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15) Try ED medication.
If all else fails, there is ED treatment in the form of drugs, such as Viagra and Cialis. Talk to your doctor about whether the option is right for youโand know that men's wellness brands like Hims and Romans both prescribe ED medication online and then deliver them straight to your door.
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14) Get plenty of sleep.
Your #penis needs as much shut-eye as it can get. Every night while you sleep, you have between three and five-hour-long erections. You probably noticed this phenomenon the last time you had to pee at 4 a.m.
Those #erections are not there just to make life interesting for your bedmate. They work to recharge your #penis โ keeping it well-nourished with oxygenated #blood.
โTheoretically, the more nocturnal #erections you have, the more flexible your #erectile issue will become. And that may help keep #erections strong as the years wear on,โ Goldstein explains.
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13) Yawn a lot.
Sorry if reading the word "yawn" made you yawn just now. Actually, we're not sorryโbecause as far as your bodyโs concerned, yawning and getting an erection are practically the same thing.
Theyโre both controlled by a chemical called nitric oxide. Released in the brain, it can either travel to the neurons that control mouth opening and breathing, or go down the spinal cord to the blood vessels that feed the penis. Sometimes it does both (thatโs why a big yawn can cause a tremor down under).
We donโt recommend foreplay with your mouth hanging open. But allowing yourself to yawn now and then throughout the day may help prime the neurochemical pathways that lead to good, sturdy #erections.
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12) Walk more.
In one study, researchers found that men who walk just 2 miles a day had half the rate of #erection problems of more sedentary men, says Goldstein. (Twenty minutes of jogging or 30 minutes of weight training will work, too.)
Deposits that clog or stiffen #penile arteries can also wilt #erections. โGuys tend to think of their arteries as simple pipes that can become clogged, but thereโs a lot more going on than that,โ says Laurence Levine, MD, a #urologist at Chicagoโs Rush-Presbyterian Medical Center. โThe linings of those #blood vessels are very biologically active areas where chemicals are being made and released into the bloodstream.โ
The more you exercise, the healthier, cleaner, and more flexible those linings become.
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11) Take it easy when you're thrusting.
One vigorously misplaced thrust is all it takes to rupture the corpora cavernosa, the elongated โerectile chambersโ that run the length of your penis. Donโt believe us? Try aiming your #erect #penis at the trunk of a treeโitโs roughly the same density as your partnerโs pubic bone.
A complete rupture will require surgery within 24 hours to stanch internal bleeding and reduce the risk of permanent damage. A partial tear isnโt as serious, but it may cause problems later on. As the linings of the corpora heal over with scar tissue, they lose their elasticityโleading to curvature, pain, and eventually #impotence.
By some estimates, more than a third of impotent penis-owners have a history of โpenile trauma.โ To protect yourself, be careful when your partner's on top. Thatโs the position most likely to cause damage.
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10) Get your testosterone levels checked.
Low #testosterone doesn't directly affect the mechanisms involved in your #erection, but it does affect your #libido, making it harder to get turned onโand harder to get, well, hard. If you notice an uncharacteristic drop in your #sex driveโor any of these symptoms of low #testosteroneโyou might want to ask your doc if your T levels are lower than they should be. If they are, your doctor can help get your testosterone back to levels within the normal range.
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9) Reduce your risk of diabetes.
#Erectile #dysfunction is common in people who have diabetes (and especially type 2 diabetes), according to the Mayo Clinic. The disease hits the penis with a double whammy: It accelerates the process of arterial disease, and it slows the transmission of stimuli along nerves throughout your body. And, trust us, a numb penis is not a happy penis.
Type 2 is the most prevalent form of diabetes among American adults. There are various ways to prevent it, including eating the right foods and exercising regularly. You should also be vigilant in checking your blood sugar (talk to your doctor about the best methods).
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8) Stay faithful.
Itโs common for men who start having affairs to stop having #erections. So common, in fact, that doctors who treat erectile dysfunction often ask their patients if theyโre getting any action on the side.
Unless youโre in an open or polyamorous relationship, youโre bound to feel at least a little guilty when you have #sex with your partner. Guilt can turn to #anxiety, and that can kill an #erection .
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7) Get a vasectomy.
If youโre finished producing offspring (or youโre sure you donโt want kids), consider investing in permanent renovations at the sperm factory.
โThe risk of a contraceptive failure can be a big source of anxiety for some men, especially those whoโve had a birth-control disasterโor a scareโin the past,โ says Karen Donahey, Ph.D., director of the sex- and marital-therapy program at Northwestern University.
That anxiety can, in turn, lead to erection problemsโand cause the same vicious circle that makes performance anxiety such a mood killer.
But if thereโs no sperm, the risk of pregnancy is beyond minuscule: A properly performed vasectomy has an effectiveness rate of 99.9%. Depending on your insurance situation, the procedure typically costs between $0 and $1,000, according to Planned Parenthood.
