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This section lists the different tests your doctor may need to assess your situation. It offers general information about the diagnosis of ED. Keep in mind that situations can vary in different countries.

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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.
Some men have occasional trouble getting or keeping an erection, which can be considered normal. .

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Many medications can cause or contribute to erectile dysfunction, including certain blood pressure drugs, antidepressants, and tranquilizers. Men with erectile dysfunction should talk with their doctor if they suspect a prescription or over-the-counter drug may be causing erectile problems. Born This Way? Physiology and Erectile Dysfunction
Currently, there are no therapies that cure erectile dysfunction. However, a number of effective therapies are available that allow an individual to have an erection when desired. Depending on the cause of the erectile dysfunction, certain therapies may be more effective than others. Although there is limited data on lifestyle modification, intuitively, decreasing risk factors for erectile dysfunction may help prevent progression of disease.

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The penile implant allows men to achieve an erection through an implanted device. These devices can be effective in restoring sexual activity for a man and his partner. At Yale Medicine, our doctors have specialized experience with placing the penile prosthesis.
Blood levels of testosterone, prolactin, FSH (follicle-stimulating hormone), LH (luteinising hormone) and thyroid hormones will normally be measured.

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Some men with early-stage prostate cancer have a choice between radiation and surgery to treat their cancer. When looking at how men’s erections are affected by prostate cancer treatment, there does not seem to be much long-term difference between the two. Men who have had radiation may see a general decrease in the firmness of their erections over time (up to several years after radiation). In contrast, after surgery most men have erection problems right away and then have a chance to recover erections in the first 2 years following the surgery. About 4 years after either treatment, the percentage of men reporting ED is about the same. Treatments can often help these men get their erections back whether they’ve had surgery or radiation.

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What we treatErectile DysfunctionHair LossPremature EjaculationSleepAcneDaily Skin RoutineGenital HerpesCold Sores

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    The human immunodeficiency virus (HIV) attacks the body’s immune system. A healthy immune system is what keeps you from…

    Other tests, if indicated, are normally arranged by the urology specialist clinic and will be discussed with you.
    Ultrasound with Doppler imaging (ultrasound plus evaluation of blood flow in the arteries and veins) can provide additional information about blood flow of the penis and may help in the evaluation of patients prior to surgical intervention. This study is typically performed after the injection of a chemical that causes the arteries to open up, a vasodilator (prostaglandin E1), into the corpora cavernosa in order to cause dilation of blood vessels and promote blood flow into the penis. The rate of blood flow into the penis can be measured along with an evaluation of problems with compression of the veins.

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    Most men begin seeing results after about a month of daily exercise. By the end of that month, you should be able to hold the squeezes for 10 seconds, and be able to do eight to 10 sets.

    Erectile Dysfunction is one of the most commonly seen sexual issues in males. The point to note is that if occasional erection issues are there, then there is no point of concern, but getting frequent ones can actually destroy your sexual life and your relationship as well.
    If you think any medicine you are taking may be causing erection problems, talk with your provider. You may need to lower the dose or change to another drug. DO NOT change or stop taking any medicine without first talking to your provider.

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    This information is for adult males with cancer. If you are a transgender person, please talk to your cancer care team about any needs that are not addressed here.

    Removal of a penile implant is considered medically necessary for infected prosthesis, intractable pain, mechanical failure, or urinary obstruction.
    One of the best things men can do to reduce ED is to quit smoking. Smoking leads to cardiovascular disease, which can cause erectile dysfunction. In addition to affecting a man’s blood vessels, smoking itself increases his risk of ED.

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    To achieve erection, a complex process has to take place within the man’s body. Because this process is so in-depth and complex, sexual dysfunction and ED are extremely common in men. It is estimated that as many as 30 million men in the United States are affected by ED (The National Institutes of Health).

    This depends on whether you know what it is causing your ED. There are some things you can do that may help prevent ED, including: Avoid drinking too much alcohol, smoking, or abusing drugs. Ask your doctor if ED is a side effect of a new or current medicine you are taking. He or she may have an alternative medicine. Control your blood sugar and blood pressure. Try to relax and avoid stress.
    A proper nerve system is essential for a man to keep having a normal erection. Men may find difficulty in erection when they suffer nerve damage. Nerve damage can be caused due to;

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The pathogenesis of organic ED is related to dysfunction of the endothelium. Endothelial cells can become injured through a variety of mechanisms, most of which cause oxidative stress on the tissues. Many of these causes of oxidative stress are related to lifestyle issues which lead to hypertension, diabetes and dyslipidaemia (figure 1). Endothelial cell dysfunction results in reduction of endothelium-dependent vasorelaxation as well as increased adhesion of leukocytes to the endothelium. Endothelial cell injury then leads to a variety of sequelae, including ED, other types of vasoconstriction, atherosclerosis and thrombus formation.18

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How Common is ED?Did know out of 10 men 1 man is suffering from erectile dysfunctionDid you know only 33%men seek advice from sex experts.Did you know Ed is responsible for 20% of divorce casesDid You know Ed Is also responsible for male infertility

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It may be uncomfortable for you to discuss your sex life with a urologist or a sexologist, but it is the most effective way to deal with your concerns. Together with your doctor, you can identify what is important in your sex life and choose the best treatment option to have a satisfactory sex life. If you have a partner, it is important to include them in these consultations.

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Moment A. Sexuality, intimacy, and cancer. In Abrahm JL, ed. A Physician’s Guide to Pain and Symptom Management in Cancer Patients. Baltimore, MD: Johns Hopkins University Press; 2014:390-426.

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