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“Kegel exercises for men: understand the benefits.” Mayo Clinic. Retrieved from: http://www.mayoclinic.org/healthy-lifestyle/mens-health/in-depth/kegel-exercises-for-men/art-20045074
ED is an extremely common issue and it doesn't have to be the end of your sex life. It can be treated, and even reversed, with a little help. .

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It affects approximately half of all men over age 40. While erectile dysfunction is usually a physical problem, it can also have psychological roots. More often than not, it is a combination of both. And help is available.
Strong pelvic floor muscles can also mean increased sensitivity during sex and stronger orgasms.

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A vacuum device can be cumbersome. It also will hinder spontaneity. The elastic ring may lead to skin irritation, bruising, loss of feeling or sensitivity, or pain.
Patients should start with a low dose and increase in small doses until the dose that results in a rigid enough erection for completion of sexual activity is achieved. If one injects and there is an inadequate response, one should not reinject another dose of the medication at that time, due to the risk of priapism.

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Exercise may be the ticket to a more active sex life, but we’re talking about regular cardio and strength workouts, not targeted “penis exercises.” Research shows that even a little bit of physical activity — the equivalent of walking 30 minutes a day a few times a week — may lower the risk of erectile dysfunction.

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Appropriate treatment options should be applied in a step-wise fashion, balancing invasiveness and risk versus efficacy. If possible, the partner should be involved in the decision-making. The decision depends on the patient preferences and expectations as well as the experience and judgment of the physician. Oral phosphodiesterase type-5 inhibitors are first line therapy.

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    There are contraindications for each drug (i.e., reasons why a person should not try to use it). Men with certain liver, kidney, or cardiovascular conditions may not be able to take ED medications safely. Men taking nitrates and alpha-blockers to treat hypertension may need to find other ways to treat their ED. Other health conditions could make PDE-5 medications unsafe for men.

    Sildenafil is available as oral tablets at doses of 25 mg, 50 mg, and 100 mg. Patients should take sildenafil approximately one hour before sexual activity. In some men, the onset of action of the drug may be as early as 11-20 minutes. Men should take sildenafil on an empty stomach for best results since absorption and effectiveness of sildenafil can be diminished if it is taken shortly after a meal, particularly a meal that is high in fat. Sildenafil and the other PDE5 inhibitors don't cause an immediate erection. Sexual stimulation is necessary for these medications to work.
    Dr. Prasad specializes in medical aesthetics | cosmetic laser treatments and her practice is located in Roseville, CA. Patients from the following cities and areas such as Sacramento, North Highlands, Citrus Heights, Fair Oaks, in California (CA) can conveniently schedule an appointment with our Roseville, CA office.

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    Many men experience erectile dysfunction intermittently, especially during times of stress. If it is a recurring event, however, it can signal an underlying medical or emotional issue. This should be addressed by a healthcare professional.

    You'll know you're activating pelvic floor muscles if you feel the contraction more towards the front of your body than the back.
    Pilates is another best way to fight against ED as they increase the blood flow and energy level in the body which ultimately helps in fighting ED.

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    Panax ginseng (red ginseng) is sometimes called “herbal Viagra”. There have been more than a handful of studies providing evidence that Panax ginseng can help with ED. However, the studies leave a fair bit to be desired in their methodologies and size. The evidence thus far points to the need for more research and the alluring potential of red ginseng as an effective treatment.

    But you might be wondering where or what the pelvic floor muscles are. They extend from the tailbone to the pubic bone, and they're easy enough to find; just pay attention the next time you urinate.
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    It is likely to improve ED management and benefit a large number of men, particularly in terms of recognising ED as a sentinel of vascular disease.

    Our stem cell treatment for Erectile Dysfunction consists of depositing allogeneic mesenchymal stem cells directly into the male genital organ, to regenerate the damaged nerves and blood vessels which are affecting the patient’s ability to maintain or produce an erection, we can also reduce the inflammation and limit the overall proper functioning of the patients reproductive system.
    To see an improvement in erectile dysfunction, one research paper recommended that those experiencing ED engage in aerobic exercise “of moderate to vigorous intensity 4 times per week for 40 minutes”.

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While helpful for some people, these drugs may not be safe for those who take nitrate drugs, have low or high blood pressure, have severe liver disease, or have kidney disease. Not to mention, they may come with side effects including dizziness and fainting, a stuffy or runny nose, as well as blurred vision.

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Talley, J. D. & Crawley, I. S. (1985) Transdermal nitrate, penile erection and spousal headache. Annals of International Medicine, 103, 804.CrossRefGoogle ScholarPubMed

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Stem cell intracavernosal therapy and platelet‐rich plasma (PRP) therapy are both considered investigational.

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By making some of the changes mentioned above, it is possible to enhance general health, and decrease the chance of developing the conditions which are known to cause ED; including cardiovascular disease and diabetes. By achieving a good level of health, the risk of needing medicine which has the potential to cause ED as one of its side effects can also be reduced.

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