Only a small subset of men with ED benefit from vascular testing, which can identify specific arterial or venous dysfunction amenable to surgical reconstruction. For the vast majority, such testing is unlikely to change management strategy. Thus, specialized testing is now limited to PDE-I non-responders, young men with post-traumatic or primary ED, men with Peyronie’s Disease, and legal investigations.
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A duplex ultrasound is a diagnostic technique that uses painless, high frequency sound waves to measure blood flow in structures such as the penis.The procedure itself is painless. It is usually performed before and after injection of a smooth muscle relaxing medication into the penis, which should significantly increase the diameter of the penile arteries.A duplex ultrasound is most useful in evaluating possible penile arterial disorders. Further studies of the venous drainage system as well as arterial imaging are usually recommended if vascular reconstructive surgery is anticipated.
Most often, ED can be traced to issues associated with circulation, the nervous system that controls the body’s functions, or the system of glands and organs that produces chemicals called hormones. Sometimes, ED is directly related to certain chronic medical conditions like diabetes, high blood pressure, high cholesterol, and heart or kidney disease.
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Journal of Sexual Medicine: “Prevalence and correlates of erectile dysfunction by race and ethnicity among men aged 40 or older in the United States: from the male attitudes regarding sexual health survey.
The penile implant allows men to achieve an erection through an implanted device. These devices can be effective in restoring sexual activity for a man and his partner. At Yale Medicine, our doctors have specialized experience with placing the penile prosthesis.
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As with all content on Greater Boston Urology's blog, the following information is educational in nature, not medical advice. Always talk to your physician about your specific questions concerning erectile dysfunction.
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Blood levels of testosterone, prolactin, FSH (follicle-stimulating hormone), LH (luteinising hormone) and thyroid hormones will normally be measured.
Among the most popular treatment options for erectile dysfunction are pharmaceuticals. Drugs such as Viagra (Sildenafil), Levitra (Vardenafil), and Cialis (Tadalafil) are popular and boast an 80% success rate. These drugs are classified as phosphodiesterase-5 inhibitors (PDE-5) – which enable an erection, temporarily, but are not the best for maintaining an erection over time.
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“Exercise improves function whether you want to prevent erection problems or whether those problems are just starting,” says Gerbild.
Poor communication with your partner.Feelings of doubt and failure.Stress, fear, anxiety, or anger.Expecting too much from sex. This can make sex a task instead of a pleasure.
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A physical examination helps in diagnosing ED. Some additional testing may rule out underlying health issues.
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Also Read |Survey reveals the crucial role women play in addressing male impotence
The doctor or nurse will ask about your lifestyle and relationships, and any problems you might be having.
A man’s psychological state is clearly an essential consideration when addressing issues of sexual function. While ED that is purely psychological is not common, many men who experience difficulty with erections may develop anxiety or fear about being able to get an erection the next time they try. This anxiety may lead to a stress response involving activation of the sympathetic nervous system and release of adrenaline, which will tend to make it even more difficult to get an erection. Conflict with a partner (or the absence of a partner) will also tend to increase stress and potentially interfere with erectile function.
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Thankfully, if you’re experiencing these issues, you don’t have to rely solely on expensive medications or complicated and extensive therapies. There are several exercises, specifically Kegel exercises, that can strengthen the core and pelvic area of the body.
Eat a healthy dietStop smokingLose excess weightExercise dailyMaintain normal blood pressure and cholesterol levelsGet help for alcohol or drug addiction problemsLearn about the side effects of medicines you takeConsider couples counseling if you and your partner are having trouble communicating
But the BIG QUESTION is, which exercises are most effective? According to this study, pelvic floor exercises, also known as kegel, can help men suffering from ED. The study goes ahead to recommend these exercises as a first line approach for those seeking long term relief from ED.
