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A short explanation of erectile dysfunction

When a man has erectile dysfunction (ED), he can’t get or keep an erection long enough for sexual activity more than two-thirds of the time. The penis doesn’t get hard enough or it loosens up too soon.[1]

The inability to get an erection lasts at least six months. So, if it “doesn’t work” sometimes, it isn’t always a sign of a disease that needs to be treated.

Most of the time, circulation problems are the cause of erectile dysfunction. A testosterone deficiency can also be a cause. Especially in younger guys, pure psychological triggers can happen.

Drugs called “phosphodiesterase-5 inhibitors” are often used to treat the disease (PDE-5 inhibitors). But there are other ways to treat the problem.

People often call erectile disorders “performance sickness,” “performance trouble,” “erectile dysfunction,” or “impotence.” Without a doubt, that’s not clear. Because these terms sometimes refer to different problems or group together several disorders that don’t always go together. For example, erectile disorder can include erectile dysfunction or premature ejaculation, but infertility, i.e., not being able to have children, is not the same thing. Not being able to have children

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How often does erectile dysfunction happen?

Age is a common reason why erectile dysfunction gets worse with age. Almost every tenth man between the ages of 40 and 49 has erectile dysfunction, and every third man between the ages of 60 and 69 does as well. In 2000, a study from the University of Cologne showed that this was true. Many other studies in different countries came to the same conclusions. Experts think that there are a lot of cases that haven’t been reported. So it’s possible that the real numbers are higher.[2]

Especially in men over the age of 50, erectile dysfunction can be the first sign of vascular disease (arteriosclerosis) and, by extension, a possible sign of a heart attack or stroke.     stay hard longer   pills over the counter, Early treatment can keep bad things from happening. For this reason, it can be very helpful to talk to a doctor about performance problems.

How does erectile dysfunction get started?

Erectile dysfunction can be caused by both physical and mental factors. If guys have problems with their physical potency, this can easily lead to more mental problems.

Young men are more likely to have problems that are purely mental. In addition to problems in the relationship, stress, problems, or anxiety, depression is often linked to erectile dysfunction.

Most of the time, erectile dysfunction is caused by physical problems in men over the age of 50.

Problems with blood flow

Most of the time, the blood flow to the penis is messed up, and/or the penile muscles, which can be very similar to the muscles of the vascular wall, get sick. Either not enough blood gets to the penis because the arteries that bring blood there are “calcified” (arteriosclerosis). Or, the veins drain blood too quickly. Or each. In any case, the amount of blood in the penis’s hollow body isn’t enough to get a good erection.

Several diseases that cause circulation problems also raise the risk of erectile dysfunction:

Diabetes mellitus (diabetes)

excessive blood pressure.


Lifestyle also makes a big difference: smoking, being overweight, not getting enough exercise, and eating a bad, unbalanced diet all put stress on the blood vessels and make it more likely that you’ll have problems with your potency.

Testosterone deficiency

A level of the male sex hormone testosterone that is high enough is important for a good erection. The amount of testosterone in a man’s blood usually goes down as he gets older. A lack of testosterone, called hypogonadism, doesn’t have to make it hard to get an erection. So, low testosterone levels should be thought of as a possible cause (see Therapy segment).

Facets of treatment

Some drugs, like beta blockers for high blood pressure, dehydrating drugs, lipid-lowering pills, or depression pills, can cause erectile dysfunction as a side effect. If there is a similar note inside the package leaflet and there is a chance that the drug might cause erectile dysfunction, the patient should talk to their doctor. A one-of-a-kind drug could be given. Be careful: don’t stop taking your medicine or change it on your own.

Another reason

Not just the flow of blood to the penis has to be right for an erection to happen. From the penis to the spinal cord to the brain, all nerve pathways should be in good shape.

Erectile dysfunction can be caused by a herniated disc, an accident, radiation, or surgery in the pelvis or on the spinal cord. Also, diseases that can damage peripheral nerves, like diabetes mellitus or long-term alcoholism.

