Depression: A common cause of ED, depression affects a person physically and psychologically. Depression can cause ED even when a man is completely comfortable in sexual situations. Drugs used to treat depression may also cause ED. Sterilization is when a man or woman has an operation to permanently prevent pregnancy. If you're sure that you don't want to have children or you don't want more children, sterilization may be the right choice for you. Since the overwhelming majority of women are satisfied with their partner's penis size, it appears that men don't need to be as concerned about their size. Men also put more emphasis on the importance of penis size to sexual satisfaction than is warranted. This widespread emphasis on penis size has been a real boon to the penile enhancement industry. cialis generic Erectile Dysfunction as Warning Sign Even if you're not up for it, sex can be a natural - and pleasurable way to relieve PMS symptoms. But it's no miracle cure. You'll still need more support to feel better, and keep your sex life and relationship on track. Conclusions: Erectile dysfunction is a significant health concern affecting around one in 10 Australian men aged 16–59 years. Current smoking is significantly associated with erectile dysfunction in Australian males. This association was strengthened as the number of cigarettes smoked increased. Health promotion programmes could use the link between smoking and erectile dysfunction to help reduce smoking levels among men. 84 percent of women say they are satisfied with the size of their partner's penis JAMA. 1999;281:421-426. Psychotherapy. Pavelka's conviction that biking had led to his problem was soon backed up by medical authority. Irwin Goldstein, MD, a specialist of erectile dysfunction with the Boston University Medical Center, was widely quoted in the press saying that all male cyclists risked erectile dysfunction, and that they should consider giving up the sport if they enjoyed sex. Media file 2: Vascular disease often associated with diabetes mellitus is found in the majority of men with erectile dysfunction. In these patients, the medications they take for hypertension often exacerbate their erectile dysfunction. Increases width of penis when activated These pills work by relaxing your penis muscles thereby increasing the flow of blood to the penile region. These Erectile Dysfunction pills work fine even if there is minor damage to muscles in your penile area. Viagra begins its action in about half hour and remains effective for entire four hours. Levitra too has similar effectiveness however cialis works fast and its power remain for 36 hours making it best among the lot. Cavernosal Disorders (Peyronie's disease.) Failure to achieve an erection less than 20% of the time is not unusual and treatment is rarely needed. Failure to achieve an erection more than 50% of the time, however, generally indicates there is a problem requiring treatment. Cavernosography: Used in conjunction with the dynamic infusion cavernosometry, this test involves injecting a dye into the penis. The penis is then X-rayed so that the venous leak can be seen. Alternative treatments Primarily of benefit for men with low levels of serum testosterone. Men who are hypogonadic, who desire a restoration of libido, and who wish to become sexually active usually benefit from the exogenous supplementation of androgens. This can be accomplished with injections, cutaneous application via gel or skin patches, or oral administration. According to the National Ambulatory Medical Care Survey (NAMCS), approximately 22 out of every 1000 men in the United States sought medical attention for ED in 1999.