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Many men experience erectile dysfunction intermittently, especially during times of stress. If it is a recurring event, however, it can signal an underlying medical or emotional issue. This should be addressed by a healthcare professional.

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Tests which your doctor may perform can include; a heart rate check, ultrasound to measure blood flow in the penis, measurements for weight and height, a blood pressure test, or a physical examination of the penis itself.
Nitric oxide (NO) mediates the vasodilation (widening of blood vessels) in the penis, increasing blood flow. Let’s break that down a bit further. Nitric oxide tells specific muscles in the penis to relax. The relaxation of those muscles allows blood flow to increase to the erectile tissues of the penis, causing the penis to enlarge and grow rigid, forming an erection. .

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Assessment of combination therapies vs monotherapy for erectile dysfunction: a systematic review and meta-analysis
They will discuss your symptoms, evaluate your medical history and recommend a treatment plan to address your issues and improve your sexual health.

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In the past, doctors tended to blame erectile dysfunction on psychological problems or, with older men, on the aging process. Medical opinion has changed. While it takes longer to get aroused as you age, regular erectile dysfunction deserves medical attention. Also, the problem isn't usually psychological. Urologists now think physical problems contribute to most long-lasting cases of ED in men over 50.
https://pubmed.ncbi.nlm.nih.gov/16526979/ Physical Activity to Improve Erectile Function: A Systematic Review of Intervention Studies. (2018)

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Viagra was introduced in 1998 (the others in 2003) and revolutionized the way that men and their partners looked at ED.

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There have been multiple studies that verify the effectiveness of the shock wave treatment used in GAINSWave therapy.

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    35-90% of diabetic men also experience ED. Hyperglycemia can have a negative impact on several aspects of erectile function. Complications and changes associated with diabetes can compromise macrovascular and microvascular structures, the nervous system, and blood vessel linings.

    Urology, Male Infertility & Reproductive Health, Reconstructive Urologic Surgery & Trauma
    Where Viagra needs initial stimulation with foreplay, a relaxed mind, and a peaceful environment, penile pumps do not require these steps. Since Viagra works on the chemicals in the body, called neurotransmitters, any chemical or psychological problem in these pathways can cause it to fail. Contrarily, penile pumps act as mechanical stimulators by working directly on the penis and inducing an erection by drawing in blood.

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    “We have a treatment for everyone,” says Stanton Honig, MD, a director of the Yale Medicine Male Reproductive Health Program. “It's just a matter of what option you choose.”

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    BlueChew brings all of the convenience of a good telemedicine provider — you can consult with a BlueChew-affiliated doctor for free from the comfort of home and never travel to a doctor’s office or pharmacy to get your ED treatment.

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    Before starting testosterone therapy, a doctor needs to perform a thorough evaluation of the patient.

    Andrology and Genito-Urethral Surgery Endourology Female, Neurological and Urodynamic Urology Oncology
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    “For men who have failing erections, the penis is a barometer of what’s happening in the rest of the body,” explains urologist Wayne Hellstrom, MD, professor of urology at the Tulane University School of Medicine in New Orleans.

    Preference for Viagra isn’t just a sugar-pill thing, either; there are differences in dosage to consider. Viagra commonly comes in 25mg, 50mg, and 100mg doses, with a typical dose of 50mg prescribed at the outset for men under 65. Sildenafil, meanwhile, comes in a broader range of options, including 20, 30, 35, 60, 80, and 100 mg. So, it’s the same active ingredient (sildenafil), which acts in the same way in the male body. But you may experience different levels of efficacy and side effects depending on the dosage.
    Your Guide to Erectile DysfunctionTrusted, comprehensive information and resources for ED.

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These findings suggest that patients who present with ED and CV risk factors should be evaluated for silent CVD and should undergo a thorough CV evaluation.

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Reduction of “bad” cholesterol (low-density lipoprotein or LDL) levels in the blood, as well as the total level of cholesterolReduction in body weight (obesity is associated with cardiovascular disease) Increase in insulin sensitivity (exercise increases the body’s ability to control glucose levels in the blood)Increase in “good” cholesterol (high-density lipoproteins)

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24. de Tejada IS, Anglin G, Knight JR, et al. Effects of tadalafil on erectile dysfunction in men with diabetes. Diabetes Care. 2002;25(12):2159-2164.

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