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Overall success rate of 40-50%
The researchers found that the overall prevalence of erectile dysfunction among U.S. men was 18.4 percent. Age was a strong risk factor -- men 70 and older accounted for 70 percent of those with erectile dysfunction. In contrast, just 5 percent of men with erectile problems were between the ages of 20 and 40.
Risk of infection, scar tissue formation with distortion of the penis, and painful erections
A significant number of men develop impotence from psychological causes that can be overcome. When a physiological cause is treated, subsequent self-esteem problems may continue to impair normal function and performance. Qualified therapists (e.g., sex counselors, psychotherapists) work with couples to reduce tension, improve sexual communication, and create realistic expectations for sex, all of which can improve erectile function.
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Sildenafil should be taken on an empty stomach approximately 30-60 minutes prior to sexual intercourse. This agent is not intended to be taken daily. Sexual stimulation is necessary to produce an erection. An increased ability to obtain erections can last up to 24 hours but is usually limited to 6-8 hours.
Penile ultrasound to check for blood vessel or blood flow problems
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Self-injection of these agents has been of enormous benefit because they represent the most effective way to achieve erections in a wide variety of men who otherwise would be unable to achieve adequately rigid erections.
A few causes of impotence may be iatrogenic (medically caused). Various antihypertensives (medications intended to control high blood pressure) and some drugs that modify central nervous system response may inhibit erection by denying blood supply or by altering nerve activity. Antidepressants, especially SSRIs, can cause impotence as a side effect. Surgical intervention for a number of different conditions may remove anatomical structures necessary to erection, damage nerves, or impair blood supply. Some studies have shown that male circumcision may result in an increased risk of impotence, [1] [2] while others have found no such effect, [3] [4] [5], and another found the opposite. [6]
Erectile Dysfunction Article
» Links to this article By Lyndsey LaytonWashington Post Staff Writer
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Kegel exercises – Increase pelvic blood flow and muscle tone.
The treatment sometimes lasts up to 3 months. The first effects are unlikely to show earlier than two weeks and the manufacturer warns that the primary results will be expected only after a month or so of continuous treatment.
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What symptoms are associated with serious side effects or complications?