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Many factors can contribute to sexual dysfunction in older men, including physical and psychological conditions, comorbidities and the medications used to treat them. Aspects of an ageing man’s lifestyle and behaviour and androgen deficiency, most often decreasing testosterone levels, may affect sexual function as well. A study of men between the ages of 30 and 79 years showed that 24% had testosterone levels below 300 ng/dL and 5.6% had symptomatic androgen deficiency.2

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The urology specialists at University Hospitals understand the sensitive nature of your concerns. We provide empathetic and professional care, along with erectile dysfunction treatment options that can restore function and ease anxiety. Please contact us to schedule an appointment at 1-866-844-2273.
Yale Medicine Urology offers many advanced medical and surgical options to address erectile dysfunction. The department is guided by personalized care to treat the patient.

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Treatments for erectile dysfunction are usually effective and the problem often goes away.
Urology, Male Infertility & Reproductive Health, Stone Disease, Urologic Oncology

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It helps reduce symptoms of an enlarged prostate gland, such as difficulty peeing or needing to pee urgently, by relaxing the muscles in the prostate and bladder.

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Another brand name of sildenafil, called Revatio, is used to treat pulmonary arterial hypertension (high blood pressure in the lungs) and improve exercise ability in men and women with this condition.

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    Occasionally tadalafil can make you feel dizzy. If this happens to you, do not drive, cycle or use machines or tools until you feel better.

    Avoid using any other medicines to treat impotence, such as alprostadil or yohimbine, without first talking to your doctor.
    Spinach is good for elevating testosterone levels, coffee enhances sexual urge, avocado can be used to boost libido. Also, apple peels are said to have great effects on the prevention of prostate cancer.

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    Nearly 95% of men with erectile dysfunction can obtain an erection sufficient for sexual satisfaction with a vacuum constriction device. Only vacuum constriction devices containing a vacuum limiter should be used. All FDA approved devices have such a limiter. Vacuum constriction devices can be a useful second-line treatment option especially in the patient with a supportive partner in a stable relationship. Virtually all men of all ages and with all types of erectile dysfunction can have successful intercourse with a vacuum constriction device.

    The following foods may make symptoms of impotence worse by increasing emotional stress or anxiety, raising inflammation and even causing gut trouble that interferes with nutrient absorption:
    DHEA: The hormone that your body converts into testosterone might sound like the most natural salve for a lagging love life. Sometimes it can help ED, but that’s not always the case.

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    Also use caution if you’re taking alpha-blockers for prostate problems or blood pressure.

    There is often a vicious cycle linking performance anxiety and erectile dysfunction. If you still have erections at times and the problem started rapidly (except after surgery), this usually means psychological reasons are involved.
    Diabetes mellitus can cause ED. Thankfully those with diabetes-induced ED (DMED) tend to respond very well to ED treatments. If you’re prediabetic or your family has a history of diabetes, this is something you should bring up in your consultation.

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    What essential oils are good for erectile dysfunction? Essential oils that may help improve circulation and increase libido include:

    If tadalafil does not work, there are other tablets you could try that work in a similar way, such as:
    Erectile dysfunction (ED, or impotence) is a condition that causes men to be unable to acquire or maintain an erection.

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This can be useful even if there is a medical cause, as it gives you a chance to talk about how you feel about having erectile dysfunction. If there is an underlying psychological reason for the difficulty, this is a safe place to explore what this might be and what you can do about it. This is generally not available as a funded service and you would normally need to pay for this privately. If you have been sexually abused, then you may be able to access free counselling through ACC.

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Please see your primary care provider before scheduling an appointment with one of our specialists. If you don't have a primary care provider, we can help you find one. Locations Urology - Charlois 336-716-4131 336-713-0328 (FAX) Urology - Foothills 336-786-5108 336-783-6842 (FAX) Urology - Janeway Tower 336-716-3325 336-716-9916 (FAX) View All Locations Urology - Lexington 336-716-2011 Urology - Medical Plaza North Elm 336-713-9164 (FAX) Urology - Gatewood 336-878-6511 336-878-6512 (FAX) Close All Locations Referring Physicians

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Management of EDOptimal management of ED involves shared decision-making between the patient, his partner, and the treating clinician.6 Underlying disease states and risk factors should be identified and treated or minimized.5 Contributing medications should be discontinued, or the dose should be reduced.5 A variety of nonpharmacologic and pharmacologic treatment options may be considered for ED treatment. Generally, oral medications are trialed first, and more invasive options are reserved for those who fail to respond to initial therapy.5,6

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The TIMES2 trial conducted using transdermal testosterone demonstrated a 15.2% reduction in insulin resistance (as measured by homeostasis model assessment of insulin resistance) and significant reduction in total and LDL cholesterol. There was significant increase in the International Index of Erectile Function score (IIEFs) mainly because of improvement in sexual desire and intercourse satisfaction scores.11 Another UK study has shown that testosterone replacement reduced the incidence of myocardial infarction and diabetes-related complications, improved quality-adjusted life years and is a cost-effective therapy.12

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