You may also be asked if you have experienced a lot of recent stress or if any big changes have happened in your life lately.
It's also important to know that drinking alcohol won't help you maintain an erection. In fact, excessive alcohol use can be a cause of erectile dysfunction. .
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.
The earlier you get a diagnosis of ED, the sooner you can start on treatments that can help your symptoms.
Injection therapy requires the man to use a small needle to inject medication directly into the penis. The medicine relaxes the blood vessels and allows for increased blood flow into the penis, creating an erection. Injections are effective, fast-acting treatments because the medicine is delivered directly into the penis.
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.
It is important for clinicians prescribing these drugs to make the patient aware of the action of the drugs especially the fact that they do not result in an immediate erection, and that they do not cause an erection without sexual stimulation. There is frequently a great expectation when men begin using these drugs and it is wise to temper their enthusiasm and explain they do not work immediately, and may not work every time, but also let the patient know that if these drugs do not work, there are other options.
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.
“The blood vessels in the penis often are the first ones impacted by cardiac issues,” Dr. Baumgarten says. The good news? “If we can correct the underlying reasons for ED, the patient may see in improvement in erectile function.”
If you are taking medications (alpha-blockers) for problems with an enlarged prostate, you should discuss your prostate medications with your doctor. Alpha-blockers also can cause lowering of the blood pressure. Thus your doctor will need to carefully watch your blood pressure when you start the PDE5 inhibitor. Common alpha-blockers include doxazosin (Cardura), terazosin (Hytrin), and tamsulosin (Flomax).
All Saints' Hospital London Norfolk and Norwich Hospital St Paul's Hospital London St Peter's Hospital for Stone London St Phillip's Hospital London The Shaftesbury Hospital
Your partner may relate his or her own attractiveness and sexual attraction with the ability to get you sexually aroused. He or she can feel vulnerable, rejected, and fear infidelity or abandonment. These feelings may get worse the more often ED prevents you from having fulfilling sexual activity. While treatment to cure ED may solve the physical aspect, the psychological consequences for you and your partner may also need to be dealt with. It could help if you see a therapist.
Diabetes is the second most common cause of erectile dysfunction. Half of men with diabetes will experience ED within ten years of their diagnosis.
According to Dr. Baumgarten, 70% of men with ED are successfully treated with pills. “The good news is that we also have treatment options for the other 30%,” he says. “Virtually any man can get an erection.”
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Exercisers in a recent study showed significantly higher levels of desire compared to those who did not exercise.
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