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Erectile dysfunction is an inability to maintain an erection. The fastest way to cure erectile dysfunction is to attend to heart and vascular health, psychological health and to use other treatments.

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The options for management beyond behaviour modification include TRT, PDE5 inhibitors, intracavernosal injection therapy, vacuum constriction devices (VCDs), intraurethral prostaglandin suppositories and surgical placement of a penile prosthesis.40
“Exercise improves function whether you want to prevent erection problems or whether those problems are just starting,” says Gerbild. .

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When the aforementioned strategies prove insufficient to address ED symptoms, medical therapies are warranted. The simplest treatments include use of a class of oral medications known as phosphodiesterase type 5 inhibitors (PDE5I, e.g. sildenafil, tadalafil, vardenafil, and avanafil). These drugs enhance the effects of nitric oxide, a natural molecule within the body that relaxes the smooth muscle of the penis, to enable increased blood to flow and result in erection. These medications are generally very safe and reliable. Men who use nitrates (found in certain heart medications and in some recreational drugs) should not use PDE5I. Optimal use of PDE5I requires advice on timing and proper use of these drugs for maximal effect.
But moderation is key: it's not necessary (or recommended!) to suddenly launch into a workout program that's designed for an Olympic athlete.

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The idea of using low-energy shock waves to treat erectile dysfunction comes from studies that show that these types of shocks help heart blood vessels regrow, a process called revascularization. Shock wave therapy may also work on the penis, and there have been some promising results, but it’s not currently an approved ED treatment. "It’s similar to the type of shock waves used to break up kidney stones, and it may cause revascularization,” says Bennett. “However, there are not yet any good controlled studies to recommend it to patients."
An accurate diagnosis is important because it helps doctors identify the most effective treatment for you.

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erectile DysfunctionFAQ to erectile dysfunction and impotenceWhat is erectile dysfunction?Self-testHow do erections occur?CausesDiagnosisDrug therapyPDE5 inhibitorsStent implantationShock wave therapyself-testAbout UsProf. Dr. Nicolas DiehmDr. Martin C. SchumacherPD Dr. Hak Hong KeoDr. Christian RegliDr. Dagmar SchumacherProf. Dr. Markus BéchirNewsContact erectile DysfunctionFAQ to erectile dysfunction and impotenceWhat is erectile dysfunction?Self-testHow do erections occur?CausesDiagnosisDrug therapyPDE5 inhibitorsStent implantationShock wave therapyself-testAbout UsProf. Dr. Nicolas DiehmDr. Martin C. SchumacherPD Dr. Hak Hong KeoDr. Christian RegliDr. Dagmar SchumacherProf. Dr. Markus BéchirNewsContact

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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.

    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
    In randomized placebo-controlled trials, an estimated 60% of men with diabetes, and 80% of men without diabetes experienced improved erections with sildenafil.

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    Alcoholism is a disease that includes alcohol craving and continued drinking despite repeated alcohol-related problems, such as losing a job or getting into trouble with the law. It can cause myriad health problems, including cirrhosis of the liver, birth defects, heart disease, stroke, psychological problems, and dementia. Counseling and a few medications can be effective for alcoholism treatment.

    Abdul Mabud Chowdhury Andrew Pengelly Bill Hendry John Anderson John Leighton Williams Paul Downey Professor Chris Heyns Professor Marek Miller Professor Rob Pickard Richard Turner Warwick CBE Sa'ad Al-Dujaily Sean Vesey Sir David Innes Williams
    Up to three quarters of patients with erectile dysfunction develop atherosclerosis, obesity, cardiovascular problems, diabetes, and similar diseases.

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    Your healthcare provider may recommend a vacuum device, also called a “penis pump,” to help you get an erection. The pump helps pull blood into your penis, so you can achieve an erection that lasts long enough for sexual intercourse. It’s paired with an elastic ring that helps you maintain an erection.

    L-citrulline can be converted to L-arginine in the body. L-arginine widens blood vessels, increasing 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.

    Globulin, Total A major group of proteins in the blood comprising the infection fighting antibodies.
    Finally, Dr Montorsi et al found that severe ED was more common in patients with multivessel coronary involvement as compared with those with single-vessel disease (31% vs 12.5%; p<0.01). They also found a significant inverse relationship between the extent of CVD and IIEF scores.31

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You'll know you're activating pelvic floor muscles if you feel the contraction more towards the front of your body than the back.

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The same concerns regarding the use of sildenafil with nitrates and alpha-blockers apply to vardenafil.

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Penile re-vascularization is considered experimental and investigational for other indications because its effectiveness for indications other than the one listed above has not been established. Consistent with clinical guidelines of the American Urological Association, Aetna considers arterial reconstructive procedures, dorsal vein arterialization procedures, or penile venous occlusive surgery (e.g., venous ligation, dorsal vein ligation) in men with erectile dysfunction secondary to arteriosclerotic occlusive disease experimental and investigational because such procedures have not been proven to be effective.

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ED can be frustrating in its own right, but it can also lead to any of the following:

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