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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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Many men have micro-plaque in their penises without realizing it. Contact sports, other athletic activity, and vigorous sex can cause the formation of micro-plaque. As a man accumulates micro-plaque over time, he can develop conditions like Peyronie’s disease, which can cause erectile dysfunction. Peyronie’s disease leads to painful curvature of the penis that can make sex impossible or unenjoyable. GAINSWave® therapy breaks down micro-plaque to treat or prevent Peyronie’s disease.
Knee fallouts. Start by lying down, knees bent and feet flat on the floor. Clench your lower pelvic muscles, and lower one knee sideways towards the floor. Repeat five times on each knee.Supine foot raises. These might not sound like a penis-related exercise, because they're not, but it helps with pelvic floor activation. Start in the knee fallout pose, then slowly raise one foot, keeping your torso still. Slowly lower, and repeat with the other leg.Pelvic curl. You might know these as bridges, and this one also starts with the same technique of lying on your back, legs hip-width apart. Squeeze and lift your buttocks in the air, keeping your hip width stable, tensing the pelvic floor muscles. Slowly lower, and repeat.Tips for maximising the sexual benefits of Kegel exercises .

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Pilates are another great group of erectile dysfunction exercises because hey challenge you to use your pelvic floor strength while moving. Prostate experts recommend men take advantage of pilates exercises for a wide range of benefits, including, among other things, improved erectile dysfunction. Lying on the floor with your knees bent and your arms at your side. You will see that, in this position, your lower back does not quite touch the ground. Next, flex your hips so that your back does make contact with the floor, so that your pelvic muscles rotate upward and contract. Hold this position for 3-5 seconds and then release, repeating for sets of 10-12. Pelvic Rock This erectile dysfunction exercises starts from the same position as the pelvic tilt. Next: Flatten your lower back against the groundAs you do this, position your legs slightly to one side. Make sure your legs are together, and your feet firmly on the floor as you do this.Return to your starting position and then lower your back again, this time moving your legs to the other side. The Zip and Hollow Place a mat or a blanket on the floor, lie down, and fully extend your legs on the ground.Place your hands on your lower abdomen with your thumbs pointing towards your belly button, your fingers towards your feet, and your hands on your pelvic bone Inhale and contract your abdominal muscles so that your navel drops down towards your spinal cord
So, what are the options for a man with ED? Well, there are a few. Usually the first option we (urologists and primary care doctors) will try are medications like Viagra, Cialis, Levitra, etc. All those medications function by bringing more blood flow to the penis. They are all pretty similar in their action, and if one of them works for you, chances are the others will, too. Some men will experience side effects, most common being facial flushing.

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Patients should continue testosterone therapy only if there is improvement in the symptoms of hypogonadism and should be monitored regularly. You will need periodic blood tests for testosterone levels and blood tests to monitor your blood count and PSA. Testosterone therapy has health risks, and thus doctors should closely monitor its use. Testosterone therapy can worsen sleep apnea and congestive heart failure.
The symptoms of Erectile Dysfunction are diagnosed through detailed medical, sexual, and social history. There may be a very low sex drive in men. Some laboratory evaluations are done to screen the unrecognized systemic diseases and test the hormonal causes if any, like change in testosterone and prolactin level. If reports show low testosterone level: The sexologist in Jaipur we check follicle-stimulating hormone and then prescribe

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Alprostadil should not be used in men with urethral stricture (scarring and narrowing of the tube that urine and the ejaculate pass through), balanitis (inflammation/infection of the glans [tip] of the penis, severe hypospadias (a condition where the opening of the urethra is not at the tip of the penis, rather on the underside of the penis), penile curvature (abnormal bend to the penis), and urethritis (inflammation/infection of the urethra).

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Alternative treatments, such as nutritional supplements, herbal remedies, and acupuncture, are options to consider. However, evidence supporting many of these treatments is spare and due to the lack of FDA regulation the quality of any given supplement is unclear. In several high profile cases allegedly “natural” ED treatments were found to contain erection medications; as these medications have certain side effects and drug interactions (specifically PDE5I and nitrates) there is potential for very serious reactions even with “natural”, non-prescription medications.

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    The study also concludes that training should be supervised, since the men involved all received professional help to adapt their exercise regimes into their daily lives and to keep their motivation up.

    You’ll need to take these pills at least four times before deciding if they work for you or not. headache, facial flushing, upset stomach, back pain (Cialis), sensitivity to light, or blurry vision.
    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

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    Erectile dysfunction (ED), also known as impotence, is the most common sexual problem amongst men. ED is defined as the inability to achieve or sustain an erection for sexual intercourse. At least 25% of men over the age of 50 are diagnosed with ED. The numbers continue to increase as age increases. Young males can suffer from ED as well. Roughly 8-10% of men between 20-30 years old suffer from ED.

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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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    The medical treatments for erectile dysfunction may provide satisfying erections, but they do not give you a long-term cure for your problem. If anything, they are band-aids for the symptoms but not a total solution. An erection that is rigid and satisfying for sexual activity, The ability to be spontaneous in their sex lives, The ability to predict and control how long the erection lasts and how often they can use it, and An erection that naturally occurs without devices or other impediments.

    Nearly every man can experience brief problems with erectile function. In almost all cases it is related to certain and specific life circumstances, problems, or stressful situations. Usually, these erectile problems disappear once the situation is resolved or changed. You generally don’t need to go to the doctor.
    © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. ContentLatest content Current issue Archive Browse by collection Most read articles Responses JournalAbout Editorial board Sign up for email alerts Subscribe Thank you to our reviewers AuthorsInstructions for authors Submit an article Editorial policies Open Access at BMJ BMJ Author Hub HelpContact us Reprints Permissions Advertising Feedback form Website Terms & Conditions Privacy & Cookies Contact BMJ Cookie Settings Copyright © 2022 The Fellowship of Postgraduate Medicine. All rights reserved.

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    Sometimes, blood flow problems develop because of damage to the endothelium or penile smooth muscle – tissues in the penis that are important for normal erections. This damage may be the result of high blood pressure or smoking. It can also happen if a man has high cholesterol, triglyceride, or blood sugar levels.

    Many supplements and alternative therapies are marketed to help men with ED. The U.S. Food and Drug Administration (FDA) warns that these products may contain potentially harmful drugs, contaminated formulations, or unknown dosages of pharmacologically active medications. They can also interact with other medications you take.
    Erectile dysfunction, also known as impotence, is when a man is unable to get or maintain an erection.

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If your doctor thinks there’s a psychological cause, he might refer you to a mental health professional.

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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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Pilates is a group of exercises designed to strengthen your body core. Although there are many potential exercises, here are two sample ones that focus on the pelvic floor. Lie down with your knees bent and your feet flat on the floor. Rest your arms at your side. Attempt to flex your hips to press your lower back into the ground. Hold this position for 3 to 5 seconds. Repeat the exercise slowly, 10 times, or as able. Be in the same position as for the pelvic tilt. Press your lower back on the floor. Slowly rotate one knee to one side while keeping your feet flat. Return your knees to the midline. Repeat this exercise slowly 10 times. Aerobics

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• Medications, most commonly blood pressure medications (especially beta-blockers or thizides), anti-depressants (such as SSRI), anti-androgens, and a variety of other medications

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