Erectile dysfunction (ED), or impotence, is the inability to get or keep an erection (hard penis) for enough time to have satisfactory sex. To get and maintain an erection, blood must be able to flow into and stay in the penis. Men commonly have problems with their erections once in a while. But if ED occurs frequently, medical therapy may be helpful. About 30 million men in the United States have ED. It can happen at any age, but is more common in men older than 65. ED is treatable at any age. ED can be a symptom of early blood vessel disease in other locations in the body.
The evaluation of ED starts with a careful medical history, including history of sexual function, medications, illnesses, or injuries that could cause ED; and any recent physical or emotional changes. The evaluation typically includes a physical exam, urinalysis, and a measurement of early morning testosterone levels. The doctor may also order blood tests for luteinizing hormone (LH), follicle stimulating hormone (FSH), the hormone prolactin, fasting blood glucose (sugar), and lipids (blood fats such as cholesterol). To obtain more information about patient man’s general and endocrine (hormonal) function, the doctor may also test for liver, kidney, and thyroid disorders.
Causes of erectile dysfunction
Any physical condition that interferes with sexual desire (libido), blood flow, or nerve signals to the penis can cause ED. The most common causes are conditions that affect blood vessels and blood flow in the penis, such as hardening of the arteries (atherosclerosis) that is linked to diabetes, obesity, smoking, high blood pressure, and high cholesterol. Medications (antidepressants, sleeping pills or tranquilizers, and drugs to treat high blood pressure, pain, or prostate cancer), alcohol, tobacco, and illegal drugs commonly cause ED.
Other common causes for ED include:
Brain diseases (such as stroke)
Damage to the nerves that deliver signals from the brain and spinal cord to the penis due to diabetes, multiple sclerosis, spinal cord injuries, pelvic or prostate surgery, radiation therapy, or pelvic or bicycle seat pressure trauma
Hormone imbalances such as low testosterone, high prolactin, and abnormal thyroid hormone levels
Chronic kidney and liver disease, which affect blood vessels, nerves, and hormone levels
Rarely, scarring of the penis that causes a severe curving (Peyronie’s disease) during erections
I assumed that it took some time for this thing to start to work. At 3pm, I started using this erectile dysfunction treatment known as “fetching cumcum site” (Google it). Wife came home around 9pm from a school function where she been working. In those days, I uncovered that the treatment method was efficient. It`s been since years since I achieved this quite strong erection. Is this a coincidence?
I would suggest this erection dysfunction treatment “bumbu awesome plan” (Google it) if you need some action in the bed room. This got me scoring huge points with my lover. She says I am now much more lively in the bedroom. This informative guide made me feel happy. The results of this wonderful product is surely remarkable and superb.
Each year, provides over 900 law students with volunteer opportunities to develop their legal skills by serving over 180 organizations from coast to coast.
Volunteers increase access to justice in Canada by providing high quality, professional legal assistance to vulnerable populations and individuals.
By exposing law students to the value of pro bono service, aims to encourage the next generation of lawyers to make pro bono service an everyday part of their practice."