if low, further tests (LH, FSH, prolactin) and possible endocrinology referral Diabetes screening poorly controlled diabetes commonly contributes to ED Medication review certain drugs (antihypertensives, antidepressants) may cause or worsen ED Psychological factors anxiety, depression, and relationship issues frequently contribute For men who cannot use or do not respond to oral medications, second-line treatments include vacuum erection devices, intracavernosal injections (alprostadil), or intraurethral alprostadil
Sleep and protein intake
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However, symptoms often improve significantly within the first week as your digestive system begins adapting