You have to be willing to look at the pace in which you guys are being sexual. If your sexual script has boiled down to 1 minute of touching and then you expect to be ready to go then your penis is trying to communicate something very important to you, slow down and take a moment to get yourself aroused and ready for sex. The media does a horrible job of teaching us how to be sexual. In the movies it is depicted that folks kiss or touch and then everybody is just ready to stick it in. At home your sexual patter may be rushed because it is late or the kids may come in and need something. In functional sexual relationships, adults learn to lock the doors, tell kids they need some privacy and make time to connect through sex and touching to get us ready. Avoiding dealing with intimacy and sex illustrates that you don't have a firm grip on your own anxiety and you need to settle yourself down and work on this by not running away and not being avoidant. Slow down and marinate in your anxiety, tell your partner you are uncomfortable, its possibility contributing to your loss of erections and work through it together. You may need more arousal, you may need more closeness in the relationship and you may need to look at what you are saying to yourself during sex. Your mindset should be positive and relaxed; your focus should be on your partner's pleasure and responses, not on your penis. If criticism is a barrier in your sexual relationship go talk to a sex therapist for guidance through this issue, find a Certified Sex Therapist at www.AASECT.org


Physicians make a diagnosis of erectile dysfunction in men who complain of troubles having a hard enough erection or a hard erection that does not last long enough. It is important as you talk with your doctor that you be candid in terms of when your troubles started, how bothersome your erectile dysfunction is, how severe it is, and discuss all your medical conditions along with all prescribed and nonprescribed medications that you are taking. Your doctor will ask several questions to determine if your symptoms are suggestive of erectile dysfunction and to assess its severity and possible causes. Your doctor will try to get information to answer the following questions:

Erectile dysfunction refers specifically to problems achieving or maintaining an erection. Other forms of male sexual dysfunction include poor libido and problems with ejaculation. Men with erectile dysfunction often have a healthy libido, but their bodies fail to respond in the sexual encounter by producing an erection. Usually there is a physical basis for the problem.
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Alprostadil should not be used in men at higher risk for priapism (erection lasting longer than six hours) including men with sickle cell anemia, thrombocytopenia (low platelet count), polycythemia (increased red blood cell count), multiple myeloma (a cancer of the white blood cells), and is contraindicated in men prone to venous thrombosis (blood clots in the veins) or hyperviscosity syndrome who are at increased risk for priapism.

Prostate cancer isn’t considered a cause of ED on its own, but radiation treatments, hormone therapy, and surgery to remove the entire prostate gland can lead to difficulty in getting or keeping an erection. Sometimes erectile dysfunction related to prostate cancer treatment is only temporary, but many guys experience ongoing difficulties that need to be addressed by other means.

