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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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If you are taking medications (alpha-blockers) for problems with an enlarged prostate, you should discuss your prostate medications with your doctor. Alpha-blockers also can cause a lowering in blood pressure. Thus your doctor will need to carefully watch your blood pressure when you start the PDE5 inhibitor. Common alpha-blockers include doxazosin (Cardura), terazosin (Hytrin), and tamsulosin (Flomax). .

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CALIFORNIA UROLOGIST SERVING NORTHERN CALIFORNIA FROM SAN JOSE Home About Us Meet Dr. Gholami Patient Resources Services and Procedures Urologic Conditions Blog Helpful Links Contact Us Penile Injection Therapy What is Penile Injection Therapy?
Compared to aerobic exercise like jumping on a treadmill, performing pelvic floor muscle exercises are super discreet. In fact, the pelvic floor muscles aren't visible — but you'll feel them!

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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
Kegels can strengthen the pelvic floor muscles, which support the bladder, bowel, and may have an impact on sexual function.

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Myers, B. & Baum, M. J. (1979) Facilitation by opiate antagonists of sexual performance in the male rat. Biochemical Behaviour, 10, 615–618.CrossRefGoogle ScholarPubMed

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While erectile dysfunction can occur at any age, the risk of developing erectile dysfunction increases with age. According to the Massachusetts Male Aging Study, the prevalence of erectile dysfunction was 52% in men 40-70 years of age and the prevalence of complete erectile dysfunction increases from 5% at 40 years of age to 15% among men 70 years of age and older.

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    When using a PDE-5 medication, the man suffering from ED takes the medication at least 15 minutes before he expects to have sexual intercourse. This takes away some of the spontaneity of sex.

    When someone has ED, they cannot achieve or maintain a firm erection long enough to enjoy satisfying sexual activity. The condition is sometimes referred to as erectile disorder or impotence.
    While oral medications are a common first step for therapy, they only tend to work in about 50 percent of men with diabetes. Diabetic men are more likely to move on to other treatment options, such as the pump, penile injection therapy, and penile implants. However, the penile implant has the highest satisfaction rate of all treatment options.

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    Studies show that regular exercise (40 minutes of aerobic exercise a day, four times a week for six months) is enough to improve sexual dysfunction in men who have ED because they are overweight or have hypertension, a metabolic disorder, or cardiovascular disease.

    Copyright © 2021 Atsbeha, Kebede, Birhanu, Yimenu, Belay and Demeke. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. Health guides > Erectile Dysfunction > How to Get an Erection Faster and Stay Hard Longer... How to Get an Erection Faster and Stay Hard Longer By Irmanie Hemphill, MD, FAAFP Medically reviewed April 15, 2021 Table of contents What is an Erection? Longer Lasting Erections What is ED? Stay Hard Longer Prescription Options When to See a Doctor Share: Table of contents What is an Erection? Longer Lasting Erections What is ED? Stay Hard Longer Prescription Options When to See a Doctor
    A doctor may ask for the following laboratory tests in the evaluation of erectile dysfunction:

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    Wiles, P. G. (1988) Successful non-invasive management of erectile impotence in diabetic men. British Medical Journal, 296, 161–162.CrossRefGoogle ScholarPubMed

    What is erectile dysfunction? WebMD's pictures explain the symptoms, causes, and treatments, including medicine and alternative approaches, for impotence.
    In the U.K, ED is thought to affect 1 in 10 men and more than 50% of men over 40 years of age will experience some form of ED.

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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)

    The pulses in your legs will normally be assessed and the nerve reflexes involving your legs, and your penis or anus (back passage). Rectal examination (pictured) may be performed to assess the tone of your anal muscles and to feel your prostate gland.
    Combination therapy for the treatment of erectile dysfunction has been under investigation. Most of these studies have been small trials, and long-term data regarding their effectiveness and safety are lacking. However, with thorough evaluation and counseling, there may be a use for combination therapy for certain individuals with ED.

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Over the years, the medical management of erectile dysfunction has evolved greatly. For instance, before oral phosphodiesterase inhibitors (PDESi) like Cialis, Standra, Viagra, Levitra and related medications were introduced, doctors could administer one of only two effective treatments for erectile dysfunction: surgical penile revascularization and implantation of a penile prosthesis.

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In post-prostatectomy patients, about 40% reported success with the drug compared with 4.5% in the placebo group (P<0.0005). Success rates were similar for men attempting sex within 16 to 30 minutes, and more than 30 minutes after dosing, they found.

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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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