โMany of my patients end up paying $0 for them if they have low deductible plans,โ Ingber says. โWe can often do these in the office setting, with a local anesthesia, which can minimize cost for some patients.โ
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6) But keep a pot of coffee on.
Though few things are worse for your erection than a cigarette habit, coffee can actually help you out below the belt. A study by the University of Texas Health Science Center at Houston found that men who consumed the caffeine equivalent of 2-3 cups of coffee per day were less likely to suffer from erectile dysfunction than those who preferred to wake up with caffeine-free beverages.
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6) But keep a pot of coffee on.
Though few things are worse for your erection than a cigarette habit, coffee can actually help you out below the belt. A study by the University of Texas Health Science Center at Houston found that men who consumed the caffeine equivalent of 2-3 cups of coffee per day were less likely to suffer from erectile dysfunction than those who preferred to wake up with caffeine-free beverages.
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5) Put the cigarettes away.
In a study conducted at the University of Kentucky, researchers found that when asked to rate their sex lives on a scale of 1 to 10, men who smoked averaged about a 5, while nonsmokers rated theirs a 9.
One reason is that smoking is a known cause of impotence, and thereโs some evidence that smoking affects erection strengthโand size. In one study, researchers found that smokersโ penises are smaller than those belonging to nonsmokers.
โIn addition to damaging blood vessels, smoking may cause damage to penile tissue itself, making it less elastic and preventing it from stretching,โ
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4) Hit the gym.
Cardio. Cardio. Cardio.
According to Ryan Berglund, MD, a urologist at the Cleveland Clinic, bloodflow is the key to a healthy erection, and there's nothing that encourages bloodflow like aerobic exercise. Not only does it keep you in shape, it builds the body's nitric oxide, which helps maintain erections.
While running is great, stay off the bike if you can help it. โEndurance cyclists who spend a long time on their bike seats may have more trouble with ED,โ says Erin Michos, MD, an associate professor of Medicine at the Johns Hopkins University School of Medicine.
โThis is because bike riding can compress the pudendal artery, which provides blood flow to the penis,โ Ingber adds. โUsing a special bike seat (split-seat) along with wearing special shorts can help prevent ED.โ
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3) Watch what you eat.
Research has shown that foods bad for the heart are also bad for the penisโwhich makes sense, since the heart and penis both depend on blood flow to function properly. The Mediterranean dietโwhich includes, fruits, whole grains, heart-healthy fats like nuts and olive oil, red wine, and vegetablesโis a good place to start.
"The link between the Mediterranean diet and improved sexual function has been scientifically established," Irwin Goldstein, MD, director of sexual medicine at Alvarado Hospital in San Diego.
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2) Work your Kegel exercises.
The pelvic floor muscles play a role in sexual activity, explains Robert Valenzuela, MD, a board-certified urologist and Promescent medical advisor. โContractions of the pelvic floor muscles (called Kegels) help produce an increase in the penis pressure and the rigidity of the penis.โ In simpler words, Kegel exercisesโwhere you contract and release your pelvic floor musclesโcan help strengthen your erections. Here are some tips on exactly how to practice Kegel exercises.
Kegel exercises are also a component of a practice known as โpenis rehabilitation,โ adds Michael Ingber, MD, a urologist and urogynecologist at Garden State Urology. โJust like after shoulder surgery, when you might see a physical therapist to work on the muscles, strengthening them, and increasing range of motion, the same thing is true for the penis, the muscles, and nerves that play a role in erectile function.โ Thatโs why many urologists recommend early penile rehabilitationโwhich includes Kegelsโshortly after events that affect the erectile nerves of the penis, such as prostate cancer surgery. โThis is done in conjunction with medical therapies like Viagra,โ Ingber says.
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1๏ธโฃ Try a cock ring.
Did you know that a cock ring can help you maintain an erection? This O-shaped toy fits around your penis and helps keep blood in the shaft, where you want it. A cock ring also helps prevent venous leakage, a form of erectile dysfunction where blood flows to your penis, but has trouble staying there. (Giddy, a new cock-ring-like gadget designed to treat ED, may also help guys with venous leakage maintain stronger erections.)
There are four types of cock rings, all of which can help in the erection department:
โ
Adjustable rings
โ
Stretchy rings
โ
Vibrating rings
โ
Solid rings
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16 Tips for Getting Stronger Erectionsโand Staying Hard
Hereโs what can kill your hard-on...and what can save it.
If you have a #penis, then you know it has a tendency to be a little, uh, temperamental sometimes. When you want it to stay hard during sexual activity, it goes soft. Then, when you finally manage to sustain an erection, you end up ejaculating too quickly. It doesn't get along so well alcohol, even when youโre in a sexually arousing situation, andโspeaking of substancesโstudies show there might be a link between erectile dysfunction and smoking weed. It also tends to show up in a big way at inopportune times, like in the middle of your important presentation for work. As far as sources of pleasure go, the penis can be pretty damn frustrating.
