Did you know that around 5% of men aged 40, and 15% of men aged 70 have complete erectile dysfunction?
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Burnett AL, Nehra A, Breau RH, et al. Erectile dysfunction: AUA guideline. J Urol. 2018;200(3):633-641. PMID: 29746858 pubmed.ncbi.nlm.nih.gov/29746858. Version Info
Diabetes mellitus, smoking, high cholesterol, and high blood pressure are all risk factors for oxidative stress. These conditions are some of the most common causes of E.D. (Zhang et al., 2011). Antioxidants decrease metabolic stress and reduce the risk of blood vessel damage.
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Inadequate production of testosterone is not a common cause of erectile dysfunction. But, when ED does occur due to decreased testosterone production, testosterone replacement therapy may improve the problem.
Erectile dysfunction (ED or "impotence") is a frustrating disease to suffer from. But you're not in this alone. Erectile dysfunction can be the inability to achieve an erection and/or dissatisfaction with the size, rigidity, and/or duration of erections. Regardless, there are as many as 30 million American men other than you suffering from it – and there is a lot that can be done about it.
For many of the 30 million Americans affected by erectile dysfunction, Viagra, Levitra, and Cialis are the first line of ED treatment — and they’re successful for about 80 percent of men. These drugs, called phosphodiesterase-5 inhibitors, are approved by the U.S. Food and Drug Administration (FDA) and work by increasing blood flow to an erection. Common side effects include nasal congestion and headache. Note: If you take nitroglycerin pills for heart disease, you won’t be able to take ED pills, as they can cause a dangerous drop in blood pressure.
Kasraeian Urology introduced this new ED treatment in 2021 for their patients in the Jacksonville, FL area.
Erection problems can affect men at any age, but are more common as you get older. Physical causes are more common in older men. Emotional causes are more common in younger men.
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When 3724 men were questioned about their dietary habits, men who reported a higher caffeine intake were less likely to report E.D. However, this study was based on self-reported data and was not a prospective study (Lopez et al., 2015). Caffeine is a vasoconstrictor, which means that it can reduce blood flow into the penis. Further study is needed to determine whether caffeine improves or worsens E.D. symptoms.
Understanding the signs and causes of ED is the first step toward achieving a better sex life.
A closer look at the relationship between hypertension and ED, including how certain blood pressure medications may affect your symptoms.
In 1973, Dr Brantley Scott from Baylor College of Medicine reported on the implantable inflatable prosthesis that urologists still use today.5
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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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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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Without adequate blood flow, erection problems can occur. In some cases, the erection is weak. In others, the man is unable to have an erection at all.
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Several studies support the conclusion that following a Mediterranean-style diet can decrease the risk of E.D. The link between diet and improved erectile function was stronger in men under the age of 60, but it was found in all age groups (Bauer et al., 2020).
There’s nothing better than the buzz you get after an intense session in the gym.
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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The authors stated that this was the first study evaluating serum melatonin level as a causative factor in this patient group. A low serum melatonin level may result in an inadequate erection by preventing sufficient antioxidant capacity. There is a need for additional studies to determine the exact role of melatonin deficiency in ED patients. The drawbacks of this study were the absence of Doppler ultrasound findings, the lack of a treatment group and follow-up data on melatonin levels and the small sample size (n = 62). They stated that future studies may evaluate the association or a possible correlation between serum melatonin levels and Doppler ultrasound parameters of erectile function. Pelvic Floor Muscle Training for Erectile Dysfunction Following Radical Prostatectomy Use of Serum Homocysteine Levels as Biomarkers for the Development and/or Progression of Erectile Dysfunction
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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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Erectile dysfunction (ED) is often associated with urinary symptoms, such as urinary frequency, nocturia, and urgency. Often these symptoms are related to benign prostatic enlargement (BPE). It is unclear if the urinary symptoms cause ED, but generally, ED gets worse when urinary symptoms worsen.
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“ED can definitely be a standalone issue,” Dr. Baumgarten says. “Erections are complicated, involving nerves, blood vessels, and the brain.” When the brain triggers anxiety or doesn’t trigger sexual desire, it can impact erectile function. “For example, patients may have performance anxiety, and sometimes they can benefit from sex therapy.”
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Also, it is important to remember that there are psychogenic issues such as performance-related issues, traumatic past experiences, relationship problems, anxiety, depression and stress that can certainly cause or be considered a comorbid condition contributing to ED.
Unfortunately, some men may not recover their ability to have a natural erection.
