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Urology Associates provides various treatment options for erectile dysfunction (ED). Our urology team will help treat your ED safely and effectively.

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Picture of penile vacuum pump. A vacuum device can be used to produce an erection. Elements of the device include the cylinder, a pump to create a vacuum, and a constriction ring to be placed at the base of the penis after an erection has been obtained in order to maintain the erection.
Pelvic floor exercises could help men overcome erectile dysfunction or premature ejaculation, physiotherapists say. .

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A web-based project by the Society for Endocrinology that aims to give patients and the general public access to reliable online information on endocrine science. Privacy Disclaimer Browse Search Cookie settings Facebook Twitter Male Urology > Erectile Dysfunction Erectile dysfunction is a challenging and embarrassing problem for men.
Using Smart Phones to Understand the Link Between Social and Geographical Context and HIV Risk Behavior Among MSM (GPS and Health) [510,43]{"namedChunks":["modules-factsheet-details-components-FactSheetDetails-factSheetDetails"]} [6126,43]{"namedChunks":["modules-factsheet-details-components-FactSheetDetails-factSheetDetails"]} Billing & Insurance MyChart Search Menu Request an Appointment Refer a Patient Request an Appointment Refer a Patient What Is Erectile Dysfunction? Quick Links + Erectile Dysfunction (ED) Injections: Trimix Penile Implant Vacuum Erection Device (VED) Shockwave Therapy for ED

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Second line therapies for ED include the use of intraurethral prostaglandin E1 (Muse), the vacuum device, and intracavernous injection therapies.
The nerves that control an erection lie very close to the prostate. These nerves may be injured during treatment. If the surgeon uses nerve-sparing procedures, some men may regain their previous level of erectile function. This typically takes a year or two.

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PRP is an injection of your own body’s platelet growth factors to stimulate cellular regeneration and tissue repair of the penis. Learn More about the P-Shot®

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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.)

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    You must remember that these are prescription-only medications. Do NOT share these medications with your friends or family as they may have medical conditions that would prevent them from taking this medicine. What if ED Pills Don't Work?

    The conclusion builds upon trials of moderate to high intensity exercise. Moderate intensity is the equivalent of a brisk walk. High intensity exercise is indicated by sweating and shortness of breath and could be anything from cycling to work, cross country skiing, or any other activity you enjoy.
    At Yale Medicine, we take a multidisciplinary approach to determine the underlying causes of your erectile dysfunction. We understand the relationship between erectile dysfunction and other health issues which inspires us to use an interdisciplinary approach to caring for our patients. We regularly collaborate with colleagues across different areas of medicine to help patients who we treat.

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    The most common way surgery affects erections is by removing or causing injury to the nerves that help cause an erection. All of the operations listed above can damage these nerves. The nerves surround the back and sides of the prostate gland between the prostate and the rectum, and fan out like a cobweb around the prostate, which makes it easy to damage them during an operation.

    Erectile dysfunction (ED, impotence) varies in severity; some cannot have an erection at all, whereas other men sometimes have troubles getting a hard erection, and others get a hard erection but it only lasts for a short period of time. Approximately 50% of men over the age of 40 have troubles with erectile dysfunction.
    Penile erection occurs, but the penis does not remain hard enough for completion of sex.Penile erections are not hard enough for penetration.There is an inability to obtain a penile erection.One can still achieve an orgasm and ejaculate with erectile dysfunction.

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    “Perhaps some men will be more motivated to know that they can improve their erectile function, sexual health, and quality of life, rather than just being told that they can live longer,” says Gerbild.

    Tadalfil has the same side effects, except for the flushing and possible changes in vision. It can also cause back pain and muscle aches. For each of the medicines, headache is the most common side effect. Vision changes are the least common. Talk to your doctor if you have any side effect that bothers you.
    Exercises have helped many with erectile problems. For a normal erection to happen,

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    Some men choose not to discuss it with anybody or not to go to their doctor because they: Think they have normal erection, so it is unnecessary to take any treatment Assume they can stop their sexual life, so it is unnecessary to take any treatment Are afraid they may have an incurable disease Are worried about a wrong diagnosis Do not have easy access to a doctor Have had a negative experience in the hospital Have friends or relatives who had a negative experience when treated for a similar condition Do not know about possible treatment options Have financial issues Feel isolated because of their age or condition

    Hormone treatment is commonly given for prostate cancer. Men given androgen deprivation therapy (ADT) are at a high risk for sexual problems, including loss of sexual desire and erectile dysfunction. Erections may or may not recover when ADT is stopped. Erectile dysfunction drugs do not usually work in these cases because they don't help with the loss of sexual desire.
    Stability ball is one of the most versatile exercise equipment out there. You can use it to stretch and strengthen any part of your body. Vidyut, for instance, has incorporated it into his kalari sutra workout. He has placed his feet atop it while being in a plank position and pushed his hips upward and downward in an alternate motion, so as to stretch and strengthen the joints. When you do this exercise, make sure you maintain proper balance and stop your legs from falling off the stability ball. Go down on all fours. Place your palms on the floor in line with your shoulders. Lift your legs off the floor and place them on a stability ball. Keep your elbows and knees straight. Raise your hips to make a mountain with your body. Lower your hips and bring them as close to the floor as possible without touching it. Repeat in a seamless motion.

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In diagnosing the cause of erectile dysfunction, an ultrasound may be done on the lower abdomen, the pelvis, and the testicles, or it may be restricted to just the penis.

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Men with erectile dysfunction should talk with their doctors before trying supplements for erectile dysfunction. They can contain 10 or more ingredients and may complicate other health conditions. Asian ginseng and ginkgo biloba (seen here) are popular, but there isn't a lot of good research on their effectiveness. Some men find that taking a DHEA supplement improves their ability to have an erection. Unfortunately, the long-term safety of DHEA supplements is unknown. Most doctors do not recommend using it.

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Low testosterone (low-T) can be caused by conditions such as type 2 diabetes, obesity, liver or kidney disease, hormonal disorders, certain infections, and hypogonadism. Signs and symptoms that a person may have low-T include insomnia, increased body fat, weight gain, reduced muscle, infertility, decreased sex drive, depression, and worsening of congestive heart failure or sleep apnea. Low-T can be treated with testosterone therapy in the form of gels, injections, pellets, or skin patches. Side effects of testosterone treatment include acne, anxiety, hair loss, headache, and change in sex drive (libido).

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Erectile dysfunction (ED) or male impotence is defined as the inability of a male to achieve and/or maintain a hard enough erection sufficient for satisfactory completion of sexual activity.

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