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How to get rid of an unwanted erection Having several erections a day is healthy for many men, but there are some situations in which a man may not wish to be erect. Learn more. Read now
E-Commerce medications injected into the penis Dark Matter About half the men who use a vacuum device obtain good or excellent erections with them, but only half of these men consistently use the device over long periods of time.
How come? Men with demanding jobs have a hard time leaving work at the office, which means their anxiety is in high gear for most of the day—keeping them from ever reaching full-throttle in the bedroom.
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Hong Kong fencer credits switch to vegan diet for beating injury, winning medals Stop the performance game. Yup. This could be an entire post in itself.ED is helping you move past your issues around performance. No matter how “hard” you try here, you will NOT be able to out perform this one. If you are like most men you have often gotten love, approval, and validation through your performance efforts. You get a black belt in sex, you train, year after year. You don’t just get your black belt at 18 when you become sexually active. In fact, most “boys” stay that way their whole life sexually for a number of reasons (another blog post).
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. Nitric oxide-releasing polymeric microspheres improve diabetes-related erectile dysfunction. J Sex Med 2013;10:1915–25. doi:10.1111/jsm.12216 School™
Edition: ENGLISH Selected patients with ED are candidates for surgical treatment. Procedures to be considered include the following: For Medical Professionals eat a healthy diet
If you would prefer to consult an online doctor, use our free ED assessment or book a phone consultation with one of our doctors. FROM AROUND THE WEB
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Daily Star Vasculogenic disorders such as cardiovascular disease and diabetes affect the flow of blood to your penis and cause erectile dysfunction.
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Guay AT. Testosterone and erectile physiology. Aging Male. 2006 Dec. 9(4):201-6. [Medline]. 71 TGDB The likelihood of erectile dysfunction does increase with age (22 percent of men over the age of 60 and 30 percent of men over the age of 70 suffer from impotence), but it’s not an inevitable part of growing older. Instead, the cause is more likely related to an underlying physical or psychological condition.
synonymsSearch I Personal Finance Chronic medical conditions have been associated with ED. Systemic diseases associated with ED include the following:
Other Studies Transurethral resection of the prostate for BPH (enlarged prostate) If a person’s erectile dysfunction does not respond to treatment, they may be offered alprostadil. This is a man-made hormone that can help stimulate blood flow to the penis.
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Proper informed consent with your physician should be performed to understand all risks and benefits of hormonal replacement therapy. Follow-up testosterone (hormone) levels and periodic blood counts as testosterone therapy is associated with a risk of an abnormally high red blood cell count, and prostate checks are necessary for all men on long-term testosterone replacement therapy as there are concerns regarding the risk of testosterone therapy in men with an underlying prostate cancer. The use of testosterone therapy does not cause the development of prostate cancer. Testosterone therapy may increase the size of the prostate and cause urinary troubles.
Story Source: To date, nearly 37 million tablets [of Viagra] have been prescribed in Britain. In the decade since Viagra first went on sale, more than 30 million men in 120 countries have been prescribed it. In addition, many millions more have bought it illegally on the internet, or taken a few from their mates in bars, for recreational use.
severe anxiety Men with sleep disorders commonly experience ED. [40] Heruti et al recommended that in adult male patients, ED should be considered when a sleep disorder—especially sleep apnea syndrome—is suspected, and vice versa. [41]
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West Ham United States. Food and Drug Administration. “Hidden Risks of Erectile Dysfunction ‘Treatments’ Sold Online.” Mar. 23, 2015.
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Serious medical conditions, such as heart disease, could be the origin of your erectile dysfunction. In fact, causes of heart disease and erectile dysfunction are very similar. ED symptoms may occur earlier than those of heart disease due to cardiovascular issues like atherosclerosis. Atherosclerosis, the narrowing of blood vessels throughout parts of the body, is believed to be the most common cause of erectile dysfunction and a warning sign of a future heart attack or stroke. Other medical conditions that put men at risk for erectile dysfunction are diabetes, chronic kidney disease, multiple sclerosis and Peyronie’s disease.
Living a sedentary lifestyle (not enough physical activity), or on the other hand, over-training (too much exercise which can increase cortisol and lower testosterone).
Men with a rare heart condition known as long QT syndrome should not take vardenafil since this may lead to abnormal heart rhythms. The QT interval is the time it takes for the heart’s muscle to recover after it has contracted. An electrocardiogram (EKG) measures the QT interval. Some people have longer than normal QT intervals, and they may develop potentially life-threatening abnormal heart rhythms, especially when given certain medications. Men with a family history of long QT syndrome should not take vardenafil, as it is possible to inherit long QT syndrome. Furthermore, vardenafil is not recommended for men who are taking medications that can affect the QT interval such as quinidine (Quinaglute, Quinidex), procainamide (Pronestyl, Procan-SR, Procanbid), amiodarone (Cordarone), and sotalol (Betapace).
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Privacy policy You’re only likely to be diagnosed with ED or treated for the condition if symptoms last for more than several weeks. Due to things like stress and occasional alcohol consumption or fatigue, nearly every man experiences some sort of ED symptoms from time to time.
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The following foods may make symptoms of impotence worse by increasing emotional stress or anxiety, raising inflammation and even causing gut trouble that interferes with nutrient absorption:
Erectile Dysfunction (Mayo Foundation for Medical Education and Research) A study published in the ‘Journal of Sexual Medicine’ in 2013 found that one in four men who sought help for ED at an outpatients clinic in Milan were under the age of 40. 
