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To understand what causes erectile dysfunction (ED) or impotence, it is important to first review how an erection occurs. For a man to have an erection, a complex process takes place within the body. Erectile dysfunction is a term related to male sexual dysfunction and will be the only subject covered in this article.

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Medications may include drugs to manage underlying health conditions such as diabetes, high blood cholesterol, or kidney diseases in addition to medications that specifically target erectile dysfunction. Sildenafil Tadalafil Vardenafil Avanafil Alprostadil (injectable drug or a suppository) .

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Aerobics can improve heart rate, PCSA, and Neural drive and help to perform better.
Can’t or don’t want to take ED drugs? The vacuum pump method is the next most common choice among men with erectile dysfunction who pass on pills, says Dr. Bennett. To create an erection, you place a plastic cylinder over the penis and pump the air out of the cylinder to force blood to flow into the penis. An elastic ring that you slide onto the base of your penis holds the erection. This ED treatment device is effective for about 75 percent of men. Side effects include numbness, bruising, and weak ejaculation — and the ring must be removed after 30 minutes.

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Stress, both in and out of the bedroom, can make it difficult for a man to achieve an erection. Depression, anxiety, and the medications to treat them may also contribute to impotence.
Surgical treatment mainly consists of penile implants or surgeries to repair damaged blood vessels (revascularization surgery).

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The first time he experienced ED in his mid-50s he thought it was just a fluke, which was a reasonable assumption to make. More than half of men experience episodic erectile dysfunction at some time in their life from things like stress, too much alcohol, or as a side effect of medication. Read More About Gene's Story

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    General good health, particular cardiovascular, is important for sexual function. Three exercises that may be particularly helpful are pelvic floor exercises, aerobic exercise, and anaerobic exercise.

    19. Staxyn (Vardenafil) [Prescribing Information]. Research Triangle Park, NC: GlaxoSmithKline; August 2017.
    All patients are strongly advised to take their sexual partners fully into their confidence when on this program. This is not the time to be secretive about what you are doing. Be honest and open with your partner and gain their support. What to do if an erection lasts more than 3 hours? If an erection is painful or persists for more than 3 hours the following treatment should be commenced. Have a hot shower Exercise. This can easily be achieved by pushing in your wheelchair for approximately 20 minutes. Take 60mg of Sudafed. (This means you should purchase a packet of Sudafed before you use the injection at home and always have it with you when using the injections).

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    Penis exercise “may sound good,” says Hellstrom, “but I don’t think there are data to support it.”

    Cialis is considered to be the strongest ED pill available in terms of time. It is recognised as being effective over a 36 hour time frame.
    This condition is characterized by the bending or curvature of the penis, or narrowing of the penile shaft. Scarring related to Peyronie’s disease can cause circulation problems in the penis.

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    Another second-line therapy is the use of alprostadil, either intracavernosal or intraurethral. Two products are available for direct injection, Caverject (Pfizer) or Edex (Actient). A small needle is used to inject the medication into the lateral aspect of the penis through a small-gauge needle.

    Keep your thighs, buttocks, and abdominal muscles relaxed as you squeeze the pelvic floor for a count of three.
    These pilate exercises activate the right group of muscles and maintain pelvic floor strength while moving. Pilates are highly beneficial in keeping away issues like erectile dysfunction. But you must know that proper training is necessary to learn pilate properly to avoid any injuries or muscle pull.

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    Results: A total of 65 men participated in the study. Of the total study participants, 33.8% were aged 25–34 years and about 40% of them had multiple sexual partners. The use of sildenafil for recreational purposes was 66.2% and was found to be higher than its use for medical purposes 33.8%. Use of the drug for <1-year duration (AOR = 34.086, 95% CI [2.90, 401.37]) and 2 years duration (AOR = 21.42: 95% CI [2.10, 218.82]) were significantly associated with its use for recreational purpose. Non-recreational use of sildenafil includes erectile problems associated with diabetes mellitus (27.1%), heart disease (9.2%), hyperlipidemia (4.2%), and relationship problems due to stress and poor communication (3.1%).

    4. https://theconversation.com/erectile-dysfunction-exercise-could-be-the-solution-108441
    Morales, A., Condra, M., Owen, J. A., et al (1988) Oral and transcutaneous pharmacological agents for the treatment of impotence. In Contemporary Management of Impotence and Infertility (eds. Tanagho, E. A., Lue, T. F. & McClure, R. D.). Baltimore: Williams & Wilkins.Google Scholar

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Depending on your goals, anywhere from 6 – 12 treatments. We also have a preventative maintenance and performance program to maintain results and optimize performance.

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This depends on whether you know what it is causing your ED. There are some things you can do that may help prevent ED, including: Avoid drinking too much alcohol, smoking, or abusing drugs. Ask your doctor if ED is a side effect of a new or current medicine you are taking. He or she may have an alternative medicine. Control your blood sugar and blood pressure. Try to relax and avoid stress.

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Many men prefer to take an ED medication only when they need it, rather than at the start of a day when they may or may not have sex. These men also understandably want that drug to take effect as quickly as possible and with the lowest chance of side effects.

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Many men have micro-plaque in their penises without realizing it. Contact sports, other athletic activity, and vigorous sex can cause the formation of micro-plaque. As a man accumulates micro-plaque over time, he can develop conditions like Peyronie’s disease, which can cause erectile dysfunction. Peyronie’s disease leads to painful curvature of the penis that can make sex impossible or unenjoyable. GAINSWave® therapy breaks down micro-plaque to treat or prevent Peyronie’s disease.

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