A number of medical treatment options exist for erectile dysfunction include the following:
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According to Professor Bente Klarlund Pedersen from the University of Copenhagen and Ellids Kristensen, doctor and research scientist at the Sexological Clinic in Copenhagen, these conclusions are supported by known mechanisms that can explain the link to erectile dysfunction: Physical activity makes the blood vessels more elastic, allowing more blood to flow to the sex organs. Physical activity stimulates the body’s production of nitrogen oxide, allowing the blood vessels to expand. This is essentially just what the popular medicine, Viagra, does.
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A healthy diet also helps to maintain a healthy body weight, which is important because men who have a 42-inch waist are 50 percent more likely to have ED than men with a 32-inch waist. Also, obesity increases the risk for vascular disease and diabetes, two factors that contribute to ED.
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In addition to physical causes, mental health conditions may also be associated with impotence. These include depression, anxiety and stress, as well as relationship difficulties. Regardless of the underlying cause of erectile dysfunction, it can often have a significant impact on relationships and quality of life.
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As its name suggests, this exercise targets the muscles of the pelvis, strengthening them and increasing their range of motion as they’re rotated clockwise and anticlockwise. However, given that you have to be in a plank while doing this, your core power also improves. The abdominals, chest and back together help you maintain that position. The arms and shoulders are also toned. Go into a plank position. Place your palms firmly on the floor in line with your shoulders. Extend your legs at the back. Keep your elbows and knees straight. Bring your body in one straight line from head to toe. Swing your hips from side to side. Thrust your hips upwards and downwards. Rotate your hips. Repeat in a seamless motion. Cat and cow
There’s nothing better than the buzz you get after an intense session in the gym.
By using advanced testing methods like this, our physicians can find the underlying causes of your ED and create more individual and effective erectile dysfunction treatments.
Other potential biological causes of ED include injury to nerves, certain medications, and low levels of testosterone.
As with most other organ system in the human body, changes and loss of function is normal consequence of the ageing process. This is also true of the endocrine system, specifically the levels of testosterone production from the Leydig cells of the testicle. Accompanying the decrease in testosterone is a decrease in erections which also has a component in decrease in the blood supply to the penis making erection not as frequent and not as rigid compared with a young man’s erectile function. Although these changes are in itself not life threatening, they can impact a man’s relationship with his partner, and also ED may be a harbinger of other undiagnosed conditions such as coronary artery disease (CAD), hypercholesterolaemia or diabetes mellitus.6
We all know that erectile dysfunction can affect a person both physically and psychologically. Exercises heal your body mentally as well, and therefore, a man can get rid of psychological aspects of ED as well.
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The placement of a penile prosthesis is typically an outpatient procedure and is typically performed through a single incision. All of the parts of the prosthesis are hidden under the skin. Antibiotics are given to decrease the risk of an infection. A catheter may be left in the penis in some men for a short period. After placement, there will be a time period of healing prior to the ability to use the prosthesis.
What causes low testosterone (low T)? Learn about low testosterone symptoms in men. Discover low testosterone treatment and the signs of low testosterone.
All PDE5i medication does not improve erections in normal men, only in those with difficulty in achieving or maintaining erections sufficient for sexual intercourse due to a true medical problem.
Tests for evaluation of pituitary dysfunction (e.g., measurement of luteinizing hormone, follicle-stimulating hormone, and prolactin levels) if serum testosterone level is below normal
The Bristol (Roger Feneley) Collection The Cambridge (John Withycombe) Collection The Derby (Richard Stanford) Collection The Freeman Hospital (Toby Page) Collection The Leicester (Tim Terry) Donation The Leicester Royal Infirmary Collection The Neath Hospital (Ayman Younis) Collection The Sunderland (Raymond Roy) Collection
Exercises have helped many with erectile problems. For a normal erection to happen,
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With Aquablation therapy for BPH, most men experience no long-term problems with erectile dysfunction, ejaculatory dysfunction, or incontinence.
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Some mental health conditions are linked to ED. Because of this, your doctor might ask you questions to screen for depression, anxiety, or other psychological causes.
