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Erectile dysfunction or ED is also referred to as male impotence, which refers to the inability to achieve or maintain a firm enough erection for satisfactory sexual activity.

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Certain behaviors and choices can make it harder to maintain an erection for men who don’t have ED. These include sleep patterns, use of alcohol and drugs, stress management, and even lack of exercise.
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A detailed medical history, sexual history, and physical exam are warranted to identify causative or reversible factors involved in ED.4 Select laboratory tests (e.g., serum testosterone, serum blood glucose, fasting lipid panel, thyroid-stimulating hormone) may be obtained to identify causative factors of ED. Additionally, a detailed medication history is necessary to identify medications that may be contributing to ED (see TABLE 1).4,5
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Exercising can be an important part of a healthy lifestyle, and there are specific exercises which are recognised as being conducive to improved sexual health, such as pelvic floor exercises and other routines based on the core muscle group.
If you're pregnant or planning to get pregnant, you can start doing pelvic floor exercises immediately.

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A recent study published in the Journal of Sexual Medicine reported that men with severe periodontal disease were three times more likely to have consistent difficulties having an erection. While this may be a case of correlation rather than causation, poor dental health has long been associated with vascular disease, which is known to contribute to ED.

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Susset, J. G., Tessier, C. D., Wincze, J., et al (1989) Effect of yohimbine hydrochloride on erectile impotence: a double-blind study. Journal of Urology, 141, 1360–1363.CrossRefGoogle ScholarPubMed

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    You do not have to be suffering from ED, or any other medical condition to benefit from GAINSWave. If you want to perform your best, and satisfy your lover like you may never have before, GAINSWave can help!

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    Resistance training (which includes weightlifting) has also been shown to help improve cardiovascular health. And as we’ve mentioned, cardiovascular health is intrinsically linked to erectile health.

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    Lakin, M. M., Montague, D. K., Vanderbrug Medendorp, S., et al (1990) Intracavernous injection therapy: analysis of results and complications. Journal of Urology, 143, 1138–1141.CrossRefGoogle ScholarPubMed

    The first time he experienced ED in his mid-50s he thought it was just a fluke, which was a reasonable assumption to make. More than half of men experience episodic erectile dysfunction at some time in their life from things like stress, too much alcohol, or as a side effect of medication. Read More About Gene's Story
    If blood flow to the penis is inhibited or the blood vessels are clogged or constricted, erection cannot be achieved or maintained.

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    Erectile dysfunction is when you can’t get or maintain an erection adequate for sexual intercourse. It’s also called impotence and ED. Men of all ages can get ED from time to time, but some men experience it regularly.

    The lab testing obtained for the evaluation of erectile dysfunction may vary with the information obtained on the health history, physical examination, and recent lab testing. A testosterone level is not necessary in all men; however, a physician will order labs to determine a patient's testosterone level if other signs and symptoms of hypogonadism (low testosterone) such as decreased libido, loss of body hair, muscle loss, breast enlargement, osteoporosis, infertility, and decreased penile/testicular size are present.
    If your doctor suspects that you may have an underlying condition, however, you might need further tests or a consultation with a specialist. Tests for underlying conditions can include: A physical exam: Your doctor will examine your penis and testicles for signs of abnormalities and will test sensation. Blood tests: Blood tests can show if you may have heart disease, diabetes, low testosterone levels, or other issues. Urine tests: Urinalysis is used to look for signs of diabetes and other health conditions. An ultrasound: A specially trained technician will use a wand-like device (transducer) over the blood vessels that supply the penis to analyze for blood flow issues. A psychological exam: Your doctor may want to evaluate you for depression or other mental illnesses that may cause erectile dysfunction. Why Do Men Often Die Before Women Groan-Up Humor of 'Dad Jokes' No Sign Testosterone Supplements Cause Heart Issue Men Think They're Healthier Than They Are Frozen Testes Tissue in Mice Viable After Decades

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    Tadalafil (Cialis) is the third oral medicine approved by the U.S. FDA for the treatment of erectile dysfunction. Like sildenafil (Viagra) and vardenafil (Levitra), tadalafil inhibits PDE5 (as described earlier). Unlike the other PDE 5 inhibitors, patients should take tadalafil once daily which is approved for the treatment of BPH (benign enlargement of the prostate).

    They are taken anywhere from 15 minutes to 36 hours before having sex, depending on the drug. You shouldn’t use these more than once a day.
    General ageingConditions affecting cardiovascular health like high blood pressure, diabetes, high cholesterolExperiencing an acute myocardial infarction (heart attack)Cardiovascular disease

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The options for management beyond behaviour modification include TRT, PDE5 inhibitors, intracavernosal injection therapy, vacuum constriction devices (VCDs), intraurethral prostaglandin suppositories and surgical placement of a penile prosthesis.40

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Sildenafil (Viagra) may affect another phosphodiesterase enzyme in the eye causing transient abnormal vision (seeing a bluish hue or brightness).

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After a few months, you should start to notice results. You should keep doing the exercises, even when you notice they're starting to work.

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