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Having erection problems? What is erectile dysfunction (ED)? Learn about erectile dysfunction causes and treatments such as drugs...

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In some cases, it may be necessary to do specific diagnostic tests other tests. These may include: A nocturnal penile tumescence and rigidity (NPTR) test An intracavernous injection test Penile Doppler Ultrasound Neurological tests
Exercise is good for the heart, blood pressure, joints, muscles, and improves your mood. .

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The side effects of ED medicine are mostly the same. Sildenafil and vardenafil can cause: Headache. Flushing (face and upper body turning red and warm). Stomach upset. Runny nose (sniffles). vision changes (things look blue).
Doctors are more and more convinced that sexual health is directly correlated to overall health. A recent study showed that 44% of men who suffer from erectile dysfunction experience this problem because of health complications like diabetes and hypertension (high blood pressure).

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Tadalafil shares the common side effects of the PDE5 inhibitors, however, due to its effect on PDE11, another phosphodiesterase located in muscle, tadalafil has been associated with muscle aches. Back pain and muscle aches occur in less than 7% of men taking tadalafil and in most patients will go away without treatment within 48 hours. When treatment was necessary, acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin, Advil) or naproxen (Aleve) were effective. Rarely do the muscle aches and back pain cause men to stop using tadalafil.
Diagnostic injections of impotence medications by the treating physician are also considered medically necessary.

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Carter et al. Interventions to address sexual problems in people with cancer: American Society of Clinical Oncology clinical practice guideline adaptation of Cancer Care Ontario guideline. Journal of Clinical Oncology. 2018;36(5):492-513.

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Studies have shown that for men with stress-related ED, when the partner is involved in the therapy, the problem is resolved 50%–70% of the time. When the man must go through counselling alone, the results are less successful. Psychosexual counselling is unlikely to be effective if a man drops out of treatment after just one or two sessions.44

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    This penile tumescence monitor is placed on the penis. It is connected to a monitor that records a continuous graph depicting the force and duration of erections that occur during sleep. The monitor is strapped to the leg. The nocturnal penile tumescence or NPT test is conducted on several nights to obtain an accurate indication of erections that normally occur during sleep. Click to view larger image.

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    If these medications fail to work or if you are deemed unfit to take them, your urologist can recommend one or more of the following therapies: Penile pump (vacuum erection device [VED] or vacuum constriction device [VCD]) Penile injections (intracavernous injection [ICI], intracavernosal alprostadil) Intraurethral (IU) medication (alprostadil) Surgical procedure involving fitting a penile implant into the penis

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    If medications do not work, we would discuss either penis injections or the vacuum pump. There is also something called MUSE, which is basically a small medication pellet that gets inserted inside the urethra (the tube that transports urine) and releases medication directly into the penis. Some men prefer it, as it may be a bit more effective than oral medications, but some will complain of pain and burning with insertion.

    Like it or not, the majority of men will develop sexual dysfunction at some point in their lives. Whether it is mild or severe, chronic or intermittent, sexual dysfunction can be extremely frustrating and can take a toll on your confidence, relationship, and overall well-being. Fortunately, the sweeping advances in medicine and technology give men more options now than ever before for treating a wide range of sexual dysfunction conditions, including ED. The acclaimed team at Kasraeian Urology, led by board-certified urologists Drs. Ahmad and Ali Kasraeian, understands the complex and disruptive nature of male sexual dysfunction and is proud to offer the newest and most effective erectile dysfunction treatment options available in 2021.
    However, his most recent video delves into erectile dysfunction: a sexual disorder which one in every ten men suffer from at some point in their life, but due to the stigma attached to it, remains largely undiscussed in our society. “It’s time we braved into the topic of sexual health” he wrote in his caption, and then went ahead and demonstrated a range of exercises that will boost the flow of blood and bring sexual energy back to the pelvic region.

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    Penile erection is a complex process in which the brain, nerves, muscles and blood vessels play a major role. The main causes of erectile dysfunction include psychological and health conditions, medications, trauma and lifestyle factors. What Can You Do for Severe Erectile Dysfunction? Medical Author: John P. Cunha, DO, FACOEP Medical Author: Pamela I. Ellsworth, MD Ask a Doctor Doctor’s Response What Can You Do for Severe Erectile Dysfunction? Topic Guide

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    The bridge pose, also known as Setu Bhandhasana in the world of yoga, is an excellent exercise to strengthen the hip joints and increase their range of motion at the same time. It involves lying down on your back and using your pelvic strength to push your lower body off the floor. Holding this position also bolsters your lower back and tones your thigh muscles. Make sure your spine is aligned with your upper legs to reap the benefits of this asana. Lie down on your back. Bend your knees and place your feet firmly on the floor. Maintain a small gap between your hips and feet. Hold your ankles with your palms. Lift your pelvis off the floor. Your body should be in one straight line from head to thighs. Hold this position for a minute before releasing and repeating. Diamond hip thrusts

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    Compared to aerobic exercise like jumping on a treadmill, performing pelvic floor muscle exercises are super discreet. In fact, the pelvic floor muscles aren't visible — but you'll feel them!

    Your healthcare provider may recommend a vacuum device, also called a “penis pump,” to help you get an erection. The pump helps pull blood into your penis, so you can achieve an erection that lasts long enough for sexual intercourse. It’s paired with an elastic ring that helps you maintain an erection.
    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.

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The treatment you receive for your ED will depend on the underlying cause. Your doctor may recommend adjusting your medications to eliminate side effects that could be causing problems. If psychological causes are suspected, your provider may suggest counseling. Lifestyle changes like losing weight and quitting drinking can also have a big impact.

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These drugs work by improving blood flow to the penis during arousal and are taken 30 to 60 minutes before sexual activity. They should not be used more than once a day. Cialis can be taken up to 36 hours before sexual activity and also comes in a lower, daily dose. Staxyn dissolves in the mouth. All require a doctor's prescription for safety.

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Stopping urination midstream is one way of tightening the muscles, building their strength and control. Drawing the testicles upwards is another.

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