within a few years of external beam radiation for prostate cancer. Some of these men may have erections that allow penetration, but only a small portion report their erections are as good as they were before treatment.
    The International Society of Sexual Medicine (ISSM) defines premature ejaculation as occurring within one minute of penetration.

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    Various studies have shown that around 11 percent of men experience mild symptoms of ED in their early 30s. And by doing proper exercises and yogas, one can overcome those symptoms to get over their problem before touching their 40s.
    The same concerns regarding the use of sildenafil with nitrates and alpha-blockers apply to vardenafil.

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Putting off a doctor’s visit can delay effective treatment and may be harmful if you have other, underlying conditions.

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As described above, there are many risk factors and causes for ED. Therefore, our team investigates the potential causes for each patient thoroughly and independently to ensure the best possible outcome. Our work up for ED may include:

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When psychological factors are believed to be the principle cause of ED– particularly in men who are experiencing anxiety or depression – psychological counseling is mandatory. Consultation with a mental health professional with expertise in sexuality should be considered in all cases as this consultation is seldom harmful and the majority of patients will have some psychogenic or relational component to their sexual symptoms.

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Titrating doses of injectable impotence medications that are administered in a physician's office and the accompanying office visits are considered medically necessary. This includes in office titrating doses of papaverine, alprostadil (prostaglandin E1 or Caverject) and phentolamine. Except for phentolamine, which is not generally used alone, these drugs can be used alone or in combination. The drug MUSE, a pellet from of alprostadil, is also used as an alternative to alprostadil injections.

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