Keep in mind that these medications are amplifiers, not magic pills; you must have sexual stimulation for them to work. These pills also typically do not work the first few times. Here are instructions for how to properly take Viagra, Levitra, or Cialis: Take your medication one hour before sexual activity. Take the pills prior to a meal or after a light snack, especially for Viagra. They do not absorb well if you have a full stomach.
Specific treatment for erectile dysfunction will be determined by your doctor based on your age, overall health, medical history, the extent of the disease and your tolerance for specific medications, procedures or therapies. Of course, your personal opinions and preferences will also be taken into consideration. Treatments may include: Sildenafil Citrate (Viagra™): A prescription medication taken orally for the treatment of ED. Viagra does not directly cause penile erection, but affects the response to sexual stimulation. Vardenafil Citrate (Levitra™): In clinical studies, Levitra has been shown to work quickly and improve sexual function in men the first time they take the medication. It has been shown to work well in men of all ages, in men with diabetes, and in men who have had the surgical procedure called radical prostatectomy. Tadalafil Citrate (Cialis™): Studies have indicated that Cialis stays in the body longer than other medications in its class. Most men who take this medication find that an erection occurs within 30 minutes and the effects of the medication may last up to 36 hours. Testosterone Replacement Therapy: May improve your energy, mood, and bone density, increase muscle mass and weight, and heighten sexual interest if you have deficient levels of testosterone. Available in an oral form and as a skin patch. Hydraulic Pump: A pump and two cylinders are placed within the erection chambers of your penis, which cause an erection by releasing a saline solution; it can also remove the solution to deflate the penis. Prosthesis: Two semi-rigid but bendable rods are placed within the erection chambers of your penis, which allows manipulation into an erect or non-erect position. Interlocking Soft Plastic Blocks: These are placed within the erection chambers of your penis and can be inflated or deflated using a cable that passes through them. .
Patients should start with a low dose and increase in small doses until the dose that results in a rigid enough erection for completion of sexual activity is achieved. If one injects and there is an inadequate response, one should not reinject another dose of the medication at that time, due to the risk of priapism.
You are not alone 50% of men in their 50s are affected by ED symptoms (University of Wisconsin Health, 2019). Sometimes a man becomes nervous during sex, or perhaps he’s had too many drinks beforehand. While this may affect his sexual performance, it doesn’t necessarily mean a man has ED.
Individuals suffering from psychogenic ED may benefit from psychotherapy, treatment of the ED, or a combination of the two. Also, medications used to treat psychologic troubles may cause ED; however, it is best to consult with your physician prior to stopping any medications that you are taking. Urology Care Foundation. How is Erectile Dysfunction (ED) Treated? June 2018. 28 December 2018 . Chesapeake Urology Erectile Dysfunction Dr. Karen Boyle Dr. Julio Davalos Dr. David Fenig Energy Wave Therapy diVa Laser Vaginal Therapy Endourology Fellowship Chesapeake Aesthetic Surgery \ Prostate Cancer Care Vasectomy Reversal of America Women's Personal Health UroLift for BPH Zero Prostate Cancer Challenge locations Patient Portal Online Bill Pay contact PUTTING THE I BACK INTO INTIMACY OUR SPECIALISTS WORK HARD TO BRING THE SPARK ERECTILE DYSFUNCTION SPECIALISTS WHO FOCUS ON YOU... ...SO YOU CAN FOCUS ON HER.
What causes ED? There are many causes of impotence both medical and psychological. Often, age is a predominant factor in erectile dysfunction; however, your chronological age is not solely responsible for ED’s development. Men over the age of 40 typically experience ED as the result of inadequate blood flow to the penis, most often due to the narrowing of blood vessels. This can arise due to many causes including:
What is the role of testosterone therapy in the treatment of erectile dysfunction?
All four of the PDE5 inhibitors (Viagra, Cialis, Levitra, and Stendra) are approved by the Food and Drug Administration for on-demand use for erectile dysfunction.
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.
Can over-the-counter (OTC) and/or natural or home remedies treat erectile dysfunction?
If it looks more likely that a mental or emotional issue is the source of the problem, your doctor will ask you standard questions about your mental well-being. They help them check for depression, anxiety, and other common causes of erectile dysfunction.
Commercials for drugs to improve “low T,” or testosterone, the male hormone, are now vying for airtime, but they address desire, not performance. "Male hormone is not an approved treatment for erectile dysfunction," notes Bennett. "It may be used to increase desire in men who have low testosterone, but it doesn’t improve blood flow to an erection." A doctor can do a blood test to check you for low testosterone, but it is a rare cause of ED. Hormone therapy with injections, patches, or gels applied to the skin may improve mood and sex drive, but it likely won’t fix any mechanical issues. Also, testosterone drugs should not be used by men with prostate cancer. Side effects include acne, breast enlargement, prostate enlargement, and fluid retention.
There are many potential causes for erectile dysfunction, such as these conditions/circumstances: Vascular conditions: High blood pressure Elevated cholesterol Cardiovascular disease Diabetes Trauma: Spinal cord injury Pelvis injury Neurologic disease: Stroke Parkinson’s disease Alzheimer’s disease Radiation to the pelvis for cancer Endocrine: Hypogonadism (low testosterone) Hyperprolactinemia (high prolactin levels) Pelvis surgery: Radical prostatectomy (a surgical procedure for the partial or complete removal of the prostate) Surgeries for rectal cancer or bladder cancer Medication side effects: Antidepressants Antihypertensives (high blood pressure medicine) Antiandrogens (testosterone blockers) Antiarrhythmics (heart rhythm medicine) Alcohol Cigarette smoking Cocaine and marijuana Diabetes & ED View full infographic.
Symptoms of erectile dysfunction include erections that are too soft for sexual intercourse, erections that last only briefly, and an inability to achieve erections. Men who cannot have or maintain an erection at least 75% of the time that they attempt sex are considered to have erectile dysfunction.
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:
The options for management beyond behaviour modification include TRT, PDE5 inhibitors, intracavernosal injection therapy, vacuum constriction devices (VCDs), intraurethral prostaglandin suppositories and surgical placement of a penile prosthesis.40
Finally, penile implants or surgery to bypass penile artery damage in younger men with a history of severe pelvic trauma may be performed.