Diseases that affect the central nervous system, like multiple sclerosis, Parkinson’s disease, Alzheimer’s dementia, or a stroke, could also cause erectile dysfunction.

The inability to get an erection can also be caused by obstructive sleep apnea. Serious illnesses, like cancer, severe kidney or liver diseases, can always make it hard to get or stay pregnant.

Erectile disorder: signs

When a man has erectile dysfunction, he can’t get or keep an erection long enough to have sexual sex. The pill stays hard for longer. The penis doesn’t get as hard as it used to, or it heals quickly. The problems last at least six months and come up in more than two-thirds of the cases.

Physical causes are suggested by the following:

Erectile dysfunction happens often.

It happens both when you’re with a partner and when you’re masturbating.

Normal erections, which happen to every healthy man at some point during sleep, don’t happen.

The causes that could be psychological:

  • Erectile dysfunction happens, probably because of a busy life.
  • Erectile dysfunction is most likely to happen in certain situations.
  • person is less than 50 years old

Diagnosis: How do you determine erectile dysfunction?

Most of the time, the first person someone talks to is their general practitioner. If you need it, she can send you to the right expert practice, which is usually a practice for urology. Depending on the cause, experts from different fields, such as neurology, psychotherapy, psychology, men’s medicine (andrology), or intercourse therapy, are needed.

Communication: At first, the doctor asks different questions to get a clear picture of the illness. Standard questionnaires make it easier to keep track of symptoms and signs. It is also important to know if there have been surgeries or if there are diseases that could cause erectile dysfunction, such as diabetes, high blood pressure, or problems with the Discs Some drugs can also cause problems with how well they work. So, it is written down which medicines the patient is taking. The doctor also asks if spontaneous erections happen at night or in the morning. Every healthy man gets erections during certain stages of sleep. If they live far away, it’s more likely that they have a natural goal. It can be helpful if the partner feels safe during the medical conversation.

Physical Exam: This can be seen by focusing on the genitalia and prostate during a physical exam. Since many erection problems are caused by problems with circulation, the vascular pulses and blood pressure in the legs and arms are also checked.

Blood test: A blood test can tell you about possible risk factors, such as high blood sugar or bad blood lipid levels. It can also tell if there isn’t enough testosterone, which is a hormone that helps men have sexual relations. A blood test in the morning is the best way to find out where the testosterone level is going because hormone levels change throughout the day. In the morning is when you can expect to see the highest values.

Investigations should go on.

Only in very rare cases does a doctor need to do similar exams. A unique ultrasound exam can check how the blood flows through the penis’s blood vessels (Doppler sonography). To get an erection, a drug can be injected into the penis (cavernous injection, take a look at). In this test, whether or not you get an erection and how well it works gives you more information.

If circulation problems in the arteries are found, the heart should also be looked at. Erectile dysfunction could be an early sign of arteriosclerosis and, by extension, coronary heart disease that doesn’t have any symptoms.

Nerve tests show if nerve problems are likely to be the cause of the problems. The doctor uses things like weak electric impulses and checks to see if these signals are being sent through the nerves as expected.

In a nap laboratory, for example, a measuring device can be used to keep track of how long it takes for spontaneous erections to happen (nocturnal penile tumescence size). If the values are normal, this shows that the erection itself can happen without any problems. Then, mental causes are more likely than physical ones, which are much less likely but can’t be ruled out.

What helps with erectile dysfunction in therapy?

If possible, the doctor will not treat the original cause of the erectile dysfunction. For example, if the erectile dysfunction was caused by a side effect of a drug, the doctor might prescribe a different drug. (Caution: Never stop taking medicine or replace it with your own!)

Most of the time, only the signs of erectile dysfunction can be treated. There are a few choices to be made here. What helps a person in a given situation is a personal choice that should be made after getting scientific advice on possible side effects and risks.

Make amends for testosterone deficiency.

