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Symptoms & Types 
 Erectile dysfunction is different from other conditions that affect sexual 
intercourse. Here's information on the symptoms of ED, and whether treatment 
is needed. 
 Symptoms 
 Being unable to have or keep an erection adequate for sexual activity is the 
defining mark of erectile dysfunction. The problem may manifest itself in several 
ways. 
 Being unable to have or keep an erection adequate for sexual activity is the 
defining mark of erectile dysfunction. The problem may manifest itself in several 
ways. 
 Types 
 Psychological Erectile Dysfunction:- 
After all, erections do start in the brain. 
 Priapism:- 
Priapism is a persistent, usually painful, erection that lasts for more than four hours 
and occurs without sexual stimulation. 
 Peyronie's Disease:- 
Peyronie's disease is caused by scar tissue, called plaque, which forms along the 
length of the penis in the corpora cavernosa.
Diagnosis & Tests 
 Diagnosis 
• Erectile Dysfunction Diagnosis and Treatment 
• If your dysfunction is severe and persistent, you should seek medical help. 
 Tests 
• Erectile Dysfunction Tests 
• It's not as simple as it sounds. Finding the exact cause of impotence may take a 
complete physical exam. Get the details here.
Treatment & Care 
You may be surprised at all the options for treating erectile dysfunction. 
These articles are about treating the condition -- and caring for the people who have 
it. 
 Treatment 
 Erectile Dysfunction Treatment 
Erectile dysfunction can be treated at any age. Treatment depends on your overall 
health and the underlying cause of the problem. 
 Discussing Erectile Dysfunction With Your Doctor 
Unfortunately, some men are reluctant or embarrassed to discuss sexual matters with 
their doctor. As a result, they don't get the help that could resolve their problem with 
ED. 
 Treatment for Erectile Dysfunction: Lifestyle Change 
A better lifestyle may be all you need for stronger erections. 
 Erectile Dysfunction Vacuums 
Yes, it's the penis pump. Despite its drawbacks, the erectile dysfunction vacuum works 
very well for many men. Learn more about the pluses and minuses of this tried-and-true 
device.
Treatment & Care 
 Penile Implants: 
Penile prostheses -- penis implants -- offer a permanent solution to erectile 
dysfunction. There are more types than you may think. 
 Erectile Dysfunction Surgery: 
Surgery can improve the blood flow to the penis, thus improving erections. 
 Natural Remedies for Erectile Dysfunction: 
You may want to try these natural remedies as alternative treatments for erectile 
dysfunction. 
 New Impotence Treatments: 
See what's in the development pipeline as researchers race to bring new erectile 
dysfunction drugs to market. 
 Yohimbe Bark Supplements: 
For generations, the bark of the yohimbe tree, an evergreen native to western Africa, 
has been used as a remedy for ED. 
 Alprostadil: 
Alprostadil is a type of medicine that causes blood vessels to expand, increasing blood 
flow throughout the body. By increasing blood flow to the penis, alprostadil helps 
facilitate an erection.
Treatment & Care 
 Cialis, Levitra, Staxyn, and Viagra to Treat ED: 
Cialis, Levitra, Staxyn, Stendra, and Viagra work by a similar mechanism to cause 
erections. There are subtle differences in how long the drug works and how quickly it 
works. 
 Hormonal Therapy for Erection Problems: 
Testosterone, bromocriptine, and cabergoline are hormonal treatments that may help 
with erectile dysfunction. 
 Testosterone Replacement Therapy: 
Inadequate production of testosterone is not a common cause of erectile dysfunction; 
however, when ED does occur due to decreased testosterone production, testosterone 
replacement therapy may improve the problem. 
 Horny Goat Weed (Epimedium): 
Horny goat weed is an herb that has been a traditional remedy in China for centuries. 
It’s used for low libido, erectile dysfunction, fatigue, pain, and other conditions. 
 Sexual Pleasure with Impotence: 
Good things usually happen when an intimate couple sees a sex therapist.
Treatment & Care 
 Care:- 
 Talking with Your Partner: 
It's called communication. Erectile dysfunction affects both partners in a relationship. 
Here's how to talk about it. 
 If Your Partner Has Erectile Dysfunction: 
Here's what you need to know if your partner suffers from erectile dysfunction.
