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Urology Associates provides various treatment options for erectile dysfunction (ED). Our urology team will help treat your ED safely and effectively.

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Translational Andrology and Urology reports that sedentary lifestyles can greatly influence a man’s ability to get an erection and achieve orgasm. The fact is that cardiovascular health and erectile functions are extremely intertwined. Restoration of overall bodily functions, especially to the heart, kidney, and liver, are key in having a harmonious sex life.
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Almost 400 years ago, English physician Thomas Sydenham wrote that “a man is as old as his arteries.” I can relate. As a practicing cardiologist of more than 30 years, my practice is dedicated to helping arteries stay young. This effort now includes GAINSWave shock wave therapy for repairing the root cause of erectile dysfunction in many men: aging arteries ...
The successful treatment of erectile dysfunction (impotence) has been demonstrated to improve couple intimacy, improve sexual satisfaction, improve male self-esteem, and overall quality of life. In some men, it may also relieve symptoms of depression.

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Doctors have not tested the PDE5 inhibitors in patients with retinitis pigmentosa, an eye condition that affects the retina and can cause blindness, and so caution is recommended if you have this health condition.
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The persistent or recurrent inability to achieve or maintain an erection good enough to complete your chosen sexual activity satisfactorily, whether that's masturbation, oral sex or vaginal or anal intercourse.

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Commonly called male impotence, erectile dysfunction is the inability to achieve or maintain penile erections sufficient for intercourse. Erectile dysfunction often has a psychological component, and counseling with a psychotherapist or sex therapist often resolves the problem. ED can also be a symptom of cardiovascular disease and diabetes, both of which can impair blood supply to the penis. In addition, many medications, including those prescribed for high blood pressure and mental health conditions, can interfere with sexual functioning. Tobacco, cocaine, stimulants and alcohol may also play a role.

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    Your doctor will take a full medical history and perform a complete physical exam. Although it can be awkward to discuss ED with your doctor, it is important to be open and honest about all your symptoms, because they could indicate a serious medical problem.

    Erectile dysfunction is also known as impotence. It means you can't maintain an erect enough penis for satisfactory sexual intercourse. Many men have erection problems at times and the chance of this happening increases with age. Key points about erectile dysfunction Erectile dysfunction is not a disease, but a symptom of some other problem, either physical or psychological or a mixture of both. It can be distressing and may cause loss of confidence and self-esteem or depression, as well as relationship problems. There are several solutions, but recognising the problem and talking about it with your doctor are the key first steps. You can help yourself by cutting down on alcohol, stopping smoking and reducing the stress in your life. How does an erection happen?
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    Phosphodiesterase inhibitor medications, such as sildenafil (Viagra) can cause a reduction in blood pressure, and so should not be taken by patients known to have low blood pressure (hypotension), or in those who have recently had a stroke or heart attack. Similarly, they should not be used in patients who take nitrate medication (such as glyceryl trinitrate, GTN, or isosorbide mononitrate) for chest pain. Phosphodiesterase inhibitor medications are associated with some side-effects, which include headaches, hot flushes, and dizziness. More serious side-effects may occur less commonly, including chest pains, prolonged and painful erections (priapism) or a change in vision. If patients experience any of these symptoms, they should seek immediate medical attention.

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    Many lab tests can be helpful in diagnosing male sexual problems. Measuring testosterone levels can determine whether there is a hormonal imbalance, which is often linked to decreased desire.
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    Having erectile dysfunction isn't something you just have to live with. Almost all cases of erectile dysfunction are treatable, and treatment can lead to better overall physical and emotional health for nearly every patient as well as improve intimacy for couples.

    Katz A. Breaking the Silence on Cancer and Sexuality: A Handbook for Healthcare Providers. 2nd ed. Pittsburgh, PA: Oncology Nursing Society.; 2018.
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Stendra is also our top choice for couples who enjoy morning sex. Why? Tadalafil taken in the morning can sometimes require about an hour before it is fully effective. This experience with tadalafil varies — some men find tadalafil to be effective for a full 36 hours (which would make the prior morning’s dose still effective), while others find its effects wear off in closer to 18 hours. If you are in the latter camp, Stendra will be better for your morning rituals because you can take a dose as you wake up and then be ready for fun in as little as 15 minutes.

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Pills are an easy way to treat ED, but you might get a stronger erection from injecting medication directly into your penis. That’s because these drugs widen your blood vessels so your penis fills with blood. Another option: A medicated pellet you put into the opening at the end of your penis. The pellet can trigger an erection within 10 minutes.

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The complete cure depends on the underlying cause. It can be easy to reverse ED in men who were previously able to sustain an erection. But in many cases, multiple factors cause ED, and hence, the treatment is not straightforward. A complete cure may not be possible in conditions like atherosclerosis, aging, injuries to the spinal cord or brain that affect blood vessels or nerves in the body.

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