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Some people have trouble speaking with their doctors about sex. But if you have ED, you should tell your doctor. ED can be a sign of health problems. It may mean your blood vessels are clogged. It may mean you have nerve damage from diabetes. If you don't see your doctor, these problems will go untreated. How Is Male Sexual Dysfunction Treated? Many cases of sexual dysfunction can be corrected by treating the underlying physical or psychological problems. Treatment strategies may include the following: Medical treatment: This involves treatment of any physical problem that may be contributing to a man's sexual dysfunction. February 2011: Men who use non-steroidal anti-inflammatory drugs (NSAIDs) 3 times a day for more than 3 months are at a 22 percent increased risk of erectile dysfunction. A link between NSAID use and erectile dysfunction still existed for different age, race, ethnicity, smoker, diabetes, hypertension, high cholesterol, coronary diasease and other health problems. But due to benefit of NSAID, it's too early for men to avoid NSAIDs based solely on the research stated at Journal of Urology. What Causes Male Sexual Problems? Physical causes: Many physical and/or medical conditions can cause problems with sexual function. These conditions include diabetes, heart and vascular (blood vessel) disease, neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcoholism and drug abuse. In addition, the side effects of certain medications, including some antidepressant drugs, can affect sexual desire and function. Buy cheap generic cialis Can low testosterone level be replaced? Because of potential adverse effects and complex metabolism, the use of testosterone replacement therapy (TRT) is limited to men with symptoms of erectile dysfunction and a testosterone level of less than 200 nanogram per deciliter. Preparations available in the U.S. are topical, injectable, and transbuccal (placing inside mouth between the cheek and upper gum) testosterone. Oral preparations are not available in the U.S. vipps online pharmacy viagra buy viagra online no prescription generic cialis online mastercard cialis online buy cialis online from india cialis online There have been rare reports of priapism (prolonged and painful erections lasting more than six hours) with the use of oral PDE5 inhibitors such as vardenafil, sildenafil, and tadalafil. Men with blood cell diseases such as sickle cell anemia, leukemia, and multiple myeloma have higher than normal risks of developing priapism. Untreated priapism can cause injury to the penis tissue and lead to permanent loss of potency. If there is prolonged erection (longer than four hours), immediate medical assistance should be sought. cialis vs viagra buy online viagra online price Treatment depends on the cause. Exercise, particularly aerobic exercise is an effective treatment for erectile dysfunction.[20][better source needed]