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If your doctor doesn't take your problem seriously, ask to be referred to a specialist. Don't let yourself be fobbed off with comments like "What do you expect at your age?"

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Some types of cancer surgery can affect erections. (See Managing Male Sexual Problems Related to Cancer to learn more.) If any of these surgeries are part of your treatment plan, talk to your doctor before the procedure. Ask doctor about how your erections might be affected by surgery and what may be the best way to manage the problem.
An erection problem occurs when a man cannot get or keep an erection that is firm enough for intercourse. You may not be able to get an erection at all. Or, you may lose the erection during intercourse before you are ready. Erection problems do not usually affect your sex drive. .

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Sehr verständlich geschrieben, nachvollziehbar und nach entsprechenden Tests mit konkreten Lösungsansätzen versehen.
Raising your activity level and changing what you eat may make a difference. Some men also try alternative or at-home therapies for their ED.

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We are happy to meet with you within 48 hours on Monday through Friday to provide an e-consult. Please provide the information below so we can contact you. May we share your question and the answer with others? We will not expose your name or any identifying information. Patients: Make an Appointment Select a departmentUrologic Subspecialty Clinic at Parnassus (non-cancer)Urologic Surgical OncologyWomen’s Center for Bladder and Pelvic HealthMale Reproductive HealthPediatric Urology (Children)Lifetime Congenital Urology Program (L-CUP)
Radiation for prostate cancer can cause ED symptoms to appear gradually, usually within two to three years after treatment. If you are experiencing ED after undergoing prostate cancer treatment, you can get a healthy sex life back. We can help you choose the best treatment options for you. By Name By Location ED Treatments pills, injections, penile suppositories, vacuum devices, shockwave therapy, and surgery.

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“Obecalp” is “placebo” spelled backwards. It might help – treatment with inactive placebos (inert substances used in evaluation of new drug treatments) works about one-third of the time in scientific studies when patients don’t know they’re getting a fake drug. Placebos are generally safe since they contain no known active agent. (However, I personally never give patients inactive placebos, and many physicians regard them as unethical.)

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Treatment for ED is based on the cause of the problem. Some of the treatments that may be used include:

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    Second line therapies for ED include the use of intraurethral prostaglandin E1 (Muse), the vacuum device, and intracavernous injection therapies.

    What erectile dysfunction studies are under way? What are future treatment options?
    Erectile dysfunction (ED) is defined as the recurrent or chronic inability to achieve or maintain an erection sufficient for sexual intercourse. It is not uncommon, and affects as many as 15-30 million men in the United States today. Although increasing age is a risk factor, ED is itself is not an inevitable part of aging. Erection problems are more common in older men but can effect men at any age. ED is, in most cases, treatable.

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    GAINSWave therapy is effective and safe for men who cannot take oral ED medicine, such as those with heart disease, diabetes, or high blood pressure. GAINSWave can be used to treat Peyronie’s Disease, which Viagra and other oral ED drugs cannot. Here is How Those With Erectile Dysfunction Can Still Provide and Achieve Sexual Pleasure

    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.
    Since the penis arteries are very small, they tend to become diseased prior to the larger coronary (heart) or carotid (neck) arteries. Thus, erectile dysfunction is yet another sign of vascular disease predating heart attacks and strokes. In other words, patients who develop ED, are at higher risk of having a heart attack or a stroke in the future.

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    In general, PDE5i works successfully in about 65%-70% of all men with erectile dysfunction (impotence). The greater the degree of damage to the normal erection mechanism and severity of the ED, the lower the overall success rate. Men with diabetes and those with spinal cord injury reported between 50%-60% responding successfully to treatment with oral PDE5i medications. The lowest success rate has been in men who developed ED (impotence) after prostate cancer surgery (radical prostatectomy) for more advanced prostate cancer that required removal of both sets of nerves around the prostate. In men who did not have the nerves removed/damage, there is a better chance of response to PDE5 inhibitors.

    We understand your concerns and can answer your questions about male sexual issues. We’ve heard it all before, and we can find the answers—and the treatment—that is personally best for you.
    It is known that certain lifestyle factors can increase the likelihood of erectile dysfunction, and therefore patients may be advised to reduce their alcohol intake and stop smoking. Regular exercise may also help symptoms, as it may improve physical health, in addition to reducing any symptoms of anxiety or stress that may be contributing to the condition. However, cycling for more than 3 hours a week has been shown to increase the likelihood of erectile dysfunction, and so if patients cycle more than this, they should be advised to seek alternative means of exercise. Related websites and support groups Institute of Psychosexual Medicine Relate Sexual Advice Association Related Endocrine Conditions Diabetes insipidus Diabetes mellitus Male hypogonadism View all Endocrine conditions Related Hormones Testosterone View all Hormones Related Glands Testes View all Glands You and Your Hormones

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    The information in our articles is NOT intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.

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Erectile dysfunction can occur as a side effect of medication taken for another health condition. Common culprits are high blood pressure meds, antidepressants, some diuretics, beta-blockers, heart medication, cholesterol meds, antipsychotic drugs, hormone drugs, corticosteroids, chemotherapy, and medication for male pattern baldness, among others.

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“I mean it was enormous, probably the equivalent of penicillin for infections,” says Dr. Katlowitz. “It got people to talk about sexual dysfunction. It turned it into a physiological problem, and people were now willing to discuss it.”

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Erectile dysfunction often has more than one cause. Many diseases can cause blood flow problems, damage nerves, arteries and muscles, which can impair erectile function.

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