Medications for erectile dysfunction don't work for everyone and may cause side effects that make a particular drug hard to take. "Work with your doctor to find the right treatment. There are still options for people who fail at medical treatment," advises Feloney. Alternatives to erectile dysfunction drugs include vacuum pump devices, medications injected into the penis, testosterone replacement if needed, and a surgical penile implant.

The first tip for how to keep an erection longer is a simple one. Exercise the penis with kegels. According to sex and relationships expert, Jordan Gray, kegel exercises strengthen your genitals and improve your sex life. Kegel exercise involves “flexing and holding the muscles that stop the flow of urine.” The penis is made up of a ton of muscle. It’s important to keep that muscle tissue strong, healthy, and reactive. Kegels are popular with men and women. If you’re struggling with keeping an erection for a length of time, the reason could be weak muscle tissue.
Eat well: if you are willing to know how to maintain an erection, then you must understand that the key to a healthy erection is a healthy diet. One must not load themselves on fatty junk food or eat ready-made meals. Look out for something which is good for your heart, includes healthy fats, eating low cholesterol that is good for your diet. Erectile dysfunction is common for men of the age, and it is necessary the part of aging. One can avoid ED in simple ways.
If the problem is physiological, that is, if a man cannot maintain an erection due to illness, it is best to go to the doctor or specialist and treat the problem accordingly. Sometimes treating this problem with medication is enough to solve the problem; other times, however, a doctor might recommend the use of Viagra in order to achieve full erection.
If ED happens to a boyfriend or husband, ask (outside the bedroom) if he’s ever seen a doctor about it. Only 15 percent of men have, according to our survey—but a doc visit might be the simplest solution. For instance, if your guy’s ED seems like a psychological issue, his doctor may refer him to a therapist who can help him work through whatever’s getting him down. Or he may be given a temporary prescription for sildenafil, the active ingredient in Viagra, which is safe and effective when used correctly.

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Watch whatever you eat: poor diet is also the reason for weak erections. As per the research, specific eating patterns cause heart attacks due to the restricted blood flow in coronary arteries which impede blood flow to the penis. Blood flow is also required for the penis to make it erect. Some of the diets also include vegetables and fruits that have fried, fatty and even processed foods that contributed to decreasing the blood circulation throughout the whole body. Anything which is terrible for man’s heart is also wrong for his penis and gaining an erection. One can learn how to keep an erection
UW Health urologists with advanced training offer medical and surgical treatment options for men and their partners affected by erectile dysfunction. There are several different ways that erectile dysfunction can be treated. For some men, making a few healthy lifestyle changes may solve the problem. Your urologist will help determine the most effective course of treatment for your condition. 
Instead, bench any P-in-V action for a beat and lower the stakes by telling him you want to fool around—not as a precursor to penetrative sex but just for the fun of it, suggests Natalie Finegood Goldberg, a sex therapist in Los Angeles who specializes in erectile dysfunction therapy. If this is a hookup situation, make it clear to him that you don’t expect or need him to have an erect penis for the two of you to have a good time, Goldberg says. You can always have oral sex, make out, or do some manual stimulation—because the worst thing you can do is freeze him out.
Alcohol is a depressant, not an aphrodisiac or a libido enhancer. Excessive consumption can interfere with the ability to achieve an erection at any age, and even occasional drinking can make erectile dysfunction worse in older men. Feloney advises using alcohol in moderation: "In small amounts, alcohol can relieve anxiety and may help with erectile dysfunction, but if you drink too much, it can cause erectile dysfunction or make the problem worse."
Like going bald, ED becomes more common as men age. According to the National Institutes of Health, about 5% of all 40-year-old men have ED and that number rises with age. Between 15% and 25% of 65-year-old men have ED. This is one of the reasons you see so many ED drug commercials during televised sporting events, Fox News programs, and other shows that typically attract men over 50 (just kidding, Fox).
A very stressful or intense situation, or performance anxiety, could definitely make a man lose his erection. The pressure to perform could be psychologically too intense to keep a strong one. Another, lesser talked about erection killer is difficulty penetrating a partner during sex. It’s related to performance anxiety and stress, but also fatigue. If sex becomes tiring, fatigue will bring a quick end to an otherwise great night.
Did you know that a cock ring can help you maintain an erection? This O-shaped toy fits around your penis and helps keep blood in the shaft, where you want it. A cock ring also helps prevent venous leakage, a form of erectile dysfunction where blood flows to your penis, but has trouble staying there. (Giddy, a new cock-ring-like gadget designed to treat ED, may also help guys with venous leakage maintain stronger erections.)

