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During erection, the spongy tissues relax and trap blood.

The blood pressure in the chambers makes the penis firm, causing an erection.

When a man has an orgasm, a second set of nerve signals reach the penis and cause the muscular tissues in the penis to contract and blood is released back into a man's circulation and the erection comes down.

When you are not sexually aroused, the penis is soft and limp.

Men may notice that the size of the penis varies with warmth, cold or worry; this is normal and reflects the balance of blood coming into and leaving the penis.

With Erectile Dysfunction (ED), it is hard to get or keep an erection that is firm enough for sex. When ED becomes a routine and bothersome problem, your primary care provider or a Urologist can help.

ED discount priced viagra may be a major warning sign of cardiovascular disease indicating blockages are building in a man's vascular system. 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 viagra no prescription usa 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 though ED becomes more common as men age, growing old is not always going to cause ED. ED can be an early sign of a more serious health problem.

Finding and treating the reason for ED is a vital first step.

ED happens when: There is not enough blood flows into the penis Many health issues can reduce blood flow into the penis, such viagra from cvs as hardened arteries, heart disease, high blood sugar (Diabetes) and smoking.

The penis cannot trap blood during an erection If blood does not stay in the penis, a man cannot keep an erection.

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 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 about drugs you take, or if you smoke or how much alcohol you drink.

He/she will ask about recent stressors in your life.

Speak openly with your doctor, so he/she can help you find the best choices for treatment. 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 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 help 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?