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Lipid profile: High levels of LDL cholesterol (bad cholesterol) in the blood promotes atherosclerosis. Vascular disease: Vascular diseases are those that affect the blood vessels. These diseases include atherosclerosis (hardening of the arteries), hypertension, and high cholesterol. These diseases, which account for 70% of physically-related causes of ED, all restrict blood flow to the heart, the brain and, in the case of ED, the penis. Learn as much as you can about ED. Knowledge is power, so the more you know, the more you'll be able to support your partner. When seeking treatment, you and your partner should both agree on a method that best fits your lifestyle. 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Psychogenic erections occur through stimulatory pathways (e.g., sound, smell, sight and touch) that travel from the spinal erection centres (T11L2 and S2S4) and induce a dopaminergic initiation of erection from the medial pre-optic area.17 Reflexogenic erections, induced by direct genital stimulation, send ascending messages to the central erection centres and direct messages to the autonomic nuclei, which explains residual erectile activity in patients with upper spinal cord injuries. Nocturnal erections, initiated in the pontine reticular formation and amygdalae, are seen during REM sleep and are believed to be caused by a relative decrease in sympathetic inhibition with augmentation of the pro-erectile centres. Erectile Dysfunction Treatment is it safe to buy viagra online A. The inflatable implant has the significant advantage of allowing an instant erection. The disadvantage is the inherent complexity of a mechanical device. 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Mechanical vacuum devices cause an erection by creating a vacuum around the penis that draws blood into the penis, engorging it and expanding it. The devices have three components: * Neurologic conditions In a multi-center, double blind study (18), 520 patients (average age of 54) took either 2mg, 4mg, 5mg, 6mg of apomorphine or a placebo. The number of attempts resulting in an erection firm enough for intercourse was recorded, along with the actual attempts resulting in intercourse. Diagnosis Non-ischemic priapism due to a ruptured left helicine artery, intermittent penile turgidity and erectile dysfunction. Hypertension (high blood pressure): Patients with essential hypertension or arteriosclerosis have an increased risk of developing erectile dysfunction. Essential hypertension is the most common form of hypertension; it is called essential hypertension because it is not caused by another disease, (for example, by kidney disease). 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