Blood in the semen (haematospermia) Blood in the urine (haematuria) Erectile dysfunction (impotence) Fertility problems Incontinence of urine Kidney stones Male menopause (androgen deficiency in the ageing male) Premature ejaculation Prostate symptoms (bladder outlet obstruction) Raised PSA Testicle missing Testicular lump Tight foreskin (phimosis) Urinary infection (adult) Urinary infection (child)
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OverviewWhat is erectile dysfunction?What are the risk factors for erectile dysfunction?How is erectile dysfunction treated?What else should you know about ED?What makes Yale Medicine’s approach to treating erectile dysfunction unique?
Though erectile dysfunction treatment options may include ED medication and surgery, there are also noninvasive erectile dysfunction remedies that may help.
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• Low testosterone. Some men with low testosterone have weak erections or are unable to have erections at all. Similarly, low testosterone has been linked to depression. • Poor muscle relaxation- In order to get a firm erection, the muscles in a man’s penis need to relax and allow blood to flow in. It’s possible that depression affects areas of the brain that release compounds involved with this process. • Medications. Many medications used to treat depression have performance side effects, which may include ED.
“ED (the inability to get or keep an erection firm enough to have sexual intercourse) in men can be caused due to a physical or psychological condition. It is becoming increasingly common due to our sedentary lifestyle, increased stress etc. Even men in their 20s can experience ED,” he said.
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Putting off a doctor’s visit can delay effective treatment and may be harmful if you have other, underlying conditions.
Patients should continue testosterone therapy only if there is improvement in the symptoms of hypogonadism and should be monitored regularly. You will need periodic blood tests for testosterone levels and blood tests to monitor your blood count and PSA. Testosterone therapy has health risks, and thus doctors should closely monitor its use. Testosterone therapy can worsen sleep apnea and congestive heart failure.
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Surgery provides the only true cure, but men typically want to explore other, less invasive options first.
If regular exercise doesn’t resolve the issue, consult with your doctor. There are other options available to treat erectile dysfunction. Your doctor may suggest any of the following:
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So, what are the options for a man with ED? Well, there are a few. Usually the first option we (urologists and primary care doctors) will try are medications like Viagra, Cialis, Levitra, etc. All those medications function by bringing more blood flow to the penis. They are all pretty similar in their action, and if one of them works for you, chances are the others will, too. Some men will experience side effects, most common being facial flushing.
Several treatment options are available to help ED. Sometimes, resolving underlying medical conditions will also improve your ED symptoms.
It is important to note that not any food can do an instant miracle for eliminating Erectile Dysfunction. But taking proper take of your body and having a good diet can help you to a great extent.
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The problem does not go away with lifestyle changesThe problem begins after an injury or prostate surgeryYou have other symptoms, such as low back pain, abdominal pain, or a change in urination
If lifestyle changes and medications do not work, other treatments for ED include:
Erectile dysfunction essentially refers to not being able to obtain or keep an erection and is often coupled with a reduced desire for sex. ED can have a range of causes, both physical and psychological. Certain risk factors for developing erectile dysfunction can include:
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Did you know that around 5% of men aged 40, and 15% of men aged 70 have complete erectile dysfunction?
6 Exercises That Prevent Erectile Dysfunction & Improve Sexual Health Ft. Vidyut Jammwal Style & GroomingFitnessLifestyleAutoSportsSex & DatingFood & DrinksCareerPodcasts World of AskMen AskMen US AskMen UK AskMen Canada AskMen Australia AskMen Benelux AskMen Germany AskMen Greece AskMen Israel AskMen India AskMen Middle East AskMen Portugal AskMen Turkey Know BetterLifestyleAutoFitness & WorkoutsSex & DatingStyle & Grooming Askmen India > Health & Sports > Fitness & Workouts > 6 Exercises That Prevent Erectile Dysfunction & Improve Sexual Health Ft. Vidyut Jammwal Askmen India Health & Sports Fitness & Workouts 6 Exercises That Prevent Erectile Dysfunction & Improve Sexual Health Ft. Vidyut Jammwal Let’s break the taboo.