What are the side effects of vardenafil (Levitra, Staxyn)? • Alzheimer’s disease Ironically, fear of not being able to achieve an erection can actually cause an impotence problem. That’s because if a man thinks that he is not going to get a erection, his body may respond to this belief by shunting blood away from his penis, thus making his erection go away.
Y Joint Replacement From out of town? Medications, such as finasteride (known by its brand names Propecia and Proscar) and dutasteride (Avodart), used to treat male pattern hair loss and enlarged prostate may produce side effects such as erectile dysfunction and loss of libido in some men, according to a January study in the Journal of Sexual Medicine.
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Advertise with MNT In other cases, the impairment may be more pronounced. In such case, MS may either be the primary cause or simply a secondary factor compounding an existing problem.
Does riding a bicycle cause ED? Perform accurate diagnosis of the physical and emotional aspects of the erection problem.
Thesaurus Impôt Sur Le Revenu Global Avanafil is the most recently FDA-approved PDE5 inhibitor to treat erectile dysfunction. On this page
Linking implosive therapy No moving parts Supplements Drugs & Supplements Chief Editor What is erectile dysfunction (ED)? Psychological causes
National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health: “Erectile Dysfunction.”
How does a man sustain an erection? uninterestingness Anatomy of the Lower Urinary Tract and Male Genitalia. Campbell-Walsh Urology 9th edition. Philadelphia: WB Saunders.;
Impotence is a very common condition and can occur at any age. However, it is most common among older men. Oral Health One study examined the role of testosterone supplementation in hypogonadal men with ED. These men were considered nonresponders to sildenafil, and their erections were monitored by assessing nocturnal penile tumescence (NPT). After these men were given testosterone transdermally for 6 months, the number of NPTs increased, as did the maximum rigidity with sildenafil. [18] This study suggests that a certain level of testosterone may be necessary for PDE5 inhibitors to function properly.
Submit Vascular Reconstructive Surgery Restores natural erections when successful External vacuum and constriction devices There are exercises a man can carry out to reduce the effects of ED.
Boston University School of Medicine: “Erectile Dysfunction and Bicycling.” Mayo Clinic College of Medicine and Science
Also from Grandparents.com: Synonyms for impotence Popular in: Erectile Dysfunction / Premature Ejaculation
Madden quivered at his impotence to put his hand on the thief in the crowd. Looking for an earlier sign of Alzheimer’s disease »
Screening Tests for Women Linet OI, Ogrinc FG. Efficacy and safety of intracavernosal alprostadil in men with erectile dysfunction. The Alprostadil Study Group. N Engl J Med. 1996 Apr 4. 334(14):873-7. [Medline].
Healthy Cats According to the NHS, a person taking this hormone will usually experience an erection after 5 to 15 minutes. However, the length of time the erection lasts will vary depending on the dose of alprostadil taken.
When a man is unable to get or maintain an erection, it is termed erectile dysfunction. It may also be called erectile difficulties. HomeAbout Us
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Tools Shop Skin Care What is erectile dysfunction? Causes, symptoms and treatment of male impotence – Here’s all you need to know Noticing a lack of intimacy with your partner? Here we explore how stress, lack of sleep, weight gain, depression and low T can…
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How can I talk with my partner about my problem? Erectile dysfunction – genitourinary disorders. (2017). Retrieved from http://www.msdmanuals.com/professional/genitourinary-disorders/male-sexual-dysfunction/erectile-dysfunction
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Can you achieve orgasm, climax, and ejaculation? If so, does it feel normal to you? Does the penis become somewhat rigid at climax? It’s important to also remember that when ED is a complication of an underlying chronic condition such as high blood pressure or diabetes, the most effective treatment approach will likely involve focusing on the health problem itself.
Strategic Plans & Reports Guay AT, et al. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the evaluation and treatment of male sexual dysfunction: A couple’s problem – 2003 update. Endocrine Practice. 2003;9:77.
All physical contact must lead to sex. Treatments for ED The European Alprostadil Study Group. The long-term safety of alprostadil (prostaglandin-E1) in patients with erectile dysfunction. The European Alprostadil Study Group. Br J Urol. 1998 Oct. 82(4):538-43. [Medline].
Shiatsu Massage However, in contrast, a recent systematic review of published studies, the authors concluded that overall, the addition of testosterone to PDE-5 inhibitors might benefit patients with ED associated with testosterone levels of less than 300 ng/dL (10.4 nmol/L) who failed monotherapy. [20] A limitation of existing studies are their heterogeneous nature and methodological drawbacks.
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Possibly uncomfortable ejaculation Blood diseases, such as sickle cell anemia and leukemias, are also associated with erectile dysfunction. Individuals with sickle cell disease are at increased risk for priapism (an erection lasting six hours or longer that is associated with penile pain and can cause penile damage leading to ED).
Offices & Divisions Urological Health Penis Health Erectile Dysfunction What about psychological therapy for erectile dysfunction?
Scroll to the top of the page Common Sexually Transmitted Infections (STIs) Immunotherapy for Cancer Recent stroke or heart attack (within six months)
To understand what causes erectile dysfunction (ED) or impotence, it is important to first review how an erection occurs. For a man to have an erection, a complex process takes place within the body. Erectile dysfunction is a term related to male sexual dysfunction and will be the only subject covered in this article.
Gene therapy — A menthod of treating a disorder by replacing damaged or abnormal genes with normal ones. Some researchers think that gene therapy may offer a new way to treat impotence.
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Show All Heruti R, Shochat T, Tekes-Manova D, Ashkenazi I, Justo D. Association between erectile dysfunction and sleep disorders measured by self-assessment questionnaires in adult men. J Sex Med. 2005 Jul. 2(4):543-50. [Medline].
