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A thorough gentle physical examination of the genito urinary system is done. It is important to remember that ED and heart disease share certain comorbidities and hence a thorough evaluation of the heart lungs and abdomen is done. The penis is examined for plaques, curvatures, and the position of the meatal opening. Presence and size of both testis is determined. Features suggestive of hypogonadism(testis size, body hair, voice) are looked for.

Maintaining a healthy weight and avoiding/managing diabetes. A Harvard study found that a man with a 42-inch waist is twice as likely to develop ED as a man with a 32-inch waist. Being overweight is also a risk factor for type 2 diabetes, which can damage nerves and blood vessels throughout the body, including those that supply the penis. That can result in ED. Not smoking. Tobacco smoke contains thousands of toxins that can damage the linings of blood vessels throughout the body—including in the penis. Avoiding meds that may cause ED, if possible. If you’ve experienced ED after beginning a certain medication (an antidepressant, for example), talk with your healthcare provider about whether it’s possible to switch to another drug with fewer sexual side effects.

Here are some of the factors that could diminish the libido for women: hormonal imbalances: the period preceding menopause, can cause hormonal changes that will lead to a marked lack of interest in sexual activity. There may also be discomforts that occur during sexual contact due to decreased ability of vaginal tissues to lubricate the area. Depression and chronic stress: When you feel depressed or stressed, your libido can decrease greatly.

LEO ( libido, erection, orgasm ) is what men crave for. For most men, it happens automatically. For others it is a Himalayan task if you are on this side of the world. have a deep concern. A 24 year old walks into my clinic and says he is not happy with his erections . “A little premature with the ejaculation doc“! “My penis appears to have shrunken in the last 6 months”. He is in a state of acute depression . Now that’s not even half my concern . I see a prescription that he has and my heart does a somersault. He is put on 100 tablets of Viagra or an equivalent! No matter how much I try, I am unable to fathom this . When you take a pill at 24 yrs you are bound to take them for the rest of your life as these pills have great addiction potential purely for psychological reasons . After this you are hooked and cannot perform without them! And realistically what are the chances that you have a problem which is physical and not psychological? Read even more information at InstaDocNow.

Not every man can or should take Viagra.: Tell your doctor if you take nitrates, have chest pain, or suffer from low blood pressure, have had a heart attack, heart failure, or stroke within the last year before starting this medication. Viagra can create adverse reactions in those that take certain medications or have certain health conditions, so be sure to tell your doctor all the medications that you take and if you have any allergies.