Erectile dysfunction or impotence is the inability to achieve or maintain an erection sufficient for intercourse. Erectile dysfunction is experienced by almost half of men over 40.

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A bad erection can be a signal of other pathologies. For example, the absence of a morning erection indicates the organic nature of dysfunction: pathology of the cardiovascular system (atherosclerosis, ischemic disease), metabolic disorders (for example, diabetes mellitus). The causes of impotence can be mental or psychological factors: stress, depression, etc. But to confirm psychogenic erectile dysfunction is possible only if organic options are excluded.
The most severe forms of impotence are of a mixed nature, they occur in diabetes mellitus, renal failure, after extensive operations on the pelvic organs. This is due to a deterioration in blood flow due to irreversible changes in the vascular and cavernous tissues of the penis. Diagnosis of erectile dysfunction consists in determining its psychogenic or organic cause Organic forms are treated by urologists, psychogenic - by psychiatrists and / or sexologists. In most cases, an examination by a urologist is enough to choose the treatment tactics.
Physical examination. Examination, palpation of the penis and testicles, testing of nerves for sensitivity Blood and urine tests. The state of the cardiovascular and endocrine systems, the presence of diabetes or other diseases that affect potency are checked. Ultrasound procedure. It is sometimes combined with an injection of special drugs into the penis to stimulate blood flow. Thus, the blood supply to the organ is assessed.

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Erection problems that occur from time to time should not be a major concern. However, frequent sex problems cause stress, reduce self-confidence and can lead to breakdown in relationships. Psychological test. Depression or other possible psychological causes of the disease are identified. Treatment of impotence with pills is effective in 95% of cases The first thing a doctor should do is to make sure that the correct therapy for chronic diseases, if any, is prescribed.

Lisa Smith - client

Depending on the cause and degree of erectile dysfunction, you will be offered different treatment options. The doctor will explain the risks and benefits of each. In 95% of cases, it is enough to take stimulating medications: Sildenafil (Viagra), Tadalafil (Adkirka, Cialis), Vardenafil (Levitra, Staxin), Avanafil (Stendra). All of these impotence remedies enhance the effects of nitric oxide. It is a natural chemical that the body produces to relax the muscles of the penis and stimulate blood flow.

James Bond - client