The amount of testosterone in the blood of almost all men drops as they get older. This doesn’t happen very often, so there’s no need to go to therapy. But if a person has trouble getting an erection, a lack of testosterone (hypogonadism) should be a major factor. In this case, your doctor may also suggest that you do something to make up for the lack of hormones. This could also make the problems with potency worse. PDE-5 inhibitors, which are used to treat impotence, often work better or for the first time when used with hormone therapy.

From my point of view, deciding whether or not to give hormones is a good idea and should be done with the help of a doctor. The testosterone is put on the skin as a gel or injected into the muscle over a longer period of time.

At first, research seemed to show that taking testosterone could raise the risk of prostate cancer or a heart attack. Recent studies, on the other hand, have shown that replacing testosterone as prescribed by a doctor and under medical supervision does not increase the risk of prostate cancer and does not cause heart attacks. But the people who need the treatment should talk to a doctor about the possible benefits and risks of the treatment in detail.

Phosphodiesterase-5 Inhibitors are a type of medicine (PDE-5 Inhibitors).

Different phosphodiesterase-5 inhibitors (PDE-5 inhibitors) are allowed to treat erectile dysfunction in Germany. The first was turned into Sildenafil, which went on sale in 1998. Tadalafil, Vardenafil, and Avanafil were observed. All require a prescription. The results of effect and aspect are about the same. The pills help about 70 to 80% of those who take them, but the amount and length of time they work can vary. Sildenafil, vardenafil, and avanafil start working in about 15 to 60 minutes (sildenafil and vardenafil may also take longer to work after high-fat food). Its effects last between 4 and 12 hours. Tadalafil starts to work after about half an hour and lasts for about 24 to 36 hours. This treatment can also be given as a preventive medicine by taking one tablet every day.

How do drugs that stop phosphodiesterase-5 work?

As the name suggests, the drug stops an enzyme in the body called phosphodiesterase-5 (PDE-5). This enzyme usually breaks down a substance called a “messenger” that is made more strongly when a person is sexually aroused. This makes the blood flow faster in the penis. If the medicine stops the enzyme phosphodiesterase-5 from doing its job, there will be more messenger substances left. So, more blood will flow to the penis, and an erection will happen or last longer. The blood pressure in the pulmonary circulation drops, which is the second effect. So, phosphodiesterase-5 inhibitors are also used to treat high blood pressure in the lungs.

When a man is sexually aroused, PDE5 inhibitors work best. So they don’t care about growth. As it would be without drugs, the erection ends with the orgasm or ejaculation. But it is possible to get another erection while the effect is still in place.

Possible side effects include problems, facial flushing, heartburn, stuffy nose, short-term changes in color vision with sildenafil and vardenafil, and muscle and back pain with tadalafil. Inside the package leaflet, you can find a lot of information.

If a patient is also taking nitrates or molsidomine, they shouldn’t take PDE-5 inhibitors because it could cause their blood pressure to drop in a dangerous way. For example, nitrates or molsidomine are used to treat angina pectoris in people with heart disease. When taken with 1-receptor blockers, which are often prescribed for benign prostate, growth, care should also be taken. Some medical conditions, like very bad liver disease, heart disease, or a history of stroke, could also make it dangerous to take PDE-5 inhibitors.

PDE5 inhibitors can only be bought with a prescription. In a clinical session, patients should inform themselves in detail about side effects and possible risks before the first application. Most of the time, mandatory health insurance doesn’t pay for the medicine.

Doctors tell people very clearly not to buy products on their own from questionable (Internet) sources. Spot checks have shown over and over that many medicines around the world are fake, that they may contain ingredients other than those listed, or that the dosage information is wrong. If you’re worried, you could hurt your health or, in the worst case, lose your life.


Yohimbine is another active ingredient used to treat erectile dysfunction. It works on the mind and is mostly used when erectile dysfunction is caused by mental issues.

Cavernous Body Auto-Injection Therapy (SKAT)

If PDE-5 inhibitors can’t be taken or don’t work, for example because of nerve damage, the SKAT (cavernous body auto-injection) treatment is an option.

