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Jammwal said that strengthening the pelvic region can help a great deal. “KalariSutra is a set of 19 exercises which, if practiced daily, will help in rejuvenating your blood flow and bring sexual energy back into the pelvic region,” he said while demonstrating a set of exercises inspired from martial art form.

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Couple therapy- Seek a therapist to do away with the stress, anxiety or depression leading to erectile dysfunction.
A range of physical and psychological factors contribute to erectile dysfunction and this can occur at any age in men. However, the problem is more common in older men due to the aging process and the effect this process has on our circulatory systems, blood pressure and natural elasticity of our blood vessels. .

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Doctors have not tested the PDE5 inhibitors in patients with retinitis pigmentosa, an eye condition that affects the retina and can cause blindness, and so caution is recommended if you have this health condition.
You may not be able to use these drugs if you have any of the following conditions:

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Typically, they are taken 30-60 minutes prior to engaging in sexual activity and should not be used more frequently than once a day. Tadalafil (Cialis) is the only PDE5 inhibitor that is approved for daily use to avoid the timing factor and planning sexual activity.
Oral phosphodiesterase type 5 inhibitors (PDE5 inhibitors) unless contraindicated are the recommended first line medical therapy for erectile dysfunction. Currently, there are four different PDE5 inhibitors available. They all work the same way and have essentially the same results. They differ in how long they last in your body and in side effects.

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While not as effective as aerobic activity, anaerobic exercise has also proven to help improve sexual health and decrease factors that can contribute to ED. Examples of anaerobic exercise include high intensity interval training, sprinting, and heavy weight lifting.

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Men who smoke are about twice as likely to develop ED as nonsmokers. Smoking hampers circulation to all areas of the body, including the genitals, making it tougher to get and keep an erection.

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    Side effects of intraurethral alprostadil include pain in the penis and sometimes in the testicles, mild urethral bleeding, dizziness, and vaginal itching in the sex partner. Patients rarely report syncopal (fainting) episodes with initial use, and thus the first trial of this medication should be performed in the physician's office.

    In general, PDE5i works successfully in about 65%-70% of all men with erectile dysfunction (impotence). The greater the degree of damage to the normal erection mechanism and severity of the ED, the lower the overall success rate. Men with diabetes and those with spinal cord injury reported between 50%-60% responding successfully to treatment with oral PDE5i medications. The lowest success rate has been in men who developed ED (impotence) after prostate cancer surgery (radical prostatectomy) for more advanced prostate cancer that required removal of both sets of nerves around the prostate. In men who did not have the nerves removed/damage, there is a better chance of response to PDE5 inhibitors.
    Some men with erectile dysfunction report having either a partial erection that is unable to sustain sexual intercourse, or the total absence of swelling of the penis. The severity of erectile dysfunction can be assessed using the International Index of Erectile Function (IIEF-5), which uses a questionnaire to grade ED as either mild, moderate or severe.

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    One must be very careful using both PDE5 inhibitors and medications commonly used to treat an enlarged prostate, alpha-blockers (for example, tamsulosin [Flomax], terazosin [Hytrin]). It is recommended that one be on a stable dose of the alpha-blocker prior to starting a PDE5 inhibitor and that one start on a low dose of the PDE5 inhibitor and increase as tolerated and needed to treat the erectile dysfunction. Similarly, if you are on a PDE5 inhibitor and your doctor recommends that you start an alpha-blocker for your prostate, you should start at a low dose and increase as tolerated and needed to treat your prostate symptoms.

    Malleable implants usually consist of paired rods, inserted surgically into each of the corpora cavernosa. The rods are stiff, and to have an erection, one bends them up and then when finished with intercourse one bends them down. They do not change in length or width. The malleable implants are the least mechanical and thus have the lowest risk of malfunction. However, also have the least "normal appearance."
    In order that erectile dysfunction may be diagnosed, you have to "bring it up". Talk with your physician – your erectile dysfunction is not obvious to anyone outside of your sexual partner(s). Once addressed, your physician will likely conduct a detailed history and physical examination in an attempt to elucidate the potential causes of your ED. Blood sugar Cholesterol Blood pressure Hormonal levels (particularly testosterone) Genital examination Inguinal pulses (blood vessels in the groin) Neurological evaluation Medication history Recreational drug history Alcohol use and/or abuse Tobacco history

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    If regular exercise doesn’t resolve the issue, consult with your doctor. There are other options available to treat erectile dysfunction. Your doctor may suggest any of the following:

    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.
    You may be able to improve your sex life with a few lifestyle changes. Giving up smoking, losing weight, and exercising more often can improve your blood flow. If you suspect a medication could be to blame, talk to your doctor about adjusting the dosage or switching to another drug.

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    One must be very careful using both PDE5 inhibitors and medications commonly used to treat an enlarged prostate, alpha-blockers (for example, tamsulosin [Flomax], terazosin [Hytrin]). It is recommended that one be on a stable dose of the alpha-blocker prior to starting a PDE5 inhibitor and that one start on a low dose of the PDE5 inhibitor and increase as tolerated and needed to treat the erectile dysfunction. Similarly, if you are on a PDE5 inhibitor and your doctor recommends that you start an alpha-blocker for your prostate, you should start at a low dose and increase as tolerated and needed to treat your prostate symptoms.

    There are a number of significant benefits to energy wave therapy. For men who are candidates for this treatment option, a future without erectile dysfunction is perhaps the biggest benefit. The restoration of a man’s vitality and spontaneous active sex life are also major benefits of this exciting new treatment.
    Atherosclerosis (narrowing of the arteries)DiabetesHigh blood pressureSmokingUrological problemsPeyronie’s diseasePelvic traumaPelvic floor dysfunctionIncontinence

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Your partner may relate his or her own attractiveness and sexual attraction with the ability to get you sexually aroused. He or she can feel vulnerable, rejected, and fear infidelity or abandonment. These feelings may get worse the more often ED prevents you from having fulfilling sexual activity. While treatment to cure ED may solve the physical aspect, the psychological consequences for you and your partner may also need to be dealt with. It could help if you see a therapist.

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Surgery, including treatments for prostate cancer, bladder cancer, or BPH, can sometimes damage nerves and blood vessels near your penis. If the nerve damage is permanent, you’ll need treatment to get an erection. But sometimes surgery causes temporary ED that gets better on its own after 6 to 18 months.

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Start by lying on your back, hands flat on the floor, and knees comfortably bent and pointing upwards.Try to draw your penis inwards towards your body and hold for five seconds, then release.Now squeeze your anus muscles as if you are trying to stop a bowel movement and hold for five seconds, then release.Repeat steps two and three, eight to 10 times, and do three to five sets.

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