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Picture of erection-measuring snap gauge. A number of devices have been developed to determine if an erection occurs during sleep. This snap gauge is fastened around the penis but opens when an erection occurs.

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The role of the endothelium in erectile function became clearer with the observation that the phosphodiesterase type 5 (PDE5) inhibitor, sildenafil, enhanced erectile function. Erection occurs with the release of nitric oxide (NO) from the vascular endothelial cells.17 The reduction in endothelial cell production of NO results in the negative impact on the smooth muscles in the corporal bodies and results in less relaxation of the smooth muscle cells with decrease in blood supply and resulting ED. A similar phenomenon is well known to impact the coronary arterial system resulting in CVD.
Erectile dysfunction (ED) or male impotence is defined as the inability of a male to achieve and/or maintain a hard enough erection sufficient for satisfactory completion of sexual activity. .

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Surgery to repair arteries (penile arterial reconstructive surgery) can reduce impotence caused by obstructions that block the flow of blood to the penis. The best candidates for such surgery are young men with discrete blockage of an artery because of a physical injury to the pubic area or a fracture of the pelvis. The procedure is less successful in older men with widespread blockage of arteries.
Several medications are not recommended for the treatment of erectile dysfunction. These include trazadone, yohimbine, and herbal therapies, as there is no evidence to support their safe use for the treatment of erectile dysfunction. It is important to note that testosterone therapy is not indicated for the treatment of erectile dysfunction in the patient with a normal serum testosterone level.

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Two studies demonstrate the potential benefits of a diet high in antioxidants in preventing E.D. In a study of 17 men who ate 100 grams of pistachio nuts for three weeks, men reported a significant improvement in erectile function (Aldemir et al., 2011). In an animal study, pomegranate extract significantly improved intracavernosal blood flow and erectile function (Zhang et al., 2011). PistachiosDark chocolateBlueberries and other berriesArtichokesPomegranateGreen tea Foods and Drink That May Increase E.D. Symptoms Caffeine
Men do not have to begin a more active lifestyle with drastic measures. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) recommends that men slowly incorporate more activity into their lives. A man can begin by taking short walks at a normal speed and gradually increasing the pace and length of his walks.

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The treatment may depend on what is causing the problem and how healthy you are. Your provider can talk with you about the best treatment for you.

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When you choose to use this service to inform one or more sexual partners that you’ve been diagnosed with an STI, you are acting privately and anonymously, as well as individually and of your own volition, in a spirit of goodwill and respect, and with full knowledge of the potential consequences.

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    Formerly known as impotence, erectile dysfunction (ED) is the ongoing inability to have an erection that is hard enough for penetration. Another symptom is an erection that does not last long enough for the completion of sexual activity. ED can have a significant impact on the sex life of a man and his partner.

    But if the symptoms are not properly diagnosed, it may lead to other major issues. Hence knowing symptoms and properly-getting it diagnosed with the sexologist, is the foremost thing to do to treat Erectile dysfunction.
    If necessary, your doctor may refer you to a neurologist, a psychiatrist, an andrologist, or an endocrinologist for further tests.

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    Injections Some medicines can be injected or placed inside the penis to help create an erection.Testosterone Your doctor may recommend that you take this hormone if your levels are low.Devices and Surgery

    You may have a lot of questions regarding your condition. EAU Patient Information on ED covers many of these questions but it does not deal with your personal situation. The urologist and the sexologist are the best people to discuss this with and you should not feel embarrassed about addressing any of your concerns. Why have I developed this problem? Why is this happening to me? What will happen in the next months and years if I do not get treatment? What will happen in the next months and years if I choose to have treatment? Which are the available treatment options? Which treatment option do you recommend for me? Why do you recommend this treatment option for me? What can I expect from that treatment? What are the possible side effects or risks of this treatment? Will it cure my condition? How long will I need to be treated for?
    Men presenting with ED should have consideration for a cardiovascular work-up as significant numbers of these men have occult or asymptomatic heart or vascular disease.

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    Smoking, excessive use of alcohol and illicit drugs are also associated with ED.13 A study in 2005 suggests that ED is not only more likely among men who smoked compared with those who never did, but that in younger men with ED, cigarette smoking is very likely the cause of their impotence.14 15

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    Testosterone Free Direct with Total Testosterone includes both Free Direct and Total Testosterone results. Testosterone is a type of hormone (a steroid hormone). It travels around the body in the blood. Some of it floats about in the blood freely without being attached to anything else. This is 'free' testosterone. Some testosterone is attached/bound to a protein called SHBG (sex hormone binding globulin). Some testosterone is attached to a protein called albumin. So 'total' testosterone is the sum of all the testosterone in the blood, no matter what it is bound to. Free testosterone is floating around by itself and only a few percent of testosterone is free.

    Men who smoke a lot are at higher risk (double) of facing the episodes of erectile dysfunction. ED can become an ongoing problem for such men and cause total impotency. (Also Read: Smoking Causes Erectile Dysfunction)
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Low blood flow is the outcome of many diseases or bad lifestyles. The improper blood flow also affects suitable penis erection. Some of the reason for poor blood flow are;

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The penile implant allows men to achieve an erection through an implanted device. These devices can be effective in restoring sexual activity for a man and his partner. At Yale Medicine, our doctors have specialized experience with placing the penile prosthesis.

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To diagnose erectile dysfunction, the doctor will ask questions about the symptoms and medical history. A complete physical exam is done to detect poor circulation or nerve trouble. The physician will look for abnormalities of the genital area that could cause problems with erections.

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