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Not every man with erectile dysfunction wants treatment. In fact, some hardly miss their erections. But even these men should tell their doctor about the condition, Snow says. The doctor can then make sure the dysfunction isn't a symptom of some other hidden disease.

To overcome erectile dysfunction linked to diabetes, you have to tackle the root of the problem: If you can bring your A1C level below 8 percent, your sexual problems may disappear without any other measures, Snow says. But if your A1C stays over 10 percent, even the most aggressive treatments may not be enough to restore your erections.

Even if your blood sugar is under control, you may need an extra boost. One option is oral medication that enhance the blood flow to your penis. But if diabetes has already deadened the nerves in your penis, these medications may not work for you. There are three prescription medications approved by the FDA: All three drugs work in a similar way, but they vary in dosage, duration of effectiveness and possible side effects. According to the Mayo Clinic, you should not take these medications if you take nitrate drugs for angina, a blood thinning medication or certain types of alpha blockers. And, these medications may not be a good choice for you if your diabetes is uncontrolled or if you have heart disease, very low or high blood pressure, or have had a stroke.

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If these medications don't help, there are many other treatments to consider. For instance, the drug alprostadil Muse -- which you insert into your urethra -- can usually bring an erection in eight to 10 minutes. Another commonly used method is to self-inject with papaverine. Another method is to use a vacuum pump that can help pull blood into the penis. If you have trouble maintaining an erection, a constriction ring can help keep the penis rigid.

10 reasons never to date a man with a big penis | Metro News

If nothing else works, you may need inflatable implants. Today's implants are extremely effective and entail only a small risk of infections or mechanical breakdowns. Your primary care physician with the help of a urologist, if necessary can usually help you find the right treatment. If your blood sugar is under control and the doctor rules out other possible causes, your difficulties may have a psychological basis.

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You may want to ask your doctor for a referral to a counselor, who can help you resolve whatever issues may be making it difficult to keep an erection. A little alcohol may help put you in the mood, but too much more than a drink or two can actually interfere with erections. Smoking can damage the blood vessels that feed the penis.

If you value your sex life and the rest of your life, for that matter -- it's time to kick the addiction. Many medications -- including some antidepressants, ulcer medications, and blood pressure drugs -- can cause erectile dysfunction. Ask your doctor if any of your medications could be causing trouble. A simple change of prescriptions could make a big difference. If you think your medications could be the problem, it's important to talk with your doctor before making changes on your own. Understand that all men experience some decrease in sexual drive and performance as they age.

Men of any age can still have erections, but erections may be less firm or last for shorter periods of time. This is a natural part of the aging process. But if you have good communication with your partner and doctor, sex can continue to be richly intimate and exciting. Erectile dysfunction how they work and erectile dysfunction or ed.

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