Causes 
Male sexual arousal is a complex process that involves the brain, hormones, 
emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a 
problem with any of these. Likewise, stress and mental health problems can cause or 
worsen erectile dysfunction. Sometimes a combination of physical and psychological 
issues causes erectile dysfunction. For instance, a minor physical problem that slows 
your sexual response may cause anxiety about maintaining an erection. The resulting 
anxiety can lead to or worsen erectile dysfunction. 
 Physical causes of erectile dysfunction:- 
• In most cases, erectile dysfunction is caused by something physical. Common 
causes include: 
• Heart disease 
• Clogged blood vessels (atherosclerosis) 
• High cholesterol 
• High blood pressure 
• Diabetes 
• Obesity
Causes 
 Physical causes of erectile dysfunction:- 
• Metabolic syndrome, a condition involving increased blood pressure, high insulin levels, 
body fat around the waist and high cholesterol 
• Parkinson's disease 
• Multiple sclerosis 
• Low testosterone 
• Peyronie's disease, development of scar tissue inside the penis 
• Certain prescription medications 
• Tobacco use 
• Alcoholism and other forms of substance abuse 
• Treatments for prostate cancer or enlarged prostate 
• Surgeries or injuries that affect the pelvic area or spinal cord 
 Psychological causes of erectile dysfunction:- 
• The brain plays a key role in triggering the series of physical events that cause an 
erection, starting with feelings of sexual excitement. A number of things can interfere 
with sexual feelings and cause or worsen erectile dysfunction. These include: 
• Depression, anxiety or other mental health conditions 
• Stress 
• Relationship problems due to stress, poor communication or other concerns.
Risk Factors 
• As you get older, erections may take longer to develop and may not be as firm. You 
may need more direct touch to your penis to get and keep an erection. This isn't a 
direct consequence of getting older. Usually it's a result of underlying health 
problems or taking medications, which is more common as men age. 
• A variety of risk factors can contribute to erectile dysfunction. They include: 
• Medical conditions, particularly diabetes or heart problems. 
• Using tobacco, which restricts blood flow to veins and arteries. Over time tobacco 
use can cause chronic health problems that lead to erectile dysfunction. 
• Being overweight, especially if you're very overweight (obese). 
• Certain medical treatments, such as prostate surgery or radiation treatment for 
cancer. 
• Injuries, particularly if they damage the nerves that control erections. 
• Medications, including antidepressants, antihistamines and medications to treat 
high blood pressure, pain or prostate cancer. 
• Psychological conditions, such as stress, anxiety or depression. 
• Drug and alcohol use, especially if you're a long-term drug user or heavy drinker. 
• Prolonged bicycling, which may compress nerves and affect blood flow to the 
penis, can lead to temporary erectile dysfunction.
Risk Factors 
• Complications:- 
• Complications resulting from erectile dysfunction can include: 
• An unsatisfactory sex life 
• Stress or anxiety 
• Embarrassment or low self-esteem 
• Marital or relationship problems 
• The inability to get your partner pregnant
Treatments and drugs 
• The first thing your doctor will do is to make sure you're getting the right treatment for 
any health problems that could be causing or worsening your erectile dysfunction. 
• A variety of options exist for treating erectile dysfunction. The cause and severity of 
your condition, and underlying health problems, are important factors in your doctor's 
recommending the best treatment or treatments for you. Your doctor can explain the 
risks and benefits of each treatment and will consider your preferences. Your partner's 
preferences also may play a role in treatment choices. 
Oral medications:- 
• Oral medications are a successful erectile dysfunction treatment for many men. They 
include: 
• Sildenafil (Viagra) 
• Tadalafil (Cialis) 
• Vardenafil (Levitra, Staxyn) 
• All three medications work in much the same way. These drugs enhance the effects of 
nitric oxide, a natural chemical your body produces that relaxes muscles in the penis. 
This increases blood flow and allows you to get an erection in response to sexual 
stimulation. These medications vary in dosage, how long they work and their side 
effects. Your doctor will take into account your particular situation to determine which 
medication may work best.
Treatments and drugs 
Oral medications:- 
• Possible side effects include flushing, nasal congestion, headache, visual changes 
and stomach upset. 
• These medications may not fix your erectile dysfunction immediately. You may 
need to work with your doctor to find the right medication and dose for you. 
