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Psychosexual counselling, or sex therapy, is an appropriate recommendation especially for men who are experiencing discord with their partner especially if the conflict is related to the man’s ED. Counselling usually consists of 5–20 sessions with counsellor. It is our recommendation that referral doctors treating men with ED make a referral to a psychotherapist or sex therapist who is certified by AASECT (American Association of Sexuality Educators, Counselors and Therapists) of certified sexuality educator.43

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And if you need support in the process of reducing stress and anxiety, try cognitive behavioral therapy that will help you to work through tough situations that would normally leave you in a state of stress.
14. Evans JD, Hill SR. A comparison of the available phosphodiesterase-5 inhibitors in the treatment of erectile dysfunction: a focus on avanafil. Patient Preference and Adherence. 2007;9:1159-1164. .

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Depressive disorders range from mild symptoms to major depression. Core symptoms of a depressive disorder are sadness or loss of interest or pleasure in usual activities for a period of at least two weeks, accompanied by at least five of the following: sleep difficulties, fatigue, low self-esteem, guilt, psychomotor agitation or retardation, and loss of appetite. Depressive symptoms may lead to loss of libido and reduced sexual function. Therefore, it is appropriate that patients who present with ED should be screened for depression and vice versa.27,28 This depressive symptom complex can also be caused by hypogonadism, and all men with ED should have their testosterone levels checked, as has previously been highlighted.

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Erectile dysfunction (ED) is a common medical condition that primarily affects men older than 40. Among other symptoms, ED can make it difficult to get and maintain erections during sexual activity, placing an unwanted burden on your intimate relationships as well as on your physical and emotional health. While you can’t get standard prescription ED pills over the counter, some supplementary treatments do not require a prescription.
Understanding that erectile dysfunction could have a medical cause, just as asthma or arthritis do, can help you to feel more at ease in mentioning it to your doctor. Your doctor is used to talking about these issues. By opening up this discussion, which is confidential, your doctor can help you in a number of ways.

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    Implants also make it more difficult to do surgery for an enlarged prostate, bladder cancer, or other urological conditions.

    Male infertility is caused by abnormal sperm production, blockage of sperm delivery or low sperm production. Treatments are available that work.
    These diseases include high blood pressure, diabetes, clogged arteries, heart and blood vessel disease, high cholesterol, and chronic kidney disease. Other possible causes include: Nerve injury: The penis, spinal cord, prostate, bladder or pelvis may have sustained a physical injury that needs to be treated. This includes a large group of men who have had surgery or radiation treatment for prostate cancer. Unhealthy lifestyle: This includes smoking, excessive alcohol use, obesity and not exercising. Mental health: Depression, stress and anxiety surrounding sexual failure can all lead to erectile dysfunction. Medications: Some medications, including antidepressants, can cause sexual side-effects. Hormones: A small number of erectile dysfunction cases result from low levels of the male hormone testosterone.

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    Implants, or prostheses, help restore firmness for many men with ED. There are two types:

    If you have a private prescription for tadalafil, read the information that comes with your medicine carefully. The strength and dosage instructions can vary.
    If you cannot get erections because of a hormonal problem, your doctor may refer you to an endocrinologist (a doctor who specialises in the treatment of hormonal problems). They may recommend hormone injections to bring your body's levels back to normal.

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    Based on the severity of the ED issue, your doctor will suggest treatments from least to most invasive. Something as simple as making healthy lifestyle changes (such as quitting smoking, reducing alcohol consumption, and losing weight) may help to solve the issue.

    Ginsenosides are the chemical present in panax ginseng extract that provide the artery opening and benefits as well as improvements to overall heart health.
    Vacuum erection device, also called vacuum constriction devices, are made of three parts:

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    In studies, tadalafil is a top choice among couples -- we believe it will be best for most people. Plus, BlueChew offers our readers an exclusive opportunity to try BlueChew ED treatment for a free month! Just use the links on this page in order to access your free trial.

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    What are truly the norms for testosterone levels in men and could we better determine which might actually benefit, and thus, should receive TRT?

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Jackson G, Boon N, Eardley I, et al. Erectile dysfunction and coronary artery disease prediction: evidence-based guidance and consensus. Int J Clin Pract 2010; 64: 848–57. doi:10.1111/j.1742-1241.2010.02410.x

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But Erectile Dysfunction can also be caused by emotional issues – like stress, anxiety or depression -- or lifestyle choices – smoking, drinking and inactivity. These often respond well to natural treatment.

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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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You shouldn’t take these pills if you take nitrate drugs for heart disease. Doing so can cause a dangerous drop in blood pressure.

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