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As a TRICARE® Certified Provider, Reasons has the privilege of supporting active duty service members and their families in the unique challenges they face, such as the impact of a deployed loved one or combat trauma.

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Such pills are made by combining various herbs, vitamins, minerals as well as nutrients. In selecting the natural ingredients and herbs assistance has been taken from the age-old experiences of Chinese and Indian practices. In those ancient countries many such herbal medicines were used for increasing the sexual drive, stamina and vitality.
Erectile dysfunction is the persistent inability to achieve or maintain an erection that allows for sexual activity. This is a common male sexual disorder, especially among older men. Forty-four percent of men between the ages of 60 and 69 years are affected by erectile dysfunction and 70 percent of men over the age of 70 have difficulty maintaining an erection. Among men under the age of 40, only about 5 percent suffer from erectile dysfunction. (3) .

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Low levels of testosterone play havoc and lower your libido and cause erectile dysfunction.
Survey says more then 50 percent with erectile dysfunction problems during partnered sex don’t have a problem when watching porn.  

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There are two main types of penis implant: inflatable and non-inflatable. Inflatable penis pumps work when you squeeze a pump to fill the implant with saline solution (salty water). This generates an erection similar to the one you’d get without an implant.
Reasons Eating Disorder Center offers a full continuum of inpatient, residential and outpatient programs for adults struggling with anorexia, bulimia, binge eating and other eating disorders. We also provide telehealth eating disorder treatment options for our partial hospitalization and intensive outpatient levels of care.

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Suppositories. Pellets are placed inside the penis. You may hear this procedure called MUSE (medicated urethral system for erections). This may be less successful than injections.

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Though they are a bit cumbersome, they are the most commonly promoted non-medical ED aid. They may be suitable for men who are unable to use erectile dysfunction medicine for medical reasons.

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    PDE5 inhibitors increase the availability of cGMP, resulting in smooth muscle cell relaxation and improved blood vessel dilation. This mechanism of action primarily occurs in the corpus cavernosum and penile arteries, helping improve the chances of getting or maintaining an erection.

    THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the eMedicineHealth Site. If you think you may have a medical emergency, immediately call your doctor or dial 911. Log in Get started About Medical team Health resources Log in
    Research published in the Journal of Sexual Medicine examined data relating to erectile dysfunction and dietary factors. Researchers found that a dietary pattern that’s high in fruit, vegetables, fish, nuts and whole grains, and low in red and processed meat, is more common in men who aren’t affected by erectile dysfunction. These dietary choices, which fall within the guidelines of the Mediterranean diet, are associated with lower all-cause and disease-specific survival, according to researchers. And in clinical trials, following the Mediterranean diet was more effective in improving erectile dysfunction or restoring erectile function in people with metabolic syndrome or obesity. (21)

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    Studies have shown that for men with stress-related ED, when the partner is involved in the therapy, the problem is resolved 50%–70% of the time. When the man must go through counselling alone, the results are less successful. Psychosexual counselling is unlikely to be effective if a man drops out of treatment after just one or two sessions.44

    Sex is very important for any married couple. While a satisfied sexual life goes to make a happy and creative family, the opposite can have disastrous effects.
    In the 14 years or so since Viagra was introduced in 1998, the number of men diagnosed with erectile dysfunction (ED) has increased by a whopping 250 percent. Men are realizing more and more that they’re not alone and that they have options. Aside from pills like Viagra, Levitra, and Cialis, for example, there are surgical, therapeutic, even do-it-yourself treatments that can bring back that lovin’ feeling. "Some older ED treatments are actually being used more than ever, especially for men who can't take the pill," says Michael Feloney, MD, a urologist at the Nebraska Medical Center in Omaha. Read on to find out about nine common remedies for ED, plus the truth about which ones live up to the hype and which fall flat.

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    Low testosterone levels can have an impact on libido (sex drive), which may cause erectile issues in some men. This is...

    You could also ask a pharmacist for advice on other ways to help you remember to take your medicine.
    The usual dose is 40mg – two 20mg tablets, taken once a day. These tablets are large, so take the tablets one after the other.

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    Meanwhile, PDE-5 (phosphodiesterase-5) is a chemical that the body releases to signal that it’s time for the erection to end. PDE-5 inhibitors slow the activity of PDE-5, allowing the NO activity to continue, bringing forth an erection.

    The inability to achieve an erection is a symptom of an underlying health problem or a result of lifestyle factors that aren’t allowing the physiological mechanisms of an erection to unfold. For some men, this is only an occasional problem, which may be the result of increased stress, drinking alcohol or fatigue. But for men who experience erectile dysfunction more than 50 percent of the time when they are trying to engage in sexual activity, this may indicate that there’s a bigger health problem that needs to be addressed.
    Your physician team will work with your primary care physician, as well as your cardiologist, if ED is related to a heart problem. Providers may also recommend lifestyle changes, changing your prescribed medications or seeking mental health counseling to help treat the underlying causes of ED.

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You will also be asked a detailed past medical and surgical history as you may have other medical conditions which may be contributing to your erectile dysfunction. It is important to tell your GP about other symptoms such as pain, premature ejaculation (uncontrolled ejaculation before or immediately after penetration) or symptoms of prostatic obstruction because they are often associated with erectile dsyfunction.

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In patients who either fail to respond to first or second-line therapy, or are not interested in the conservative therapies, penile prosthesis implantation is available. Malleable and rigid implants were available for many years, but in 1973 the world of penile prosthetics took a giant leap forward with the advent of the inflatable penile implant. Most implants done nowadays are of the inflatable variety. Adverse events including malfunction and infection are rare, and patient satisfaction is very high.45

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Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.

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Type 2 diabetes has been shown to interfere with erectile function, and male patients with diabetes tend to have an earlier onset of erectile dysfunction. Hyperglycemia (high blood sugar) stimulates the production of chemicals that can interfere with erectile physiology.

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