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Stackl, W., Hasun, R. & Marberger, M. (1988) Intracavernous injection of prostaglandin E1 in impotent men. Journal of Urology, 140, 66.CrossRefGoogle ScholarPubMed

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Although there is limited data on lifestyle modification, intuitively, decreasing risk factors for erectile dysfunction may help prevent the progression of the disease.
Start by lying on your back, hands flat on the floor, and knees comfortably bent and pointing upwards.Try to draw your penis inwards towards your body and hold for five seconds, then release.Now squeeze your anus muscles as if you are trying to stop a bowel movement and hold for five seconds, then release.Repeat steps two and three, eight to 10 times, and do three to five sets. .

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These oral medications work by blocking the enzyme phosphodiesterase type 5 (PDE5) and increasing the amount of cyclic guanosine monophosphate (cGMP) in the body. Under normal conditions, PDE5 breaks down cGMP, a molecule that helps the muscles in the penis relax and widen enough to allow more blood flow. By suppressing PDE5, each of these medicines increases cGMP availability and improves blood circulation in the penis.
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A clear, plastic tube that slides over the penisA manual or battery-operated pump that sucks air out of the cylinder, sending more blood to the penisAn elastic ring that is placed around the base of the penis after an erection is obtained. It’s like a rubber band. It helps maintain firmness by preventing blood from draining out of the penis. If you have venous leak syndrome, this may help you.

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Half of men with diabetes will experience ED within 10 years of their diagnosis. High blood sugar levels can damage the nerves that control sexual stimulation. They can also damage the blood vessels needed to provide adequate blood flow to the penis in order to have and maintain an erection.

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    The vacuum device is placed over the penis and draws blood into the sponge-like chambers of tissue that make up a majority of the penis. While effective, this option is dependent on body build and can be painful.

    https://pubmed.ncbi.nlm.nih.gov/16526979/ Physical Activity to Improve Erectile Function: A Systematic Review of Intervention Studies. (2018)
    A small percentage of erectile dysfunction cases are related to surgery for prostate cancer. After the operation to remove the prostate, 15 percent to 60 percent of men can have erectile dysfunction, even when newer “nerve sparing” surgery is performed. Often, this side effect is temporary, and improvement can be seen up to one year after surgery.

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    Other physical activities that can help you in getting rid of erectile dysfunction are aerobic excerises, and yoga asanas. You can perform simple yoga exercises such as Dhanurasana, Paschimottanasana, Siddasana, Shavasana, etc (Also Read: Yoga poses and aerobic exercises for erectile dysfunction)

    Vardenafil (Levitra) was the second oral medicine approved by the U.S. FDA for the treatment of erectile dysfunction. Like sildenafil (Viagra), vardenafil (Levitra) inhibits PDE5, which destroys cGMP (as discussed earlier). It is the only PDE 5 inhibitor that has a generic form available.
    But studies have shown that aerobic exercise can improve both endothelial function and NO production. This, by contrast, is great news for strong erections. And it gets better.

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    28. Jackson G, Boon N, Eardley I, et al. Erectile dysfunction and coronary artery disease prediction: evidence-based guidance and consensus. Int J Clin Pract. 2010;64(7):848-857.

    Chelation therapy. Some say this chemical purge boosts circulation. There’s no proof it works.
    Dr Chirag Bhandari promotes sex education in the urge to cultivate sexual awareness among youth and even among the blocked mindset of Indian people. To earn some amazing facts about the sexual problem and natural treatments.

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    Erectile dysfunction related to medical/physical causes is often treatable but less commonly curable. In some cases of medication-induced erectile dysfunction, changes in medication may improve erections. Similarly, in men with a history of arterial trauma, surgical intervention can restore erectile dysfunction. In most cases of ED associated with a medical condition, treatment allows one to have an erection "on demand" or with the aid of medications/device (but not spontaneous).

    Occasionally after long term use of injection therapy, fibrosis (thickening or hardening) in the erectile tissues of the penis may occur.
    However, be aware of the possibility and if you suspect anything like this may be happening to you report it to your Doctor.

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Despite the appeal of suppositories, their effectiveness is relatively poor and overall patient satisfaction is relatively low.

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For patients who have health conditions like obesity, hypertension, heart disease, or vascular disease, engaging in regular aerobic exercise is one of the best ways to encourage blood flow, improve weight loss, and help enhance sexual performance.

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