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Cigarette smoking: Cigarette smoking aggravates atherosclerosis and thereby increases the risk for erectile dysfunction. For example, one study found that after a course of pelvic floor exercises, about 4 in 10 men with ED had regained normal erectile function, just over 3 in 10 men had improved, but there was no improvement in just under 3 in 10 men. The exercises were done for a time every day for three months. Those found least likely to improve were those with other significant problems such as heart disease, diabetes, or those who drank a lot of alcohol. The conclusion of this study was that pelvic floor muscle exercises should be considered a treatment option for many people with ED. ed viagra online viagra online
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Monitoring erections that occur during sleep (nocturnal penile tumescence) can help distinguish between erectile dysfunction of psychological and physical causes. A band is worn around the penis for two to three successive nights and it can signal intensity and duration of erections if they occur. If nocturnal erections do not occur, then the cause of erectile dysfunction is likely to be physical rather than psychological, however, tests of nocturnal erections are not completely reliable. Scientists have not standardized the tests and have not determined in whom they should be done. A few causes of impotence may be iatrogenic (medically caused). cialis online without prescription Who Is Affected by Sexual Problems? Both men and women are affected by sexual problems. Sexual problems occur in adults of all ages. Among those commonly affected are those in the geriatric population, which may be related to a decline in health associated with aging. Medications: Many common medicines produce erectile dysfunction as a side effect. Medicines that can cause erectile dysfunction include many used to treat high blood pressure, antihistamines, antidepressants, tranquilizers, and appetite suppressants. Examples of common medicines that can cause erectile dysfunction include propranolol (Inderal) or other beta-blockers, hydrochlorothiazide, digoxin (Lanoxin), amitriptyline (Elavil), famotidine (Pepcid), cimetidine (Tagamet), metoclopramide (Reglan), indomethacin (Indocin), lithium (Eskalith, Lithobid), verapamil (Calan, Verelan, Isoptin), phenytoin (Dilantin), and gemfibrozil (Lopid). viagra online prescription buy viagra
cialis online without prescription Treatment for erectile dysfunction on the NHS: The specified medical conditions are: diabetes, multiple sclerosis, Parkinson's disease, poliomyelitis, prostate cancer, prostatectomy (an operation to remove the prostate gland), radical pelvic surgery, renal failure treated by dialysis or transplant, severe pelvic injury, single gene neurological disease, spinal cord injury and spina bifida. buy online securely viagra buy viagra online
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