Related: Can This New Gel Really Give You an Erection In 5 Minutes? A variety of personal habits and lifestyle choices have been linked to ED. In some ways, this is a good thing, since habits can be broken and choices reconsidered. What’s more, many of the lifestyle factors that contribute to sexual problems are ones that affect overall health and well-being, both physical and mental. Addressing these factors, therefore, can have benefits beyond improving erectile dysfunction.
The Urinary Tract and How it Works When should I visit a doctor? Sex is a performance. Your blood may be checked for glucose, cholesterol, thyroid function, triglycerides, lipid/cholesterol profile if these blood tests have not already been obtained and your evaluation suggests risk factors. A prostate-specific antigen (PSA) level may be obtained if your physician is considering the use of testosterone therapy.
ED: A Sign of Heart Disease? It’s usually defined as the inability to get and keep an erection that’s satisfying enough for sex. But while some guys have problems getting erections in the first place, others have difficulty maintaining an erection that lasts long enough for sex.
45% success rate What is sildenafil (Viagra)? Erectile dysfunction, or ED, is the most common sex problem that men report to their doctor. It affects as many as 30 million men.
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Cars Realtor.com About Cleveland Clinic Print Erectile dysfunction is often an early warning sign of more serious problems like hypertension, diabetes, obesity, and cholesterol. That’s why we call ED your body’s “check engine light”. The blood vessels in the penis are smaller than the rest of the body, especially the blood vessels that lead to the heart and brain. So ED is usually the first sign of high cholesterol or high blood pressure before a blockage causes more serious problems, like a heart attack or stroke.
If you’re concerned about erectile dysfunction, talk to your doctor — even if you’re embarrassed. Sometimes, treating an underlying condition is enough to reverse erectile dysfunction. In other cases, medications or other direct treatments might be needed.
“These drugs work by reducing the amount of dihydrotestosterone circulating in the blood,” said Dr. Andrew Kramer, a surgeon and ED expert at the University of Maryland Medical Center. Dihydrotestosterone is the male sex hormone that helps maintain sex drive.
A healthy nervous system that conducts nerve impulses from the brain, spinal column, and the penis verify here.
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Slideshows Recreational Drugs and ED The noun impotence comes from the Latin impotentia, meaning “lack of control or power.” Though its most common definition is “the condition of not being physically able to have sexual intercourse,” impotence can be any kind of physical weakness or ineffectiveness. You might present a very unconvincing argument. The impotence of your message may lead to not a single person agreeing with you.
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Still, they do affect your body a bit differently, which is important to understand if you want to reap the greatest benefits from each. men taking high doses of ketoconazole (Nizoral) should not take more than 2.5 mg of vardenafil in a 24-hour period;
Sexually Transmitted Diseases (STDs) infertility, sterility MLA changes in blood pressure Flu Precaution Notice impression cytology In the National Health and Social Life Survey (NHSLS), a nationally representative probability sample of men and women aged 18-59 years, 10.4% of men reported being unable to achieve or maintain an erection during the past year. [51] There is a striking correlation with the proportion of men in the MMAS who reported complete ED.
Alcohol abuse: Alcohol in large amounts can cause sedation, decreased sex drive (libido), and transient ED. Chronic abuse of alcohol can lead to liver damage, low testosterone levels, high estrogen levels, and nerve damage that can affect the penile nerves.
The most common side effects of Sildenafil: headache; flushing; upset stomach; abnormal vision, such as changes in color vision
(such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash.
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implicit memory Reflexology Find Surgery Centers The following list summarizes many of the most common physical or organic causes of ED:
Some medications used to control nausea may affect a man’s hormone balance. Hypogonadism is a term used to describe what men are experiencing if they are deficient in certain male hormones, especially testosterone.
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What treatment is best for me? Oral Medications: The FDA-approved medication Viagra works directly on the blood vessels, allowing the arteries to expand. It will only cause an erection when the man is sexually aroused. For information about other oral medications, see the NIH website listed above.
an erection that will not go away (priapism). If you have an erection that lasts more than 4 hours, get medical help right away.
If it is not treated right away, priapism can permanently damage your penis
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Sign Up What Is Impotence? The women in the relationships frequently have questions, doubts, resentments, insecurities, and a need for information, understanding, and reassurance. Too often the man alone is seen as the patient and his partner is – at best – barely acknowledged, and – at worst- merely tolerated or even discouraged.
some types of oral antifungal medicines, such as
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3 gynecomastia 30.5 KLK3 PRL SHBG Firstly, find the pelvic floor muscles. You can achieve this by stopping mid-stream two or three times the next time you urinate. The muscles you can feel working during this process are the pelvic floor muscles, and they will be the focus of Kegel exercises.
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avanafil (Stendra) Kratzik CW, et al. How much physical activity is needed to maintain erectile function? Results of the Androx Vienna Municipality study. European Urology. 2009;55:509.
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Doctor Bent Schou Studies to characterize the significance of erectile function and dysfunction in women.
Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. 1997The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction.J Urol . 49:822–830.
The Sun 3 Effect of Vardenafil on Erectile Dysfunction and Portal Hemodynamics in Patients With Liver Cirrhosis Unknown status NCT02344823 Phase 4 Vardenafil;Placebo intake once daily
Arduca P. Erectile dysfunction: A guide to diagnosis and management. Aust Fam Physician. 2003; 32(6): 414-20. A surgically implanted penile prosthesis to support erection
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What Medications May Cause Erectile Dysfunction (ED)? Brain tumors What Is Cystic Fibrosis? What Causes It?
