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In the UK, one man in five dies before he reaches 65. Together we can change that. Donate, sign up for news or order some of our man manuals from the online shop. Easy things to watch out for that might be the sign of something more serious. Not being able to get an erection is called Erectile Dysfunction (ED). It is common and in most cases can be treated.

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Advanced ageCardiovascular diseaseHypertensionDiabetes mellitusHigh cholesterolCigarette smokingRecreational drug useDepression or other psychiatric disordersPelvic surgery, including radical prostatectomy and colorectal surgeryPelvic radiation, such as for prostate cancer and some colorectal cancersTrauma to the pelvis (pelvic fracture), penis (penile fracture), and perineum
Expect your doctor to ask questions about your overall health, check your heart and blood pressure, and gather information about your erectile dysfunction. They may also draw blood for lab tests or refer you to an urologist. .

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Rare side effects of all PDE5 inhibitors include a sudden loss of vision in one or both eyes (nonarteritic anterior ischemic optic neuropathy [NAION]) and sudden loss of hearing. Patients have reported these rare side effects with all of the PDE5 inhibitors. Seek immediate medical care if you develop loss of vision or hearing.
If prescribed, the cost of treatment at FROM MARS will depend on the specific medication and the quantity of medication you will receive.

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First line treatment will be medication with a phosphodiesterase inhibitor such as sildenafil (Viagra), tadalafil (Cialis) or avanafil (Spedra). These drugs only work when used together with sexual stimulation and will have no effect on your sex drive. There is no evidence that these drugs are dangerous if you have underlying heart disease. However, they should not be used if you are taking nitrates (e.g. GTN, isosorbide) for angina
Up to three quarters of patients with erectile dysfunction develop atherosclerosis, obesity, cardiovascular problems, diabetes, and similar diseases.

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Treatment for ED includes lifestyle advice, medications (such as Viagra and Cialis), injections, pellets that are placed in the urethra, vacuum devices, hormone replacement therapy, psychological/talking therapies, surgical pumps and/or specialist pelvic floor physiotherapy.

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    Most men will experience occasional ED. This can be due to triggers such as stress, anxiety or drinking too much alcohol. Frequent erectile dysfunction can be a sign of an underlying health condition or emotional problems. If it happens regularly you should see your GP or visit a sexual health clinic.

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    Both physical and psychological tests are used to make a diagnosis. You’ll probably be asked about your medical and sexual history as well.

    Pills are an easy way to treat ED, but you might get a stronger erection from injecting medication directly into your penis. That’s because these drugs widen your blood vessels so your penis fills with blood. Another option: A medicated pellet you put into the opening at the end of your penis. The pellet can trigger an erection within 10 minutes.
    What Is Eosinophilic Esophagitis (EoE)? Symptoms, Causes, Diagnosis, Treatment, and Prevention

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    All PDE5i medication does not improve erections in normal men, only in those with difficulty in achieving or maintaining erections sufficient for sexual intercourse due to a true medical problem.
    Footnotes*Note: Coverage of injectable medications is subject to the terms of the member’s benefit plan. Please check benefit plan descriptions for details.

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    Pelvic surgeries are a common cause of sexual dysfunction. Erectile dysfunction is a potential complication following prostate cancer surgery.

    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.
    Vitamin D deficiency has been linked with rickets, cancer, cardiovascular disease, severe asthma in children and cognitive impairment in older adults. Causes include not ingesting enough of the vitamin over time, having limited exposure to sunlight, having dark skin, and obesity. Symptoms include bone pain and muscle weakness. Treatment for vitamin D deficiency involves obtaining more vitamin D through supplements, diet, or exposure to sunlight.

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Erectile dysfunction, or ED, is the inability to achieve or sustain an erection suitable for sexual intercourse. Causes include medications, chronic illnesses, poor blood flow to the penis, drinking too much alcohol, or being too tired. Latest News & Features How Low Testosterone Affects Your ‘New Year, New Me’ Goals Doc Does Vasectomy Instead of Circumcision Vaping May Raise Risk for Impotence More Articles

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Urology, Male Infertility & Reproductive Health, Reconstructive Urologic Surgery & Trauma

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Some endocrine conditions are associated with erectile dysfunction and include those that cause a low testosterone level (hypogonadism), although the mechanism by which this results in erectile dysfunction is not yet fully known, and some men can continue to have normal sexual function despite low levels of testosterone. Prolactin is a hormone produced by the pituitary gland within the brain. Certain conditions can cause a raised prolactin level (hyperprolactinaemia), which can suppresses the production of other hormones (called luteinising hormone, LH, and follicle stimulating hormone, FSH) from the pituitary gland, and therefore in turn result in low testosterone levels. Low testosterone levels can subsequently predispose to erectile dysfunction.

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Men in their 40s with ED have a 50-fold increased risk of CVD and men in their 20s and 30s have a sevenfold increased CV risk.25

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