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The lab testing obtained for the evaluation of erectile dysfunction may vary with the information obtained on the health history, physical examination, and recent lab testing. A testosterone level is not necessary in all men; however, a physician will order labs to determine a patient's testosterone level if other signs and symptoms of hypogonadism (low testosterone) such as decreased libido, loss of body hair, muscle loss, breast enlargement, osteoporosis, infertility, and decreased penile/testicular size are present.

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Monitoring erections that occur during sleep (nocturnal penile tumescence) can help you and your doctor to understand if the erectile dysfunction is due to psychological or physical causes. The nocturnal penile tumescence test is a study to evaluate erections at night. Normally men have three to five erections per eight hours of sleep. The test can be performed at home or in a sleep lab. The most accurate way to perform the test involves a special device that is connected to two rings. The rings are placed around the penis, one at the tip of the penis and the other at the bottom (base) of the penis. The device records how many erections occur, how long they last, and how rigid they are. The test is limited in that it does not assess the ability to penetrate. .

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(2012). “Should men do pilates for pelvic floor muscle strength?” Prostate.net. Retrieved from: http://prostate.net/articles/pilates-for-pelvic-floor-muscles
You can buy sildenafil (Viagra) over the internet. Be very careful if you do this as many websites sell fake medicines.

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Not all men with erectile dysfunction want to be treated - it is a personal decision. For those who do, there are many options. The best-known treatment is medication. Viagra®, Levitra® and Cialis® all increase blood flow to the penis.
It's best to see a doctor before buying medicines online. They know your medical history and can discuss whether you might benefit from treatment.

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While these over-the-counter “Viagra alternatives” may be effective, there is no guarantee that they are safe. Some of the options sold online may contain ingredients that are dangerous to ingest.

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Medicine such as sildenafil (sold as Viagra) is also often used by doctors to treat erectile dysfunction. It's also available from pharmacies.

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    3. Johannes CB, Araujo AB, Feldman HA, et al. Incidence of erectile dysfunction in men 40 to 69 years old: longitudinal results from the Massachusetts male aging study. J Urol. 2000;163(2):460-463.
    If you use sildenafil, tadalfil, or vardenafil and get chest pains, be sure to tell the paramedics, nurses or doctors at the hospital that you use it and when you used it last.

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    Only a small subset of men with ED benefit from vascular testing, which can identify specific arterial or venous dysfunction amenable to surgical reconstruction. For the vast majority, such testing is unlikely to change management strategy. Thus, specialized testing is now limited to PDE-I non-responders, young men with post-traumatic or primary ED, men with Peyronie’s Disease, and legal investigations.

    Dr. Tam was great, after doing my initial labs and reviewing them with me he concluded that I have a hormone balance issue and prescribed a hormone optimization plan. I signed up for the monthly plan and now after my second month on the plan I feel great and energized again.
    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.

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    Over 20 Household Items You Can Use to Work Out if You Have Ankylosing Spondylitis

    A new study, conducted by The Erectile Dysfunction Foundation and the Private Gym for Men in USA, tested Kegel’s exercise to men with no sexual dysfunction problems as well as men with mild erectile dysfunction, premature ejaculation and decreased sexual performance. Nearly 6 out of 10 participants, aged from 24 to 65 years-old, had erectile dysfunction and premature ejaculation symptoms.
    What causes ED? There are many causes of impotence both medical and psychological. Often, age is a predominant factor in erectile dysfunction; however, your chronological age is not solely responsible for ED’s development. Men over the age of 40 typically experience ED as the result of inadequate blood flow to the penis, most often due to the narrowing of blood vessels. This can arise due to many causes including:

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    Dr Arnold Kegel introduced his programme of pelvic floor muscle exercises in 1948. Since then, it has been in use by both men and women with proven results to their sexual life and beyond that. Kegel’s programme not only improves the urinary incontinence, bowel and bladder control but also contributes greatly in sexual problems such as anorgasmy, a particularly usual sexual problem of women. As for men the health benefits include treating prostate pain, prostatitis, premature ejaculation, and erectile dysfunction. In the case you don’t have one of the above problems you can still use these exercises to boost your erectile function and improve your sexual performance.

    This is usually caused by stress, tiredness, anxiety or drinking too much alcohol, and it's nothing to worry about.
    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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A significantly larger proportion of patients had successful sexual encounters within 15 minutes of taking avanafil (Stendra) compared with placebo (P≤0.05), John Mulhall, MD, of Memorial Sloan Kettering Cancer Center in New York, and colleagues reported here at the World Meeting on Sexual Medicine.

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Your pelvic floor muscles are the ones you contract to stop peeing midstream. Try it. Stop urinating, start and stop again. You're clenching your pelvic floor muscles to make that happen, the same as you do when you're trying not to fart in public.

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The blood vessel processes that lead to an erection are controlled by your nervous system. Some medications can interfere with the nerve signals that make an erection happen. They include certain stimulants, sedatives, diuretics, antihistamines, and drugs to treat high blood pressure, cancer, or depression. But never stop taking a medication unless your doctor tells you to. Alcohol, tobacco, and illegal drugs, such as marijuana, may also contribute to ED.

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Cialis and Tadalafil have a much longer duration of action, 36 hours, and that is why it’s referred to as the week-end pill as you can take it on a Friday night and it’s still in your system on Sunday morning.

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