You may be sent to a doctor, called a urologist, who treats problems of the urinary system. To find out if you have impotence, the doctor will take a medical history, do a complete physical examination, evaluate your emotional state and interview your sexual partner. Other tests that may be ordered for you are:
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Profile editor login Alcohol Sports Various risk factors can contribute to erectile dysfunction, including: Contraception after giving birth
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Encourage the inclusion of sessions on diagnosis and management of erectile dysfunction in continuing medical education courses. It’s more likely to be an emotional problem if you only have erection problems some of the time – for example, you still get erections in the mornings but not during sexual activity.
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University of Washington Feeling nervous about sex, perhaps because of a bad experience or because of a previous episode of impotence. dimsum
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shortcoming Whichever route you take, keep in mind that ED is a common condition that’s very treatable. With some trial and error, you’re likely to find a treatment that works for you and your partner.
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©2016 The Paris Review Your Best Email * Nocturnal Penile Tumescence Testing Trauma to the pelvis (pelvic fracture), penis (penile fracture), and perineum
Control Allergies The presence of normal skin sensation adequate to produce an erection is measured with this device. impression material
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The treatment for erectile dysfunction depends on what is causing it. After your doctor checks you for medical problems and medicines that might cause ED, he or she may recommend a medicine to help with it. Sildenafil (brand name: Viagra), tadalfil (brand name: Cialis), and vardenafil (brand name: Levitra) are medicines that are taken by mouth that help maintain an erection.
Obesity, nutrient deficiencies and eating inflammatory foods can also increase the odds of impotence. Of the natural remedies for impotence, this is one that can also help boost your health in other important ways. Here are foods that can help reverse some of these problems and promote better circulation, heart health and even mental well-being:
Once a medical history has been established, a doctor will then undertake further investigation. One simple test, known as the ‘postage stamp test,’ can be helpful in determining if the cause is physical rather than psychological.
Pelvic surgery, including radical prostatectomy and colorectal surgery What are symptoms of low testosterone (low T)? Take this quiz to learn more about causes of low testosterone and how to treat it.
Quiz Next Article While erectile dysfunction can occur at any age, the risk of developing erectile dysfunction increases with age. According to the Massachusetts Male Aging Study, the prevalence of erectile dysfunction was 52% in men 40-70 years of age. The prevalence of complete erectile dysfunction increases from 5% at 40 years of age to 15% among men 70 years of age and older.
Type 2 Diabetes Warning Signs Submit Ultrasonography Talk with your doctor before trying supplements for ED. They can contain 10 or more ingredients and may complicate other health conditions. Asian ginseng and ginkgo biloba (seen here) are popular, but there isn’t a lot of good research on their effectiveness. Some men find that taking a DHEA supplement improves their ability to have an erection. Unfortunately, the long-term safety of DHEA supplements is unknown. Most doctors do not recommend using it.
Smoking: Smoking cigarettes causes constriction of blood vessels. This may decrease blood flow to the penis, causing erectile dysfunction.
Bladder Control Problems (Urinary Incontinence) Words at Play Alprostadil, either injected into the penis or inserted into the urethra as a suppository
Tip of the Month Hagberg KW, Divan HA, Persson R, Nickel JC, Jick SS. Risk of erectile dysfunction associated with use of 5-α reductase inhibitors for benign prostatic hyperplasia or alopecia: population based studies using the Clinical Practice Research Datalink. BMJ. 2016. 354:i4823. [Full Text].
Intraurethral therapy (Medicated Urethral System for Erections, or MUSE): Alprostadil (PGE1) has been formulated into a small suppository that can be inserted into the urethra (the canal through which urine and semen are excreted). The suppository is preloaded into a small applicator and by placing the applicator into the tip of the penis and compressing the button at the other end of the applicator and wiggling the applicator, the suppository is released into the urethra. Gentle rubbing/massaging of the penis will cause the suppository to dissolve and the medication is absorbed through the urethra and passes into the penis where it stimulates the relaxation of the muscle in the arteries and increases blood flow to the penis. It takes 15 to 30 minutes for this to occur. Success rates in the clinical studies were noted to be about 65%, however lower rates were noted when it started being used in the real world setting. This drug may be effective in men with vascular disease, diabetes, and following prostate surgery. This is a useful alternative for men who do not want to use self-injections or for men in whom oral medications have failed. Few side effects occur. The most common side effect is penile pain, which can vary from minor to uncomfortable. MUSE use has been associated with lowering of the blood pressure and thus it is recommended that the first time using the MUSE be in the physician’s office so that you can be monitored. One cannot use lubricants of any type to help with the insertion of the applicator thus to make it easier to insert you should urinate immediately before using the MUSE system as this will lubricate the urethra. A temporary tourniquet is often helpful in allowing the medication to stay in the erectile tissue a little longer and seems to give a somewhat better response.
Most melanomas come in the form of a new spot on the skin, not changes to an existing mole. Vascular injury from prostate cancer treatment If men with heart disease are more likely to develop ED, it stands to reason that having ED could be a warning sign for heart disease, too.
What causes erectile dysfunction (ED)? Positive Psychology If you are unable to get a normal sustained erection, either with a partner, by yourself or using the usual visual imagery on a regular basis, then you should seek medical help.
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While the drugs may help with hair loss and alleviate urinary tract symptoms due to an enlarged prostate, the hormonal changes can also lead to the inability to get an erection.
Vascular causes Illegal drugs don’t just affect and suppress the central nervous system. They cause serious damage to blood vessels. And any damage to blood vessels or normal blood flow will eventually cause erectile dysfunction. Some experts even argue that a single use of any of these chemicals can lead to subsequent ED. Chronic use raises the risk even more. If you have a substance addiction speak to your physician. There’s always help available.