A very thin needle is used to inject a drug into the erectile tissue of the man’s penis. Because of the drug, more blood flows into the penis. After 10 to 15 minutes, you get an an erection that lasts for about an hour. Most people don’t have any trouble with the injection, and it no longer hurts.

It’s important to get the right dose. If you take too much, you can get an erection that lasts for hours and needs medical help or it will hurt the penis. Different diseases, such as leukemia or sickle cell anemia, can warn against its use.

I think the doctor should talk to you about whether or not the method is right for your situation and how it works in detail.

MUSE stands for Medicated Urinary System for Erection.

Active ingredients can also be given in the form of a “mini suppository” through the urethra. This idea is called “MUSE” (Medicated Urethral System for Erection).

The man uses an applicator to put a certain prostaglandin into the urethra. Through the wall of the urethra, the active ingredient gets into the erectile tissue of the penis. The blood flow goes up. After about 10 to 15 minutes, you get an erection that lasts between 30 and 60 minutes.

Some of the possible side effects of a facet are pain in the penis, burning in the urethra, headaches, and feeling lightheaded. It can be used to treat a number of diseases, such as leukemia or sickle cell anemia. If your partner is pregnant, you should use a condom as a precaution so that she doesn’t go into labor too soon.

If MUSE is right for you and what needs to be taken into account, talk to your doctor or read the package leaflet.

How vacuum therapy works

How vacuum remedy works

With this method, a clear plastic cylinder with a suction pump is placed at the penis, which creates a vacuum. When more blood flows into the tissue that makes an erection, an erection happens. At the bottom of the penis, a rubber ring stops the blood from flowing back. It needs to be taken off again after 30 minutes so that the penis doesn’t get hurt and the blood flow doesn’t get messed up.

Inflatable penile implants

Inflatable penile implants

In some cases, the best silicone implants (corporal implants) that can be put into the erectile tissue during surgery can help. This system can’t be turned around, so it needs to be carefully thought about and planned for. There are a lot of differences. The most commonly used implants can be refilled. stay hard longer   pills over the counter  ,In the lower stomach, a reservoir is put in that holds saline solution. A small pump is put into the scrotum by a doctor. The person can fill the implant with the “push of a button,” which gives them a kind of erection. Most other implants are rigid but still flexible.

Psychotherapy or counseling

Most of the time, the physical and mental causes of erectile dysfunction can’t be separated. When you have a mental erectile disorder, it can help to talk to a sex therapist, preferably with your partner. But men who have trouble with their natural potency often benefit from it as well.


The European Association of Urology (EAU) lists extracorporeal shock wave therapy (ESWT) as a different way to treat erectile dysfunction. But there aren’t many studies about this. The gain hasn’t been proven yet, and it’s a very big question mark.

Prescription for “Potential App”

Men who have trouble getting or keeping an erection may be able to get a “potency app” for their phones from a doctor. The costs are then covered by the medical insurance companies that are required by law. The app is meant to help people over the age of 18 treat erectile dysfunction (ED) by doing things like pelvic floor exercises or mindfulness exercises. The app is one of what are called “virtual health applications,” or “DiGA.” With the help of the Federal Institute for Drugs and Medical Devices, these virtual helpers that can be prescribed go through an evaluation process (BfArM). But a DiGA-approved app must prove itself in the first year. After that, the app will be fully added to the directory. Kranus Ederawa was “provisionally protected” in the DiGA directory as a “potency app.” You can learn more about DiGAs in the article “Apps on Prescription: What You Need to Know About DiGAs.

Can you save your erectile dysfunction?

A healthy way of life lowers the chance of circulatory problems and, as a result, erectile dysfunction. Changing a person’s lifestyle can also help a person with an erectile disorder. This means, in element:

do not smoke

Eat a healthy, well-balanced diet.

drink a little alcohol.

I pass a lot

Cut down on extra weight.

Check your blood pressure, blood sugar, and blood lipids often and get any problems taken care of.

