Blood levels of testosterone, prolactin, FSH (follicle-stimulating hormone), LH (luteinising hormone) and thyroid hormones will normally be measured.
High blood sugar levels can damage the nerves that control sexual stimulation. They can also damage blood vessels that provide blood flow to the penis to achieve and maintain an erection. .
Aetna considers topical cream or gel containing vasodilators, such as verapamil cream, experimental and investigational for the treatment of erectile dysfunction because their effectiveness for this indication has not been established.
General good health, particular cardiovascular, is important for sexual function. Avoiding obesity and belly fat can help you avoid and treat erectile dysfunction. A good diet and exercise should be part of your daily regimen.
Understanding the signs and causes of ED is the first step toward achieving a better sex life.
Recent studies have found that even if medication is used as part of treating erectile dysfunction, it's way more likely to be effective if lifestyle changes are also addressed.
Note: Some traditional medical plans exclude coverage of charges for the treatment of sexual dysfunction. Under these plans, procedures for treatment of impotence would be excluded from coverage. Please check benefit plan descriptions.
Picture of vasodilator injection into penis. A vasodilator such as prostaglandin E1 can be injected. If the blood vessels are capable of dilating, a strong erection should develop within five minutes.
American Association of Clinical Endocrinologists. American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for the Evaluation and Treatment of Male Sexual Dysfunction: A couple’s problem – 2003. Update Endocr Pract. 2003;9(No. 1). Accessed at https://www.aace.com/sites/default/files/2019-06/sexdysguid.pdf on January 31, 2020.
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Erectile dysfunction often has more than one cause. Many diseases can cause blood flow problems, damage nerves, arteries and muscles, which can impair erectile function.
The common PDE5 inhibitor drugs approved in the United States are sildenafil (Viagra), vardenafil (Levitra and Staxyn, the generic form), tadalafil (Cialis), or avanafil (Stendra). All of the currently approved PDE5 inhibitors work in the same way. They differ in the number of available doses, how quickly they work and last in your system, the dosing, and to some extent in the side effects. However, they generally share the same indications and contraindications. Currently, tadalafil is the only medication that patients can take on a daily basis and is approved for the treatment of both ED and BPH (benign enlargement of the prostate).
American Association of Genitourinary Surgeons American Urological Association European Association of Urology Punch Club Société Internationale d’Urologie Urological Club of Great Britain & Ireland
Penile erection is the result of a complex sequence of events involving nerves, arteries, veins, and erectile tissues of the penis. A man’s psychological state and his feelings about his relationship/partner(s) also have important implications for penile erection. Issues with any of these systems can result in difficulty achieving and maintaining an erection.
Algorithm for evaluating and managing the patient with ED. CV, cardiovascular; CVD, cardiovascular disease; ED, erectile dysfunction.
Cannot be used by patients on MAOIsIntraurethral Pellet Therapy (MUSE)No surgery required
What we treatErectile DysfunctionHair LossPremature EjaculationSleepAcneDaily Skin RoutineGenital HerpesCold Sores