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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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Among men not receiving antihypertensive medication, penile blood flow velocity progressively decreased with rising blood pressure – i.e. blood flow was fastest in those with normal blood pressure, slower in those with high-normal blood pressure, and slowest in those with hypertension (see Figure). In contrast, among men taking antihypertension therapy, there was no difference in penile blood flow velocity between the three blood pressure categories.
Medscape: "Tobacco Education: Emphasizing Impotence as a Consequence of Smoking." .

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Strong evidence links a sedentary lifestyle to erectile dysfunction. Running, swimming, and other forms of aerobic exercise have been shown to help prevent ED.
If stress, anxiety, or other emotional issues are causing the condition, counseling may help. Some men experience erectile dysfunction because of past experiences that cause a lack of self-esteem, fear, or guilt, and counseling can help you overcome those negative feelings. Couple counseling can also help improve mutual understanding and acceptance in a relationship, allowing you to feel more comfortable during intimacy.

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Viagra and other ED drugs are increasingly being misused and even abused. Learn about the risks of recreational ED drug use.
It is more likely that you’ll develop ED as you get older, but aging itself does not cause erectile dysfunction. Many factors can cause erectile dysfunction, including those that affect your endocrine, vascular and nervous systems.

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If you need something to ease the discomfort, try taking an antacid, but do not put off going to the doctor if it bothers you. They may be able to prescribe an extra medicine to protect your stomach. Stuffy nose

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Both experts agree that there are many indirect causes of sexual dysfunction and low sex drive. The best bet is to prevent or treat the underlying disease, they said.

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    Professor Vlachopoulos said: “These results imply that hypertensive patients already have significant structural damage in the penile arteries and adding antihypertensive drugs does not further reduce penile blood flow. But in men with normal or high-normal blood pressure, the penile arteries have minimal structural damage and medications could have a negative impact on penile blood flow.”
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    Most men will experience some form of impotence in their lifetime, and the likelihood of developing symptoms increases with age and declining health.

    American Association of Genitourinary Surgeons American Urological Association European Association of Urology Punch Club Société Internationale d’Urologie The Royal Society of Medicine Urological Club of Great Britain & Ireland
    Some estimates indicate that about 40% of men over the age of 40 will have erection problems at times. being unable to get an erection experiencing a partial erection having an erection of a shorter than usual duration. What causes an erection to fail?

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    Men in generally good health who use terms such as “performance anxiety” usually suffer from stress-induced or substance-induced ED, which is caused by anxiety, distraction or too much drinking of alcoholic beverages. These patients often respond to such drugs as Cialis, Levitra and Viagra, all of which enhance the effects of nitric oxide, a natural chemical in the body that relaxes the penis muscles and increases blood flow.

    If you miss a dose of Revatio, take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.
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    if you take other medicines to treat pulmonary arterial hypertension, such as riociguat (Adempas).

    There are a variety of other options to treat erectile dysfunction including medication, surgical options, injections, or vacuum devices:
    Anxiety and depression can be treated with counselling and cognitive behavioural therapy (CBT).

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Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, General Urology, Penile Implant, Robotic surgery, Robotic Surgery for Prostate and Kidney Cancers, UroLift, Vasectomy

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The options for management beyond behaviour modification include TRT, PDE5 inhibitors, intracavernosal injection therapy, vacuum constriction devices (VCDs), intraurethral prostaglandin suppositories and surgical placement of a penile prosthesis.40

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Erectile dysfunction is the inability to achieve or maintain an erection that is sufficiently rigid for sexual intercourse. Sexual drive and the ability to have an orgasm are not necessarily affected. Because all men have erection problems from time to time, doctors diagnose erectile dysfunction if a man fails to maintain an erection satisfactory for intercourse on at least 25% of attempts. Worldwide, erectile dysfunction occurs in close to 20% of men.

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If ignored, erectile dysfunction can lead to complications, such as an unsatisfactory sex life, low self-esteem, high anxiety, and relationship problems. Getting a partner pregnant also becomes difficult if a man suffers with erectile dysfunction.

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