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Improvements in your lifestyle, such as a eating healthy diet, reducing alcohol intake, losing weight and increasing your exercise can dramatically improve erectile dysfunction. More specific treatment usually involves: weight loss and increased exercise (this may reduced the risk of erectile dysfunction by up to 70%) treatment of any hormone abnormality (testosterone treatment is only indicated if your testosterone levels are low and may be harmful if your the levels are normal); lifestyle modification (e.g. reduce stress, stop smoking, reduce alcohol consumption & stop illicit drugs); treatment of any anatomical abnormality if present (e.g. circumcision, frenuloplasty, penile straightening); psychological support if necessary.

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It is important to understand that ED is frequently, if not usually, directly related to endothelial dysfunction, and that the release of NO by the vasculature of the penile arteries is directly related to the function of intact, healthy endothelium. In the face of endothelial dysfunction, the process of erection fails to occur in a normal fashion.16
ED doesn’t have to be a part of getting older. As a man ages, he may need more stimulation (stroking and touching) to get an erection. He might also need more time between erections. Older men should still be able to get an erection and enjoy sex. Diabetes (high blood sugar). Hypertension (high blood pressure). Atherosclerosis (hardening of the arteries). Stress, anxiety, or depression. Alcohol and tobacco use. Some prescription medicines. This includes antidepressants, pain medicine, and high blood pressure medicine. Fatigue. Brain or spinal cord injuries. Hypogonadism (a condition that leads to low levels of the male hormone, testosterone). Multiple sclerosis. Parkinson’s disease. Radiation therapy to the testicles. Stroke. Some types of prostate or bladder surgery. .

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Avid cyclists suffer more erectile dysfunction than other athletes because the shape of some bicycle seats causes pressure on the nerves that are vital to sexual arousal. Cyclists who ride for many hours each week may benefit from seats designed to protect the perineum.
Espinosa says it can ease symptoms of exhaustion and ED. And it’s less likely to leave you feeling wired than some other products. The side effects are minimal, he says, both in his experience and in the studies he’s seen.

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Based on testing and examination of studies and evidence, we believe you may find an effective treatment for mild or moderate ED using a natural supplement. As with any medication or supplement, it’s imperative to discuss this with your primary care provider to make sure there’s nothing in your medical history that might make these alternative treatments unsafe for you.
Lifestyle choices, such as smoking, alcohol abuse, and obesity can impair blood circulation and lead to erectile dysfunction. Smoking, excessive drinking, and drug abuse may damage the blood vessels and reduce blood flow to the penis. Smoking makes men with atherosclerosis even more vulnerable to erectile dysfunction. Smokers have almost twice the risk of erectile dysfunction compared with nonsmokers. Being overweight and getting too little exercise also contribute to erectile dysfunction. Men who exercise regularly have a lower risk of erectile dysfunction.

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ED medicines can be pills, drugs inserted into the tip of the penis, or injections into the penis.

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999494/ Pelvic Floor Awareness for Psychosexual Therapy. (2020).

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    Before you embark on an ED treatment, it’s good to talk with your healthcare provider. If you hope to use any of the prescription ED treatments, you’ll have to get the prescription from a doctor who will review your medical history and current health to determine if one of these medicines is suitable for you.

    Looking for an easy way to get some aerobic exercise? Start with jumping jacks. They get your blood pumping and warm your muscles. When you feel comfortable, add interval training to your daily routine.
    Some insurance policies cover ED treatment if it’s medically necessary. Check with your insurance provider.

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    Erectile dysfunction is a frustrating condition where your penis cannot get or maintain an erection firm enough for sex. There is no specific treatment to reverse damage to blood vessels caused by diabetes, there are several options to help you have erections.

    Erectile dysfunction, also known as impotence or ED, is the inability to achieve or maintain an erection sufficient for sexual intercourse. Almost all cases of erectile dysfunction are treatable, says Dr. Honig.
    The FDA warns that some products may contain harmful substances or the active ingredient in some prescription medications.

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    Prime Male Medical is a dedicated medical clinic devoted to the needs of men facing Erectile Dysfunction (ED) and Premature Ejaculation (PE). We are about treating men that are looking for personal help, that have tried other resources such as oral medications (Viagra®, Cialis®, Levitra®) or other PDE-5 inhibitors that fail to help them achieve their sexual goals and dreams. Our long-term history of treating men with these common health issues is what sets apart from other medical pathways. We focus on treating men seeking help, support, and understanding that allow them to lead a more full and enriched life. The Importance Of Testosterone For Men: How To Keep Healthy Levels

    Using a vacuum device to treat ED has long been used to stretch penile tissue and create erections. However, BJU International disputes the effectiveness of this method by saying vacuum devices don’t make the penis larger, and only 10% of their sample size reported any long-lasting benefits.
    The FDA warns that some products may contain harmful substances or the active ingredient in some prescription medications.

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    For instance, 55% of those on 50 mg and 200 mg, as well as 57% of those on 100 mg, were successful, compared with 35% of those on placebo, he reported.
    Blood in the semen (haematospermia) Blood in the urine (haematuria) Erectile dysfunction (impotence) Fertility problems Incontinence of urine Kidney stones Male menopause (androgen deficiency in the ageing male) Premature ejaculation Prostate symptoms (bladder outlet obstruction) Raised PSA Testicle missing Testicular lump Tight foreskin (phimosis) Urinary infection (adult) Urinary infection (child)

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Taking poppers (amyl nitrite) with tadalafil can have a dangerous effect on your heart.

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Dietary supplements for erectile dysfunction: A natural treatment for ED?, Mayo Clinic.Erectile Dysfunction: Diagnosis and Treatment, Mayo Clinic.5 Ways to Overcome Erectile Dysfunction, Harvard Medical School.Erectile Dysfunction, Cleveland Clinic.

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GAINSWave®, the clinically proven, non-invasive therapy, was specifically developed for men seeking an erectile dysfunction treatment that would improve their sexual performance.

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Hims is a great telemedicine company where, after a free consultation with a doctor, you can access a few different ED treatments proven to be effective: sildenafil (and brand-name Viagra), tadalafil (and brand-name Cialis), and Stendra. As a company, Hims impresses us very much, and there are circumstances in which we recommend Hims above all others for ED treatment providers.

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