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Defined by an inability to develop and maintain an erection firm enough for sexual relations, erectile dysfunction (ED) affects approximately one in four men during their lifetime. According to research scientists, up to 75 percent of ED cases occur due to medical causes. When functioning normally, neurotransmitters initiate an erection by relaying signals from the brain to the vascular system. The resulting increased blood flow and pressure to the penis allows tube and elastic like tissue within the penis to expand, achieving erection. Blood flow reduction to the penis Scarring of the penile tissues does not allow for a normal erection- Peyronie's disease Nerve damage (may occur directly to the penis or to areas leading to it) Hormonal or metabolic disorders such as diabetes Psychological conditions (mainly seen with ED in males under the age of 40) Vein leakage, also known as a venous leak Trauma, injury, or surgical procedures to the spinal cord or pelvic area Vascular disorders or disease such as high blood pressure Neurologic related conditions such as multiple sclerosis or Parkinson's disease High levels of cholesterol Heart disease Occurrence and/or treatment for enlarged prostate or prostate cancer Obesity Sleep-related disorders Tobacco use Diseases such as alcoholism and other substance abuse disorders Psychological related issues

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Using a low-dose pill to help the blood flow around the nerves and help the nerves heal.
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 .

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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.
InexpensiveFrequent side effects (40%) include headache, indigestion, facial flushing, nasal stuffiness, and rarely visual changes (temporary blue tint)

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If you have high blood pressure you are at risk of developing life threatening diseases like stroke and heart attack.
Nearly every man can experience brief problems with erectile function. In almost all cases it is related to certain and specific life circumstances, problems, or stressful situations. Usually, these erectile problems disappear once the situation is resolved or changed. You generally don’t need to go to the doctor.

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It is common for men with erectile dysfunction to have an underlying physical basis for it, particularly in older men. However, psychological factors may be present in 10% to 20% of men with erectile dysfunction. Experts say stress, depression, poor self-esteem, and performance anxiety can impair the ability to have an erection. These factors can also make erectile dysfunction worse in men whose sexual dysfunction stems from something physical.

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If you have trouble getting or keeping an erection more than 25% of the time, you should see your health care provider.

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    The academic team, from James Cook University in Australia, found 47 of patients with ED admitted the exercises helped.

    When 3724 men were questioned about their dietary habits, men who reported a higher caffeine intake were less likely to report E.D. However, this study was based on self-reported data and was not a prospective study (Lopez et al., 2015). Caffeine is a vasoconstrictor, which means that it can reduce blood flow into the penis. Further study is needed to determine whether caffeine improves or worsens E.D. symptoms.
    But exercise does more for you than simply fill you with a feeling of euphoria. It can also help you get stronger erections. We look at the science behind exercise and erections – and give you 3 types of exercises that will maintain and improve your erectile function.

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    The phrase “penis exercise” actually refers to exercises known as pelvic floor or Kegel exercises, in which a man focuses on strengthening the muscles that control the flow of urine and ejaculation. These exercises are often recommended to men who are recovering from prostate cancer treatment, have problems with ejaculation, or have a hard time holding their urine, but they do not appear to help erectile dysfunction.

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    Heart diseaseHypertensionHigh cholesterolObesityStressPsychological factors- stress, anxiety, and depression

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    In a small study, L-citrulline and trans-resveratrol were added to phosphodiesterase 5 inhibitors. According to the study, the addition of L-citrulline and trans-resveratrol improved erectile function in men who were dissatisfied with the results of using phosphodiesterase 5 inhibitors alone (Shirai et al., 2018). Watermelon is an excellent source of L-citrulline.

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    The penis is composed of three cylinders, two on the top and one on the underside of the penis. The top two cylinders are involved in the erectile process. The urethra, the tube that urine and semen pass through, is on the underside of the penis. The top two penile cylinders, the corpora cavernosa, are composed of tissue that is analogous to a sponge, containing spaces that can fill with blood and expand. These two cylinders are surrounding by a strong layer of tissue, like Saran wrap, the tunica albuginea. For an erection to occur, there must be properly functioning nerves, arteries, veins, and normal penile tissues. Share Your Story

    Zinc is a micronutrient that plays a role in testosterone production. Low testosterone is associated with severe to moderate deficiency. The consequences of marginal levels are unknown (Prasad et al.,1996). Zinc is also important for immune function.
    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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Feeling nervous about sex due to a bad experience or anxiety around your erectile dysfunctionFeeling stressed by other factors, like work or family issuesFeeling depressed or overwhelmedFeeling self-conscious about your body or performanceThinking your partner is reacting negatively toward you

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A meta-analysis of 36 744 men with ED in 12 prospective cohort studies found that the presence of ED significantly increased the risk of CVD, CAD, stroke and all-cause mortality, and the presence of ED was an independent risk factor for CVD. Ponholzer et al found that men with moderate to severe ED had a 65% increased relative risk for developing symptomatic CAD compared with men who did not have ED.26

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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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