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A man may have had an episode of erectile dysfunction due to some passing cause like fatigue, stress, relationship difficulty or intoxication.

This may have led to embarrassment or a feeling of failure. Even if the physical cause does not remain, future attempts to have sex may trigger memories of this embarrassment and acute anxiety that it will happen again.

This anxiety itself is capable of causing erectile dysfunction, and so a man may get trapped in a self-reinforcing cycle of anxiety and erectile dysfunction. In these instances, seeing a GP, counsellor or psychologist can be very helpful. Stress, anxiety, depression and low self-esteem, in fact, almost all significant emotional problems, can have a major effect on sexuality. So do many chronic physical illnesses, even if they don't directly affect genital function.

Counsellors and psychologists can assist with these and a wide range of other sexual and relationship problems and can also help female sildenafil buy cheap partners suffering from sexual problems. They are particularly skilled in helping patients to overcome guilt or anxiety relating to sexual abuse, and in helping couples to sort out relationship difficulties. Simple problems can be dealt with in a few visits, but sildenafil discount card more complex problems may require several months or even years of therapy.

Your doctor may be able to recommend a psychologist or counsellor who specialises in sexual and relationship problems.

Erectile dysfunction (impotence) About erectile dysfunction.

Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection. Erectile dysfunction is a very common condition, particularly in older men. It is estimated that half of all men between the ages of 40 and 70 will have it to some degree.

See your GP if you have erectile dysfunction for more than a few weeks.

They will assess your general state of health because the condition can be the first sign of more serious health conditions, such as heart disease (when the heart’s blood supply is blocked or interrupted). Erectile dysfunction can have a range of causes, both physical and psychological.

Physical causes include: narrowing of the blood vessels going to the penis – commonly associated with high blood pressure (hypertension), high cholesterol or diabetes hormonal problems surgery or injury.

Psychological causes sildenafil generic cheap of ED include: anxiety depression relationship problems. Sometimes erectile dysfunction only occurs in certain situations. For example, you may be able to get an erection during masturbation, or you may find that you sometimes wake up with an erection but you are unable to get an erection with your sexual partner. If this is the case, it is likely the underlying cause of erectile dysfunction is psychological (stress related).

If you are unable to get an erection under any circumstances, it is likely that the underlying cause is physical.

Erectile dysfunction can also be a side-effect of using certain medicines. Although you may be embarrassed, it's important to get a diagnosis so that the cause can sildenafil discount card be identified. This will involve answering questions about your symptoms, as well as a physical examination and some simple tests. Erectile dysfunction is primarily treated by tackling the cause of the problem, whether this is physical or psychological. The narrowing of the arteries (called atherosclerosis) is one of the most common causes of ED.

In these cases sildenafil for sale online your GP may suggest lifestyle changes, such as losing weight, to try to buy generic sildenafil citrate reduce your risk of cardiovascular disease. This may help to relieve your symptoms as well as improving your general health.

You may also be given medication to treat atherosclerosis, such as cholesterol-lowering statins and sildenafil discount card drugs cvs pharmacy sildenafil price to reduce your blood pressure. A number of treatments have been successful in the treatment of erectile dysfunction.

Medication, such as sildenafil (sold as Viagra), can be used to manage it in at least two-thirds of cases.

Vacuum pumps that encourage blood to flow to the penis and cause an erection are also successful in 90% of cases.

Psychological treatments include cognitive behavioural therapy (CBT) and sex therapy.

Overall, treatments for erectile dysfunction have improved significantly in recent years.

The main symptom of erectile dysfunction (ED) is the inability to get and maintain an erection for satisfactory intercourse. ED should not be confused with ejaculation problems such as premature ejaculation, which is a condition where the process of arousal, orgasm and ejaculation occurs very rapidly. For example, you may be able to get an erection during masturbation, or you may find that you sometimes wake up with an erection but you are unable to get an erection with your sexual partner. In these circumstances, it is likely that the underlying cause of ED is primarily psychological (stress related).

However, if you are unable to get an erection under any circumstances, it is likely that the underlying cause sildenafil discount card is primarily physical. See your GP if ED persists for more than a few weeks.

They will assess your general state of health because the condition can be the first sign of more serious health conditions, such as heart disease (when the heart’s blood supply is blocked or interrupted).

Many websites offer treatments for ED but their use is not recommended. The medications that are offered by these sites could be fake and may be dangerous.

Even if the medications are genuine, they may not be suitable for you. It is important that you only take medication for ED that your GP has prescribed for you.

Erectile dysfunction (ED) can have many causes, such as certain medical conditions, medications and stress. It's important to identify the cause of erectile dysfunction and treat any underlying conditions.

When a man becomes sexually excited (aroused), his brain sends signals to the nerves in his penis. The nerves increase the blood flow to the penis, causing the tissue to expand and harden. Anything that interferes with the nervous system or the blood circulation could lead to erectile dysfunction.

Anything that affects the level of sexual desire (libido) can also cause erectile dysfunction because a reduced libido makes it more difficult for the brain to trigger an erection.

Psychological conditions, such as depression, can reduce libido, as can changes in hormone levels (chemicals produced by the body).

There are four main types of health conditions that can cause physical problems resulting in erectile dysfunction.