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Some studies have shown men with ED are at significant risk of getting a heart attack, stroke or circulatory problems in the legs. ED also causes: Low self-esteem Depression Distress for the man and his partner. If ED is affecting a man's well-being or his relationships, it should be treated. Treatment aims to fix or enhance erectile function, help circulatory health and help the quality of a man's life.

ED can result from health problems, emotional issues, or from both. Some known risk factors are: Being over age 50 Having high blood sugar (Diabetes) Having high blood pressure Having cardiovascular disease Having high cholesterol Smoking Using drugs or drinking too much alcohol Being obese Lacking exercise. Even

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Nerve signals from the brain or spinal cord do not reach the penis Certain diseases, injury or surgery in the pelvic area can harm nerves to the penis. Diabetes can cause small vessel disease or nerve damage to the penis Cancer treatments near the pelvis can affect the penis' functionality Surgery and or radiation for cancers in the lower abdomen or pelvis can cause ED.

Treating prostate, colon-rectal or bladder cancer often leaves men with ED. Cancer survivors should see a Urologist for sexual health concerns.

Drugs used to treat other health problems can negatively impact erections Patients should talk about drug side effects with their primary care doctors.

Normal buy viagra tablet online amazon sex needs the mind and body working together. Emotional or relationship problems can cause or worsen ED.

Some emotional issues that can cause ED are: Depression Anxiety Relationship conflicts Stress at home or work Stress from social, cultural or religious conflicts Worry about sex performance.

Finding the cause of your ED will help direct your treatment options. Diagnosing ED starts with your health care provider asking questions about your heart and vascular health and your erection problem. Your provider may also give you a physical exam, order lab tests or refer you to a Urologist.

Your doctor will ask you questions about your health history and lifestyle.

It is of great value to share facts

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Questions about your health: What prescription drugs, over-the-counter drugs or supplements do you take? Have you had surgery or radiation therapy in the pelvic area? Do you have other health problems (treated or untreated)?

Knowing about your history of ED will help your health provider learn if your problems are because of your desire buy viagra tablet online amazon for sex, erection function, ejaculation, or orgasm (climax).

Some of these questions may seem private or even embarrassing. However, be assured that your doctor is a professional and your honest answers will viagra overnight no prescription help buy viagra tablet online amazon find the cause and best treatment for you.

Questions about your ED symptoms: How long have you had these symptoms?

Do you wake up in the morning or during the night with an erection? Do your erections change at different times, like when going in a partner, during stimulation by mouth, or with masturbation? Do you have problems with ejaculation or orgasm (climax)?

How is this problem changing the way you enjoy sex? Do you have painful with erections, feel a lump or bump in the penis or have penile curvature?

These are signs of Peyronie's Disease which can be treated but calls for an expert in urology to assess and manage.

Your health care provider may ask you questions about depression or anxiety.

He or she may ask about problems in your relationship with a partner.

Some health care providers may also ask if they may talk to your sex partner.

Are you often under a lot of stress, or has something recently upset you?

Do you have any anxiety, depression or other mental health issues?

Examination focusing on your genitals (penis and testicles) is often done to check for ED. Based on your age and risk factors, the exam may also focus on your heart and blood system: heart, peripheral pulses and blood pressure. Based on your age and family history your doctor may do a rectal exam to check the prostate. Most patients do not need a lot of testing before starting treatment.

Your health care provider may order blood tests and collect a urine sample to look for health problems that cause ED.