Impotence, also called erectile dysfunction, means that the penis relaxes again after an erection or doesn’t get stiff at all. Satisfying relationships are often no longer possible, but sexual desire (libido) is often still there. Potency problems get worse as people get older. There can be mental reasons for it, but there can also be physical ones, like vascular calcification or diabetes. Here, you can learn everything you want to know about what causes impotence and how to treat it.

Article evaluation


short evaluating


causes and real diseases.

When should you go to the doctor?

What does a doctor do?

You can handle this on your own.


What is infertility? The penis doesn’t stand up enough or stay up long enough for a satisfying act of sex.

Different physical and/or mental reasons, such as: B. Cardiovascular diseases, diabetes, injuries to the erectile tissue, stress, inhibitions, and depression, are all factors.

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The treating doctor is a urologist or andrologist: the treating doctor

Exam: Talking, possibly with a partner, exam of the penis and testicles, possibly also through the rectum (rectal exam), blood and urine tests, hormone status determination.

Treatment: e.G.B. with the help of drugs, a vacuum pump, penile prostheses, or surgery.

You can do it yourself if you stop smoking, work out often, drink less, and pay attention to your blood pressure, cholesterol, and blood sugar levels.

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Impotence: description

Impotence, also called erectile dysfunction, is when the penis doesn’t get big enough or the erection doesn’t last long enough for a good sex act. Doctors use the word “impotence” in a more complete way, defining it as the “inability to perform sex satisfactorily.”

Men who can’t have sexual relations are not rare. There are no exact numbers because there are so many cases that haven’t been reported. But it’s not likely that more than 5 percent of men in the general population will be affected. As you get older, your chances of having an erection problem will go up.

From guy to guy, the level of impotence can vary a lot. Some of these men only complain about occasional problems with erections (“Sometimes it doesn’t work”), while others say they can’t get an erection at all.

Doctors only call it “erectile disorder” if at least 70% of attempts to get a good erection fail and the problem lasts for at least six months.

Different types of impotence

Doctors can tell the difference between two types of impotence:

picture show

This is how pelvic floor training for men works.

Erectile disorder (impotentia coeundi)

When this kind of impotence happens, the erection isn’t strong enough for sexual activity, and the penis doesn’t get stiff enough. Also, there are a few guys who can’t control when they ejaculate. It comes too soon or too late. On the other hand, some men with ED don’t ejaculate at all, which is a very rare occurrence.

Not being able to have children (Impotentia generandi)

With this type of impotence, the man has a normal erection and can have sex without any problems. The person can’t have children, though. Most of the time, these men have an ejaculation, but there are no whole sperm, too few sperm, or none at all in the semen.

Causes of impotence and real diseases

An erection is really a miracle, because it is caused by the complex interaction of blood vessels, the nervous system, hormones, and muscles. And each one of them can “break down.”

There are many different physical and mental things that can cause impotence. About 70% of men with erectile dysfunction have physical problems (primarily ailments). This is especially true for people over the age of 50. In some men, inability to mate is caused by mental issues.

Sometimes it’s a mix of both, because mental problems can cause physical problems to get so bad that a person can’t do it at all. This hurts men’s self-confidence and sense of who they are: if you can’t get an erection for a long time, you start to feel like you’re only half a man. The fear of failing at being a man makes erectile dysfunction worse, which makes it harder to get an erection.

Physical causes of impotence

There are a number of illnesses that can go along with erectile dysfunction. The most important ones are:

Cardiovascular diseases: hardening of the arteries, also called arteriosclerosis, is the most common cause of impotence. Erectile disorder can also be caused by coronary heart disease (CHD), high blood pressure (hypertension), and high ldl cholesterol (hypercholesterolemia). Peripheral artery disease (PAD), which is mostly caused by smoking, can also lead to impotence. The blood vessels are also badly hurt by being overweight.[4]

The link between arteriosclerosis and Imptonez is that if the arteries harden, not enough blood can get to the penis. On the other hand, blood can also float out of the penis too quickly. This can happen every once in a while. But the end result is usually that there isn’t enough blood in the penis’s cavernous bodies to get a good erection.

