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We are happy to meet with you within 48 hours on Monday through Friday to provide an e-consult. Please provide the information below so we can contact you. May we share your question and the answer with others? We will not expose your name or any identifying information. Patients: Make an Appointment Select a departmentUrologic Subspecialty Clinic at Parnassus (non-cancer)Urologic Surgical OncologyWomen’s Center for Bladder and Pelvic HealthMale Reproductive HealthPediatric Urology (Children)Lifetime Congenital Urology Program (L-CUP)

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Get the painless, non-invasive, drug-free, safe, and effective erectile dysfunction treatment. The latest and most advanced shock wave therapy machine from Germany is now available at the Institute of Andrology and Sexual Health (IASH), Jaipur. Low-intensity extracorporeal shock wave therapy (Li-ESWT) has been proposed as a new non-invasive treatment for erectile dysfunction, causing blood vessels to carry blood to the penis.
If you have a problem getting or keeping an erection hard enough for you to have sex with your partner, you may have erectile dysfunction. The condition is common in men over 40 years of age, although it can affect men of all ages. Symptoms may differ from person to person. Some men do not get an erection at all, others may be able to get an erection but can’t maintain it long enough for sex and some men get an erection, but it is not hard enough for sex. Lose weight if you are overweight Stop smoking, as it damages blood vessels Don’t drink more than 14 units of alcohol per week Eat a healthy, balanced diet Exercise regularly Try to reduce your stress levels

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Urology, Male Infertility & Reproductive Health, Stone Disease, Urologic Oncology
A meta-analysis of 36 744 men with ED in 12 prospective cohort studies found that the presence of ED significantly increased the risk of CVD, CAD, stroke and all-cause mortality, and the presence of ED was an independent risk factor for CVD. Ponholzer et al found that men with moderate to severe ED had a 65% increased relative risk for developing symptomatic CAD compared with men who did not have ED.26

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Many sexual health clinics offer a walk-in service, where you do not need an appointment. What happens at your appointment

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Can be part of a combination therapy plan if properly supervisedPellet must be inserted directly into penis through urethral opening

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    Aspirators Catheters Cystoscopes Evacuators Lasers Lithotomy Instruments Lithotrites Nephroscopes Prostatic Punches Resectoscopes Urethrotomes & Dilators Urethroscopes Instruments in Other Collections

    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)
    Aetna considers self-administered injectable medications for the treatment of erectile dysfunction medically necessary.Footnotes* Medically necessary self-administered medications for erectile dysfunction include: Injections into the corpus cavernosa to cause an erection (papaverine, alprostadil, phentolamine) and, Medicated Urethral System for Erection (MUSE) method of treatment for erectile dysfunction that involves inserting medication through a small catheter into the urethra.

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    Aetna considers surgical correction of Peyronie’s disease (e.g., plaque excisions and venous graft patching, tunica plication, Nesbit tuck procedure) medically necessary for the treatment of members with Peyronie's disease for 12 or more months with significant morbidity who have failed conservative medical treatment. Surgical correction of Peyronie's disease is considered experimental and investigational when criteria are not met.

    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.
    The vacuum device is relatively well tolerated but may cause pain, bruising and numbness.

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    Your GP should work through a recommended scheme of assessment for men with erectile dysfunction (impotence). This will normally include some or all of the following:

    Atherosclerosis and diabetes are common causes of long-standing erectile dysfunction. Other health issues that can significantly contribute to the problem of erectile dysfunction include Heart disease Obesity Hypertension (high blood pressure) Hyperlipidemia (high lipid or cholesterol level) Benign enlargement of the prostate Parkinson’s disease Sleep disorders Chronic kidney disease Liver disease Injury to the penis or prostate Accidents involving trauma to the spinal cord Multiple sclerosis Peyronie’s disease (formation of scar tissue under the skin of the penis) Treatments for prostate cancer Radiation therapy Prostate surgery Surgery for bladder cancer
    Traditional treatments for erectile dysfunction have centered on medications given orally. The brand names of these drugs include Cialis, Levitra, Stendra, Staxyn, and Viagra®.

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    Risk of ED is higher if you have high blood pressure, diabetes, vascular disease, low testosterone, history of prostate surgery, or take certain medications. Stress and other psychological aspects can sometimes play a role.

    Erectile dysfunction (ED) is most often characterized by the inability to achieve and/or maintain a reliable, firm, prolonged erection that is adequate for sexual activity. For some men, problems with erections are isolated or situational, while others experience chronic ED due to an underlying condition or mechanical abnormality. Oftentimes, ED is multifactorial, meaning there is more than one factor contributing to the patient’s symptoms. Some of the most common erectile dysfunction risk factors and causes include: Hormone imbalance/low testosterone Andropause Age Poor circulation Heart disease Obesity Certain medications Drug/alcohol use Psychological factors Stress/anxiety Trauma Previous surgery/prostate surgery
    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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The man must be sufficiently stimulated psychologically.His nerves which carry the signal of initiating an erection must be intact and in good health.The blood vessels in the penis or groin which carry the blood must be healthy.Pelvic muscles must be toned enough to lift the penis up when the blood fills the penis, thus solving all the penis problems.

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One type of blood test can check your thyroid function. A butterfly-shaped gland in your neck, it has a lot of jobs to do. One of them is to help with the flow of sex hormones. This test can check whether it’s working right.

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The book turned out to be informative and practical, it provides tips and easy ways out through diets, exercises and other natural ways to reverse ED. Anyway, I consider it does not replace a doctor. Those suffering from this should still consult with one.

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Titrating doses of injectable impotence medications that are administered in a physician's office and the accompanying office visits are considered medically necessary. This includes in office titrating doses of papaverine, alprostadil (prostaglandin E1 or Caverject) and phentolamine. Except for phentolamine, which is not generally used alone, these drugs can be used alone or in combination. The drug MUSE, a pellet from of alprostadil, is also used as an alternative to alprostadil injections.

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