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Depending on the cause of impotence, there may be other signs and symptoms present. For example, where hypogonadism (low testosterone) is the cause, patients may additionally describe reduced sex-drive (low libido), reduced need to shave facial hair and reduced muscle mass. If diabetes has caused damage to the nerve or blood supply to the penis, patients may also describe other symptoms suggestive of damage to other blood vessels or nerves, such as numbness and tingling of the feet. .
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Burnett AL, Nehra A, Breau RH, et al. Erectile dysfunction: AUA guideline. J Urol. 2018;200(3):633-641. PMID: 29746858 pubmed.ncbi.nlm.nih.gov/29746858. Version Info
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If counseling alone does not help treat the psychological issue, medications through a qualified psychiatrist may be prescribed.
The various PDE5 inhibitors share several common side effects, including flushing, nasal congestion, nausea, dyspepsia (stomach discomfort/indigestion), and diarrhea. Differences exist in side effects of the different PDE5 inhibitors, and thus it is important to be familiar with the prescribing information of the PDE5 inhibitor you are prescribed.
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The pressure applied to the pelvic floor during these activities can result in nerve and vascular damage that may inhibit erections.
Few studies have validated the links between vitamin deficiencies and ED. Supplementation of Folic acid, vitamin D, Niacin, or vitamin B3 can help improve ED. Vitamin C may help improve sexual function by improving blood flow and raising testosterone. So, include greens like broccoli, spinach, cauliflower, citrus fruits, bananas, peanuts on the menu regularly.
Treatment depends on what is causing it. If it is caused by uncontrolled blood sugar and high blood pressure, take your medicine and follow your doctor’s instructions.
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These results do not necessarily mean that depression and ED cause each other directly.
Certain exercises help control blood pressure and improve blood flow. Your doctor will advise you on the type of exercises that can improve your condition.