Diabetes (diabetes mellitus): One of the most common side effects of diabetes in men is impotence. Sugar molecules stick to the insides of the blood vessels. This means that not enough blood is getting into the hollow bodies, so the penis stays soft.

Hormonal problems: In this case, a low level of testosterone needs to be mentioned in particular. If not enough of the male sex hormone is made or released, the ability to get an erection is weakened.

Neurological problems: For an erection to happen, nerve signals must travel from the brain to the penis. Nerve diseases like multiple sclerosis, Parkinson’s disease, a stroke, or a tumor can make it hard for signals to get through.

Damage to the spinal cord can cause problems with the erection reflex, which can make a man unable to get an erection. This is the case, for example, with paraplegia. But a herniated disc can also make it hard for nerves to send the signals needed for an erection.

Surgical interventions: Nerve pathways to and from the penis can be damaged during operations in the pelvic area, such as for prostate cancer. Then, impotence is often the result.[5]

Injuries: Injuries to the penis or erectile tissue can keep the penis from standing up when you’re sexually aroused.

Malformations of the genitalia can also lead to impotence.

Psychological causes of impotence

In some people, especially younger men, impotence is caused only by mental issues. Most of the time, a problem with sexual potency is a message from the body and soul in code. While the penis is on strike, the following ideas can be in the back of it:


stress, stress to get things done

fears, and worries

not being sure of oneself

Stop the “ought to be a strong guy” slogan!

fights between partners

character conflicts, such as: B. A homosexuality that isn’t known

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Different reasons

Some medications, like beta blockers, which are used to treat heart disease and lower blood pressure, can also cause erectile dysfunction.[6]

When people drink too much alcohol over a long period of time, it hurts the nerves in the brain and spinal cord, especially the nerve endings (polyneuropathy). This can also make men unable to reproduce.

Diseases that have this sign

Here, you can learn more about the diseases that can cause the symptom:

  • spinal stenosis
  • hypogonadism
  • The Metabolic Syndrome
  • spondyloarthritis

When should you see a doctor for impotence?

Men who have been unable to get or keep an erection for a few weeks should see a doctor. Because problems with potency can be an early sign of a long-term illness, like diabetes. If you don’t take care of them, they can become a serious health risk. So, get over your shyness and see a doctor as soon as possible if you have an erectile disorder.[7]

What does the doctor do to treat impotence?

If you have trouble getting an erection, you should see a urologist or andrologist first. A detailed conversation about the patient’s medical records (anamnesis) is needed to explain impotence. The doctor may also want to ask you personal questions, like about your sexual life. This is sometimes done with the help of words between you and your partner. Also, tell your doctor about all of the medicines you are taking, whether or not they need a prescription or not. Some drug treatments can lead to erectile dysfunction.

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The next step is to find out what’s really causing erectile dysfunction. The first step is to look at the man’s genitalia. A manual exam of the rectum is also recommended, as is a virtual rectal exam. This can be used to find swollen prostates, which can also make it hard to get an erection.

Along with blood and urine tests, blood pressure and pulse size are also used to figure out why a man isn’t able to get or keep a woman. The doctor will check your hormone levels, among other things. In some cases, he will also look at the nerves of the pelvic floor from a neurological point of view.    stay hard longer   pills over the counter, Men over 45 years old who have impotence can also have their blood checked for signs and symptoms of prostate cancer.

For a reliable diagnosis of erectile dysfunction, the blood vessels of the penis must be looked at with an ultrasound while the penis is at rest, and sometimes after a drug that causes erections has been injected.

At night, with the help of a simple tool, the amount of penis swelling can be measured ( tumescence measurement , NPTR dimension ). It gives hints about the shape of the impotence gift. If erections can happen on their own while a person is sleeping, this shows that the erection mechanism works.


