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Almost any disease or condition can affect erectile function by altering the nervous, vascular, or hormonal systems.

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As with vardenafil, doctors do not recommend tadalafil for men with the following conditions: Unstable angina (chest pain due to coronary artery disease that occurs at rest or with minimal physical exertion) Low blood pressure (resting systolic blood pressure less than 90 mm Hg) Uncontrolled high blood pressure (greater than 170/110 mm Hg) Recent stroke or heart attack (within six months) Uncontrolled, potentially life-threatening abnormal heart rhythms Severe liver disease Severe heart failure or disease of the heart valves (for example, aortic stenosis) Retinitis pigmentosa
ED can be frustrating in its own right, but it can also lead to any of the following: .

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Lal, S., Ackman, D., Thavundayil, J. N., et al (1984) Effect of apomorphine, a dopamine receptor agonist, on penile tumescence in normal subjects. Neuro-Psychopharmacological and Biological Psychiatry, 8, 695–699.CrossRefGoogle ScholarPubMed
Step 2. Specialist Phone Consultation (Free) – Once the specialist has reviewed the medical records and approved your case, we will present options and pricing, at which point we will also offer a free phone consultation to discuss questions and concerns.

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Any exercise which increases your heart and breathing rate is known as aerobic exercise - so that includes many different types of exercise, from football, running and badminton to spinning, dancing and swimming.
Yes, the vacuum device is effective. In fact, with the use of the vacuum device, 88% of men will have an erection that is satisfactory for the completion of sexual activity. The vacuum device may be the only therapy that is effective after the removal of a penile prosthesis. Patients also use vacuum devices as part of penile rehabilitation after radical prostatectomy to help preserve the tissue of the penis and prevent scarring within the penis and loss of penile length. Its use, however, is limited by its mechanical nature of it and the time taken to pump the device and apply the band. Sex partners may complain about the penis being cool to touch.

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Physical causes of ED can include; hormonal conditions such as diabetes, hypogonadism and an under or overactive thyroid, which can affect hormone levels adversely; anatomical conditions such as Peyronie's disease(due to scar tissue inside the penis); vascular conditions like high blood pressure, diabetes and cardiovascular disease; and neurogenic conditions (affecting the nervous system) such as Parkinson's disease and multiple sclerosis.

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GAINSWave works by using high-frequency acoustic waves to open existing blood vessels in the penis, stimulate the growth of new blood vessels, and eliminate micro-plaque. The result is increased blood in the penis resulting in stronger, harder, and more sustainable erections.

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    Fortunately, medical treatments are available that can help patients address these challenges and enjoy more satisfying sexual experiences.

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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.

    There are also case reports associating the use of Sildenafil with recurrent epistaxis. The number of similar cases might increase due to the diffusion of PDE-5 inhibitor overuse in recreational settings (15, 16). Case reports of type A and B aortic dissection have also been reported with sildenafil abuse (17). In some cases, patients may experience vomiting, diarrhea, and abdominal pain shortly after the ingestion of sildenafil and may be found to have aortic dissection upon admission to a hospital (18).
    https://pubmed.ncbi.nlm.nih.gov/16526979/ Physical Activity to Improve Erectile Function: A Systematic Review of Intervention Studies. (2018)

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    A man could try new activities, like swimming. Yard work and gardening count as physical activity. A man’s goal should be to be physically active for 30 minutes a day, at least four days a week.

    In patients with low testosterone, testosterone treatment can improve libido and erectile dysfunction, but many men still may need additional oral medications such as sildenafil, vardenafil, or tadalafil. Some studies suggest that men with ED and low testosterone may respond better to PDE5 inhibitors when given testosterone therapy; however, this is controversial.
    Lal, S., Tesfaye, Y., Thavundayil, J. K., et al (1989) Apomorphine: clinical studies on erectile impotence and yawning. Neuro-Psychopharmacological and Biological Psychiatry, 13, 329–339.CrossRefGoogle Scholar

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    *Comments from all success stories and reviews are the expressed opinions of those patients and their experience and do not represent guaranteed results. All before and after photo results vary and are not guaranteed.

    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.
    Some men should not take PDE5 inhibitors. They can cause hypotension (abnormally low blood pressure that can lead to fainting and even shock) when given to patients who are taking nitrates (medications taken for heart disease). Therefore, patients taking nitrates daily should not take any of the PDE5 inhibitors. Nitrates relieve angina (chest pain due to the insufficient blood supply to the heart muscle because of narrowing of the coronary arteries); these include nitroglycerine tablets, patches, ointments, sprays, and pastes, as well as isosorbide dinitrate and isosorbide mononitrate. Other nitrates such as amyl nitrate and butyl nitrate also are in some recreational drugs called "poppers."

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Testosterone. It’s a male hormone. If you have a normal testosterone level, you don’t need more.

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It is recommended that each form of ED medication is taken at least eight times before it is deemed to be effective or otherwise. The effectiveness of any medication will vary according to the individual, so it is advised that you try the range of ED medicines available in order to find the most suitable one for you.

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Erectile dysfunction occurs when a man is not able to maintain or get an erection. It’s common in men of all ages. Facing erectile dysfunction once in 2-3 months is fine. But if it becomes an ongoing problem, it needs medical intervention in time.

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You don’t have to suffer from erectile dysfunction on your own. Did you know you can get affordable erectile dysfunction treatment with the K Health app? Chat with a doctor and get prescription treatment for as low as $11. Learn more here. Frequently Asked Questions What causes an erection? During the arousal process, a man’s brain sends signals through his nervous system to the muscles around the arteries in his penis, telling them to relax and allow increased blood flow. That blood engorges and stiffens the penis, readying it for sexual activity. How long can the average man stay erect? There is no universally average amount of time that a man should have an erection. According to one study that timed 500 heterosexual couples having sex, men’s erections last anywhere from less than a second to 44 minutes. How can you maintain an erection? Healthy lifestyle habits can help your erections feel healthier and last longer. Eating well, exercising, abstaining from smoking or drinking alcohol, getting enough sleep, communicating with your partner, and reducing stress can all play a role in improving your sexual responsiveness. Why can’t I get an erection? Factors like heart disease, obesity, diabetes, hypertension, alcohol, drugs, and age can negatively affect your penis’s ability to perform. If you chronically struggle with achieving or maintaining an erection, talk to your doctor about erectile dysfunction and whether a prescription drug might be right for you. K Health articles are all written and reviewed by MDs, PhDs, NPs, or PharmDs and are for informational purposes only. This information does not constitute and should not be relied on for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. 11 SOURCES

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