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Fabbri, A., Jannini, E. A., Gnessi, L., et al (1989) Endorphine in male impotence: evidence for naltrexone stimulation of erectile activity in patient therapy. Psychoneuroendocrinology, 14, 103–111.CrossRefGoogle Scholar

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Because of the obvious nature of the predominant ED symptom - that is, failing to achieve or maintain an erection - ED can normally be self-diagnosed. Despite the fact that ED can be detected from a self-diagnosis, it is important that any new or different symptoms be discussed with a doctor when they arise. Even if you are reluctant to discuss the ED problem itself with a health professional, it is important that you book a check-up in order that any underlying health conditions which may be related to ED are detected and addressed.
Charney, D. S., Heninger, G. R., & Redmond, D. E. Jr (1983) Yohimbine induced anxiety and increased noradrenergic function in humans: effects of diazepam and clonidine. Life Sciences, 33, 19–29.CrossRefGoogle ScholarPubMed .

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Smokers have been shown to have a higher risk of erectile dysfunction than men who have never smoked. Smoking hurts blood circulation and interferes with the flow of blood to the penis.
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What erectile dysfunction studies are under way? What are future treatment options?
Spedra is recognised as being the fastest acting oral medication for ED. Doses are 50mg, 100mg or 200mg tablets. The 100mg strength is the recommended starting does which should be tried four times before an increase to the 200mg dose is advised. The maximum dose should be tested on eight occasions before it is confirmed as being ineffective for an individual. Spedra can be taken as little as 15 minutes before sexual intercourse.

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Foot raises not only strengthen your pelvic floor, but other muscle groups in your hips, legs, and buttocks, too.

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When it comes to your manhood, blood flow is everything. If you’re not able to provide your “package” with the amount of blood it needs, you will experience mild to severe performance issues. When you turned 20 years of age, two significant changes began to take place in your body without you knowing. Your body stopped generating new blood vessels within your manhood. Blood vessels are vital to your erections because they are the only channels that deliver blood to your manhood. Less channels equals less blood, which results in weaker erections. Micro-plaque began to build within these blood vessels – called atherosclerosis. As you age, the micro-plaque within your vessels continues to build up, and acts like a dam to restrict blood flow. More micro-plaque build-up equals less blood passing through. Because of this, men in their thirties may begin to notice that their erections aren’t as robust as they used to be. Ultimately, this leads to ED. The GAINSWave procedure breaks up the micro-plaque formation in your blood vessels and stimulates the growth of new blood vessels. This vastly increases the blood flow to your manhood, resulting in more robust and powerful erections. Best of all, GAINSWave is non-invasive, drug-free and leaves you with no down-time. I’ve had 7 treatments. I’ve noticed that after the GAINSWave protocol, my sexual performance improved dramatically in terms of firmness, length and quality of orgasm, and just overall sexual pleasure. I don’t have ED, but I don’t want to experience it when I’m in my mid-forties. So, I decided to try it out after hearing about Dave Asprey’s experience with it. After treatment, I noticed that I hadn’t woken up with an erection in a few years. Now, things are not just working, they’re working at a crazy level. It’s like I’m in my twenties again and I just turned 40 this year. You should try it even if you don’t have ED... trust me. I’m 70 years-old and I had Peyronie’s disease. I tried GAINSWave 3 years ago for the first time and within just the first couple of treatments I felt a complete revitalization of my sexual activity. I feel more confident, stronger and I’m able to keep an erection longer. I'm going for an hour to an hour and a half every night now... A few years ago, I went through a divorce. I was married a long time and I started having some issues with being intimate in bed with new women, which led to more and more confident issues, and that’s not fun when you’re single in today’s world. I’ve tried so many other treatments, and nothing seemed to work...So I tried GAINSWave. It has been without a doubt the best thing I have tried so far. Nothing else I’ve ever tried has come close to bringing me the results GAINSWave has. I no longer suffer from confidence issues, I’m happy and everything works better than before. I was having some issues. I couldn’t get it up like I used to, which started affecting my partner because he thought it was because of him. Intimacy is a big part of our marriage, so when I began having experiencing issues, it became a struggle for us. My partner began to question his self-image, confidence and all that stuff. I tried GAINSWave and it worked really well. I can’t say enough positive things of how it helped us get our marriage back together. You need to speak with someone about this. It can be fixed. We’ve partnered with hundreds of physicians across the nation to provide you with a streamlined and effective experience. With no downtime, you can test drive your new results immediately after treatment!

