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Erectile dysfunction can be overwhelming for men and for their partners. A good sexual history and focused physical examination can provide clues as to whether the underlying cause is psychogenic or organic. Analytic investigation should be tailored to the clinical picture. Oral medications now represent first-line therapy. A penile injection therapy and vacuum constrictive device are sensible choices for men in whom oral treatment falls or is contraindicated. The penile prosthesis provides a reliable long-term solution with high satisfaction rates. Psychotherapy may be indicated. Physicians can have a positive impact on the quality of life of patients by as long as a non-judgmental and supportive environment for discussion and management of impotence. Erectile dysfunction means an inability to get a good sufficient erection to achieve acceptable intercourse. Some wounded can’t get a hard-on at all; others get one but it isn’t firm enough to penetrate the partner; and others can manage penetration for a bit, but then lose it.
Impotence is mostly due to a lack of blood flow to the penis that results in the incapability to achieve or maintain an erection leading to poor or impossible sexual performance. This condition is often very difficult and awkward for men to discuss because their sexual performance is usually careful an indication of their virility.
* Smoking & excessive alcohol intake is associated with low sperm counts.
* Stop using drugs such as body-building steroids & illicit drugs. Other medication such as antihypertensive should also be reviewed in the light of effect on sperm count.
* Most importantly the frequency of intercourse should be increased, so that chances of conception increase.
* Men should wear loose fitting underwear and cool clothes and avoid high temperature baths like saunas etc.
* It is advisable that when the couple is planning pregnancy, intercourse is done in a proper position and using proper technique.
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Erectile dysfunction is a common disorder, especially in older men. Treatment options include oral medications such as Viagra, Cialis and Levitra, medications inserted into the urethra, medications