A number of devices have been developed to determine if an erection occurs during sleep. This snap gauge is fastened around the penis but opens when an erection occurs. Click to view larger image.
Erectile dysfunction can occur as a side effect of medication taken for another health condition. Common culprits are high blood pressure meds, antidepressants, some diuretics, beta-blockers, heart medication, cholesterol meds, antipsychotic drugs, hormone drugs, corticosteroids, chemotherapy, and medication for male pattern baldness, among others.
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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:
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.
A physician typically asks a series of questions to determine family and sexual history, the male's ability and frequency of erections and sexual relations, levels of satisfaction, any diminished desire for sex, surgeries or injuries near the penis, prescription medication use, and history of using tobacco, alcohol, or illegal drugs.
In order that erectile dysfunction may be diagnosed, you have to "bring it up". Talk with your physician – your erectile dysfunction is not obvious to anyone outside of your sexual partner(s). Once addressed, your physician will likely conduct a detailed history and physical examination in an attempt to elucidate the potential causes of your ED. Blood sugar Cholesterol Blood pressure Hormonal levels (particularly testosterone) Genital examination Inguinal pulses (blood vessels in the groin) Neurological evaluation Medication history Recreational drug history Alcohol use and/or abuse Tobacco history
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.
More than two drinks a day is considered a risk factor for ED. Alcohol can lower testosterone levels, decrease flowing blood to the penis, and cause nerve and hormonal imbalances. Low testosterone from alcohol or drug abuse can also affect your libido and performance, potentially leading to further psychological ED complications.
What are truly the norms for testosterone levels in men and could we better determine which might actually benefit, and thus, should receive TRT?
Surgery is an option in some cases of erectile dysfunction. Most surgery cases are performed for one of three reasons: to implant a device to initiate erections; to reconstruct arteries and increase penis blood flow; to block off veins that allow blood to leak from the penile tissues.
Blood levels of testosterone, prolactin, FSH (follicle-stimulating hormone), LH (luteinising hormone) and thyroid hormones will normally be measured.
When did you first notice symptoms of ED?What are your main symptoms?How often do you have erections?If you have erections, how firm are they?Do you have erections at night or in the morning?What sexual techniques do you use?Do you notice that your ability to get an erection changes at different times during sex?Are there problems in your current relationship?How has ED affected your current relationship?Do you have problems with sex drive or arousal?
If you are on a blood thinner, you must be careful. After injection, patients should pressure to the site to minimize bleeding.
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Low self-esteemStressAnxietyRelationship issuesA lack of intimacyAn unfulfilling sex lifeInability to get your partner pregnant
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
Poor communication with your partner.Feelings of doubt and failure.Stress, fear, anxiety, or anger.Expecting too much from sex. This can make sex a task instead of a pleasure.