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What to do if you notice erectile issues
You should speak with your doctor the moment your erections start to seem unusual.
Sometimes the fix might be straightforward, like adjusting your meds if you take prescriptions that are messing with your ability to get hard. If it turns out that the problem stems from an underlying health issue, diagnosing and treating it could be the key to getting your erections back to normal. That could involve tests to measure things like your blood pressure, cholesterol, or testosterone levels.
Either way, your doctor might also be able to offer help in the short term to keep your sex life from tankingโlike prescribing an ED med like #cialis, #viagra or #levitra. Recently, these have become available through online startups like Hims and Roman. Here's where to find out more about the pros and cons of services like these.
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You have kidney disease
Guys with kidney disease may also develop problems maintaining erections. That's because medical conditions like these also impact hormone levels, blood circulation, and energy, according to the National Kidney Foundation. Or some guys lose interest in sex because because of the emotional and physical changes these conditions may cause.
However, men may regain their interested with time as they treat the initial kidney problems. But that's not to say that all men with kidney problems will go on to experience ED. Taking prescribed medication, communicating with your doctor, and speaking with a psychologist can help guys maintain a healthy sex life.
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Youโre suffering in the sleep department
No matter whatโs stealing your shuteye, lack of sleep can lead to problems in the boner department. That may be especially true if you have sleep apnea, a sleep disorder where your breathing pauses frequently throughout the night.
Nearly 70 percent of guys who have sleep apnea also have ED, according to the International Society for Sexual Medicine.
Sleep deprivation causes testosterone levels to plummet and can make you feel more stressed or anxious, Dr. Shusterman explains. And all of those things can kill your libido and make it harder to get an erection.
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You donโt get as hard as you used toโor you have trouble staying that way
Youโre still getting hard enough for sex. But your penis still might be signaling an issue if you notice any kind of change to your erectionโin fact, this can be the early stage of ED.
โItโs usually a slow, progressive problem. Initially, a patient might notice that his erections are not as firm, or that he isnโt able to maintain his erections for as long as before.โ
Thereโs no cutoff level for how soft or short an erection has to be to signify a problem, though. Itโs just about changes from your own personal norm. Itโs probably not a big deal if it only happens once. But if you notice it happening frequently and you canโt think of a mental reason why youโd be having trouble getting hard (like youโve been extra exhausted or stressed), that might be pointing to a bigger issue.
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Your gums are swollen, tender, or bleed easily
Gums that are swollen, painful, or bleed when you brush or floss are likely signs of gum disease. That doesnโt cause ED directly, but it can set off a chain of events that could create problems for your package.
Thatโs because gum disease can lead to inflammation throughout your body, which can damage your blood vessels. And if your blood vessels arenโt functioning properly, itโll be tougher for blood to flow into your penis and make you hard.
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You started a new prescription medication
Antidepressants and high blood pressure meds are particular culprits.
Antidepressants like SSRIs (like Prozac or Paxil) and SNRIs (like Effexa XR and Cymbalta) make it harder for hormones and chemical signals that make you feel aroused, like norepinephrine, to reach the brain. And that lowered libido can make it harder to get an erection. Typically, youโd start to notice these symptoms within a couple weeks of starting the meds.
Blood pressure meds, of course, work to lower your blood pressure. Thatโs a good thing for your overall health, but it can be a bad for your sex life. Lower BP means less blood flow to the arteries in your penis, which could mean trouble getting hard.
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Your #cholesterol or #bloodpressure is high
The results from your annual physicalโs lab work might hint that your #erection is in danger. Two of the most common tells? High cholesterol and high blood pressure.
High total cholesterol is anything 240 milligrams per deciliter (mg/dL) or higher, and recent guidelines have just lowered the threshold for high blood pressure to 130/80 millimeters of mercury (mm Hg) or above. (One high BP reading probably isnโt a big deal. But more than two to three elevated readings over time likely means you have high blood pressure.)
Both high #cholesterol and high blood pressure can damage your blood vessels, causing them to lose their elasticity. This makes it harder for the vessels to expand so more blood can flow into your #penis.
That in turn can make getting hard more difficult. โIf the vessels canโt dilate, there wonโt be enough blood flow to cause an erection.
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You donโt think about sex as much as you used to
If the stuff that usually gets you going just isnโt working anymore, thereโs a good chance that your testosterone levels are lower than normal.
Testosterone is the main hormone responsible for your sex drive, explains New York-based urologist and sex expert David Shusterman, M.D. If it plummets, your desire to get going in the say may, too.
And if youโre not really in the mood, getting hard will be next to impossible.
Along with a lack of sexy thoughts, you may also notice some other signs of low testosterone, like fatigue or mood changes, difficulty building muscle, or even developing a gut. Testosterone therapy isn't always the answer; sometimes your lifestyle can affect your testosterone level.
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