Many people assume that ED is inevitable in older men, but Dr. Baumgarten says this is a misconception. “As men age, they tend to have more medical problems, such as cardiac issues or issues with blood pressure,” he says. “Those medical problems can lead to ED.”
With this in mind, the conclusions should lead to new treatments for impotency, says Pedersen, head of the TrygFondens Centre for Active Health at Rigshospitalet, Denmark.
The therapy doesn’t require any downtime, so a man’s schedule is not in jeopardy. GAINSWave® therapy providers are all over the United States for men’s convenience. Interested parties can reach out to a provider of the GAINSWave® treatment for more information. Dr. Ocampo is an expert physician specializing in anti-aging, hormone therapy, pathology and environmental medicine. He received his medical degree from Columbia State Medical School in Montreal, Canada. Dr. Ocampo’s comprehensive medical experience includes working as medical officer for the U.S. Public Health Service and C.D.C, National Institute for Occupational Health, medical director for the U.S. Public Health Service, and as a Principal Investigator for American Pharmaceutical Companies.
You may not be able to use these drugs if you have any of the following conditions:
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Psychoteraphy is often the first form of treatment recommended for depression. Psychotherapy helps depression by helping people understand the behaviors, emotions and ideas that contribute to their depression, regain a sense of control and pleasure in life, and learn coping techniques as well as problem solving skills.
Dr. Chirag Bhandari promotes sex education in the urge to cultivate sexual awareness among youth and even among the blocked mindset of Indian people. Subscribe to his interactive youtube chat show, “Mans are from mars and women are from venus“, to earn some amazing facts about the sexual problem and natural treatments.
This information is for adult males with cancer. If you are a transgender person, please talk to your cancer care team about any needs that are not addressed here.
When it comes to erectile dysfunction, there is a lot of misinformation out there. Understand the facts about Erectile Dysfunction in our Frequently Asked Questions section.
Quit smoking.Cut back on alcohol (no more than 2 drinks per day).DO NOT use illegal drugs.Get plenty of sleep and take time to relax.Stay at a healthy weight for your height.Exercise and eat a healthy diet to keep good blood circulation.If you have diabetes, keep blood sugar well-controlled.Talk openly with your partner about your relationship and sex life. Seek counseling if you and your partner have trouble communicating. References
Professor of Urology and Epidemiology & Biostatistics, Frank Hinman, Jr. MD Endowed Professor in Urologic Education, Associate Chair for Education and Residency Program Director, Chief of Urology, Zuckerberg San Francisco General Hospital and Trauma Center, Chief of Genitourinary Reconstructive Surgery at UCSF Health, Program Director, Genitourinary Reconstructive Surgery Fellowship
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Erectile Dysfunction Treatment Comparison PDE5 Inhibitors Intraurethral Gels Injection Therapy Testosterone Vacuum Devices Implants Herbals Low Testosterone Treatment Comparison Testosterone Cypionate Testosterone Gel Testosterone Pellets Testosterone Supplement Climax Control Treatment Comparison Topical Sprays MYHIXEL Behavior Modification Medications Other Conditions BPH Hair Loss Herpes Peyronie’s Disease Find A Physician
The U.S. FDA (Food and Drug Administration) has a list of 29 OTC products that claim to treat erectile dysfunction. Patients should avoid these because many contain harmful ingredients. Other natural or herbal remedies such as DHEA, L-arginine, ginseng, and yohimbe are supplements that have been used but have not been proven safe and effective according to some researchers. Before using such compounds, individuals should consult their doctor. According to some experts, acupuncture does not effectively treat erectile dysfunction. Other home remedies for reducing ED symptoms include diet changes such as eating blueberries and citrus fruits and drinking red wine.
