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Male infertility is caused by abnormal sperm production, blockage of sperm delivery or low sperm production. Treatments are available that work.

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Yes they can. Our doctors will assess your condition and can prescribe a treatment remotely if determined to be medically appropriate.
When sexually stimulated/aroused, the nerves supplying the penis release a chemical, nitric oxide (NO). Nitric oxide is important because it stimulates the production of a chemical called cyclic guanosine monophosphate (cGMP). cGMP causes the muscle in arteries of the penis to relax and increase blood flow into the penis. NO is broken down in the body by phosphodiesterase enzymes. PDE5 inhibitors thus prevent the breakdown of NO and thus promote increased blood flow into the penis. .

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The first time he experienced ED in his mid-50s he thought it was just a fluke, which was a reasonable assumption to make. More than half of men experience episodic erectile dysfunction at some time in their life from things like stress, too much alcohol, or as a side effect of medication. Read More About Gene's Story
Exercise can help reverse some of the risk factors for E.D., such as being overweight or obese, having high blood pressure, being stressed, or having weak pelvic floor muscles.

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If your doctor doesn't take your problem seriously, ask to be referred to a specialist. Don't let yourself be fobbed off with comments like "What do you expect at your age?"
1. Identify the pelvic floor muscles: To find the pelvic floor muscles, you can either stop urination midstream or squeeze the muscles that stop you from passing gas.

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Nishimoto PW, Mark DD. Sexuality and reproductive issues. In Brown CG, ed. A Guide to Oncology Symptom Management. 2nd ed. Pittsburgh, PA: Oncology Nursing Society; 2015:551-597.

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Everyone deserves to feel comfortable and confident during intimacy. If ED is holding you back, we can help. To learn more about the exciting erectile dysfunction solutions offered at Kasraeian Urology, call our knowledgeable team to schedule your private consultation in Jacksonville, FL with board-certified urologists Dr. Ahmad Kasraeian and Dr. Ali Kasraeian today! Tags Ahmad Kasraeian, M.D., FACS Ali Kasraeian, M.D., FACS Jacksonville Beach Location Jacksonville Location North Jacksonville Location Erectile Dysfunction Shockwave Therapy Jacksonville Location Jacksonville Beach Location North Jacksonville Location

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    Sexual health and function are important determinants of quality of life. As males age, erectile dysfunction (ED) or impotence is more common. Erectile dysfunction often has a negative impact on sex life and overall quality of life for both the male experiencing the erectile troubles and his partner.

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    An erection occurs because of increased blood flow to your penis. ED can occur as a problem in any stage of the erection process. It may be related to problems with blood flow to your penis, nerve damage, or stressors and emotions.

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    Aging and ED can slow men's sexual health, but pleasure is not only possible, it can also improve quality of life in men 60 and older.

    Depending on the cause of your erectile dysfunction, your urologist will suggest lifestyle changes that include: Quitting smoking Limiting alcohol intake Exercising regularly Maintaining a healthy weight
    Medication therapy is effective, especially in older men. Additional treatment may include self-injected medication, vacuum erection devices, or urethral suppositories. Surgical interventions include vascular reconstruction for improved penile blood flow. Penile implants are considered for some cases.

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    Erectile dysfunction is very common and so are the misconceptions surrounding it. For instance, erectile dysfunction is not necessarily a result of aging and is often the result of an underlying physical health problem.

    Similar to injections, studies show that about half of men discontinue use of this treatment within six to eight months. Side effects can include pain, bleeding at the injection site, urethral pain or burning, low blood pressure, and dizziness.
    Traditional treatments for both problems revolve around lifestyle changes and drugs, Mr Myers and his colleagues said.

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    Rare side effects of all PDE5 inhibitors include a sudden loss of vision in one or both eyes, NAION (nonarteritic anterior ischemic optic neuropathy), and sudden loss of hearing. These rare side effects have been reported with all of the PDE5 inhibitors, and should you develop loss of vision or hearing, you should seek immediate medical care.

    Risk exposure is important to consider in the PDE5 inhibitors. Cardiovascular diseases may be a contraindication to treatment, as severely impaired patients may run the risk of a cardiac complication related to vigorous sexual activity. Likewise, patients actively taking nitrates, including nitroglycerine and other agents, are contraindicated from receiving prescriptions for PDE5 inhibitor. Relative contraindications to the use of PDE5 inhibitor include alpha-adrenergic antagonists. Visual disturbances can be seen with sildenafil (blue haze to the visual field) as a result of inhibition of the PDE6 enzyme.
    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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While medications are a common first therapy, they tend to only work in about 50 percent of men with diabetes. Good blood sugar control can help slow the progression of ED and sexual dysfunction in men. Men with diabetes are more likely to move on to other treatment options, such as the: vacuum erection pump, penile injection therapy, and penile implants. ED and Medications

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Normal erections are dependent upon complex interactions between the vascular, hormonal, neurologic, and physiological systems. A disruption within any of these systems can compromise a man’s ability to achieve an erection.

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The stress of erectile dysfunction and its toll on self-confidence and/or a relationship can be hard to deal with. Speaking to a psychologist or counselor about how to cope emotionally can be of great benefit to some people.

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Drugs for treating erectile dysfunction can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. The most commonly used drugs on the market today include:

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