• Before taking any prescription erectile dysfunction medication (including over-the-counter 
supplements or herbal remedies), get your doctor's OK. Although these 
medications can help many people, not all men should take them to treat erectile 
dysfunction. These medications may not work or may be dangerous for you if you: 
• Take nitrate drugs — commonly prescribed for chest pain (angina) — such as 
nitroglycerin (Nitro-Bid, Nitro-Dur, Nitrostat, others), isosorbide mononitrate 
(Imdur, Monoket) and isosorbide dinitrate (Dilatrate, Isordil) 
• Take a blood-thinning (anticoagulant) medication, alpha blockers for enlarged 
prostate (benign prostatic hyperplasia) or high blood pressure medications 
• Have heart disease or heart failure 
• Have had a stroke 
• Have very low blood pressure (hypotension) or uncontrolled high blood pressure 
(hypertension) 
• Have uncontrolled diabetes
Treatments and drugs 
• Other medications 
• Other medications for erectile dysfunction include: 
• Alprostadil self-injection.With this method, you use a fine needle to inject 
alprostadil (Caverject Impulse, Edex) into the base or side of your penis. In some 
cases, medications generally used for other conditions are used for penile injections 
on their own or in combination. Examples include papaverine, alprostadil and 
phentolamine. Each injection generally produces an erection that lasts about an 
hour. Because the needle used is very fine, pain from the injection site is usually 
minor. Side effects can include bleeding from the injection, prolonged erection and 
formation of fibrous tissue at the injection site. 
• Alprostadil penis suppository. Alprostadil intraurethral (Muse) therapy involves 
placing a tiny alprostadil suppository inside your penis in the penile urethra. You use 
a special applicator to insert the suppository into your penile urethra. The erection 
usually starts within 10 minutes and lasts between 30 and 60 minutes. Side effects 
can include pain, minor bleeding in the urethra, and formation of fibrous tissue 
inside your penis. 
• Testosterone replacement. Some men have erectile dysfunction caused by low 
levels of the hormone testosterone, and may need testosterone replacement 
therapy.
Treatments and drugs 
• Penis pumps. A penis pump (vacuum erection device) is a hollow tube with a hand-powered 
or battery-powered pump. The tube is placed over your penis, and then the 
pump is used to suck out the air inside the tube. This creates a vacuum that pulls blood 
into your penis. Once you get an erection, you slip a tension ring around the base of 
your penis to hold in the blood and keep it firm. You then remove the vacuum device. 
The erection typically lasts long enough for a couple to have sex. You remove the 
tension ring after intercourse. Bruising of the penis is a possible side effect, and 
ejaculation may not be as forceful. If a penis pump is a good treatment choice for you, 
your doctor may recommend or prescribe a specific model. That way you can be sure it 
suits your needs and that it's made by a reputable manufacturer. Penis pumps available 
in magazines and sex ads may not be safe or effective. 
• Penile implants. This treatment involves surgically placing devices into the two sides of 
the penis. These implants consist of either inflatable or semirigid rods. The inflatable 
devices allow you to control when and how long you have an erection. The semirigid 
rods keep the penis firm but bendable. This treatment is usually not recommended until 
other methods have been tried first. As with any surgery, there is a risk of complications 
such as infection. 
• Psychological counseling 
• If your erectile dysfunction is caused by stress, anxiety or depression, your doctor may 
suggest that you, or you and your partner, visit a psychologist or counselor. Even if it is 
caused by something physical, erectile dysfunction can create stress and relationship 
tension.
Lifestyle and home remedies 
• For many men, erectile dysfunction is caused or worsened by lifestyle choices. Here are some 
things you can do that may help: 
• If you smoke, quit. If you have trouble quitting, get help. Try nicotine replacement (such as 
gum or lozenges), available over-the-counter, or ask your doctor about prescription 
medication that can help you quit. 
• Lose weight. Being overweight can cause — or worsen — erectile dysfunction. 
• Get regular exercise. This can help with underlying problems that play a part in erectile 
dysfunction in a number of ways, including reducing stress, helping you lose weight and 
increasing blood flow. 
• Get treatment for alcohol or drug problems. Drinking too much or taking certain illegal drugs 
can worsen erectile dysfunction directly or by causing long-term health problems. 
• Work through relationship issues. Improve communication with your partner and consider 
couples or marriage counseling if you're having trouble working through problems on your 
own. 