Certain yoga exercises can also serve as erectile dysfunction exercises. One of these exercises is the leg lift. To do these, a man should lie flat on the floor, raise his leg very slowly, and hold this position for five seconds. Afterward, he should lower it very slowly and repeat this on the other side. Five repetitions can be done at first, but ideally, he should work his way up to ten for each leg. Some yoga exercises, such as leg lifts, can serve as erectile dysfunction exercises.
Your private physical examination happens with an ED specialist in a confidential men’s health clinic. Your blood pressure will be checked. Your testicles and penis will be examined, and a brief rectal exam may be recommended to check your prostate health.
Your aim is to inform each person you contact of your diagnosis, in order to encourage them to see a doctor. Once you’ve sent a message, it cannot be changed. Please read the Legal Note before using this service. Erectile Dysfunction (ED) What is erectile dysfunction? How common is erectile dysfunction? What causes erectile dysfunction? What are the symptoms of erectile dysfunction? How is erectile dysfunction diagnosed? How can I prevent the onset of erectile dysfunction? How is erectile dysfunction treated? HIV/AIDS and erectile dysfunction Links and References
Diuretics (pills that increase urine flow)High blood pressure medsAntihistaminesAntidepressantsParkinson's disease drugsAntiarrhythmics (drugs for irregular heartbeat)Tranquilizers and sedativesMuscle relaxantsNonsteroidal anti-inflammatory drugs (NSAIDs)Histamine H2-receptor antagonistsHormonesChemotherapy medicationsProstate cancer drugsAnti-seizure medications
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Zinc is a micronutrient that plays a role in testosterone production. Low testosterone is associated with severe to moderate deficiency. The consequences of marginal levels are unknown (Prasad et al.,1996). Zinc is also important for immune function.
Penile erection is a complex process in which the brain, nerves, muscles and blood vessels play a major role. The main causes of erectile dysfunction include psychological and health conditions, medications, trauma and lifestyle factors.
Once the treatment is complete, you will be able to return home. You should be able to safely drive yourself home. If you experience pain, your doctor will recommend over-the-counter (OTC) medications, such as acetaminophen or ibuprofen for pain relief. Most people can return to normal activity the following day after shockwave therapy, but your urologist will discuss whether you should restrict your activity for longer to recover. Shockwave Therapy Risks You may experience some side effects, but they are rare and generally mild. These may include: pain at the site during the procedure, bleeding or bruising on and around the penis, blood in the urine, skin infection on the penis, painful erection, or penile curvature that worsens.
The healthy foods on this list are expected to improve cardiovascular health and, therefore, erectile function. However, it is important to investigate the underlying cause of E.D. Your doctor can discuss your symptoms and develop a comprehensive plan that emphasizes a healthy diet while also considering the many potential medical interventions such as Trimix that have helped many men with E.D. regain normal erectile function.
Sildenafil (Viagra) was the first oral phosphodiesterase type 5 (PDE5) inhibitor approved by the FDA in the United States for the treatment of erectile dysfunction (it is not approved for women). Sildenafil inhibits PDE5, which is an enzyme that destroys cGMP. By inhibiting the destruction of cGMP by PDE5, sildenafil allows cGMP to accumulate. The cGMP in turn prolongs relaxation of the smooth muscle of the corpora cavernosa. Relaxation of the corpora cavernosa smooth muscle allows blood to flow into the penis resulting in increased engorgement of the penis. In short, sildenafil increases blood flow into the penis and decreases blood flow out of the penis.
Improvements in your lifestyle, such as a eating healthy diet, reducing alcohol intake, losing weight and increasing your exercise can dramatically improve erectile dysfunction. More specific treatment usually involves: weight loss and increased exercise (this may reduced the risk of erectile dysfunction by up to 70%) treatment of any hormone abnormality (testosterone treatment is only indicated if your testosterone levels are low and may be harmful if your the levels are normal); lifestyle modification (e.g. reduce stress, stop smoking, reduce alcohol consumption & stop illicit drugs); treatment of any anatomical abnormality if present (e.g. circumcision, frenuloplasty, penile straightening); psychological support if necessary.
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