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There is no evidence that mild or even moderate alcohol consumption is bad for erectile function, says Ira Sharlip, MD, a urology professor at the University of California San Francisco School of Medicine. But chronic heavy drinking can cause liver damage, nerve damage, and other conditions -- such as interfering with the normal balance of male sex hormone levels -- that can lead to ED.

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Did you know that a cock ring can help you maintain an erection? This O-shaped toy fits around your penis and helps keep blood in the shaft, where you want it. A cock ring also helps prevent venous leakage, a form of erectile dysfunction where blood flows to your penis, but has trouble staying there. (Giddy, a new cock-ring-like gadget designed to treat ED, may also help guys with venous leakage maintain stronger erections.)
"This can take some time, but it can help to stop a cycle of too much anxiety, followed by an erectile issue. It also can help you realize where you draw the most physical pleasure. People tend to focus only on the genitals when it comes to sex. However, they can experience pleasure all over their bodies. If they learn how to utilize this, it can be a resource for future arousal, fun and pleasure."

This simple five-question quiz asks you to rank your erections in various situations (during the past 6 months) on a scale from 1-5. It’s not a perfect tool, but it’s simple, short, and gets you thinking about the difference between just getting an erection and being hard enough for penetration and a healthy sex life (because those are two different things).


Fortunately, the harm free radicals cause can be prevented with antioxidant nutrients, notably vitamins A, C, and E, and the minerals, selenium and zinc. Antioxidant supplements can help, but nutritionists and public health officials agree that the best way to get antioxidants is from foods rich in them: fruits, vegetables, beans, and whole grains. That's why health officials urge at least five servings of fruits and vegetables every day. Many studies show that as fruit and vegetable consumption increases, risk of heart disease and every major cancer decreases. There have been no big studies of dietary antioxidants and sexual satisfaction, but the link is biologically irrefutable. As antioxidant intake increases, so does blood healthy flow around the body, including into the penis. If you smoke, quit. And eat at least five daily servings of fruits and vegetables—fruit with breakfast, a salad and/or vegetable at lunch and dinner, and snack on fruit.
Even if your relationship isn't the source of it, depression can keep you from getting an erection. "Erectile dysfunction can affect someone with depression even when he is in a stable and loving relationship," says Dr. Reitano. "Unfortunately, the drugs used to treat depression can cause erectile dysfunction, as well. The good news is that erectile dysfunction medications work whether the difficulty is from the depression itself or from the medications."
"On the physical side of things, we most prominently have physical fitness as the No. 1 factor in erection achievement and sustainability," he continues "If a body isn't healthy, it's going to labor to send blood flowing properly and to function in many respects. Much like a car in need of a tune-up, a body which is out of shape or overweight is going to labor to perform functions — like causing an erection."

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In the long term, the best thing you can do for ED problems is “stay playful and keep the focus off getting your partner erect,” says Goldberg. Experiment with new erotic scenarios and situations, like having sex in a different room, wearing lingerie, or role-playing your fave fantasy. Oh, and don’t limit yourselves to just intercourse either (which applies to all couples, whether or not you’re dealing with ED). “The broader your definition of sex,” Goldberg says, “the more sex you can be having.”
If you’re a guy over 40, there’s a fifty-fifty chance that you have a problem getting or keeping an erection. Now, I don’t mean the sort of erection you saw in American Pie! I mean an erection that’s firm enough and long-lasting enough for sexual satisfaction. Every guy has times when he just can’t manage an erection. Still, if you’re having trouble achieving a satisfying erection more than 50% of the time, you’ve got erectile dysfunction (ED).

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It may be that after trialling all the above, including the little blue pills, you are still having challenges. There are always other options. The only issue is that they tend to move further away from science, proven efficacy and fact and more towards anecdotal evidence and illegitimate science, all while preying on a natural desperation to find a solution. I would say, if you are at this stage, go and see your doctor to discuss a referral to see a urology specialist. It may spare you dabbling, unsuccessfully, with the various less-proven methods, including:
Ask about transurethral pharmacotherapy. Your doctor may suggest you try this treatment, which involves placing a suppository into the urethra. The suppository contains alprostadil, which is then absorbed into the blood stream, relaxing blood vessels and improving blood flow into the penis. This treatment is thought to be less effective than the vacuum devices, or injection therapy.[16]

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