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ED: The Solution Depends on the Problem · Doing Marriage Well

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  Doing marriage well for April 14, 2026. ED. The solution depends on the problem.
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  When a middle-aged or older guy tells me that he is struggling with ED,
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  I ask two follow-up questions. 1.
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  Do you get hard, then gradually go soft? 2. Do you ever wake up with good heart erections?
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  If the answer to the first question is yes, the guy may be dealing with venous
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  leak erectile dysfunction.
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  A good erection requires two things to happen.
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  First, the muscles around the arteries to the penis must relax to increase blood flow.
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  Second, as the penis gets hard, the veins that drain it are compressed,
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  reducing the flow of blood out.
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  Venous leak means the veins allow too much blood to get out.
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  Drugs won't fix venous leak ED because they function by relaxing the muscles
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  and increasing blood flow.
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  They do nothing to slow blood loss. But there is an easy solution with a solid
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  success rate, a penis ring.
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  A ring around the base of the penis compresses the veins, reducing blood flowing out of it.
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  For safety, the ring should be snug, not tight, should be easy to remove,
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  and should be worn for no more than half an hour.
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  Married Dance has a number of rings. There's a link in the show notes to a set
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  that's a good starting place.
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  A recent study found that 85% of men with ED had venous leakage.
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  So some men will need both a drug and a penis ring for good lasting erections.
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  The second question is important because men without ED get rock-hard erections
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  during every dream If you wake from a dream,
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  you wake with an erection Such erections prove that the plumbing works A lack
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  of morning erections could mean ED If you wake hard but struggle during sex,
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  the issue may be something mental or relational Or you may just be too worn
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  out at the end of the day Some Saturday morning, put that morning erection to the test.
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  When needed, both Viagra and Cialis work well and are easy to get.
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  Actually, they're too easy to get.
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  ED can be a warning sign of cardiovascular disease, type 2 diabetes,
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  hypertension, and high cholesterol.
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  If you can't get a usable erection, please have a doctor check for these things.
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  ED might be the only warning you get. If you need pills, I suggest Cialis because
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  it works for up to 36 hours.
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  A daily low-dose pill allows a man to get an erection any time,
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  just like before he had ED.
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  If your insurance won't cover ED drugs, get a prescription for the generic.
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  It's the same drug at a fraction of the price. You should be able to find it
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  for less than a dollar a pill.
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  Check Amazon Pharmacy. I've talked to friends who are happy with them and they have a very low price.
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  This is Paul, and doing sex well is easier with an erection.