• Herbal viagra 
• Some alternative products that claim to work for erectile dysfunction can be dangerous. The 
Food and Drug Administration (FDA) has issued warnings about several types of "herbal 
viagra" because they contain potentially harmful drugs not listed on the label. Some of these 
drugs can interact with prescription drugs and cause dangerously low blood pressure. These 
products are especially dangerous for men who take nitrates.
Prevention 
• The best way to prevent erectile dysfunction is to make healthy lifestyle choices 
and to manage any existing health problems you have. Here are some things you 
can do: 
• Work with your doctor to manage diabetes, heart disease or other chronic health 
problems. 
• See your doctor for regular checkups and medical screening tests. 
• Stop smoking, limit or avoid alcohol, and don't use street drugs. 
• Exercise regularly. 
• Take steps to reduce stress. 
• Get help for anxiety or depression.

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Erectile Dysfunction Symptoms And Treatment

  • 1.
  • 2. Symptoms & Types  Erectile dysfunction is different from other conditions that affect sexual intercourse. Here's information on the symptoms of ED, and whether treatment is needed.  Symptoms  Being unable to have or keep an erection adequate for sexual activity is the defining mark of erectile dysfunction. The problem may manifest itself in several ways.  Being unable to have or keep an erection adequate for sexual activity is the defining mark of erectile dysfunction. The problem may manifest itself in several ways.  Types  Psychological Erectile Dysfunction:- After all, erections do start in the brain.  Priapism:- Priapism is a persistent, usually painful, erection that lasts for more than four hours and occurs without sexual stimulation.  Peyronie's Disease:- Peyronie's disease is caused by scar tissue, called plaque, which forms along the length of the penis in the corpora cavernosa.
  • 3. Diagnosis & Tests  Diagnosis • Erectile Dysfunction Diagnosis and Treatment • If your dysfunction is severe and persistent, you should seek medical help.  Tests • Erectile Dysfunction Tests • It's not as simple as it sounds. Finding the exact cause of impotence may take a complete physical exam. Get the details here.
  • 4. Treatment & Care You may be surprised at all the options for treating erectile dysfunction. These articles are about treating the condition -- and caring for the people who have it.  Treatment  Erectile Dysfunction Treatment Erectile dysfunction can be treated at any age. Treatment depends on your overall health and the underlying cause of the problem.  Discussing Erectile Dysfunction With Your Doctor Unfortunately, some men are reluctant or embarrassed to discuss sexual matters with their doctor. As a result, they don't get the help that could resolve their problem with ED.  Treatment for Erectile Dysfunction: Lifestyle Change A better lifestyle may be all you need for stronger erections.  Erectile Dysfunction Vacuums Yes, it's the penis pump. Despite its drawbacks, the erectile dysfunction vacuum works very well for many men. Learn more about the pluses and minuses of this tried-and-true device.
  • 5. Treatment & Care  Penile Implants: Penile prostheses -- penis implants -- offer a permanent solution to erectile dysfunction. There are more types than you may think.  Erectile Dysfunction Surgery: Surgery can improve the blood flow to the penis, thus improving erections.  Natural Remedies for Erectile Dysfunction: You may want to try these natural remedies as alternative treatments for erectile dysfunction.  New Impotence Treatments: See what's in the development pipeline as researchers race to bring new erectile dysfunction drugs to market.  Yohimbe Bark Supplements: For generations, the bark of the yohimbe tree, an evergreen native to western Africa, has been used as a remedy for ED.  Alprostadil: Alprostadil is a type of medicine that causes blood vessels to expand, increasing blood flow throughout the body. By increasing blood flow to the penis, alprostadil helps facilitate an erection.
  • 6. Treatment & Care  Cialis, Levitra, Staxyn, and Viagra to Treat ED: Cialis, Levitra, Staxyn, Stendra, and Viagra work by a similar mechanism to cause erections. There are subtle differences in how long the drug works and how quickly it works.  Hormonal Therapy for Erection Problems: Testosterone, bromocriptine, and cabergoline are hormonal treatments that may help with erectile dysfunction.  Testosterone Replacement Therapy: Inadequate production of testosterone is not a common cause of erectile dysfunction; however, when ED does occur due to decreased testosterone production, testosterone replacement therapy may improve the problem.  Horny Goat Weed (Epimedium): Horny goat weed is an herb that has been a traditional remedy in China for centuries. It’s used for low libido, erectile dysfunction, fatigue, pain, and other conditions.  Sexual Pleasure with Impotence: Good things usually happen when an intimate couple sees a sex therapist.
