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Hypogonadism, ED, and premature ejaculation show significant correlations with physical and mental health in men and in particular with quality of life, metabolic syndrome, cardiovascular diseases, and depressive symptoms [ 56 ]. Table 2 Summarizing the possible treatment options for ED in elderly patients. The development of a pathophysiology-oriented algorithm designed to avoid inappropriate treatments and support whether to start with TRT, PDE5-I only, or both is requested, in order to improve diagnosis and individualize a correct management [ 33 ]. Congestive heart failure CHF is another frequent disease in elderly patients potentially leading to ED. Some types of physical trauma and injuries, especially those affecting the pelvic area or spinal cord, may cause nerve damage leading to erectile dysfunction. ED is frequently found in the elderly because it is associated with the same underlying risk factors as vascular disease and includes hypertension, diabetes mellitus DMhyperlipidemia, smoking, and obesity which are common during aging. Try these lifestyle changes to reverse the symptoms of ED.

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Evaluation and nonsurgical management of erectile dysfunction and premature ejaculation.

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10 Erectile Dysfunction Dos and Don't's

A cohort study in patients with erectile dysfunction. ED is frequently found in the elderly because it is associated with the same underlying risk factors as vascular disease and includes hypertension, diabetes mellitus DMhyperlipidemia, smoking, and obesity which are common during aging. Guay AT, et al. Randomized study of testosterone gel as adjunctive therapy to sildenafil in hypogonadal men with erectile dysfunction who do not respond to sildenafil alone. Icariin is a flavonol glycoside derived from horny goat weed or Herba Epimedii, used for centuries in China for enhancing sexual performances; it can have an inhibitory effect of both PDE4 and PDE5, thus enhancing the production of bioactive nitric oxide and mimicking the effects of testosterone [ 97 — 99 ]. Data suggest that ED may be an early manifestation of endothelial dysfunction EDys in the presence or absence of cardiovascular risk factors CRF [ 13 ].

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