The best medicine for erectile dysfunction (ED) depends on the cause of your condition, as well as your budget and lifestyle.
As with surgery, the older you are, the more likely it is you will have problems with erections. And men with heart or blood vessel disease, diabetes, or who have smoked heavily seem to be at greater risk for erection problems. This is because their arteries may already be damaged before radiation treatment. Doctors are looking at whether early penile rehabilitation could help after radiation therapy, too. (Penile rehabilitation is discussed above, in the surgery section.) .
Your partner may suffer without saying much, so it is very important that you openly discuss the best way to cope with this condition.
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.
GAINSWave® therapy does not involve drugs or invasive procedures. There are few to no side effects. The therapy is clinically proven to treat erectile dysfunction and enhance sexual performance. When a man improves blood flow in the penis, sexual performance benefits. GAINSWave® therapy uses extracorporeal shockwave therapy to increase blood flow. The sound waves help men grow new tissue, including blood vessels, in the penis, thereby increasing blood flow.
Erectile dysfunction is a potential complication following prostate cancer treatments. The nerves that control an erection lie very close to the prostate and may be injured during treatment. However, some men may regain their previous level of erectile function with nerve-sparing procedures. But it may take up to a year while some men may never recover their ability to have a natural erection.
Of course, the test cannot and will not replace a medical examination and diagnosis. For each form of erectile dysfunction a medical examination is advisable. This is all the more true as even mild erectile dysfunctions can be an early warning sign for circulatory disorders such as coronary heart disease or peripheral arterial occlusive disease. Please answer the following 15 questions completely, otherwise an appraisal is not possible. You receive the test result at the end. It is only visible to you. 1. How often have you managed to get an erection during sexual activity in the last month? no sexual activity almost always or always most times (much more than half the time) sometimes (about half the time) a few times (much less than half the time) almost never or never 2. When you had erections with sexual stimulation in the last month, how often were your erections hard enough for penetration? no sexual activity almost always or always most times (much more than half the time) sometimes (about half the time) a few times (much less than half the time) almost never or never 3. When you attempted sexual intercourse in the last month, how often were you able to penetrate your partner? no attempt almost always or always most times (much more than half the time) sometimes (about half the time) a few times (much less than half the time) almost never or never 4. During sexual intercourse in the last month, how often were you able to maintain your erection after you had penetrated your partner? no attempt almost always or always most times (much more than half the time) sometimes (about half the time) a few times (much less than half the time) almost never or never 5. During sexual intercourse in the last month, how difficult was it to maintain your erection to completion of intercourse? no attempt extremely difficult very difficult difficult slightly difficult not difficult 6. How often have you attempted sexual intercourse in the last month? no attempts 1-2 attempts 2-3 attempts 5-6 attempts 7-10 attempts 11-20 attempts 7. When you attempted sexual intercourse, how often was it satisfactory for you? no attempt almost always or always most times (much more than half the time) sometimes (about half the time) a few times (much less than half the time) almost never or never 8. How much did you like your sexual intercourse in the last month? no sexual intercourse very well liked well liked it was all right. not much liked not liked 9. When you have had sexual stimulation or intercourse during the last month, how often have you ejaculated? no sexual stimulation or intercourse almost always or always most times (much more than half the time) sometimes (about half the time) a few times (much less than half the time) almost never or never 10. When you have had sexual stimulation or intercourse during the last month, how often have you had the feeling of orgasm (with or without ejaculation)? 11. How often did you feel sexual desire during the last month? almost always or always most times (much more than half the time) sometimes (about half the time) a few times (much less than half the time) almost never or never 12. How high would you rate your sexual desire during the last month? very high high moderate low very low to no desire 13. How satisfied have you been with your overall sex life during the last month? very satisfied quite satisfied about equally satisfied quite unsatisfied very unsatisfied 14. How satisfied have you been with your sexual relationship with your partner during the last month? very satisfied quite satisfied about equally satisfied quite unsatisfied very unsatisfied 15. How do you rate your confidence with regard to the last month that you could get and keep an erection? very high high moderate low very low
In most healthy men, some of the drug will remain in the body for more than two days after a single dose of tadalafil. Metabolism (clearing of the drug from the body) of tadalafil can be slowed by liver disease, kidney disease, and concurrent use of certain medications (such as erythromycin, ketoconazole, and protease inhibitors). Slowed breakdown allows tadalafil to stay in the body longer and potentially increase the risk for side effects. Therefore, doctors have to lower the dose and frequency of tadalafil in the following examples:
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to reconstruct arteries in order to increase the flow of blood to the penis; andto block veins that drain blood from the penis (currently not recommended).Currently, placement of a penile prosthesis is the most common surgical procedure performed for erectile dysfunction. Penile prosthesis placement is typically reserved for men who have tried and failed (either from efficacy or tolerability) or have contraindications to other forms of therapy including PDE5 inhibitors, intraurethral alprostadil, and injection therapy.Penile prosthesis
GAINSWave therapy is effective and safe for men who cannot take oral ED medicine, such as those with heart disease, diabetes, or high blood pressure. GAINSWave can be used to treat Peyronie’s Disease, which Viagra and other oral ED drugs cannot. Here is How Those With Erectile Dysfunction Can Still Provide and Achieve Sexual Pleasure What is GAINSWave? What to expect? How it works? Comparing treatments Frequently asked questions Medical advisory board Clinical research Find a provider near you → New York Texas Florida California Colorado Arizona Washington See all locations → Men’s Health Guide GW Magazine As Seen On For Providers Provider Resources For Affiliates For Press Partnership Facebook Instagram Twitter Youtube Linkedin Tiktok
Dr. Honig is an internationally recognized speaker on issues related to sexual health and conducts research into experimental treatments of erectile dysfunction. Our researchers are studying the links between erectile dysfunction and cardiovascular disease.
Supine foot rise is a unique set of pilate exercises for strengthening your abdomen and lower back issues. Lay down on the floor and raise your leg in the air slowly. Hold the position and breathe while holding it. Take the leg to the original place. Do this exercise regularly to see positive results.
Not everyone can use these medicines. Your doctor may talk to you about alprostadil if oral medicines aren’t an option for you. Alprostadil is a synthetic version of prostaglandin E. It can be injected into the penis or inserted as a tiny suppository into the urethra (the hole at the end of the penis). Your doctor will help you decide which treatment is best for you.
There is reliable evidence that oral phosphodiesterase-5 (PDE-5) inhibitors (e.g., sildenafil, vardenafil, tadalafil, mirodenafil, and udenafil) improve erectile functioning in men with ED. However, there is a lack of reliable evidence of the efficacy of hormonal treatments and the value of hormone testing for ED. The American College of Physicians (ACP) developed guidelines on hormonal testing and pharmacological treatments of ED (Qaseem et al, 2009). Current drug therapies include PDE-5 inhibitors as well as hormonal treatment. The ACP recommended clinicians initiate therapy with a PDE-5 inhibitor in men who seek treatment for erectile dysfunction and who do not have a contra-indication to PDE-5 inhibitor use, and clinicians base the choice of a specific PDE-5 inhibitor on the individual preferences of men with erectile dysfunction, including ease of use, cost of medication, and adverse effects profile.
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.
High blood pressure can damage blood vessels, and this damage may lead to cardiovascular disease – the leading cause of erectile dysfunction.