  • 7. Treatment & Care  Care:-  Talking with Your Partner: It's called communication. Erectile dysfunction affects both partners in a relationship. Here's how to talk about it.  If Your Partner Has Erectile Dysfunction: Here's what you need to know if your partner suffers from erectile dysfunction.
  • 8. Causes Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health problems can cause or worsen erectile dysfunction. Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical problem that slows your sexual response may cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction.  Physical causes of erectile dysfunction:- • In most cases, erectile dysfunction is caused by something physical. Common causes include: • Heart disease • Clogged blood vessels (atherosclerosis) • High cholesterol • High blood pressure • Diabetes • Obesity
  • 9. Causes  Physical causes of erectile dysfunction:- • Metabolic syndrome, a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol • Parkinson's disease • Multiple sclerosis • Low testosterone • Peyronie's disease, development of scar tissue inside the penis • Certain prescription medications • Tobacco use • Alcoholism and other forms of substance abuse • Treatments for prostate cancer or enlarged prostate • Surgeries or injuries that affect the pelvic area or spinal cord  Psychological causes of erectile dysfunction:- • The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include: • Depression, anxiety or other mental health conditions • Stress • Relationship problems due to stress, poor communication or other concerns.
  • 10. Risk Factors • As you get older, erections may take longer to develop and may not be as firm. You may need more direct touch to your penis to get and keep an erection. This isn't a direct consequence of getting older. Usually it's a result of underlying health problems or taking medications, which is more common as men age. • A variety of risk factors can contribute to erectile dysfunction. They include: • Medical conditions, particularly diabetes or heart problems. • Using tobacco, which restricts blood flow to veins and arteries. Over time tobacco use can cause chronic health problems that lead to erectile dysfunction. • Being overweight, especially if you're very overweight (obese). • Certain medical treatments, such as prostate surgery or radiation treatment for cancer. • Injuries, particularly if they damage the nerves that control erections. • Medications, including antidepressants, antihistamines and medications to treat high blood pressure, pain or prostate cancer. • Psychological conditions, such as stress, anxiety or depression. • Drug and alcohol use, especially if you're a long-term drug user or heavy drinker. • Prolonged bicycling, which may compress nerves and affect blood flow to the penis, can lead to temporary erectile dysfunction.
  • 11. Risk Factors • Complications:- • Complications resulting from erectile dysfunction can include: • An unsatisfactory sex life • Stress or anxiety • Embarrassment or low self-esteem • Marital or relationship problems • The inability to get your partner pregnant
  • 12. Treatments and drugs • The first thing your doctor will do is to make sure you're getting the right treatment for any health problems that could be causing or worsening your erectile dysfunction. • A variety of options exist for treating erectile dysfunction. The cause and severity of your condition, and underlying health problems, are important factors in your doctor's recommending the best treatment or treatments for you. Your doctor can explain the risks and benefits of each treatment and will consider your preferences. Your partner's preferences also may play a role in treatment choices. Oral medications:- • Oral medications are a successful erectile dysfunction treatment for many men. They include: • Sildenafil (Viagra) • Tadalafil (Cialis) • Vardenafil (Levitra, Staxyn) • All three medications work in much the same way. These drugs enhance the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis. This increases blood flow and allows you to get an erection in response to sexual stimulation. These medications vary in dosage, how long they work and their side effects. Your doctor will take into account your particular situation to determine which medication may work best.
