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https://pubmed.ncbi.nlm.nih.gov/26391406/ Biological Activities of Ginseng and Its Application to Human Health. (2011).

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A detailed medical history, sexual history, and physical exam are warranted to identify causative or reversible factors involved in ED.4 Select laboratory tests (e.g., serum testosterone, serum blood glucose, fasting lipid panel, thyroid-stimulating hormone) may be obtained to identify causative factors of ED. Additionally, a detailed medication history is necessary to identify medications that may be contributing to ED (see TABLE 1).4,5 .

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Your doctor may recommend pursuing some mental health support to alleviate the impact of stress, depression, or anxiety on your ED. Seeking help from a mental health professional can help treat erectile dysfunction.

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The pulsating waves also trigger a healing response that “wakes-up” dormant stem cells and growth factors in the penis for an overall rejuvenation of male erectile tissue.
Top Picks Talking to Your Partner About ED Penis Enlargement: Does It Work? ED: Tips for Talking With Your Doctor Men's Super Foods: Some Fight ED Photos: When Your Body Won't Cooperate 10 Things That Can Deflate Your Erection further reading Foods to Boost Male Health Belly-Fattening Foods Men Can't Resist Can Dad's Diet Make a Healthier Baby? Can Dad's Diet Make a Healthier Baby? Vitamin and Mineral Supplements for Men 10 Health Benefits of Regular Exercise for Men Causes of Obesity in Men Men's Diets Topics 8 Natural Remedies for Erectile Dysfunction (ED, Impotence) Medical Author: William C. Shiel Jr., MD, FACP, FACR Medical Editor: Melissa Conrad Stöppler, MD

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Hypogonadism is common in patients with type 2 diabetes, more so if ‘metabolic syndrome’ or obesity is present. The Endocrine Society recommends routine measurement of testosterone levels in patients with type 2 diabetes, but even diabetologists can be tardy in checking this.2 Studies to date have demonstrated strong benefits resulting from testosterone replacement, but this treatment should be individualised and under specialist supervision until long-term studies fully establish its benefits and risks.

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    Viagra is in a class of medicines known as phosphodiesterase (PDE) inhibitors. It works by increasing blood flow to the penis.

    This involves listening to the heart rate and the lungs. The blood pressure is checked, the testicles and penis are examined. A rectal exam can be done to test for prostate.
    “There are many herbal remedies that tout improvement in erectile function, but most have little effect and may actually have detrimental side effects,” Mucher says. Two natural erectile dysfunction treatments that have shown promise are red ginseng and pomegranate juice.

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    Poor sleep patterns can be a contributing factor for erectile dysfunction, Mucher says. One review published in the journal Brain Research emphasized the intricate relationship between the level of sex hormones like testosterone, sexual function, and sleep, noting that testosterone levels increase with improved sleep, and lower levels are associated with sexual dysfunction. Hormone secretion is controlled by the body’s internal clock, and sleep patterns likely help the body determine when to release certain hormones.

    Medication therapy is effective, especially in older men. Additional treatment may include self-injected medication, vacuum erection devices, or urethral suppositories. Surgical interventions include vascular reconstruction for improved penile blood flow. Penile implants are considered for some cases.
    For ED, one systematic review concluded that red ginseng in particular may be effective in the treatment of ED. However, like most OTC ED remedies, additional research is required to provide conclusive evidence.

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    Erectile dysfunction can be an indicator of a larger problem. It may be uncomfortable, but it is important to discuss it with your doctor. With your doctor’s assistance, you can get to the cause of the problem by pursuing treatment for your ED. Feeling nervous about sex due to a bad experience or anxiety around your erectile dysfunction Feeling stressed by other factors, like work or family issues Feeling depressed or overwhelmed Feeling self-conscious about your body or performance Thinking your partner is reacting negatively toward you QUESTION Testosterone is a chemical found only in men. See Answer

    Smoking, drinking alcohol and the use of recreational drugs such as narcotics, stimulants and hallucinogens can all affect sexual function. Chemicals from smoking can interfere with blood flow to your penis and damage the lining of the blood vessels or lead to atherosclerosis (hardening of the arteries). It can also affect the smooth muscle tissue that needs to relax to allow blood to flow in. Short-term use of alcohol affects sexual desire, reduces performance and delays orgasm and ejaculation.
    Tomar R, Dhindsa S, Chaudhuri A, et al. Contrasting testosterone concentrations in Type 1 and Type 2 diabetes. Diabetes Care 2006; 29: 1120–2.

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    Benign Prostatic Hyperplasia/BPH, Erectile Dysfunction, General Urology, Kidney Stones, Male Sexual Health, Overactive Bladder (OAB), Prostate Cancer, Scrotal/Testicular/Penile Surgeries, Urinary Incontinence, Varicoceles More...

    Urology, Male Infertility & Reproductive Health, Stone Disease, Urologic Oncology
    You can buy extract of the bark of the yohimbe tree – long used as an aphrodisiac in western Africa -- as a dietary supplement. Its promoters claim it can help erectile dysfunction. But the science shows mixed results.

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If the tablets mentioned above don't work, then injecting a medicine called Caverject into the base of your penis is another option. It allows most men to get an erection, which may last beyond ejaculation. Some men may be put off by this method, but the injector devices are simple and convenient to use and the procedure is virtually painless. Your doctor or sexual health specialist needs to show you in person how to use it safely.

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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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Your doctor will do a physical exam and ask you questions about your symptoms. He or she may do a blood or urine test. Your doctor may consider other tests to rule out other conditions.

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