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 (a type of vascular disease) typically affects arteries throughout the body; hypertension, high blood cholesterol levels, cigarette smoking, and diabetes mellitus aggravate atherosclerosis. Hardening of the arteries to the penis and pelvic organs, atherosclerosis, causes insufficient blood flow into the penis. 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 (hardening of the arteries in the heart) 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 undergo evaluation for silent coronary artery diseases (advanced coronary artery atherosclerosis that has not yet caused angina or heart attacks).
Research is mixed on the effectiveness of acupuncture as an erectile dysfunction cure, but one study published in November 2013 in the Journal of Alternative and Complementary Medicine found that acupuncture can be beneficial for men experiencing erectile dysfunction as a side effect of antidepressants, including selective serotonin reuptake inhibitors (SSRIs) and serotonin noradrenaline reuptake inhibitors (SNRIs).
Living alone in a remote rural area in the South-West of France, chances of finding a suitable partner were nihil. So I masturbated, using pornography (not of the more civilized kind). It worked well, up to today, but not anymore the way it used to be. Playing with my glans only works very well, BUT, without really noticing, after a while, my penis got only half-hard just before ejaculating.
Erosion of the prosthesis, whereby it presses through the corporal tissue into the urethra, may occur. Symptoms and signs may include pain, blood in the urine, discharge, abnormal urine stream, and malfunction. If the prosthesis erodes into the urethra, a physician must remove it. If the other cylinder remains intact, it can be left in place. A physician leaves a catheter in place to allow the urethra to heal.
Due to the risk of hypotension, caution should be used in patients using alpha blockers for prostate hyperplasia and patients using other antihypertensive medications and alpha blockers, which should not be co-administered with PDE5 inhibitors. In patients who take 50 mg of sildenafil or more and use alpha blockers, sildenafil dosing should be avoided for at least 4 hours after the dose of the alpha blocker. In patients who take 25 mg of sildenafil, use of any alpha blockers is considered safe.
Although scientists don't understand exactly how this condition can lead to ED, one theory is that high arterial pressure in the small vessels of the penis may cause microscopic tears to the vessel walls. In the process of repairing these tears, the arteries become thicker and less able to supply needed blood to the spongy, erectile tissues of the penis.
The symptoms of erectile dysfunction include difficulty achieving an erection, trouble maintaining an erection, and a reduced interest in sex. Because male sexual arousal is a fairly complex process, it can sometimes be difficult to identify a specific cause. Arousal starts in the brain but it also involves the nerves, muscles, and blood vessels and can be impacted by hormones and emotions. If a problem develops with any of these things, erectile dysfunction could be the consequence.
Tests such as the bulbocavernosus reflex test are used to determine if there is sufficient nerve sensation in the penis. The physician squeezes the glans (head) of the penis, which immediately causes the anus to contract if nerve function is normal. A physician measures the latency between squeeze and contraction by observing the anal sphincter or by feeling it with a gloved finger inserted past the anus.
Are you a man struggling with erectile problems? You may believe that you will have difficulty with this forever or that is not solvable unless you take medication for the problem but a pill may not fix all of the trouble. No doubt if you're experiencing a medical issue and cannot obtain an erection on your own due to vascular issues, a disability or other medical circumstance the Dr Ogudu herbal cure will be a life saver for you guys. I am speaking to the other men in the population who are dodging their sexual difficulties and hiding behind a prescription because it may be easier for them than figuring out why their penis's are not standing up during sexual encounters. I'm to testify about a man who brought joy and happiness back into my life after series of broken relationship and cheats from my spouse's, I'm not a shy guy a woo guys and get it upright but things normally get outburst after a sexual encounter with me, i have used so many product which doctors prescribe for me, but none could offer me the help i searched for. i saw some few comments on the internet about this specialist called Dr Ogudu and decided to email him on his email i saw on the internet so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal product for Penis Enlargement, Weak erection, After 8days of using the herbal product i began to feel the enlargement of my penis,and now it just 4 weeks of using his products my penis is about 9 inches longer, Immediately i noticed some changes i started pleading with my ex to give me another chance that I'm a different guy now after giving it a though we got along again on her first visit i could not believe myself and she also testify after reaching climax the first in the relationship. I am sharing this testimony because i know they're a million men out here facing same predicaments give it a try and be the proud man you urge to be. Contact him now via email and whats-app

The vascular processes that produce an erection are controlled by the nervous system and certain prescription medications may have the side effect of interfering with necessary nerve signals. Among the possible culprits are a variety of stimulants, sedatives, diuretics, antihistamines, and drugs to treat high blood pressure, cancer, or depression. But never stop a medication unless your doctor tells you to. In addition, alcohol, tobacco, and illegal drugs, such as marijuana, may contribute to the dysfunction.
The key to treating erectile dysfunction is to identify the underlying cause. In many cases, it takes a fair bit of trial and error. Because the majority of ED cases are caused by physiological issues, your first step should be to talk to your doctor about your concerns. After completing a physical examination and reviewing your medical history, your doctor will ask you some questions and run some tests to rule out medical causes for your ED.
The link between chronic disease and ED is most striking for diabetes. Men who have diabetes are two to three times more likely to have erectile dysfunction than men who do not have diabetes. Among men with erectile dysfunction, those with diabetes may experience the problem as much as 10 to 15 years earlier than men without diabetes. Yet evidence shows that good blood sugar control can minimize this risk. Other conditions that may cause ED include cardiovascular disease, atherosclerosis (hardening of the arteries), kidney disease, and multiple sclerosis. These illnesses can impair blood flow or nerve impulses throughout the body.
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