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ED is the term used to describe the condition of being unable to get or keep an erection long enough to engage in satisfying sexual activity. So, it encompasses a few circumstances: You can get an erection but can’t maintain it for a long enough period of time. You can get semi-erect but not fully firm. An erection just won’t happen at all. Erections sometimes happen but sometimes won’t.
Erectile dysfunction (ED), or impotence, is a very common condition that can distress men of all ages and sexual persuasion. Erectile dysfunction, ED is the incapacity to achieve or sustain an erection that is sufficient for satisfactory sexual activity. .

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Erectile dysfunction can be a difficult problem to discuss with your partner or even your doctor. However, it needn't be because erectile dysfunction, which causes sexual performance issues for men, is a very common and highly treatable condition.
There is growing interest in SWT and other regenerative therapies that seek to "cure" ED, rather than simply treat it. Although some early data support this line of research, there is a lack of high-quality evidence supporting the widespread use of SWT (or other treatments like plasma-rich protein or stem cell injections) for treatment of ED. In the absence of clinical trials showing its long-term effectiveness, SWT has not been approved by the FDA for treatment of ED and is not covered by insurance. In its guidelines for ED treatment, the AUA designates SWT as an "investigational" treatment that should be limited to research trials. "Our results show that real-world practice does not adhere to these recommendations," Drs. Weinberger, Eleswarapu, and colleagues write. They believe that patients exploring treatment for ED "should be evaluated by urologists who are equipped to conduct a formal men's health evaluation and provide a data-driven and patient-centric discussion of treatment options."

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Based on the severity of the ED issue, your doctor will suggest treatments from least to most invasive. Something as simple as making healthy lifestyle changes (such as quitting smoking, reducing alcohol consumption, and losing weight) may help to solve the issue.
GAINSWave has been shown to be a drug-free, surgery-free way to breakdown the scar tissue and reduce the curvature of the penis typical of Peyronie’s Disease.

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Gerstenberger, D. L., Osbourne, D. & Furlow, W. L. (1979) Inflatable penile prosthesis: follow-up study of patient-partner satisfaction. Urology, 14, 583–587.CrossRefGoogle ScholarPubMed

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Almost any disease or condition can affect erectile function by altering the nervous, vascular, or hormonal systems.

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    Squeeze your pelvic muscles as you exhale, and lower one knee to the floor to the side, keeping your pelvic floor muscles engaged.

    Hypertension (high blood pressure) is associated with ED and is seen more commonly among aging men. In addition, medications prescribed for hypertension, such as beta blockers and thiazide diuretics, have been shown to have detrimental effects on erectile function.
    Keep your thighs, buttocks, and abdominal muscles relaxed as you squeeze the pelvic floor for a count of three.

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    30-50% of hypertensive men also suffer from ED. Hypertension can disrupt erectile tissue function. In addition, some prescriptions for the condition can cause ED. However, there’s evidence that suggests that once adequate blood pressure control is regained – even for those on medication – ED becomes less likely.

    Berg, R., Mindus, P., Berg, G., et al (1984) Penile implants and erectile impotence: outcome and prognostic indicators. Scandinavian Journal of Urology and Nephrology, 18, 277–282.CrossRefGoogle ScholarPubMed
    Albuterol Inhalation (Ventolin)Amoxicillin (Amoxil)Azithromycin (Zithromax)CoQ10 (Coenzyme Q-10)Levothyroxine (Synthroid)Lipitor (Atorvastatin)Lisinopril (Zestril)Norvasc (Amlodipine)Prilosec (Omeprazole)Vitamin D3See All

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    In men, Kegel exercises can help with erectile dysfunction (ED) and enhance sexual performance. One study of men with ED found that after 6 months of performing Kegel exercises, 40% of men regained normal erectile function. Helping prevent incontinence (which can be important after prostate surgery) Longer time between bathroom visits Fewer “accidents” and leaking Drier underwear Preventing accidental passage of gas or stool Bulbocavernosus (BC) muscle Squeezes semen or urine out of the urethra Squeezes more blood into the end of the penis This is the main muscle used when performing Kegels Pubococcygeus (PC) muscle Plays a role in urination and bowel movements Forms a large part of the pelvic floor, supporting lower organs Contracts during orgasm Iliococcygeus (IC) muscle Forms part of the strength of the pelvic floor Pulls the anus back up after a bowel movement

    Click here to read “Shock Wave Therapy for Erectile Dysfunction: Marketing and Practice Trends in Major Metropolitan Areas in the United States“
    Stem CellParkinson’s DiseaseMultiple Sclerosis (MS)Erectile DysfunctionTraumatic Brain InjuryJointsCancerLung CancerLymphoma CancerLeukemia CancerBreast CancerOvarian CancerProstate CancerPancreatic CancerMultiple Myeloma (MM)Congestive Heart FailureStrokeSpinal Cord InjuryDegenerative Disc DiseaseKnee Pain

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    Yes. In addition to other health benefits, regular exercise can help men with their erections.

    Erectile dysfunction medications are effective for many men, but these oral medications may not work for everybody. Our team offers numerous other non-invasive and minimally invasive treatments for improved outcomes. Many of these can achieve results faster,with fewer side effects and a quicker recovery. We also offer placement of inflatable penile prostheses for men who have failed other forms of treatment for erectile dysfunction.
    Management of EDOptimal management of ED involves shared decision-making between the patient, his partner, and the treating clinician.6 Underlying disease states and risk factors should be identified and treated or minimized.5 Contributing medications should be discontinued, or the dose should be reduced.5 A variety of nonpharmacologic and pharmacologic treatment options may be considered for ED treatment. Generally, oral medications are trialed first, and more invasive options are reserved for those who fail to respond to initial therapy.5,6

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Erectile dysfunction in older men. Erections mainly involve the blood vessels. And the most common causes of ED in older men are conditions that block blood flow to the penis. These include hardening of the arteries (atherosclerosis) and diabetes. Another cause may be a faulty vein that lets blood drain too quickly from the penis. Other disorders, as well as hormonal imbalances and certain operations, may also cause ED.

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MedicineNet does not provide medical advice, diagnosis or treatment. See additional information. sexual health center/sexual health a-z list/erectile dysfunction ed impotence center /erectile dysfunction (ed, impotence) article Erectile Dysfunction (ED, Impotence) Medical Author: Pamela I. Ellsworth, MD Medical Editor: Melissa Conrad Stöppler, MD Erectile dysfunction or impotence is a man's inability to achieve and maintain a penile erection suitable for sexual intercourse.

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Be sure not to work the wrong muscles, such as your stomach or leg muscles. Rather than pushing down, focus on the sensation of lifting something.

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Other tests, if indicated, are normally arranged by the urology specialist clinic and will be discussed with you.

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