Genetic causes of male infertility William C. Shiel Jr., MD, FACP, FACR diabetes (high blood sugar)
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Patient Comments: Erectile Dysfunction – Causes Staff Directory *All medications have both common (generic) and brand names. The brand name is what a specific manufacturer calls the product (e.g., Tylenol®). The common name is the medical name for the medication (e.g., acetaminophen). A medication may have many brand names, but only one common name. This article lists medications by their common names. For information on a given medication, check our Drug Information database. For more information on brand names, speak with your doctor or pharmacist.
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Find a Doctor or Make Fung MM, Bettencourt R, Barrett-Connor E. Heart disease risk factors predict erectile dysfunction 25 years later: The Rancho Bernardo Study. J Am Coll Cardiol. 2004; 43(8): 1405-11.
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Some medicines can also cause ED: Letters & Essays Advertise With Us Taking moderate daily exercise Erectile dysfunction is an important public health problem deserving of increased support for basic science investigation and applied research.
Is erectile dysfunction just part of getting old? Performance anxiety. This is most often caused by stress. What you can do
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Can you buy Kamagra? MORE Taking certain medicines can cause erectile dysfunction. These include: diuretics (used to treat high blood pressure), antidepressants (used to treat depression), corticosteroids (an anti-inflammatory medication that contains steroids), and antihistamines (used to treat allergies such as hay fever).

Impotence Medicine Associated With Reduced Long-Term Risk of Death After Heart Attack Blueberries, Citrus Fruits, Red Wine Associated With Reduced Erectile Dysfunction
Vacuum constriction devices may be effective at generating and maintaining erections in many patients with erectile dysfunction and these appear to have a low incidence of side effects. As with intracavernosal injection therapy, there is a significant rate of patient dropout with these devices, and the reasons for this phenomenon are unclear. The devices are difficult for some patients to use, and this is especially so in those with impaired manual dexterity. Also, these devices may impair ejaculation, which can then cause some discomfort. Patients and their partners sometimes are bothered by the lack of spontaneity in sexual relations that may occur with this procedure. The patient is sometimes also bothered by the general discomfort that can occur while using these devices. Partner involvement in training with these devices may be important for successful outcome, especially in regard to establishing a mutually satisfying level of sexual activity.
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These drugs not only affect and often suppress the central nervous system, but can also cause serious damage to the blood vessels, leading to permanent ED.
Known causes of erectile dysfunction User guides Suggest an improvement According to the NHS, a person taking this hormone will usually experience an erection after 5 to 15 minutes. However, the length of time the erection lasts will vary depending on the dose of alprostadil taken.
Apple posted on 17/08/2018 . Erectile dysfunction may predict coronary artery disease: relationship between coronary artery calcium scoring and erectile dysfunction severity. Int Urol Nephrol 2008;40:117–23. doi:10.1007/s11255-007-9293-8
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Albany Medical Center Hospital and Albany Medical College Policy Jump up ^ “Erectile Dysfunction”. Retrieved 2010-07-01.
Recognize Problems Diagnostic Tests Rare Endocrine Genetic Diseases If you only experience occasional episodes of erectile dysfunction, you may be able to treat it at home without a doctor’s help.
, Yegang Chen Continuing Medical Education Potent medicine: can Viagra and other lifestyle drugs save lives? National Center for Biotechnology Information, U.S. National Library of Medicine 8600 Rockville Pike, Bethesda MD, 20894 USA
Cold and Flu (10)    Peter Scholey / Photographer’s Choice Treatments for erectile dysfunction include medications given orally (usually tablets), counselling, vacuum penile pump devices, injections directly into the penis, and penile prosthetic implants.
Mohit Butaney Most of these pills are taken 30 to 60 minutes before sex – the best known being the blue-colored pill sildenafil (Viagra). Other options are:
Fast Five Quiz: How Much Do You Know About Erectile Dysfunction?
Mifepristone, also called RU486 or the ‘abortion pill’, is used to terminate (end) a pregnancy up to nine weeks… Erectile dysfunction: A sign of heart disease? Facebook Twitter Tumblr YouTube
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reducing anxiety Inside Heart Health: Although not indicated for routine use, nocturnal penile tumescence (NPT) testing may be useful in the patient who reports a complete absence of erections (exclusive of nocturnal “sleep” erections) or when a primary psychogenic etiology is suspected. Such testing should be performed by those with expertise and knowledge of its interpretation, pitfalls, and usefulness. Various methods and devices are available for the evaluation of nocturnal penile tumescence, but their clinical usefulness is restricted by limitations of diagnostic accuracy and availability of normative data. Further study regarding standardization of NPT testing and its general applicability is indicated.
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to reconstruct arteries in order to increase the flow of blood to the penis; and Traumatic arterial injury
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Erectile dysfunction myth: ED means there’s something wrong with just your penis [Guideline] Rosen RC, Jackson G, Kostis JB. Erectile dysfunction and cardiac disease: recommendations of the Second Princeton Conference. Curr Urol Rep. 2006 Nov. 7(6):490-6. [Medline].
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See your doctor for regular checkups and medical screening tests.
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Men who fail to seek treatment for erectile dysfunction often feel as though they are alone in their suffering but nothing could be further from the truth. As many as 40% of men experience some degree of erectile dysfunction by the time they reach 40 and the incidence rises as high as 70% by age 70.
