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Congestive heart failure with borderline low blood pressure and borderline low blood volume is a contraindication to PDE5 inhibitors, as is high blood pressure requiring multiple medications to treat the blood pressure as PDE5 inhibitors could lead to lowering of the blood pressure and medical problems.

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How much exercise does a man need? The answer depends on his individual health. Seeing a doctor is recommended before starting any exercise program. With a doctor’s guidance, a man can choose the types of exercise that are best for him. Men’s Sexual Health Erectile Dysfunction Public Prev Next What is the “normal” frequency of sex? What is the “normal” frequency of masturbation? What factors determine semen volume?
One must be very careful using both PDE5 inhibitors and medications commonly used to treat an enlarged prostate, alpha-blockers (for example, tamsulosin [Flomax], terazosin [Hytrin]). It is recommended that one be on a stable dose of the alpha-blocker prior to starting a PDE5 inhibitor and that one start on a low dose of the PDE5 inhibitor and increase as tolerated and needed to treat the erectile dysfunction. Similarly, if you are on a PDE5 inhibitor and your doctor recommends that you start an alpha-blocker for your prostate, you should start at a low dose and increase as tolerated and needed to treat your prostate symptoms.

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Cancer and cancer treatments that involve the pelvic area including colon cancer surgery, prostate cancer surgery or radiation treatments may cause neurological as well as vascular damage which may lead to sexual dysfunction as well.
Couple therapy- Seek a therapist to do away with the stress, anxiety or depression leading to erectile dysfunction.

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An intimate relationship between two people is complex and involves many aspects. ED may affect or change your relationship with yourself and your partner. You may be embarrassed and feel guilty, making it difficult to talk to your partner about this issue. ED could have a direct impact on a committed relationship.

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    Some men should not take PDE5 inhibitors. They can cause hypotension (abnormally low blood pressure that can lead to fainting and even shock) when given to patients who are taking nitrates (medications taken for heart disease). Therefore, patients taking nitrates daily should not take any of the PDE5 inhibitors. Nitrates relieve angina (chest pain due to insufficient blood supply to the heart muscle because of narrowing of the coronary arteries); these include nitroglycerine tablets, patches, ointments, sprays, and pastes, as well as isosorbide dinitrate and isosorbide mononitrate. Other nitrates such as amyl nitrate and butyl nitrate also are in some recreational drugs called "poppers."

    Pelvic surgeries are a common cause of sexual dysfunction. Erectile dysfunction is a potential complication following prostate cancer surgery.
    The first step is identifying what we actually mean by a 'pelvic floor'. Activating pelvic floor muscles can be achieved by trying to stop the flow of urine when you're urinating — those are the same muscles involved in erectile function.

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    André B Silva1, Nelson Sousa1,2, Luís F Azevedo3,4, http://orcid.org/0000-0001-8561-5167Carlos Martins1 1 Family Medicine Unit, Social Sciences and Health Department of the Faculty of Medicine of Porto, Porto, Portugal 2 Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), University of Trás-os-Montes e Alto Douro, Vila Real, Portugal 3 CIDES—Department of Health Information and Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal 4 CINTESIS—Centre for Health Technology and Services Research, University of Porto, Porto, Portugal Correspondence to Dr André B Silva, Faculdade de Medicina da Universidade do Porto, Al. Prof. Hernâni Monteiro, Porto 4200-319, Portugal; andreborgessilva{at}outlook.com

    The treatment may depend on what is causing the problem and how healthy you are. Your provider can talk with you about the best treatment for you.
    If you have a sexual partner, it may be useful to attend this consultation together.

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    John Hopkins Bloomberg School of Public Health: "18 Million Men in the United States Affected by Erectile Dysfunction."

    Strengthening the muscles that surround and support the genital area can assist the penis in obtaining and maintaining an erection and address issues that cause premature ejaculation.
    The ACP did not recommend for or against routine use of hormonal blood tests or hormonal treatment in the management of patients with ED.

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    Globulin, Total A major group of proteins in the blood comprising the infection fighting antibodies.