There are a number of ways to treat impotence on your own. Which approach is best for each person depends on the cause of their erectile dysfunction and how they feel about different types of treatment. But you should know that most ways to treat impotence only treat the symptoms and don’t get rid of what’s causing it. Treatment for impotence is more likely to work if you start it sooner rather than later. The most important thing is whether or not the illness that caused the impotence can be treated.

Medication: The most popular treatment for erectile dysfunction is called a PDE-5 inhibitor. They stop phosphodiesterase-5 from doing its job (PDE-5). This makes the penis muscles loosen up, which lets the blood vessels open wider and fills the cavernous bodies with blood. When a person is sexually aroused, the effect works best. PDE-5 inhibitors include the energetic elements avanafil, sildenafil , tadalafil and vardenafil . They differ most in how long it takes for motion to start and how long it lasts.

If PDE-5 inhibitors don’t work or shouldn’t be used (for example, if you have a severe heart condition or are taking blood pressure medicine), yohimbine can sometimes make you more potent.

Hormone management: Giving men the hormone testosterone that helps them have sexual relations can help in some cases of impotence. When this kind of treatment works depends on the person and must be decided by the doctor and the patient together.

Cavernous Body Injection Therapy (SKAT)/Transurethral Application (MUSE): These healing procedures help men with impotence who can’t take drugs. Here, medicines with prostaglandin-E1 are used to widen the blood vessels and make the blood flow faster. It is either injected directly into the erectile tissue of the penis with a needle (SKAT) or pressed into the urethral opening on the tip of the penis using an applicator (MUSE). Putting the medicine directly into the corpus cavernosum is more effective, but it also has more side effects.

The vacuum pump creates a low pressure, which pulls blood into the penis and temporarily fixes erectile dysfunction. After an erection, the blood doesn’t drain too quickly from the cavernous bodies because of a ring that goes around the base of the penis.

Penile prostheses: Penile prostheses should only be implanted in men with impotence after all other methods have failed, since this is the very last option.

Operations can also be used to treat vascular impotence. But such interventions are risky and don’t look very good right now.

Psychological strategies: If you can’t get or keep an erection, use the time to look for mental advice. Most of the time, people with impotence are told to get sexual counseling and training, as well as talk and behavior therapy. Even if erection problems are caused by natural causes, many men have trouble with fears, experience changes in their relationships, and, as a result, in their social lives. A session can give you a lot to think about to help you deal with impotence better.

Unreliable and dangerous potency aids

Don’t try to fix your impotence with drugs or questionable aphrodisiacs from the intercourse shop. Erectile dysfunction is often an important early warning sign of serious illnesses that could be easily missed if it wasn’t for the problem. Only a doctor can find out why someone is impotent and treat it effectively.

Be careful about online deals! Stay away from illegal websites that sell drugs without a prescription to treat impotence. Most of the time, these products don’t work because they only have one ingredient, like baking powder or flour. You then threw your money out the window. Some illegal sexual enhancers are even dangerous because they contain harmful chemicals. This is not only bad for your wallet, but also for your health!

But if you bought real impotence pills from the Internet, remember that they will have serious side effects, such as PDE-5 inhibitors in cardiovascular diseases. So, the arrangements should only be made with a doctor’s advice and under clinical supervision.

If you take prescription drugs that were given to you illegally and they make you sick, you can’t sue the manufacturer for damages. When you order something from another country, the package can also be taken by customs, and you get nothing.

Investigations that matter

These tests help find out why the signs are happening:


blood draw

blood take a look at

urine take a look at

You yourself can do this.

When you have erectile dysfunction, it’s always best to start by making changes to your life:

Stopping smoking

Loss of weight with extra pounds

normal sports and exercises for the body

Normalization of blood sugar levels at multiple points

Getting high blood pressure and cholesterol back to normal

Less alcohol being drunk

In the meantime,stay hard longer   pills over the counter, there are more and more signs that these kinds of measures not only have a great effect on overall health, but also on the ability to get an erection and could help prevent impotence.

>> Discover the potent “erectile tonic” men are taking to rapidly harden up in bed

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