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Long-Term Tactics for Erection Problems

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It may be a man's worst fear, even worse than losing his hair. The word has taken on such a meaning that sex therapists now ask that you say "erection problems" instead of the dreaded "impotence."

Although most men think that it's in their heads, many erection difficulties stem from physical problems such as diseases and medications—problems that can be almost completely avoided. In fact, the very things that rob you of your health and youth—drugs, alcohol, bad diet—can rob you of an erection.

Erection problems can develop over time or occur suddenly. But by following a few simple pointers, you can prevent many of these problems.

Lay off the alcohol. It may increase the desire, but it decreases the performance, and especially so over time, says Robert N. Butler, M.D., professor of geriatrics at the Mount Sinai School of Medicine of the City University of New York in New York City and author of Love and Sex after 60. A few drinks before sex can make an erection less firm and more difficult to achieve, Dr. Butler says. Up to 80 percent of men who drink heavily suffer sexual side effects including erection problems, sterility, and loss of desire. Even heavier drinking over time destroys testicular cells, leaving men with shrunken testicles and a reduced sex drive.
Start working out. Regular exercise will do the obvious by improving your body and, therefore, improving your self-image. But researchers have found that exercise may be an aphrodisiac in itself. A study conducted at the University of California, San Diego, found that men who exercised 60 minutes a day for about three days per week improved their sex lives. The men reported having more sex and even more-satisfying orgasms. As the men improved their fitness levels, they said the sex kept getting better. But don't overdo it, warns Dr. Crenshaw, because exercising to the extreme can be detrimental to sex.

Also, you should start from a modest pace and build up, says Dr. Butler. If you're not already in good physical condition, you might do more harm than good if you start with an exercise plan that's too rigorous.

Throw out the smokes. If cancer doesn't scare you, how about smoking's effects on sex? Nicotine constricts blood vessels, making it hard for blood to flow to the penis. Long-term smoking can severely hamper erections, says Dr. Cooper, "When smokers stop smoking, many of the erection problems disappear."
Check out your medicine cabinet. Your medication could be robbing you of that erection. "Many prescription medications eliminate sex drive and erections," says Dr. Crenshaw, who is also the author of Sexual Pharmacology. The most common perpetrators include antidepressants (Prozac and Elavil), blood pressure medications (Atenolol, Besimil, and Diupres), and anti-ulcer drugs (Tagamet and Pepcid AC). Even over-the-counter drugs such as antihistamines and Dramamine can cause erection problems or can reduce sexual desire. If you suspect your medication is hurting your love life, ask your doctor to switch to another type of medication or to lower your dosage, she says.
Keep healthy. Heart disease, cancer, high blood pressure, obesity, and diabetes can all make men impotent.
Remember your member. It's a cycle, says Dr. Cooper. In order to have healthy erections, men have to keep having erections. "Young men have five to six erections every night because it gets needed oxygen to the penis through the blood. As a man gets older, he gets less and less of these nocturnal erections, and it really affects the health of the penis," Dr. Cooper says. So to make up for the erections that you're not having during the night, it's good to have more during your waking hours to keep the penis healthy. "It's not just for fun, it's for health," he says.
Think of it as longer, better sex. Even if you are the picture of perfect health, it's going to take you longer to get an erection as you get older. So work with it, Dr. McCarthy says. It means that you and your partner will have to spend more time fooling around before intercourse, and of course, that's far from bad. "You have to get used to a different rhythm. Become more sensuous instead of overreacting to it," he says. If you don't adjust to this change, then you could be in for real problems. Many men who don't accept this fact of life end up panicking with every sexual experience. Some men can't get an erection because they get so nervous about not being able to get an erection.

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Don't rush into implants. Although still a viable option for those who need penile implants, men with erection problems should not rush into surgery before exploring other options, says Dr. McCarthy. Many times, there might not be a major problem at all. "In their teens, twenties, and early thirties, men get easy, automatic erections. Basically, they don't need anything from their partners to get erect. But with aging, that changes—and a fair number of people get distracted by that," he says.

In the rush to quickly save their sex lives, men may take actions that actually harm them in the end, Dr. McCarthy warns. The penile implant treatments "are not really user-friendly," he says. "It is so artificial. And the woman often resents it more than the man because she feels left out of the process," he says. Make sure that you and your partner get all the facts and make the decision together.

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