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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%).

    Erectile Dysfunction Guideline Update Panel: “The management of erectile dysfunction: an update,” American Urological Association Education and Research, Inc., Baltimore, Md., 2005.
    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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    Scleroderma (stiffening or hardening of the skin)Kidney failureLiver cirrhosisHemachromatosis (too much iron in the blood)Chronic obstructive pulmonary disease

    Steege, J. F., Stout, A. L. & Carsen, C. C. (1986) Patient satisfaction in Scot and Small carrion penile implant recipients: a study of 52 patients. Archives of Sexual Behaviour, 15, 393–399.CrossRefGoogle Scholar
    As men age, the amount of testosterone in their bodies gradually declines. Although a direct cause and effect relationship between testosterone deficiency and erectile dysfunction has not been proven, decreased testosterone levels in patients with erectile dysfunction have been observed in clinical settings. Atherosclerosis (hardening of the arteries) Stress, anxiety, or depression Alcohol or tobacco use Some prescription medicines Tiredness Brain or spinal cord damage Low testosterone Multiple sclerosis Parkinson’s disease Radiation therapy to the testicles Stroke Some types of prostate or bladder surgery

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    The major cause of erectile dysfunction is restricted blood flow to the penis because of narrowed blood vessels. In fact, because the vessels in the penis are very small compared to other parts of the body, problems with erectile dysfunction can be a warning sign that other vessels, such as those leading to the heart, may eventually be affected. Diabetes, which also can affect the blood vessels, also is linked to erectile dysfunction.

    In the evaluation of physical causes of ED, the health care provider is assessing for conditions that may affect the nerves, arteries, veins, and functional anatomy of the penis (for example, the tunica albuginea, the tissue surround the corpora). In determining a physical (or organic) cause, your health care provider will first rule out certain medical conditions, such as high blood pressure, high cholesterol, heart and vascular disease, low male hormone level, prostate cancer, and diabetes, which are associated with erectile dysfunction. Medical/surgical treatment of these conditions may also cause ED. In addition to these health conditions, certain systemic digestive (gastrointestinal) and respiratory diseases are known to result in erectile dysfunction:
    The Department of Urology brings together the best of patient care, education and research. Urology Research

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    The patient can inject medications directly into the corpora cavernosa to help attain and maintain erections. Medications such as papaverine hydrochloride, phentolamine, and prostaglandin E1 (alprostadil) can be used alone or in combinations to attain erections. All of these medications are vasodilators and work by increasing blood flow into the penis. Prostaglandin E1 (Caverject, Edex) is easier to obtain; however, it is associated with penile pain in some individuals. The use of combinations of two or three of these medications can decrease the risk of having penile pain.

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    Gerstenberger, D. L., Osbourne, D. & Furlow, W. L. (1979) Inflatable penile prosthesis: follow-up study of patient-partner satisfaction. Urology, 14, 583–587.CrossRefGoogle ScholarPubMed

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You should not take more than 1 dose in 24 hours. Tadalfil and vardenafil come in tablets of 2.5 mg, 5 mg, 10 mg and 20 mg. Sildenafil comes in tablets of 25 mg, 50 mg and 100 mg.

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Hypertension (high blood pressure) is associated with ED and is seen more commonly among aging men. In addition, medications prescribed for hypertension, such as beta blockers and thiazide diuretics, have been shown to have detrimental effects on erectile function.

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Checking the penis for sensitivity determines any nervous system origins. Inspection of penile appearance helps rule out Peyronie's disease. A blood pressure check rules out circulation problems by checking wrist and ankle pulse.

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