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Is saying "no" to sex really an option?
The major difference between tadalafil and the other PDE-5 inhibitors is its prolonged half-life of 17.5-21 h compared with sildenafil (4-5 h) and vardenafil (4.8-6 h). In those who respond, coitus has been recorded from 30 min to 36 h after administration.
What Is Sex Like With the Prosthesis?
Call your doctor or seek emergency treatment immediately if you experience any of the following symptoms:
Erection begins with sensory or mental stimulation, or both. Impulses from the brain and local nerves cause the muscles of the corpora cavernosa to relax, allowing blood to flow in and fill the spaces. The blood creates pressure in the corpora cavernosa, making the penis expand. The tunica albuginea helps trap the blood in the corpora cavernosa, thereby sustaining erection. When muscles in the penis contract to stop the inflow of blood and open outflow channels, erection is reversed.
More information Frequency and Determinants of Erectile Dysfunction in Italy
Gingko is known to be one of the most effective remedies in fixing erectile dysfunction. Gingko helps in the development of blood flow within the penis, that results to the development in erection. Erectile Dysfunction causes a restricted flow of blood as well as the narrowing of arteries.
Physical causes of ED are related to a breakdown or damage to the sequence of events that lead to an erection. This sequence involves nerve impulses in the brain, spine, and penis as well as the subsequent response in the muscles, fibrous tissues, veins and arteries in and near the corpora cavernosa.
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The cause of erectile dysfunction is generally due to one of two factors; the cause can be psychological or physical.
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Penile prosthesis: Pain medications and anti-inflammatory drugs are indicated.
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Older age, as well as poor sexual function prior to radiation, did increase the risk for sexual impairment after radiation treatment, the researchers said. However, they report no appreciable difference in sexual function between the men receiving the shorter course/higher dose regimen or the more conventional regimen.
Problem may start after an illness or fever
Diabetes mellitus also causes erectile dysfunction by damaging both sensory and autonomic nerves, a condition called diabetic neuropathy. Smoking cigarettes, obesity, poor control of blood glucose levels, and having diabetes mellitus for a long time further increases the risk of erectile dysfunction in diabetes. In addition to atherosclerosis and/or neuropathy causing ED in diabetes, many diabetic men develop a myopathy (muscle disease) as their cause of ED in which the compliance of the muscle in the corpora cavernosa is decreased and clinically this presents as an inability to maintain the erection. For additional information, please read the Diabetes article.
Low blood pressure (a resting systolic blood pressure less than 90mm Hg)
Sex Therapy for Erectile Dysfunction
Cardiovascular diseases: The most common cause of cardiovascular diseases in the United States is atherosclerosis, the narrowing and hardening of arteries that reduces blood flow. Atherosclerosis typically affects arteries throughout the body and is aggravated by hypertension, high blood cholesterol levels, cigarette smoking, and diabetes mellitus. When coronary arteries (arteries that supply blood to the heart muscle) are narrowed by atherosclerosis, heart attacks and angina occur. When cerebral arteries (arteries that supply blood to the brain) are narrowed by atherosclerosis, strokes occur. Similarly, when arteries to the penis and the pelvic organs are narrowed by atherosclerosis, insufficient blood is delivered to the penis to achieve an erection. There is a close correlation between the severity of atherosclerosis in the coronary arteries and erectile dysfunction. For example, men with more severe coronary artery atherosclerosis also tend to have more erectile dysfunction than men with mild or no coronary artery atherosclerosis. Some doctors suggest that men with new onset erectile dysfunction should be evaluated for silent coronary artery diseases (advanced coronary artery atherosclerosis that has not yet caused angina or heart attacks). For more information, please read the Heart Attack Prevention article.
While pulling back may not be helpful, trying harder isn't the answer either. Indeed, while many women jump ship in troubled waters, others take the opposite approach and try to drown their mate in eroticism, believing the problems will disappear if they simply try harder. Not only is this not true, experts say this approach can make things worse.
Reviewed by the doctors at the Glickman Urological Institute at The Cleveland Clinic.
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