Men with a rare heart condition known as long QT syndrome should not take vardenafil since this may lead to abnormal heart rhythms. The QT interval is the time it takes for the heart's muscle to recover after it has contracted and is measured on an electrocardiogram (EKG). In addition, vardenafil is not recommended for men taking medications that can affect the QT interval such as quinidine, procainamide, amiodarone, and sotalol.
PRP is an injection of your own body’s platelet growth factors to stimulate cellular regeneration and tissue repair of the penis. Learn More about the P-Shot®
Low intensity shockwave therapy(LiST) is a groundbreaking “drug and surgery-free” procedure that uses acoustic waves to stimulate a cascade of biological actions that lead to the healing and regeneration of the sexual organs. Simply…LiST helps your body heal itself! Learn more about Low Intensity Shockwave Therapy. Oral medications for ED are called PDE-5 inhibitors. The drugs in this class include medications like Viagra, Levitra, Cialis, Stendra and more. This class of drugs is considered first line therapy for those men presenting with ED. Learn More About Oral Medications for ED. Penile injection therapy involves an injection of a medication into the shaft of the penis on an as needed basis to produce a rapid erection. It is commonly used by patients who have failed oral medications. Learn more about this very effective treatment. The same medicine used for penile injection may be used as a very small suppository placed into the tip of the penis to provoke an erection.
Suppose you find that dietary and exercise changes are not enough to restore your erectile function to normal. In that case, we hope you will consider contacting the telemedicine professionals at Invigor Medical to learn more about the wide range of medical treatment options that can supplement your dietary and exercise regimen.
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This is the preliminary exercise to master before attempting other kegel-based exercises. To do it: Lie down with your knees bent, your feet flat on the ground, and your arms stationary at your sidesAs you exhale, squeeze the pelvic floor muscles and count to three as you do so.Follow it up by inhaling and exhaling while you count out three seconds.Be careful to make sure you are identifying and targeting the right muscles (and not the abdomen or buttocks). Pelvic Floor Activation While Sitting Sit with your arms flat against your sides and your feet flat on the floor.Make sure your feet are roughly hip-width apart. Utilizing the same technique you used above, activate your pelvic floor muscles while counting out three seconds, and release them doing the same. Again it is imperative that you are targeting your pelvic floor muscles and not your abdomen and/or buttocks. Pelvic Floor Activation While Standing Upright You must stand straight with your arms resting at your sides, and again with your feet hip-width apart.Using the same 1-2-3 counting method activate and then relax your pelvic floor muscles, again while ensuring you are isolating the correct muscles. Pilates Exercises
GovernanceAwardsAffiliated SocietiesPast PresidentsHistoryExecutive OfficeContact Differences in Sexual Response for Men During Partnered Sex and Masturbation Is There a Connection Between Erectile Dysfunction and Heart Disease? Treating Erectile Dysfunction With Low-Intensity Shockwave Therapy and Tadalafil: The Results of a New Clinical Trial Erectile Aids: How Helpful Are They for Prostate Cancer Patients? Study Analyzes Diabetes, Mental Health, and Sexual Function During COVID-19 Pandemic In Colombia, Sexual Dysfunction Linked to Higher Rates of LUTS PRP Injections Could be Effective ED Treatment; More Research is Needed Are men with anxiety disorders more likely to develop erectile dysfunction (ED)? Female Sexual Dysfunction Linked to Sexual Problems in Men How can I manage performance anxiety and psychogenic erectile dysfunction (ED)? Men With BPH May Have Better Erectile Function After TUDP Procedures Duplex Doppler Ultrasound in the Evaluation of Patients With Erectile Dysfunction Study Suggests ED Treatment “Disparities” After Radical Prostatectomy Nonorganic ED Might be Managed with Pharmacotherapy Should We Tailor the Clinical Management of Erectile Dysfunction According to Different Ages? Sign up here to receive the ISSM Update (our weekly update) and stay up-to-date on ISSM! HomeFor providersFor PublicSexual Health TopicsQ&AHeadlinesFind a ProviderAboutVision and MissionLeadershipCommitteesBylaws CommitteeCommunication CommitteeConsultation and Guidelines CommitteeDeveloping Countries CommitteeEducation CommitteeEthics CommitteeFinance & Audit CommitteeGrants & Prizes CommitteeHistory CommitteeMembership CommitteeNominating CommitteePublication CommitteeScientific CommitteeYoung Researchers CommitteeYoung Trainees CommitteeGovernanceAwardsAffiliated SocietiesPast PresidentsHistoryExecutive OfficeContact
The successful treatment of erectile dysfunction (impotence) has been demonstrated to improve couple intimacy, improve sexual satisfaction, improve male self-esteem, and overall quality of life. In some men, it may also relieve symptoms of depression.
