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The production of testosterone and other hormones naturally decreases with age, and this can disrupt erections. Also, in rare instances, kidney failure and liver disease may throw off the balance of hormones necessary for proper erection and intercourse. In most cases, testosterone replacement therapy can bring levels of the hormone back to normal.

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College of Pharmacists of BC Licence Number: 38287 Pharmacy Manager: Mehrdad Rezaei
Did you know that certain medical condition may be responsible for ED? Some causes of impotence are medically treatable and reversible. Learn more about what can be done about erectile dysfunction with the Impotence Quiz. .

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Physicians make a diagnosis of erectile dysfunction in men who complain of trouble having a hard enough erection or a hard erection that does not last long enough. It is important as you talk with your doctor that you be candid in terms of when your troubles started, how bothersome your erectile dysfunction is, how severe it is, and discuss all your medical conditions along with all prescribed and nonprescribed medications that you are taking. Your doctor will ask several questions to determine if your symptoms are suggestive of erectile dysfunction and to assess its severity and possible causes. Your doctor will try to get information to answer the following questions:
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A lot of women may be familiar with Kegels, as these are often recommended after childbirth, and are named after Dr. Kegel (yep, he was a real person!) who studied and practised sexual medicine in the 1940s.
Complete List Top Over-the-Counter ED Treatment Like Viagra Related Articles Can Erectile Dysfunction Be Cured?

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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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    At one time, it was thought that ED only affected older men but it is much more common among younger men than previously believed.

    Other things like stopping smoking, eating a healthy diet (heart healthy with adequate vitamin intake), and exercising daily may reduce a person's risk.
    The major cause of erectile dysfunction is restricted blood flow to the penis because of narrowed blood vessels. In fact, because the vessels in the penis are very small compared to other parts of the body, problems with erectile dysfunction can be a warning sign that other vessels, such as those leading to the heart, may eventually be affected. Diabetes, which also can affect the blood vessels, also is linked to erectile dysfunction.

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    The benefits of using these exercises is that your erectile problems can be solved without using any medication or surgery which all have their own risks and side effects which could damage your health further.

    Can we develop a simple yet accurate method to distinguish organic from psychogenic ED?
    Laurence Levine, MD, of Rush University Medical Center and local chairman of the meeting, told MedPage Today the results for avanafil are "exciting," though he estimated that other agents have similar activity, with about 30% of patients reporting an adequate response at 20 minutes.

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    Repair blood vessel blockages to improve blood flow to the penisBlock veins to prevent blood from leaking out of the penis

    Charney, D. S., Heninger, G. R., & Redmond, D. E. Jr (1983) Yohimbine induced anxiety and increased noradrenergic function in humans: effects of diazepam and clonidine. Life Sciences, 33, 19–29.CrossRefGoogle ScholarPubMed
    It is recommended that the first trial of intraurethral prostaglandin be performed in the doctor's office due to the risk of hypotension with this medication.

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    You shouldn’t use these medicines if you take nitroglycerin or any other nitrates for chest pain. If you have heart problems, tell your doctor before taking any ED medicines. These medicines can have serious side effects in people who have heart problems.

    A tried and trusted brand, well known by most men. The first over-the-counter pharmacy medicine for men over 18 with erectile dysfunction without a prescription. Very discreet delivery in a 1 hour time slot or by Royal Mail Special delivery before 1pm.
    Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider. Wake Forest Baptist Health, Medical Center Boulevard, Winston-Salem, NC 27157. All Rights Reserved. Request an Appointment

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It is accepted that ED symptoms which present themselves suddenly and without warning typically indicate psychological causes, whereas symptoms which develop more slowly normally suggest a physical cause, such as narrowing of the blood vessels.

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The patient can inject medications directly into the corpora cavernosa to help attain and maintain erections. Medications such as papaverine hydrochloride, phentolamine, and prostaglandin E1 (alprostadil) can be used alone or in combinations to attain erections. All of these medications are vasodilators and work by increasing blood flow into the penis. Prostaglandin E1 (Caverject, Edex) is easier to obtain; however, it is associated with penile pain in some individuals. The use of combinations of two or three of these medications can decrease the risk of having penile pain.

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If there seems to be a psychological cause contributing to your erectile dysfunction, the doctor may ask the patient questions to help determine stressors, events, and relationship issues that may be causing your erectile troubles. It may be helpful to have your sexual partner involved in this assessment.

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Studies show that regular exercise (40 minutes of aerobic exercise a day, four times a week for six months) is enough to improve sexual dysfunction in men who have ED because they are overweight or have hypertension, a metabolic disorder, or cardiovascular disease.

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