How can keep my cock hard long time

Erectile dysfunction (impotence)

• is the inability to get and keep an erection firm enough for sex.

• The first thing you will do exame generale for diagonstic the cause 
• and getting the right treatment for any health conditions that could be causing or worsening your erectile dysfunction.
• Oral medications are a successful erectile dysfunction treatment for many men. They include:

1. Sildenafil (Viagra)
2. Tadalafil (Adcirca, Cialis)

• Testosterone replacement. Some men have erectile dysfunction that might be complicated by low levels of the hormone testosterone.
• Alprostadil urethral suppository. 
• If you smoke, quit it .
• Lose excess pounds.
• physical activity in your daily routine. 
• Get treatment for alcohol or drug problems. 
• Work through relationship issues. Consider couples counseling if you're having trouble improving communication with your partner or working through problems on your own
• Work with your doctor to manage diabetes, heart disease or other chronic health conditions.
• Psychological counseling If your erectile dysfunction is caused by stress, anxiety or depression

• Heart disease
• Clogged blood vessels (atherosclerosis)
• High cholesterol
• High blood pressure
• Diabetes
• Obesity
• Tobacco use
• Peyronie's disease — development of scar tissue inside the penis
• Treatments for prostate cancer or enlarged prostate
• Surgeries or injuries that affect the pelvic area or spinal cord
• Psychological causes of erectile dysfunction
• Being overweight
• Drug and alcohol use, 

• A physical exam and answering questions (medical history) are all that's needed for a doctor to diagnose erectile dysfunction and recommend a treatment.
• If you have chronic health conditions or your doctor suspects that an underlying condition might be involved, you might need further tests or a consultation with a specialist urologiste .