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Aetna considers Xiaflex (collagenase clostridium histolyticum) for the treatment of Peyronie’s disease medically necessary when the following criteria are met: The member has stable Peyronie’s disease without clinical changes (e.g., worsening curvature) for at least three months; and The member has a palpable plaque and curvature deformity of at least 30 degrees and less than 90 degrees prior to initiating Xiaflex therapy; and The member has intact erectile function (with or without medication); and The member is 18 years of age or older; and The member will receive a maximum of one treatment course with a maximum of 8 injections total, including any injections the member has received for any previous treatment.

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Erectile dysfunction (E.D.) is often caused by blood vessel damage or suboptimal hormone levels; however, it can also be caused by stress or poor lifestyle choices such as smoking, an unhealthy diet, or not making time for physical activity.
If your doctor doesn't take your problem seriously, ask to be referred to a specialist. Don't let yourself be fobbed off with comments like "What do you expect at your age?" .

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Many men think it is inappropriate to admit they need affection or just a hug. It is important to address the issue by discussing it with your partner. This may prevent emotional and physical distance and can provide the comfort and emotional support you need.
Cholesterol, Total A sterol in the blood. Knowing your cholesterol level may be as important as knowing your blood pressure. Elevated cholesterol levels are associated with an increasing risk of coronary heart disease.

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Psychoteraphy is often the first form of treatment recommended for depression. Psychotherapy helps depression by helping people understand the behaviors, emotions and ideas that contribute to their depression, regain a sense of control and pleasure in life, and learn coping techniques as well as problem solving skills.
It’s easy to overcome Erectile Dysfunction at home with Exercise and worth-a-shot!!

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A penile implant is a device that is placed into a man’s body and is designed to help him get an erection. It is an alternative long-term treatment, that is covered by many insurance plans, which allows an erection as often as you like, for as long as you wish. Appointments and Referrals

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Low testosterone is linked to ED. One of the only ways to know your testosterone level is by having a blood test to see...

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    We understand that deciding on a treatment is highly personal. We provide expert guidance to help you and your partner choose the best option for you.

    Call your provider right away or go to an emergency room if you are taking ED medicine and it gives you an erection that lasts for more than 4 hours.
    Tests for evaluation of pituitary dysfunction (e.g., measurement of luteinizing hormone, follicle-stimulating hormone, and prolactin levels) if serum testosterone level is below normal

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    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.

    The Erectile Dysfunction Test Kit is a home blood test used to help you identify the potential causes of your ED. It’s not an erectile dysfunction treatment; it’s simply a tool that enables you to get a better understanding of your health so you can treat your ED more effectively in the future. If you need an immediate ED treatment, you may want to consider trying one of the following erectile dysfunction treatment options: While a blood test kit is ideal for helping to find a longer term solution to erectile dysfunction, ED tablets such as the ones above can often provide short term relief for those experiencing erectile dysfunction symptoms. They act relatively quickly and help to stimulate erections that are harder and longer-lasting. However, we highly recommend taking a blood test to help you pin down the root cause of your ED. While ED medications are effective for relieving the symptoms of ED, they don’t necessarily address the underlying causes of ED, so it’s best to perform a health check up with a blood test to help you identify (and effectively manage) the cause of your ED.
    In men, Kegel exercises can help with erectile dysfunction (ED) and enhance sexual performance. One study of men with ED found that after 6 months of performing Kegel exercises, 40% of men regained normal erectile function. Helping prevent incontinence (which can be important after prostate surgery) Longer time between bathroom visits Fewer “accidents” and leaking Drier underwear Preventing accidental passage of gas or stool Bulbocavernosus (BC) muscle Squeezes semen or urine out of the urethra Squeezes more blood into the end of the penis This is the main muscle used when performing Kegels Pubococcygeus (PC) muscle Plays a role in urination and bowel movements Forms a large part of the pelvic floor, supporting lower organs Contracts during orgasm Iliococcygeus (IC) muscle Forms part of the strength of the pelvic floor Pulls the anus back up after a bowel movement

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    Erectile dysfunction (ED) is a common condition. Although it is not life-threatening, it can negatively affect your quality of life. Because it can be related to other conditions, such as heart disease, it is important that you get the right treatment. There are various treatment options for ED, discuss with your doctor which option is best for your individual situation.

    These improvements are designed to allow men to create stronger erections that are more sustainable.
    Because each man’s situation is unique, the “best” treatment for ED can vary from patient to patient. Drs. Ahmad and Ali Kasraeian are committed to finding the most appropriate and effective erectile dysfunction treatment for each patient based on his specific needs, goals, and overall situation. During your initial consultation for ED treatment in the Greater Jacksonville area, Dr. Kasraeian will take a thorough health history, perform an examination, and order any necessary studies – including lab work or imaging – to determine the cause and severity of your condition. Based on this information, Dr. Kasraeian will discuss with you all of the available ED treatment options to find the one best suited to your needs.

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    You may already know most of the names: Cialis, Levitra, Staxyn, Stendra, Viagra. Learn more about these medications that can help men with erectile dysfunction.

    Cialis (tadalafil), Viagra (sildenafil), and Levitra (vardenafil) are FDA-approved treatments for erectile dysfunction.
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The duration of ED depends on what causes it and how you respond to your treatment. Many men notice an immediate improvement when they start on medication or another form of treatment.

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The lab testing obtained for the evaluation of erectile dysfunction may vary with the information obtained on the health history, physical examination, and recent lab testing. A testosterone level is not necessary in all men; however, a physician will order labs to determine a patient's testosterone level if other signs and symptoms of hypogonadism (low testosterone) such as decreased libido, loss of body hair, muscle loss, breast enlargement, osteoporosis, infertility, and decreased penile/testicular size are present.

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When possible, “nerve-sparing” methods are used in radical prostatectomy, radical cystectomy, AP resection, or TME. In nerve-sparing surgery, doctors carefully try to avoid these nerves. When the size and location of a tumor allow for nerve-sparing surgery, more men recover erections than with other techniques. But even if the surgeon is able to spare these nerves, they might still be injured during the operation and need time to heal.

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However, Pedersen and Kristensen are doubtful that such a precise conclusion can be drawn without further research. The study indicates that intense exercise has an effect on erectile dysfunction, but whether that means 30, 40, or 50 minutes of training three or four times a week is something that should be studied further, they say.

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