May require a tension ring or penile tourniquet for best results There are more than 600,000 new cases each year.
sexual dysfunctions Prostaglandin E1 (intraurethral alprostadil or MUSE) can be inserted in a pellet (suppository) form into the urethra to attain erections. It is available in four dosage strengths: 125 mcg, 250 mcg, 500 mcg, and 1,000 mcg. Most individuals need 500 mcg to 1,000 mcg for a satisfactory response.
related topics Order resources Vasculogenic disorders such as cardiovascular disease and diabetes affect the flow of blood to your penis and cause erectile dysfunction.
It’s usually defined as the inability to get and keep an erection that’s satisfying enough for sex. But while some guys have problems getting erections in the first place, others have difficulty maintaining an erection that lasts long enough for sex.
How can I know if I have severe ED? LiveScience
Assessing nerve function is done by pinprick Treatment Advantages Disadvantages Is counselling important for treating erectile dysfunction? Hardening of arteries
Sign up for a free Medical News Today account to customize your medical and health news experiences. More About Impotence (Erectile Dysfunction)
Peripheral neuropathy, spinal cord injury, and surgery–can damage nerves
Impotent poor Diagnosis in Men With MS Drugs & Diseases Avanafil has similar adverse effects as the other PDE5 inhibitors but is not associated with the visual changes of sildenafil or muscle aches of tadalafil.
Updated August 03, 2018 Mental Health Combination therapy for the treatment of erectile dysfunction has been under investigation. Most of these studies have been small trials, and long-term data regarding their effectiveness and safety are lacking. However, with thorough evaluation and counseling, there may be a use for combination therapy for certain individuals with ED.
Adult Skin Problems Salads IMPORTANT SAFETY INFORMATION Learn More about how an erection occurs »
RSS Feed May need to interrupt foreplay Causes of E.D. The male body WSJ.com Status of the genitalia and prostate Erectile Dysfunction and Cardiovascular Disease
Erectile Dysfunction and Cardiovascular Disease Costabile RA. Optimizing treatment for diabetes mellitus induced erectile dysfunction. J Urol. 2003 Aug. 170(2 Pt 2):S35-8; discussion S39. [Medline]. This article was contributed by: familydoctor.org editorial staff
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Insurance & Bills Replacement testosterone is available as oral pills, intramuscular injections, skin patches, and a gel that is rubbed into the skin. Men with low sexual desire and ED may have low testosterone (male hormone) levels. Hormone replacement may occasionally be of some benefit, especially when used in combination with other therapies. Testosterone supplementation alone is not particularly effective in treating erectile dysfunction. Sexual desire and an overall sense of well-being are likely to improve when serum testosterone levels (the levels in the blood) are restored. This can take several months after starting testosterone replacement.
Thank you for your feedback In almost all or all (75-100%) sexual activity, the experience of at least one of the following three3 symptoms: (1) marked difficulty in obtaining an erection during sexual activity, (2) marked difficulty in maintaining an erection until the completion of sexual activity, or (3) marked decrease in erectile rigidity
Vacuum constrictive devices for the penis Eat a healthy diet and exercise daily
800.223.2273 Register Log In Democracy, literally, rule by the people. The term is derived from the Greek dēmokratiā, which was coined… Erectile-Dysfunction Prescriptions More Common in Men With IBD
Guay AT, Bansal S, Heatley GJ. Effect of raising endogenous testosterone levels in impotent men with secondary hypogonadism: double blind placebo-controlled trial with clomiphene citrate. J Clin Endocrinol Metab. 1995 Dec. 80(12):3546-52. [Medline].
What would be your preferred frequency of intercourse, assuming the erections were working normally? How would your partner answer this same question? What was your frequency before the erections became a problem?
Terms of Use Privacy Policy impressive aphasia Samantha Evans is a former nurse, sexual health and wellbeing expert and co owner of retailer JoDivine.com.
When the husband was absent, his wife used to express in her letters the lively impatience she experienced for his return, and always addressed him with that tenderness of affection which constitutes the happiness of wedded life. This good understanding continued during four entire years, that is, until the year 1657, when Madame Langey accused her husband of impotence.
Related: Can This New Gel Really Give You an Erection In 5 Minutes? Tinder app clap trap Bladder Control Problems (Urinary Incontinence)
Early Mammals Educate partners on alternatives for treatment and the expected outcome and risks of each treatment. If you experience ED and think that it may be a result of the medication you are using, DO NOT stop taking the medication. If the problem persists, contact your doctor and he or she may be able to prescribe a different medication. Common medications that may list ED as a potential side effect include:
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The study was based on data collected from 439 men, 26 per cent of whom were under 40, who attended an outpatient clinic between 2010 and 2012 for newly developed ED. Surprisingly, nearly half of those men under 40 years were severely affected by ED when compared to 40 per cent of men aged over 40 years.
impression for costoclavicular ligament Niederberger C, Lonsdale J. Erectile dysfunction – patient characteristics and attitudes based on a large-scale male health study conducted in US, Europe, Mexico and Brazil. [abstract 594]. J Urol. 2002. 167:
Odd Creatures Five Common Causes of Erectile Dysfunction
Erections occur in response to touch, smell, auditory, and visual stimuli that trigger pathways in the brain. Information travels from the brain to the nerve centers at the base of the spine, where primary nerve fibers connect to the penis and regulate blood flow during erections and afterward.
75%-85% success rate Prevention of some of the causes that contribute to the development of erectile dysfunction can decrease the chances of developing the problem. For example, if a person decreases their chances of developing diabetes, heart disease, and hypertension, they will decrease their chances of developing erectile dysfunction. Other things like stopping smoking, eating a healthy diet (heart healthy with adequate vitamin intake), and exercising daily may reduce a person’s risk.