    In general, PDE5i works successfully in about 65%-70% of all men with erectile dysfunction (impotence). The greater the degree of damage to the normal erection mechanism and severity of the ED, the lower the overall success rate. Men with diabetes and those with spinal cord injury reported between 50%-60% responding successfully to treatment with oral PDE5i medications. The lowest success rate has been in men who developed ED (impotence) after prostate cancer surgery (radical prostatectomy) for more advanced prostate cancer that required removal of both sets of nerves around the prostate. In men who did not have the nerves removed/damage, there is a better chance of response to PDE5 inhibitors.
    An ultrasound examination of your penis and testicles may be performed. The principle of ultrasound is similar to the sonar used on submarines. Sound waves are reflected back when they contact relatively dense structures, such as fibrous tissue or blood vessel walls. These reflected sound waves are then converted into pictures of the internal structures being studied.

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What Is Erectile Dysfunction (ED)? Symptoms, Causes, Diagnosis, Treatment, and PreventionBy Julie MarksNovember 24, 2020 Bariatric Care Behavioral Health Cancer Care Emergency Care Gastroenterology Care Heart Care Imaging & Diagnostics Mother & Baby Care Neurology Orthopedic Care Palliative Care Physical Rehab & Therapy Primary Care Urgent Care Virtual Care Women's Services View All Services Virtual Care Weight Loss Cancer Care Diabetes Care Emergency Care Urgent Care Clinics Heart Care Imaging & Diagnostics Mother & Baby Care Neurology Care Occupational Medicine Orthopedic & Sports Medicine Physical Rehabilitation Primary Care Sleep Center Women's Care Corbin Floyd Hardin La Grange Lexington Louisville Madisonville Paducah Richmond Urgent Care Locations Outpatient Physical Therapy Clinics Baptist Health Surgery Center in Lexington Eastpoint Surgery Center Milestone Wellness Center Hospitals Urgent Care Clinics Baptist Health Surgery Center in Lexington Eastpoint Surgery Center Milestone Wellness Center Maps & Directions Patients & Visitors Billing Information Care Everywhere Classes & Events Health Risk Assessments Maps & Directions MyChart Online Check-In Patient Safety and Quality Pay My Bill Understanding Your Health Care Costs Price Estimator Pre-Register Join Our Newsletter Temporary Visitor Guidelines Advance Care Planning Billing Information Care Everywhere Classes and Events Corporate Phone Directory Health Risk Assessments Maps & Directions MyChart Online Check-In Online Bill Pay Nondiscrimination & Accessibility Patient & Visitors Information Patient Safety and Quality Pre-Register Website & Privacy Information Join our Newsletter Search Direct Care Nursing Jobs Search All Other Jobs For Physicians Benefits & Incentives Our Culture Our Philosophy Careers at Baptist Health Search All Jobs Nursing Careers Benefits and Incentives Our Culture Our Philosophy Choose Baptist Health Why Choose Baptist Health About Baptist Health Community Health and Outreach Flourish: Our Blog Leadership News Center Physician Resources Baptist Health Care Partners Baptist Health Network Partners Baptist Health Medical Group About Baptist Health Community Health and Outreach System Leadership News Center Physician Resources Flourish: Our Blog

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If regular exercise doesn’t resolve the issue, consult with your doctor. There are other options available to treat erectile dysfunction. Your doctor may suggest any of the following:

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You might need other tests to check for underlying issues or to further assess your condition. These might include the following:

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Improvements in your lifestyle, such as a eating healthy diet, reducing alcohol intake, losing weight and increasing your exercise can dramatically improve erectile dysfunction. More specific treatment usually involves: weight loss and increased exercise (this may reduced the risk of erectile dysfunction by up to 70%) treatment of any hormone abnormality (testosterone treatment is only indicated if your testosterone levels are low and may be harmful if your the levels are normal); lifestyle modification (e.g. reduce stress, stop smoking, reduce alcohol consumption & stop illicit drugs); treatment of any anatomical abnormality if present (e.g. circumcision, frenuloplasty, penile straightening); psychological support if necessary.

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