![]() Another way is to use specialists trained in behavioral techniques to get confidence back, so sexual counselors or therapists can really help with this problem. One way is to give medications to get the confidence back. ![]() And so, there are different ways to deal with that. When young men have problems with erections, most of the time it's a confidence issue. But if you have consistent problems, you absolutely should and must get checked out by a doctor to figure out what's going on, not only because there are great treatments available, but because we may discover underlying medical problems. And so, if it happens occasionally, you don't need to be as worried about that. So when young men get problems with erections, which is very, very common because it's normal to have bad nights here and there. So when we talk about what truly is a problem with erectile dysfunction, the definition is a problem that lasts greater than three months and is a consistent inability to obtain or maintain an erection adequate for intercourse. So therefore, the penis can predict heart attacks or strokes years in advance when they may occur. Blood vessels in the heart and the neck are a little bit bigger. The blood vessels that feed the penis are relatively small. The penis and overall health is so strongly connected, it's really important to remember that the penis is one of the most powerful predictors we have, especially in young men, for heart attacks. A lot of these things I mentioned are as powerful as medications in helping with erections and improving your sex life. So the things that you can do to take care of yourself to help with erections include exercising, eating well, including a diet high in fruits and vegetables, having a slimmer waistline, sleeping well, quitting smoking. In other words, if you take great care your penis, your penis will take great care of you. There are plenty of men in their 60s, 70s and 80s and 90s with great sex lives. But that does not necessarily mean that as you get older, you have to have problems of the penis. So, for example, 50% of 50-year-olds, 60% of 60-year-olds, so on and so forth, will have problems with erections. If you look at the decade of life, that predicts what percent of men will have problems. Problems with erectile dysfunction are super common. I'm here to answer some of the important questions you may have about erectile dysfunction. Erectile dysfunction links to cardiovascular disease - Defining the clinical value. Changes in erectile dysfunction over time in relation to Framingham cardiovascular risk in the Boston area community health (BACH) survey. Erectile dysfunction and subclinical cardiovascular disease. Evaluation and management of erectile dysfunction. ![]() Erectile dysfunction predicts cardiovascular events as an independent risk factor: A systematic review and meta-analysis. The association of erectile dysfunction and cardiovascular disease: A systematic critical review. Men with low testosterone have higher rates of erectile dysfunction and cardiovascular disease than do men with normal testosterone levels. Excess weight typically worsens other risk factors for heart disease. ![]() Men younger than 50 are at especially high risk. The younger you are, the more likely that erectile dysfunction signals a risk of heart disease. As you get older, erections might take longer to develop and might not be as firm. A high level of low-density lipoprotein (LDL, or "bad") cholesterol can lead to atherosclerosis. Certain high blood pressure medications, such as thiazide diuretics, can also affect sexual function. Over time, high blood pressure damages the lining of your arteries and accelerates the process of vascular disease. Drinking too much alcohol can cause heart disease and might contribute to other causes of heart disease, such as high blood pressure or abnormal cholesterol. Smoking increases your risk of developing vascular disease and can cause erectile dysfunction. Men who have diabetes are at high risk of erectile dysfunction and heart disease. Besides sharing a common disease process, erectile dysfunction and heart disease also share many risk factors, including: ![]()
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