Dr Aifric Boylan2018-10-22T22:19:32+11:00August 21st, 2018|Categories: Women's Health, Contraception & Family Planning| On the pill? 5 questions your doctor should be asking you The contraceptive pill – also known as the combined oral contraceptive pill or simply “the pill” has been around since the 1960s [...]
“There are many herbal remedies that tout improvement in erectile function, but most have little effect and may actually have detrimental side effects,” Mucher says. Two natural erectile dysfunction treatments that have shown promise are red ginseng and pomegranate juice.
ED pills you take by mouth can have side effects. These can range from muscle pain and flushing to heart attack. DO NOT use these drugs with nitroglycerin. The combination can cause your blood pressure to drop.
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Performance anxiety. People with depression tend to think more negatively and may feel less confident. A depressed man might think, “I don’t have what it takes to please my partner” and then have erection difficulties.
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If you’re battling ED, you’ll want to arm yourself with credible information. Here are some of Everyday Health’s top resources.
Stem cell transplant (also called bone marrow transplant) involves getting very high doses of chemotherapy drugs. One complication of a transplant is graft-versus-host disease. Men who have had graft-versus-host disease are more likely to have a long-lasting loss of testosterone. In some cases, these men may need testosterone replacement therapy to regain sexual desire and erections.
You may be able to improve your sex life with a few lifestyle changes. Giving up smoking, losing weight, and exercising more often can improve your blood flow. If you suspect a medication could be to blame, talk to your doctor about adjusting the dosage or switching to another drug.
Insertion of a penile prosthesis (implant) (pictured) is an end stage solution when all other treatment options have failed. It involves a surgical procedure through a small incision in the junction between the penis and scrotum. Patients go home the following day if the procedure is uncomplicated, and the prosthesis can be used for sexual intercourse at 6 weeks following the operation. Complication rates are low in centres that conduct the surgery in large numbers. The risk of infection is <2% and over 85% of the devices are still functioning at 10 years.
The pulsating waves also trigger a healing response that “wakes-up” dormant stem cells and growth factors in the penis for an overall rejuvenation of male erectile tissue.
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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.
Low testosterone levels. This can make it difficult to get an erection. It can also reduce a man's sex drive.Nerve damage from prostate surgery.Nicotine, alcohol, or cocaine use.Spinal cord injury.
“Quite often, oral medications may be the only treatment required and men can resume normal sexual life. If a patient does not respond to oral medications, penile prosthesis (implants) is a viable and long-term option especially in severe cases. While least-chosen, it is important to know penile implants are easy to use and men report a high satisfaction rate. Speaking to an andrologist or urologist is the best option, as they can explain the risks and benefits of each treatment.”
But, the odds of ED increased with age across all racial and ethnic groups when health, relationship, lifestyle, psychological, and sociodemographic factors were controlled for.
VEDs provide a simple way of obtaining an erection for 30-45 minutes by sucking blood into the penis and holding it in place with a constriction (pictured). Ejaculation may be restricted by the ring but this technique is simple, safe and has no known side-effects. Unfortunately, most patients have to purchase VEDs themselves.
Other exercises that increase and improve blood circulation are also considered to be good exercises. Aerobic exercises, such as walking or running, are excellent for improving circulation. Before starting any type of exercise regimen, however, men should check with their doctors.
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.
For some people, this is a delicate talking point to go about asking our friends, neighbours, family members or even the doctor! I believe that the first step we should do when facing a situation like this is to bear in mind that this is quite normal and to get informed. For this reason, I believe that this reader is helpful. Nevertheless, I am of the opinion that apart from reading this book, an appointment with the doctor is a must for those people going through this type of situation.
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.
“The healthier you are, the better your erections are going to be,” Dr. Baumgarten says.
An erection occurs when blood fills the penis. Normally, when a man becomes sexually aroused, blood vessels, muscles, nerves, and hormones work together to create an erection. Symptoms of ED can occur when this process is disrupted.
Our physicians are experienced in treating the complete range of urologic conditions and diseases, from kidney stones and sexual dysfunction to prostate cancer, incontinence and infertility.
One study indicated that intensive glycemic control might decrease the chances of ED in diabetic men.
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.
Our patients often undergo a full body exam to determine whether they have early cardiovascular disease, vascular disease or a metabolic condition such as diabetes. Treatment is addressed with a multi-disciplinary approach.
Youtube: “Kegel Exercises for Men - Beginners Pelvic Floor Strengthening Guide.” Michelle Kenway.
To get specific, mild to moderate aerobic exercise can be defined as the kind of movement that warms you up, makes you sweat a little, and gets your heart rate and blood vessels pumping. So less of a leisurely stroll, and more of a jog.
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