Prostate Restored
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Why does my boyfriend take forever to get hard?

Decreased blood flow, typically because vessels that supply blood to the penis have narrowed, is often the cause of erectile dysfunction (ED) in older men. Emotional issues are more commonly at the root of it for younger men. It happens to most men from time to time.

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Like the stock market and foreign car engines, erections are mysterious things that seem to have a mind of their own. When they don't happen, it can be disappointing, at the very least. Decreased blood flow, typically because vessels that supply blood to the penis have narrowed, is often the cause of erectile dysfunction (ED) in older men. Emotional issues are more commonly at the root of it for younger men. It happens to most men from time to time. But if it happens to you more than half the time you have sex, talk to your doctor. Is the Problem All in My Head? Probably not. Most cases of ED are caused by physical problems alone or in combination with emotional ones. Just about any medical condition that affects your nerves or blood vessels could hurt your ability to have erections. High blood pressure, heart disease, multiple sclerosis, kidney disease, and diabetes can all lead to ED. In fact, over 50% of men with diabetes find themselves in that situation. Hormonal issues such as low testosterone levels can also factor in, more often for older men. Prostate cancer treatments including surgery and radiation may be the culprit. If you have erections in the morning or while sleeping, the problem probably isn't physical. Stress, anxiety, and depression can cause ED, too. Talk to your doctor about your symptoms. They may want to run some tests to help figure out what's going on. Can I Blame My Medicines? Maybe. Several types of medications, like blood pressure drugs (especially beta-blockers) and certain antidepressants, can make it tough to get an erection. If you think your medicine may be causing your problem, don't just stop taking it. Talk to your doctor. You may need to switch to something different, or consider taking an ED medication, too. Could My Lifestyle Play a Role? Absolutely. Being overweight, getting too little exercise, and smoking all can work against the good blood flow that is key to erections.

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Can you walk after TURP surgery?

Walking is a good choice. Allow your body to heal. Don't move quickly or lift anything heavy until you are feeling better. Ask your doctor when you can drive again.

Your Recovery

Transurethral resection of the prostate (TURP) is surgery to remove prostate tissue. It is done when an overgrown prostate gland is pressing on the urethra and making it hard to urinate. You may need a urinary catheter for a short time. It is a flexible plastic tube used to drain urine from your bladder when you can't urinate on your own. If it's still in place when you go home, your doctor will give you instructions on how to care for your catheter. For several days after surgery, you may feel burning when you urinate. Your urine may be pink for 1 to 3 weeks after surgery. You also may have bladder cramps, or spasms. Your doctor may give you medicine to help control the spasms. You may still feel like you need to urinate often in the weeks after your surgery. It often takes up to 6 weeks for this to get better. After you have healed, you may have less trouble urinating. You may have better control over starting and stopping your urine stream. And you may feel like you get more relief when you urinate. Most people can return to work or many of their usual tasks in 1 to 3 weeks. But for about 6 weeks, try to avoid heavy lifting and strenuous activities that might put extra pressure on your bladder. Most people still can have erections after surgery (if they were able to have them before surgery). But they may not ejaculate when they have an orgasm. Semen may go into the bladder instead of out through the penis. This is called retrograde ejaculation. It does not hurt and is not harmful to your health.

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