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Erectile dysfunction (ED) is when a man struggles to get or keep his penis erect long enough to engage in satisfying sexual activity. Most men will experience difficulties achieving an erection at some point in their lifetime. For men with ED, though, these challenges persist and can affect their quality of life.

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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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You'll know you're activating pelvic floor muscles if you feel the contraction more towards the front of your body than the back.
Charney, D. S., Heninger, G. R. & Sternberg, D. E. (1982) Assessment of alplu2adrenergic autoregulator function in humans: effects of oral yohimbine. Life Sciences, 30, 2033–2041.CrossRefGoogle Scholar

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Researchers have known for a long time that when a man has too much to drink, he can struggle to perform sexually. What few people realize is that heavy drinking has a long-term impact on a man’s ability to achieve erections, not just on the night in which he over-imbibes.

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It is likely to improve ED management and benefit a large number of men, particularly in terms of recognising ED as a sentinel of vascular disease.

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    Once the endothelium or smooth muscle becomes damaged, the penis may not function normally, even with adequate blood flow. Atherosclerosis (hardening of the arteries) is also more likely to develop. Plaque builds up on the artery walls, which can slow down or completely block blood flow.

    Erectile dysfunction is the inability to get or keep an erection during sexual activity. This occurs when the penile erection chambers are unable to create and maintain high pressures of blood that enable an erection. Men with ED have trouble staying firm through ejaculation. Age, high blood pressure, heart disease, stress, and more can contribute to the cause of ED.
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    The Bulbocavernosus muscle is involved in squeezing semen or urine out of the urethra, as well as pumping blood flow into the penile veins to maintain an erectionThe Pubococcygeus muscle, which forms a large part of the pelvic floor, plays a major role in urination, and is contracted during orgasmThe Iliococcygeus muscle, involved in contracting the anus back up after a bowel movement

    12. Berner MM, Kriston L, Harms A. Efficacy of PDE-5-inhibitors for erectile dysfunction. A comparative meta-analysis of fixed-dose regimen randomized controlled trials administering the International Index of Erectile Function in broad-spectrum populations. International Journal of Impotence Research. 2006;18(3):229-235.
    Wespes, E. & Schulman, C. C. (1985) Venous leakage: surgical treatment of a curable cause of impotence. Journal of Urology, 133, 796–798.CrossRefGoogle ScholarPubMed

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    Chelation therapy. Some say this chemical purge boosts circulation. There’s no proof it works.

    Conditions like cardiovascular disease, diabetes, hypertension, and obesity are often linked to sexual health issues.
    Hence, it is strongly recommended to consult a doctor before you consider taking any supplements for ED, especially if you are on any medicine for a chronic condition, such as heart disease.

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    Kegel exercises help you to locate the muscles of the pelvic floor. To do so stop your stream a couple of times as you urinate. You will feel your muscles clench. Keep squeezing these muscles and hold for five seconds, then relax. You can repeat this about 10 to 20 times, twice or thrice a day.

    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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Exercise has a considerable role to play while treating ED. In this blog post, we look at how movement can help you get your mojo back. And we explore specific exercises that may eliminate sexual dysfunction before you ever have to pluck up the courage to chat to your physician.

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One study suggests that those who ran 90 minutes per week or engaged in around 3 hours of vigorous outdoor labor per week were less likely to have issues with ED.

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Various drugs have been found to be capable of stimulating erections when injected into the erectile tissue of the penis (the corpora). No single agent is guaranteed to be effective in all cases. However, Papaverine is widely used and accepted. Another drug which is becoming more widely used is Prostaglandin E1 (also known as Caverject). We recommend Trimix(which is a triple medication therapy including Papaverine, prostaglandin E1 and phenotolamine).

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