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Nearly 1000 years later, the Egyptian Papyrus Ebers, a medical Egyptian document dated 1600 BC, describes a cure for impotence in which baby crocodile hearts were mixed with wood oil and applied topically to the penis.4
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The vacuum device is relatively well tolerated but may cause pain, bruising and numbness.
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If you are taking medications (alpha-blockers) for problems with an enlarged prostate, you should discuss your prostate medications with your doctor. Alpha-blockers also can cause lowering of the blood pressure. Thus your doctor will need to carefully watch your blood pressure when you start the PDE5 inhibitor. Common alpha-blockers include doxazosin (Cardura), terazosin (Hytrin), and tamsulosin (Flomax).
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Watts and coworkers, in their review article, make several points about this ED/CAD nexus. Endothelial dysfunction is present in both CVD and ED, and is linked through the NO mechanism. The authors note that PDE5 inhibitors improve endothelial function and have a salutary effect on both CVD and ED. Both ED and cardiac disease respond to modifications in lifestyle as well as pharmacologic manipulation. These authors also report that the presence of ED gives the clinician an opportunity to assess CVD and prevention as well.20
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Hormonal therapy is not used as a primary therapy for the treatment of ED. Testosterone therapy is used if there is ED and symptoms of low testosterone, as well a low blood level of testosterone.
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The major breakthrough occurred in 1998 when sildenafil became the first oral drug to be approved to treat ED.4 This was followed by the use of tadalafil and vardenafil as similar phosphodiesterase-5 inhibitor oral medications for treating ED in 2003.4
There have been rare reports of priapism (prolonged and painful erections lasting six or more hours) with the use of PDE5 inhibitors. Patients with blood cell diseases such as sickle cell anemia, leukemia, and multiple myeloma have higher than normal risks of developing priapism. Untreated priapism can cause injury to the penis and lead to permanent impotence. Therefore, if your erection lasts four hours, you should seek emergency care.
The doctor will perform a complete physical examination, to check for abnormalities in the penis, scrotum, and testicles. To check for heart disease the doctor will take your blood pressure, measure your heart rate, and order a blood test to check your level of cholesterol. Your doctor will do a digital rectal examination to feel the size, shape, and consistency of the prostate, and if necessary check the level of prostate-specific antigen (PSA) in your blood. To check for diabetes the doctor may order a test to measure the level of glucose in your blood. It could also be necessary to assess your testosterone levels in the morning. This is also done with a blood test.
For those men with persistent erectile dysfunction, a penile implant can restore sexual function. An inflatable implant uses two cylinders that are surgically placed inside the penis. When an erection is desired, the man uses a pump to fill the cylinders with pressurized fluid. Alternatively, a malleable implant with surgically implanted rods can be used to bolster erections.
Radiation for prostate cancer can cause ED symptoms to appear gradually, usually within two to three years after treatment. If you are experiencing ED after undergoing prostate cancer treatment, you can get a healthy sex life back. We can help you choose the best treatment options for you. By Name By Location ED Treatments pills, injections, penile suppositories, vacuum devices, shockwave therapy, and surgery.
Many men are uncomfortable speaking with their physician about erectile dysfunction symptoms; however, it is important to treat your symptoms as ED can be a warning sign of current or future heart disease.
A GP might recommend sex therapy, either on its own or in combination with other psychotherapy.
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Men being treated for prostate cancer with treatments such as radical prostatectomy, radiation therapy or the use of Lutenizing hormone-releasing hormone (LHRH) agonists and antagonists can expect that ED may accompany these treatments.12
For an algorithm to facilitate evaluation and treatment of patients with ED, see figure 2.
Picture of penile vacuum pump. A vacuum device can be used to produce an erection. Elements of the device include the cylinder, a pump to create a vacuum, and a constriction ring to be placed at the base of the penis after an erection has been obtained in order to maintain the erection.
After learning more about your health, our providers perform a physical examination and tests to gather more information.These tests may require blood and urine samples. We also may use a penile Doppler ultrasound device, which is anon-invasive imaging test that lets doctors study blood flow in the penis.
