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In diagnosing the cause of erectile dysfunction, an ultrasound may be done on the lower abdomen, the pelvis, and the testicles, or it may be restricted to just the penis.

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“We listen to the patient and partner, understand the cause of the problem and work with the couple to start treatment that works best for the patient,” says Dr. Honig. PDE-5 inhibitors (phosphodiesterase type 5 inhibitors): These are medicines which relax muscle cells in the penis and increase blood flow. Vacuum erection device: This pulls blood into the penis, causing an erection. The erection is maintained by placing an elastic ring at the base of the penis. Injection therapy: Doctors use a very small needle to inject medication directly into the side of the penis. This relaxes the muscle allowing for blood flow and is a highly successful. Minimally invasive penile implant surgery: which our experienced physicians routinely perform. Most patients recover full sexual function in six to eight weeks. Yale Medicine Urology has extensive experience in standard and complicated penile implant surgery. .

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There are also specific treatments for some of the causes of erectile dysfunction. Treatments for some causes of erectile dysfunction Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol Medicine to lower blood pressure, statins to lower cholesterol Hormone problems Hormone replacement (for example, testosterone) Side effects of prescribed medicine Change to medicine after discussion with GP
Our team of clinicians and health experts can support you along every step of your treatment journey. Getting a health check-up from home is easier than ever. Take a look at our home blood tests to find the perfect test for you.

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Using a low-dose pill to help the blood flow around the nerves and help the nerves heal.
Pelvic surgeries are a common cause of sexual dysfunction. Erectile dysfunction is a potential complication following prostate cancer surgery.

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There are also injectable drugs for erectile dysfunction. Some men sustain stronger erections by injecting these medications directly into the penis. These drugs work by widening the blood vessels, causing the penis to become engorged with blood. Another option is a medicated pellet that is inserted into the urethra and can trigger an erection within 10 minutes. Patients should discuss the use of these injections in detail with their doctor before use. Erectile Dysfunction Treatment: Vacuum Devices (Pumps)

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In 2018, the Journal of performance Medicine published a review of 42 studies on ED and depression. Together, the studies included over 192,000 men. The authors reported that men with depression had a 39% increased risk for ED. And men with ED were almost three times more likely to have depression than men who had no trouble with erections.

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    In patients with low testosterone, testosterone treatment can improve libido and erectile dysfunction, but many men still may need additional oral medications such as sildenafil, vardenafil, or tadalafil. Some studies suggest that men with ED and low testosterone may respond better to PDE5 inhibitors when given testosterone therapy; however, this is controversial.

    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
    Malleable implants usually consist of paired rods, inserted surgically into each of the corpora cavernosa. The rods are stiff, and to have an erection, one bends them up and then when finished with intercourse one bends them down. They do not change in length or width. The malleable implants are the least mechanical and thus have the lowest risk of malfunction. However, also have the least "normal appearance."

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    In a small study, L-citrulline and trans-resveratrol were added to phosphodiesterase 5 inhibitors. According to the study, the addition of L-citrulline and trans-resveratrol improved erectile function in men who were dissatisfied with the results of using phosphodiesterase 5 inhibitors alone (Shirai et al., 2018). Watermelon is an excellent source of L-citrulline.

    Erectile dysfunction occurs when a man is not able to maintain or get an erection. It’s common in men of all ages. Facing erectile dysfunction once in 2-3 months is fine. But if it becomes an ongoing problem, it needs medical intervention in time.
    Prostaglandin E1 (intraurethral alprostadil or MUSE) can be inserted in a pellet (suppository) form into the urethra to attain erections. It is available in four dosage strengths: 125 mcg, 250 mcg, 500 mcg, and 1,000 mcg. Most individuals need 500 mcg to 1,000 mcg for a satisfactory response.

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    Khera M, Snyder PJ, Martin KA. Treatment of male sexual dysfunction. UpToDate. 2019. Accessed at https://www.uptodate.com/contents/treatment-of-male-sexual-dysfunction on January 31, 2020.

    Andrology and Genito-Urethral Surgery Endourology Female, Neurological and Urodynamic Urology Oncology
    Complete List Top Do Urologists Treat Erectile Dysfunction Related Articles Erectile Dysfunction (ED, Impotence)

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    Treatment options vary widely according to the specific diagnosis. Regardless, common treatment includes referral for counseling or therapy due to residual effects ED has to strip the man of confidence and self-esteem.

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    Adhering to a set sleep schedule is a natural erectile dysfunction remedy, and can help ensure that those signals are clear and consistent.

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Your doctor can provide you with specific details about the pros and cons of each of the following treatments: Lifestyle changes like stopping smoking, losing weight and eating healthier Vacuum Erection Devices

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Here at Advanced Urology Institute, we have a number of resources which can help you along the path to better urological health. AUI TV Blog Forms Participating Insurance Patient Billing Patient Portal Privacy Policy No Surprise Billing Act Home About Us Our Purpose Board of Directors Leadership Team News Careers AUI Teams Benefits Physician Recruitment Conditions We Treat Physicians Locations Patient Resources Advanced Urology Institute TV Blog Forms Insurance Participation List Patient Billing Patient Portal Privacy Policy No Surprise Billing Act Home About Us Our Purpose Board of Directors Leadership Team News Careers AUI Teams Benefits Physician Recruitment Conditions We Treat Physicians Locations Patient Resources Advanced Urology Institute TV Blog Forms Insurance Participation List Patient Billing Patient Portal Privacy Policy No Surprise Billing Act

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ED is a very intimate and private condition. Most patients consult multiple sources of information for erectile problems: friends, the Internet, media, a sexual health shop, a pharmacist, a psychologist, or a medical doctor.

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