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Cystitis Treatment > Sildenafil may affect the way other medicines work, and other medicines may affect the way Sildenafil works, causing side effects.
Especially tell your healthcare provider if you take any of the following:
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Can you spell these 15 tricky spelling words? Vacuum Therapy: By placing a cylinder over the penis and withdrawing air, a vacuum is created, mechanically enhancing the flow of blood into the penis. A rubber ring placed on the base of the erect penis traps the blood inside the penis and maintains the erection.
How ED affects the mind “When to Perform Venous Studies in the Impotent Patient” BlockedUnblockFollowFollowing
Trauma: Trauma to the pelvis, including pelvic fracture, may cause erectile dysfunction, and an untreated penile fracture may result in erectile dysfunction.
View all Urological problems . Testosterone and erectile dysfunction. J Androl 2008;29:593–604. doi:10.2164/jandrol.107.004630
See impotence defined for kids Albany Medical Center Hospital and Albany Medical College Fred Cicetti is a contributing writer for Live Science who specializes in health. He has been writing professionally since 1963. Before he began freelancing, he was a reporter, rewriteman and columnist for three daily newspapers in New Jersey: The Newark News, Newark Star-Ledger and Morristown Record. He has written two published novels:” Saltwater Taffy—A Summer at the Jersey Shore,” and “Local Angles—Big News in Small Towns.”
Page last reviewed:  10/08/2018 MEGHAN MARKLE AND PRINCE HARRY ENJOY SCOTLAND BREAK WITH CHARLES AND CAMILLA Peyronie’s disease is a medical condition characterized by the development of a lump on the shaft of the penis. This lump is a scar (plaque) that forms on the lining (tunica) of the erectile body (corpus cavernosum) and is believed to be the result of injury to the penis. Urology researchers are investigating causes and current hypotheses on the origin of Peyronie’s disease other than microvascular trauma and abnormal wound healing, including the possibility of genetic predisposition for Peyronie’s disease.
About ASHA Online Doctor Services psychological factors – a man’s sexual drive or performance can be affected by stress such as problems at work, relationship difficulties or financial worries. Psychiatric conditions, and feeling depressed or anxious about poor sexual performance can also result in a failed erection
Directories & Support The Trials of Masculinity: Policing Sexual Boundaries, 1870-1930 by Angus McLaren 4 things you should know about erectile dysfunction
Reviews Stopping smoking – as above, smoking can have a negative impact on your blood flow in general, which can lead to erection problems.
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ED is defined as trouble getting or keeping an erection that’s firm enough for sex. Dr Kenny du Toit is a urologist practicing in Rondebosch, Cape Town. He is also consultant at Tygerberg hospital, where he is a senior lecturer at Stellenbosch University. He is a member of the South African Urological Association, Colleges of Medicine South Africa and Société Internationale d’Urologie. Board registered with both the HPCSA (Health professions council of South Africa) and GMC (General medical council UK). He has a keen interest in oncology, kidney stones and erectile dysfunction.http://www.dutoiturology.co.za
Antipsychotics – used for some mental health conditions, like schizophrenia. Brexit
Men More Explanation Individuals must remove the rubber band immediately after completing intercourse. Leaving the band on too long can harm the penis. Rarely, bruising of the penis or blood in the ejaculate/urine may occur.
Erectile dysfunction is estimated to effect 150 million men worldwide, and more than one million men in Australia.Overall, 25% of Australian men report erectile dysfunction and 8.5% report severe erectile dysfunction.
S Showbiz & TV Psychological (related to your brain). Erectile Dysfunction / Premature Ejaculation Medscape Consult by George Ryan Poor communication with partner
A decrease in volume of the fluid ejaculated What’s good for the soul (cycle) may not be good for your member. The research is somewhat controversial, but the link between cycling and ED is getting stronger. In fact, anything that places pressure on the pudendal artery can result in penile numbness and impotence. For those of you who don’t remember these from anatomy class, this is the area commonly referred to as the “undercarriage.”
Arduca P. Erectile dysfunction: A guide to diagnosis and management. Aust Fam Physician. 2003; 32(6): 414-20. Treatment for erection problems depends on the cause
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Horny goat weed. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA: American Psychiatric Association; 2013:426-9.
Sex and Your Health Crawford ED Canguven O, Talib RA, Campbell J, De Young L, El Ansari W, Al-Ansari A. Is the daily use of vacuum erection device for a month before penile prosthesis implantation beneficial? a randomized controlled trial. Andrology. 2016 Sep 21. [Medline].

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The views expressed in this article intend to highlight alternative studies and induce conversation. They are the views of the author and do not necessarily represent the views of hims, and are for informational purposes only, even if and to the extent that this article features the advice of physicians and medical practitioners. This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice.
Restless Leg Syndrome Nonsteroidal anti-inflammatory drugs (NSAIDs) Did you know that erectile dysfunction precedes coronary artery disease in almost 70 percent of cases.2 The arteries in the penis are smaller than those that cause heart disease symptoms, which means they are likely to be affected by blockages sooner. When the arteries in the penis are blocked, keeping an erection will be difficult regardless of your level of arousal.
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CareBlog Articles Symptoms or signs of low testosterone can include less of a sex drive, loss of body hair, breast growth, needing to shave less often, a drop in muscle size and strength, and bones that break more easily. In some cases the testicles may be found to be smaller.
“The endothelium tells the blood vessels when to contract and relax,” he says. The endothelium can become damaged from things like stress and tobacco use, making it harder for the lining to function properly and for blood to reach the penis because the blood vessels supplying the penis are unable to relax. 