  • 13. Treatments and drugs Oral medications:- • Possible side effects include flushing, nasal congestion, headache, visual changes and stomach upset. • These medications may not fix your erectile dysfunction immediately. You may need to work with your doctor to find the right medication and dose for you. • Before taking any prescription erectile dysfunction medication (including over-the-counter supplements or herbal remedies), get your doctor's OK. Although these medications can help many people, not all men should take them to treat erectile dysfunction. These medications may not work or may be dangerous for you if you: • Take nitrate drugs — commonly prescribed for chest pain (angina) — such as nitroglycerin (Nitro-Bid, Nitro-Dur, Nitrostat, others), isosorbide mononitrate (Imdur, Monoket) and isosorbide dinitrate (Dilatrate, Isordil) • Take a blood-thinning (anticoagulant) medication, alpha blockers for enlarged prostate (benign prostatic hyperplasia) or high blood pressure medications • Have heart disease or heart failure • Have had a stroke • Have very low blood pressure (hypotension) or uncontrolled high blood pressure (hypertension) • Have uncontrolled diabetes
  • 14. Treatments and drugs • Other medications • Other medications for erectile dysfunction include: • Alprostadil self-injection.With this method, you use a fine needle to inject alprostadil (Caverject Impulse, Edex) into the base or side of your penis. In some cases, medications generally used for other conditions are used for penile injections on their own or in combination. Examples include papaverine, alprostadil and phentolamine. Each injection generally produces an erection that lasts about an hour. Because the needle used is very fine, pain from the injection site is usually minor. Side effects can include bleeding from the injection, prolonged erection and formation of fibrous tissue at the injection site. • Alprostadil penis suppository. Alprostadil intraurethral (Muse) therapy involves placing a tiny alprostadil suppository inside your penis in the penile urethra. You use a special applicator to insert the suppository into your penile urethra. The erection usually starts within 10 minutes and lasts between 30 and 60 minutes. Side effects can include pain, minor bleeding in the urethra, and formation of fibrous tissue inside your penis. • Testosterone replacement. Some men have erectile dysfunction caused by low levels of the hormone testosterone, and may need testosterone replacement therapy.
  • 15. Treatments and drugs • Penis pumps. A penis pump (vacuum erection device) is a hollow tube with a hand-powered or battery-powered pump. The tube is placed over your penis, and then the pump is used to suck out the air inside the tube. This creates a vacuum that pulls blood into your penis. Once you get an erection, you slip a tension ring around the base of your penis to hold in the blood and keep it firm. You then remove the vacuum device. The erection typically lasts long enough for a couple to have sex. You remove the tension ring after intercourse. Bruising of the penis is a possible side effect, and ejaculation may not be as forceful. If a penis pump is a good treatment choice for you, your doctor may recommend or prescribe a specific model. That way you can be sure it suits your needs and that it's made by a reputable manufacturer. Penis pumps available in magazines and sex ads may not be safe or effective. • Penile implants. This treatment involves surgically placing devices into the two sides of the penis. These implants consist of either inflatable or semirigid rods. The inflatable devices allow you to control when and how long you have an erection. The semirigid rods keep the penis firm but bendable. This treatment is usually not recommended until other methods have been tried first. As with any surgery, there is a risk of complications such as infection. • Psychological counseling • If your erectile dysfunction is caused by stress, anxiety or depression, your doctor may suggest that you, or you and your partner, visit a psychologist or counselor. Even if it is caused by something physical, erectile dysfunction can create stress and relationship tension.
  • 16. Lifestyle and home remedies • For many men, erectile dysfunction is caused or worsened by lifestyle choices. Here are some things you can do that may help: • If you smoke, quit. If you have trouble quitting, get help. Try nicotine replacement (such as gum or lozenges), available over-the-counter, or ask your doctor about prescription medication that can help you quit. • Lose weight. Being overweight can cause — or worsen — erectile dysfunction. • Get regular exercise. This can help with underlying problems that play a part in erectile dysfunction in a number of ways, including reducing stress, helping you lose weight and increasing blood flow. • Get treatment for alcohol or drug problems. Drinking too much or taking certain illegal drugs can worsen erectile dysfunction directly or by causing long-term health problems. • Work through relationship issues. Improve communication with your partner and consider couples or marriage counseling if you're having trouble working through problems on your own. • Herbal viagra • Some alternative products that claim to work for erectile dysfunction can be dangerous. The Food and Drug Administration (FDA) has issued warnings about several types of "herbal viagra" because they contain potentially harmful drugs not listed on the label. Some of these drugs can interact with prescription drugs and cause dangerously low blood pressure. These products are especially dangerous for men who take nitrates.
  • 17. Prevention • The best way to prevent erectile dysfunction is to make healthy lifestyle choices and to manage any existing health problems you have. Here are some things you can do: • Work with your doctor to manage diabetes, heart disease or other chronic health problems. • See your doctor for regular checkups and medical screening tests. • Stop smoking, limit or avoid alcohol, and don't use street drugs. • Exercise regularly. • Take steps to reduce stress. • Get help for anxiety or depression.