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The clinical term for this treatment used by urologists is low-intensity shockwave therapy (LiSWT). During the treatment, a small wand-like device uses targeted sound waves to stimulate penile tissue and encourage blood flow, which can also speed up the healing process. Low-intensity shockwaves have also been shown to grow new blood vessels and improve blood flow in the penis, which is essential for erections.

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Exercising regularly and eating a nutritious, varied diet can improve your sexual health and lead to a higher quality of life. Eating a varied, nutrient-rich diet Engaging in challenging physical activities, including aerobic exercise and strength training, at least three hours per weekInvesting time and energy into rewarding personal relationships Quitting smoking and drug useReducing alcohol intake Reducing stress Seeking treatment for mental health issues like depression and anxiety
Legros, J. J., Chiodera, P., Mormont, C., et al (1980) A psychoneuroendocrinological study of sexual impotence in patients with abnormal reaction to a glucose tolerance test. Advances in Biological Psychiatry, 5, 117–124.CrossRefGoogle Scholar .

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ED is a common urologic condition that causes serious emotional damage to men. Risk factors and predictors for ED include age, CVD, hypertension, diabetes, smoking, and certain medications. CVD and ED share several risk factors, and ED may be a precursor for future CV events. PDE5Is along with lifestyle modifications are considered first-line for treatment of ED in most men.
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Men with new onset ED and no signs or symptoms of CVD are at increased risk for experiencing a CV event in the subsequent 3–5 years.24
Conclusions The present study suggests that physical activity and exercise interventions improve patient-reported erectile dysfunction, particularly aerobic exercise with moderate-to-vigorous intensity.

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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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    When a man becomes aroused, the brain releases a neurochemical to increase the size of blood vessels carrying blood to the penis and reduce the size of the vessels that carry it out.

    American Association of Genitourinary Surgeons American Urological Association European Association of Urology Punch Club Société Internationale d’Urologie The Royal Society of Medicine Urological Club of Great Britain & Ireland
    Since shockwave therapy is a fairly new ED treatment that is not covered by insurance plans, your urologist may recommend other ED treatment options first. A shockwave therapy regimen typically includes six separate treatments, but treatment protocols could change as more research becomes available. The out-of-pocket cost for each treatment is between $400 and $500. Your urologist will discuss these costs and other options with you before deciding the best course for treatment. Candidates for Shockwave Therapy not responding to medications adequately, not interested in taking medications, or interested in trying regenerative therapy to reverse some of the causes of ED.

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    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.

    You can find out more about BlueChew’s vardenafil and other treatments by reading our complete BlueChew reviews. Starts working in just 15 minutes Lasts for around six hours (longer than sildenafil) Per-dose cost via Hims is cheaper than Viagra or Cialis Less risk of side effects, according to studies Can take it with or without meals Alcohol won’t reduce efficacy Not as affordable as sildenafil or tadalafil Subject to fewer studies than sildenafil or tadalafil
    13. Yuan J, Zhang R, Yang Z, et al. Comparative effectiveness and safety of oral phosphodiesterase type 5 inhibitors for erectile dysfunction: A systematic review and network meta-analysis. European Urology. 2013;63(5):902-912.

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    Tell your doctor about all medications you’re taking, including over-the-counter drugs, herbs, and supplements.

    Berendsen, H. H. G. & Gower, A. J. (1986) Opiate: androgen interactions in drug-induced yawning and penile erections in the rat. Neuroendocrinology, 42, 185–190.CrossRefGoogle ScholarPubMed
    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

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    As described above, there are many risk factors and causes for ED. Therefore, our team investigates the potential causes for each patient thoroughly and independently to ensure the best possible outcome. Our work up for ED may include:

    Radiation for prostate cancer can cause ED symptoms to appear gradually, usually within two to three years after treatment. If you are experiencing ED after undergoing prostate cancer treatment, you can get a healthy sex life back. We can help you choose the best treatment options for you. By Name By Location ED Treatments pills, injections, penile suppositories, vacuum devices, shockwave therapy, and surgery.
    While not as effective as aerobic activity, anaerobic exercise has also proven to help improve sexual health and decrease factors that can contribute to ED. Examples of anaerobic exercise include high intensity interval training, sprinting, and heavy weight lifting.

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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.

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A doctor can help decide what medication(s) may be the best for the patient. This is an important step to do so the doctor can help choose the best and safest drug(s) and other treatments so that men with other medical problems can get individualized care appropriate for their medical conditions. Featured Centers What Are the Best PsA Treatments for You?Understanding Biologics 10 Things People With Depression Wish You Knew Health Solutions From Our Sponsors Shot-Free MS Treatment Your Child and COVID-19

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There are many potential causes for erectile dysfunction, such as these conditions/circumstances: Vascular conditions: High blood pressure Elevated cholesterol Cardiovascular disease Diabetes Trauma: Spinal cord injury Pelvis injury Neurologic disease: Stroke Parkinson’s disease Alzheimer’s disease Radiation to the pelvis for cancer Endocrine: Hypogonadism (low testosterone) Hyperprolactinemia (high prolactin levels) Pelvis surgery: Radical prostatectomy (a surgical procedure for the partial or complete removal of the prostate) Surgeries for rectal cancer or bladder cancer Medication side effects: Antidepressants Antihypertensives (high blood pressure medicine) Antiandrogens (testosterone blockers) Antiarrhythmics (heart rhythm medicine) Alcohol Cigarette smoking Cocaine and marijuana Diabetes & ED View full infographic.

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Mayo Foundation for Medical Education and Research. (2021, August 21). Erectile dysfunction. Mayo Clinic. Retrieved October 14, 2021, from https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/diagnosis-treatment/drc-20355782.

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