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Newly Diagnosed Bipolar Disorder and the Subsequent Risk of Erectile Dysfunction: A Nationwide Cohort Study. ( 29425665 ) Treat Pets for Fleas Eczema may signal higher risk of cardiovascular problems »
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Cathay Pacific Irish Sun The degree of contraction of cavernosal smooth muscle determines the functional state of the penis. [11] The balance between contraction and relaxation is controlled by central and peripheral factors that involve many transmitters and transmitter systems.
48 NCBI Bookshelf If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Support & Coping What We Do Find Clinical Trials Possible painful permanent erection (priapism) 31 Aug. 2018. Antidepressants There are a number of options to treat ED, depending on the cause. And since ED can often be the first sign of an underlying medical condition, discovering and treating this may help resolve the issues with ED as well as improve overall health.
Impotence can be a feature of medical conditions that are more common the older we get and include high blood pressure, heart disease such as angina, liver disease, thyroid disease, diabetes, chronic bronchitis and emphysema.
, Peter C. Françolin Also called: ED, Impotence Customer Service Large waistline linked to urinary and erectile difficulties. Harv Mens Health Watch. 2012 Oct. 17(3):8. [Medline].
Science News 2014, Vol.92, No. 1 1522236 8981173 14617572 (more) If blood does not stay in the penis, a man cannot keep an erection. This issue can happen at any age.
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When it comes to preventing and treating high blood pressure, one often-overlooked strategy is managing stress. Management
Struggling to get an erection at all with a sexual partner – but having no problem while masturbating solo – could point to erectile dysfunction, according to the NHS, and it’s likely it’s stress-related.
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site map Retirement blues: Taking it too easy can be hard on you Connect: Prevalence of ED found in men under 40 in a variety of studies looking at men within different age ranges
Cialis Side Effects Erectile Dysfunction (ED) Erectile dysfunction can also be a side-effect of using certain medicines. ASHA PO Box 13827 Research Triangle Park, NC 27709 919.361.8400 info@ashasexualhealth.org
If you are taking medications (alpha-blockers) for problems with an enlarged prostate, you should discuss your prostate medications with your doctor. Alpha-blockers also can cause lowering of the blood pressure. Thus your doctor will need to carefully watch your blood pressure when you start the PDE5 inhibitor. Common alpha-blockers include doxazosin (Cardura), terazosin (Hytrin), and tamsulosin (Flomax).
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17 Aug 2018 – 9:17pm 217 Solomon’s Cordial Balm of Gilead was a mixture of cardamom, brandy, and cantharides, which supposedly favored the production of semen and removed the flaccidity of the muscles. On analysis Brodum’s Nervous Cordial was revealed to consist of gentian, calumbo, and cardamom. Though such concoctions were unlikely to have fortified the constitution as promised, they probably did little harm. The same was likely true of Dr. Senate’s Steel Lozenges and Balm of Mecca, R. and L. Perry’s Cordial Balm of Syriacum, Blake and Company’s Neurosian Extract, and de Roos’s concentrated Guttae Vitae. [p. 134]
4. You haven’t flossed regularly since the 90s 1 Supplements Drugs & Supplements Primary Care Specialty Care Pediatric Services Kloner RA, Mullin SH, Shook T, Matthews R, Mayeda G, Burstein S, et al. Erectile dysfunction in the cardiac patient: how common and should we treat?. J Urol. 2003 Aug. 170(2 Pt 2):S46-50; discussion S50. [Medline].
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…more Steroids. What Are Surgical Treatments for Impotence? If you’re experiencing erectile dysfunction (ED) while taking Zoloft, Zoloft may be the cause. Keep reading to learn more about ED and Zoloft.
. Erectile dysfunction prevalence, time of onset and association with risk factors in 300 consecutive patients with acute chest pain and angiographically documented coronary artery disease. Eur Urol 2003;44:360–5. doi:10.1016/S0302-2838(03)00305-1
Symptoms include the repeated inability to attain or sustain an erection. ED sometimes results in a lack of interest in sexual activity, also known as low libido.
Human Quirks 3. Is It My Age? It admits their impotence to vanquish the loyal forces in open battle. Sexual Health Clinic >
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Unfortunately this site is only available from Great Britain. 6 Natural Treatments for Erectile Dysfunction Medication Summary
Medical conditions, such as hypertension, diabetes mellitus, and cardiovascular disease (CVD), and psychological conditions, such as depression and anxiety, also contribute to sexual dysfunction in middle-aged or elderly men. CVD and hypertension cause a narrowing and hardening of the arteries, leading to reduced blood flow to the corporal bodies, which is essential for achieving an erection. Diabetes is a common aetiology of sexual dysfunction, because it can affect both the blood vessels and the nerves that supply the penis. Men with diabetes are four times more likely to experience ED, and on average, experience ED 15 years earlier than men without diabetes.7 Obesity is also correlated to the development of several types of dysfunction, including a decrease in sex drive and an increase in episodes of ED.8
by Ed Bryant Natural solution: Are you watching too much porn—or are you just embarrassed about it? “If a man feels guilty or badly about the porn he’s watching, or thinks he could get caught, then his ED symptoms may be triggered by the worry or concern,” says Sitron. Assuage your fears by talking to your partner about what you’ve been watching and see if it isn’t something you two both fantasize about—threesomes, bondage, voyeurism, and exhibitionism are the most popular fantasies among both sexes, according to London-based psychotherapist Brett Kahr, author of Sex and the Psyche: The Truth About Our Most Secret Fantasies. 
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