Physical disorders associated with erectile dysfunction can sometimes be related to hormones in the body. Non-hormonal causes include conditions that affect the blood supply to the penis (such as high blood pressure, type 1 or type 2 diabetes and smoking) and those that affect the nerves supplying the penis (such as Parkinson’s disease and damage to the nerves in the body e.g. due to both type 1 or type 2 diabetes). Erectile dysfunction can also be a side-effect of a medical intervention or treatment. Potential treatments that may be implicated in the cause of erectile dysfunction include certain antidepressants and treatment for high blood pressure (antihypertensives).
While there’s limited research on how ED affects different races, a study published in the Journal of Sexual Medicine showed that Black Americans may be slightly more likely to suffer from ED than white Americans or Hispanic Americans.
As is true in so many medical conditions, lifestyle modifications, considered first-line therapy, can have a salutary effect in ED management, and men should be encouraged to make the necessary changes to the benefit of their sexual function and to their overall health as well. Despite the benefits of behaviour modification, men presenting with ED want the physician to help with measures that can have an immediate impact.
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When you visit a urologist, the first step in the diagnosis of the problem is a thorough sexual, medical and psychosocial history. Physical examination with emphasis on the genitourinary, neurologic and vascular systems is performed. From the information gathered, the urologist may request hormone tests (testosterone, luteinizing hormone, and thyroid – stimulating hormone, prolactin and serum hormone-binding globulin), urinalysis, PSA (prostate-specific antigen), lipid profile, and serum chemistry. Functional tests such as prostaglandin E1 injection, formal neurologic testing, nocturnal penile tumescence testing and biothesiometry may be requested, together with imaging studies such as transrectal, testes and penile ultrasonography and angiography.
Diabetes is the second most common cause of erectile dysfunction. Half of men with diabetes will experience ED within ten years of their diagnosis.
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Since then, it's been discovered that men can benefit from these exercises to improve erectile function, and they are now recommended by a range of medical associations and experts for people developing ED.
Pelvic Floor Rehabilitation(PFR) is a therapy to reinforce your pelvic floor muscles which play a significant role in sustaining an erection. The experienced pelvic floor therapist, with the help of specialized equipment, ensures stronger muscles especially ischiocavernosus and bulbospongiosus. These muscles lead to stronger erections and better ejaculations with the increase in Ejaculatory time.
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There is further quality online information available about Kegel Exercises for men.
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The pathogenesis of organic ED is related to dysfunction of the endothelium. Endothelial cells can become injured through a variety of mechanisms, most of which cause oxidative stress on the tissues. Many of these causes of oxidative stress are related to lifestyle issues which lead to hypertension, diabetes and dyslipidaemia (figure 1). Endothelial cell dysfunction results in reduction of endothelium-dependent vasorelaxation as well as increased adhesion of leukocytes to the endothelium. Endothelial cell injury then leads to a variety of sequelae, including ED, other types of vasoconstriction, atherosclerosis and thrombus formation.18
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It's natural to feel angry or embarrassed when confronted with erectile dysfunction. Remember too that your partner is also affected. Talking openly about erectile dysfunction with your partner will help them understand the diagnosis and treatment options (and will reassure your partner that you haven't lost interest). Zoran Milich/Allsport Concepts Fancy Plush Studios/Digital Vision Thomas Hoeffgen/Stone Brian Evans/Photo Researchers Inc Cristina Prdrazzini/Photo Researchers Inc Altrendo Images Robert Llewllyn/Workbook Stock Jeffrey Hamilton/Photodisc Dream Pictures/The Image Bank Glow Images Jose Luis Pelaez/Blend Images Lew Robertson/Brand X Thierry Dosogne/The Image Bank Corbis Photo Inc/ Age Fotostock Neville Sukhia Photography/Flickr Superstock Inc BSIP/Photo Researchers Inc Nucleus Medical Art, Inc. David Bluffington/Age Fotostock Smneedham/FoodPix DiMaggio, Kalish/Flirt Moodboard Marcus Lund/Cultura Reviews in Urology Journal: "Relationship Between Testosterone and Erectile Dysfunction" American Journal of Urology: "Erectile Dysfunction: AUA Guideline." Sept. 2018. NIH: "Definition & Facts for Erectile Dysfunction." July 2017. Maturitas: "Testosterone and sexual function in men." Jun 2018. Sooriyamoorthy, Thushanth and Stephen W. Leslie. StatPearls: "Erectile Dysfunction." Feb. 22, 2021. WebMD does not provide medical advice, diagnosis or treatment. See additional information Diseases & Conditions Procedures & Tests RX Drugs & Medications Vitamins & Supplements Diet & Weight Management Exercise & Fitness Nutrition, Food & Recipes Prevention & Wellness Slideshows Quizzes Images MedTerms Medical Dictionary MedTerms medical dictionary is the medical terminology for MedicineNet.com. Our doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms. MedTerms online medical dictionary provides quick access to hard-to-spell and often misspelled medical definitions through an extensive alphabetical listing. What are yourSYMPTOMS? Privacy Policy About Us Contact Us Terms of Use Advertising Policy
Response is dose related and usually occurs within 10–15 min, and does not require stimulation. The intraurethral preparation, medicated urethral suppository for erection (MUSE), consists of a tiny pellet of drug inserted into the urethral meatus. Response is also dose related, and onset similar to the cavernosal preparations.
Dr. Chirag Bhandari and a team of sexual health experts have now made it possible to cure ED with only medication. Dr. Chirag and other experts are making every possible effort to make people aware of sexual problems in men like Erectile dysfunction and its early signs to alert the young generation from getting into big trouble too soon.
A surgical procedure that involves the placement of a balloons inside the shaft of the penis that a patient is able to manually pump the device to inflate and get an erection. The erection lasts as long as needed and with a simple push of a button, the penis is once again soft. Learn more about the implant option by clicking here. ED is rarely caused by severe pelvic trauma from major accidents in younger patients. Revascularization is an operation to bring new or additional blood vessels to the penis to improve the circulation that may have been severed by the initial trauma. This is a very rare type of treatment and is not recommended for the typical patient. After identification of a psychogenic source for ED, we will refer patients to a therapist with expertise in treating sexual dysfunction. We often recommend low dose medications for ED in conjunction with the therapist’s recommendations.
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Energy Wave Therapy is an exciting new, non-invasive approach to treating erectile dysfunction that uses low-frequency sound waves to increase blood flow to the penis to optimize erections, sensitivity, and sexual performance. With energy wave therapy men can achieve natural, spontaneous erections without ED medications.
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Getting an erection is a complicated process. During an erection, the blood vessels that let blood into your penis relax and widen (dilate). This lets more blood in, which causes the sponge-like tissues of your penis to swell and harden. Your thoughts and senses (touch, hearing, smell and sight) influence a part of your brain that can trigger an erection.
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Up to three quarters of patients with erectile dysfunction develop atherosclerosis, obesity, cardiovascular problems, diabetes, and similar diseases.
It's never too late to improve your sex life. Learn how older adults can overcome common health conditions affecting seniors over 50 such as heart disease, diabetes, and arthritis in order to have a healthy sex life.
For some men, vacuum pump devices, rigid or inflatable surgical penile implants or testosterone replacement (only for men with unequivocally low levels of this hormone) may also be options. Constriction bands at the base of the penis can be a treatment option for men with non-sustained erections. Discuss these options with your doctor.
ED is usually easy to diagnose. If you are tempted to self-diagnose, talk to your doctor. He or she will want to make sure it isn’t related to another health condition.
Another impressive and impactful erectile dysfunction exercise to recover from erection failures is by doing pilates exercises. Pilates helps improve the blood flow in the body and increases the energy level in the body that promotes firm erections.
“Erectile dysfunction Exercise is a natural way of treating ED. The inability of a man to perform well during intercourse due to poor or low erection comes under the erectile dysfunction problem. Medical treatment like Medicine, and surgery are more popular types of treatments for ED. But physical activities like pelvic floor and Kegel exercises are some erectile dysfunction exercises that help to restore your erection power.”
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