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Erections are neurovascular events, meaning that nerves and blood vessels (arteries and veins) are involved in the process of an erection and all must work properly to develop a hard erection that lasts long enough. Erection begins with sexual stimulation. Sexual stimulation can be tactile (for example, by a partner touching the penis or by masturbation) or mental (for example, by having sexual fantasies, or viewing porn). Sexual stimulation or sexual arousal causes the nerves going to the penis to release a chemical, nitric oxide. Nitric oxide increases the production of another chemical, cyclic GMP (cGMP), in the muscle of the corpora cavernosa. The cGMP causes the muscles of the corpora cavernosa to relax, and this allows more blood to flow into the penis. The incoming blood fills the corpora cavernosa, making the penis expand.
For some men, traditional treatments for erectile dysfunction (or ED) simply do not work or create a dangerous health risk. Fortunately, several of the latest treatments for erectile dysfunction options are beginning to appear in research journals. .

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The best medicine for erectile dysfunction (ED) depends on the cause of your condition, as well as your budget and lifestyle.
You can also try this activation exercise sitting or standing with your arms at your sides and your feet spread hip-width apart.

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Oral drugs such as Viagra, Cialis, Levitra, or StendraTestosterone therapyPenis injectionsVacuum erection pumpsIntraurethral medicationPenile implants such as semi-rigid implants or inflatable implantsSurgery to repair artery damage after trauma to the penis
Is drug and surgery freeIs completely non-invasive, and has little or no known side effectsIs a simple in-office procedure, with each treatment taking only 20 – 30 minutesProvides long lasting results with no downtimeThe GAINSWave protocol actually addresses the root cause of ED – poor blood flow.

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The bottom line is that taking steps to keep your endothelium healthy will help you prevent or reduce your erectile dysfunction risk. Being more physically active is important to the health of your endothelium and, therefore, to the health of your heart and your penis.

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It is important for clinicians prescribing these drugs to make the patient aware of the action of the drugs especially the fact that they do not result in an immediate erection, and that they do not cause an erection without sexual stimulation. There is frequently a great expectation when men begin using these drugs and it is wise to temper their enthusiasm and explain they do not work immediately, and may not work every time, but also let the patient know that if these drugs do not work, there are other options.

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    Vacuum constriction devices, or penis pumps, may be useful in the treatment of erectile dysfunction (impotence). A penis pump is an acrylic cylinder with a pump that can be attached to the end of the penis. The pump then creates a vacuum to help the penis become erect, while a constriction ring maintains the erection.

    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
    Weight loss (calories are burned as a result of increases in lean body mass and basal metabolism)Prevention and management of diabetes (which is associated with ED)3. Pelvic floor exercises (aka Kegels)

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    Wave therapy is a non-invasive procedure that has been shown to improve certain types of erectile dysfunction. However, not all wave therapy machines are equal. Urologist Dr. John Smith explains how the use of waves can ...

    Prescription ED medications can potentially lower blood pressure. If you already have low blood pressure or are being treated for high blood pressure, there is a possibility that ED treatments could lead to hypotension, which is a serious risk. The doctor will be able to advise you on safe treatment options. You may need blood pressure results to acquire a prescription for certain ED medications.
    Use the links below to find information relating to various urological procedures.

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    High blood pressure (hypertension) is a disease in which pressure within the arteries of the body is elevated. About 75 million people in the US have hypertension (1 in 3 adults), and only half of them are able to manage it. Many people do not know that they have high blood pressure because it often has no has no warning signs or symptoms.
    Books & Articles on the History of Urology Books & Articles on Specific Diseases & Procedures Books & Articles on People in Urology Books & Articles on Instruments

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    Men in their 40s with ED have a 50-fold increased risk of CVD and men in their 20s and 30s have a sevenfold increased CV risk.25

    A vacuum constriction device (VCD) is an external pump with a band on it that a man with erectile dysfunction can use to get and maintain an erection.
    Erectile dysfunction (ED), also known as impotence, happens when you can't get or keep an erection of the penis that's adequate for the sexual satisfaction of both partners. While almost all adult males have ED once in a while, as many as 30 million American men have it regularly. Nearly all men who seek treatment for ED find some relief.

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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.

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It is also more common in older patients, but is not, itself, a natural consequence of aging.

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Erectile dysfunction is very common and so are the misconceptions surrounding it. For instance, erectile dysfunction is not necessarily a result of aging and is often the result of an underlying physical health problem.

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Nitric oxide (NO) mediates the vasodilation (widening of blood vessels) in the penis, increasing blood flow. Let’s break that down a bit further. Nitric oxide tells specific muscles in the penis to relax. The relaxation of those muscles allows blood flow to increase to the erectile tissues of the penis, causing the penis to enlarge and grow rigid, forming an erection.

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