Erectile dysfunction is very common around half of men over 40 will get it. ED is the inability to attain or sustain an erection satisfactory for sexual intercourse. Most erectile dysfunction is related to vascular, neurologic, and hormonal disorders; drug use and sometimes psychological disorders are also causes.
Evaluation typically includes screening for underlying diseases and measuring testosterone levels. Treatment options include oral phosphodiesterase inhibitors or apomorphine, intraurethral or intracavernosal prostaglandins, mechanical pump devices, and surgical implants. For many men, lifestyle changes can help:
1. Cut down on smoking, alcohol, and illegal drugs.
2. Get plenty of rest and take time to relax.
3. Exercise and eat a healthy diet to maintain good circulation.
4. Use safe sex practices, which reduces fear of HIV and STDs.
5. Talk openly to your partner about sex and your relationship. If you are unable to do this, counseling can help.
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