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The diagnosis of erectile dysfunction is made clinically, based on a patient’s symptoms. It therefore is important for patients to be evaluated by their GP in the first instance. At this appointment, a full history will be taken from the patient regarding the current symptoms and other medical issues. Regular medications will also be reviewed to ensure that there are no contributing factors. Questions regarding alcohol intake and smoking will also be asked. A general physical examination will be performed by the GP, which may include checking blood pressure and an examination of the genitals. Examination of the vascular system and peripheral nervous system may also be undertaken.

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Studies show about 5 percent of men who are 40 years old have full-blown ED, and that percentage jumps to 15 percent for men who are 70.
A number of medical treatment options exist for erectile dysfunction include the following: .

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A penile prosthesis is a pair of malleable (bendable) rods that are surgically inserted into the penis. It allows erections to happen by a mechanism of compressing on a special part by the device. Men disappointed with other treatments might be fit for penile prosthesis. Medical Author: Stephen W Leslie, MD, FACS Medical Editor: Bradley Fields Schwartz, DO, FACS Medical Editor: Mary L Windle, PharmD Medical Editor: Martin I Resnick, MD What to Expect During Your Doctor Visit Sexual, Medical, and Psychosocial History to Diagnose Erectile Dysfunction Physical Examination to Diagnose Erectile Dysfunction Laboratory Testing to Diagnose Erectile Dysfunction Imaging Studies to Diagnose Erectile Dysfunction Further Testing to Diagnose Erectile Dysfunction Diagnostic Testing Results Diagnosing Erectile Dysfunction Pictures Diagnosing Erectile Dysfunction Topic Guide Men are frequently reluctant to discuss their sexual problems, particularly erectile dysfunction or ED, and often need to be specifically asked.You can assist and initiate this process just by telling your doctor directly that erectile dysfunction is a problem for you. Opening a dialogue allows your doctor to begin the investigation or refer you to a consultant.Scheduling enough time with your doctor to conduct a full interview and physical examination is important.After performing a full interview, physical examination, and laboratory testing, your doctor can then discuss your particular situation, the most likely cause, and reasonable treatment options.
Alprostadil is an FDA-approved erectile dysfunction drug that can be injected directly into the penis to trigger an automatic erection. "Penile injection is the most effective type of ED treatment for men who can't take oral treatment," says Nelson Bennett, MD, a urologist at the Lahey Clinic in Burlington, Mass. In fact, it has an 85 percent success rate. Possible side effects include a burning sensation and priapism, an erection that lasts more than four hours and requires medical treatment.

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The recommended starting dose is 100 mg taken as early as 15 minutes prior to sexual activity, no more than once a day. The maximum dose is 200 mg. Avanafil may be taken with or without food. As with the other PDE5 inhibitors, sexual stimulation is necessary for avanafil to work.
Alongside your doctor-prescribed treatment, you might also want to consider other holistic ways to manage your health, which in turn, help with the ED experience. One of these options is through various forms of exercise.

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Erectile dysfunction is a frustrating condition where your penis cannot get or maintain an erection firm enough for sex. There is no specific treatment to reverse damage to blood vessels caused by diabetes, there are several options to help you have erections.

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Mechanical malfunction is another risk of the prosthesis. However, advancements including lock-out valves and special covering over areas of the tubing have decreased the risk of mechanical malfunction.

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    Despite the appeal of suppositories, their effectiveness is relatively poor and overall patient satisfaction is relatively low.

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    Dr Gautam Banga, consultant and andrologist at the Sunrise Hospital New Delhi previously told indianexpress.com that in India, ED is a taboo because people don’t see it as a medical disorder but as sexual incompetence. “It does not happen because the man is not interested in or is incapable of having sex, but there are medical reasons like diabetes, high cholesterol, high blood pressure and ischemic heart disease (IHD), depression etc., that leads to ED,” he said.

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    If you’re wondering about these tests, please don’t be concerned. This testing is covered under OHIP at certified labs.

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    Erectile Dysfunction Guidebook: The Complete Sexual Health Solution to Identifying, Working on and Curing ED and Impotence: Natural Remedies, ... Diet and More (The Sexual Help Project)

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    Picture of device used to measure penile nerve sensation. The presence of normal skin sensation adequate to produce an erection is measured with this device.

    The GAINSWave® therapy provides a non-invasive means of dealing with ED. It is already being used in the United States, which is an advantage over the other new treatments we discussed.
    Quit smoking.Cut back on alcohol (no more than 2 drinks per day).DO NOT use illegal drugs.Get plenty of sleep and take time to relax.Stay at a healthy weight for your height.Exercise and eat a healthy diet to keep good blood circulation.If you have diabetes, keep blood sugar well-controlled.Talk openly with your partner about your relationship and sex life. Seek counseling if you and your partner have trouble communicating. References

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    Your hormonal status for testosterone (the male hormone) is evaluated, particularly if one of your symptoms is low sexual desire (low libido).Blood tests for testosterone should ideally be taken early in the morning because that is when levels are usually at their highest.Blood may also be tested for other hormones that can affect sexual function (eg, luteinizing hormone, prolactin).Your blood may be checked for glucose (sugar), cholesterol, thyroid function, triglycerides, and prostate specific antigen (PSA).A urinalysis looking for blood cells, protein, and glucose (sugar) may also be done.

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    Side effects of intraurethral alprostadil include pain in the penis and sometimes in the testicles, mild urethral bleeding, dizziness, and vaginal itching in the sex partner. Patients rarely report syncopal (fainting) episodes with initial use, and thus the first trial of this medication should be performed in the physician's office.

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As its name suggests, this exercise targets the muscles of the pelvis, strengthening them and increasing their range of motion as they’re rotated clockwise and anticlockwise. However, given that you have to be in a plank while doing this, your core power also improves. The abdominals, chest and back together help you maintain that position. The arms and shoulders are also toned. Go into a plank position. Place your palms firmly on the floor in line with your shoulders. Extend your legs at the back. Keep your elbows and knees straight. Bring your body in one straight line from head to toe. Swing your hips from side to side. Thrust your hips upwards and downwards. Rotate your hips. Repeat in a seamless motion. Cat and cow

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“Kegel exercises for men: understand the benefits.” Mayo Clinic. Retrieved from: http://www.mayoclinic.org/healthy-lifestyle/mens-health/in-depth/kegel-exercises-for-men/art-20045074

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* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.

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