• Medications, most commonly blood pressure medications (especially beta-blockers or thizides), anti-depressants (such as SSRI), anti-androgens, and a variety of other medications
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Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain a hard enough erection for satisfactory completion of sexual activity. Erectile dysfunction is different from other health conditions that interfere with male sexual function, such as lack of sexual desire (decreased libido) and problems with ejaculation release of the fluid from the penis (ejaculatory dysfunction) and orgasm/climax (orgasmic dysfunction), and penile curvature (Peyronie's disease), although these problems may also be present. ED affects about 50% of men age 40 and over. This article focuses on the evaluation and treatment of erectile dysfunction.
Use the links below to find information relating to various urological procedures.
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Tell your physician about any health problems you’ve had in the past and all the medications you take, both prescribed and over-the-counter. It’s also important to let your doctor know if you use recreational or illegal drugs, drink alcohol, or use tobacco products.
University of Utah Health offers shockwave therapy as an option for patients suffering from ED. Shockwave therapy is typically recommended for patients who do not respond well to medication or do not want more invasive treatments.
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You get an erection when blood fills two chambers known as the corpora cavernosa. This causes your penis to expand and stiffen, much like a balloon as it is filled with water. Impulses from the brain and genital nerves start the process. Anything that blocks these impulses or restricts blood flow to the penis can cause ED.
Medically approved drugs which help men struggling to get an erection include Viagra, Cialis, Levitra and Spedra – Viagra is now available in the UK without a prescription. Share or comment on this article: Pelvic floor exercises could help men overcome erectile dysfunction Most watched News videos Newest Oldest Best rated Worst rated The views expressed in the contents above are those of our users and do not necessarily reflect the views of MailOnline. Site Web Enter search term: Search Follow DailyMail Subscribe Daily Mail Follow @dailymail Follow DailyMail Follow MailOnline Follow Daily Mail Today's headlines Most Read Find the best deals on Home Gym from your favorite brands. Find the best deals on Gear from your favorite brands. Find the best deals on Fitness Nutrition from your favorite brands. Deals and discounts in Womens Active Shoes & Sneakers you don’t want to miss. Deals and discounts in Baby Gear you don’t want to miss. Find the best deals on Kids Essentials from your favorite brands. Find the best deals on Maternity from your favorite brands. Save up to 50% on Games & Activities when you shop now. Shop our favorite Furniture finds at great prices. Shop our favorite Decor finds at great prices. Shop the best selection of deals on Storage & Organization now. Home U.K. News Sports U.S. Showbiz Australia Femail Health Science Money Video Travel Shop DailyMailTV Sitemap Archive Video Archive Topics Index Mobile Apps Screensaver RSS Text-based site Reader Prints Our Papers Top of page dmg media Contact us How to complain Leadership Team Advertise with us Contributors Work with Us Terms Do not sell my info CA Privacy Notice About MailOnline Privacy policy & cookies AFRICAN JOURNALS ONLINE (AJOL) Journals Search USING AJOL RESOURCES Ethiopian Journal of Health Sciences Search articles for Home Current Archives About About the Journal Editorial Team Information for Authors Contact Register Login Home / Archives / Vol. 21 No. 3 (2011) / Articles Effects of Aerobic Exercise in the Management of Erectile Dysfunction: A Meta Analysis Study on Randomized Controlled Trials L Sikiru EC Agbanusi CR Nwacha Keywords: Erectile dysfunction, Impotence, Exercise, Index of erectile function Abstract BACKGROUND: Penile erection is a hemodynamic process involving increased arterial inflow and restricted venous outflow, coordinated with corpus cavernosum and penile arterial smooth muscle relaxation. Any problem in this mechanism results in Erectile Dysfunction and its etiology is generally multifactorial. This study is aimed at determining the objective outcome of aerobic training in the management of Erectile Dysfunction of arterogenic origin using Meta analysis.
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Your partner may suffer without saying much, so it is very important that you openly discuss the best way to cope with this condition.
Erectile Dysfunction is not a normal part of aging and now you don't have to live with it anymore.
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Health Topics Symptoms and Signs Supplements Medications Slideshows Images Quizzes Medical Author: Pamela I. Ellsworth, MD Medical Editor: John P. Cunha, DO, FACOEP What Is Impotence/Erectile Dysfunction? What Are Impotence Symptoms and Signs? What Causes Impotence/Erectile Dysfunction? How Do Health Care Professionals Make a Diagnosis of Erectile Dysfunction? What Specialized Tests Do Doctors Use to Investigate Erectile Dysfunction? What Are Impotence/Erectile Dysfunction Treatment Options and Medications? What Are Surgical Treatments for Impotence? What Is the Prognosis of Erectile Dysfunction? Illustrations: Methods of Diagnosing the Cause of Erectile Dysfunction Illustrations: Other Nonsurgical Interventions for Erectile Dysfunction Illustrations: Surgical Interventions for Erectile Dysfunction Erectile Dysfunction (Impotence) Topic GuideDoctor's Notes on Impotence/Erectile Dysfunction Symptoms
If pills don't work for you or the side effects bother you severely, we can use alternative treatments. These include: injections, suppositories, vacuum devices, shockwave therapy, or surgery. ED Vacuums
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Tools & Resources How an Erection Occurs Lifestyle Changes to Improve ED ED Myths and Facts Why Can't I Get an Erection? Erections: Use It or Lose It? Protect Your Erection: 11 Tips
Treatment for ED is based on the cause of the problem. Some of the treatments that may be used include:
Finally, penile implants or surgery to bypass penile artery damage in younger men with a history of severe pelvic trauma may be performed.
Our doctors, including Dr. Honig, are leaders in the field and stand at the forefront of research in men's health issues.
The doctor will perform a complete physical examination, to check for abnormalities in the penis, scrotum, and testicles. To check for heart disease the doctor will take your blood pressure, measure your heart rate, and order a blood test to check your level of cholesterol. Your doctor will do a digital rectal examination to feel the size, shape, and consistency of the prostate, and if necessary check the level of prostate-specific antigen (PSA) in your blood. To check for diabetes the doctor may order a test to measure the level of glucose in your blood. It could also be necessary to assess your testosterone levels in the morning. This is also done with a blood test.
Note: Many Aetna pharmacy benefit plans exclude coverage of drugs for lifestyle enhancement or performance. Please check benefit plan descriptions for details. Under these plans, sildenafil citrate (Viagra), vardenafil hydrochloride (Levitra) and tadalafil (Cialis) are covered only when required by state regulation or when a plan sponsor has elected an optional rider under the pharmacy plan, or, for indemnity or PPO plans without a separate pharmacy benefit, when the plan sponsor has added optional coverage under the medical plan.
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In patients who either fail to respond to first or second-line therapy, or are not interested in the conservative therapies, penile prosthesis implantation is available. Malleable and rigid implants were available for many years, but in 1973 the world of penile prosthetics took a giant leap forward with the advent of the inflatable penile implant. Most implants done nowadays are of the inflatable variety. Adverse events including malfunction and infection are rare, and patient satisfaction is very high.45
If you suspect that you have erectile dysfunction, you need to talk to your doctor about it. Then you can work with the doctor to determine the underlying factor or cause of the condition. Actually, ED can only be effectively treated if what is causing it is known. In fact, you may find that your condition improves with only simple lifestyle changes, such as losing weight, quitting smoking or drinking less alcohol. And if it is a medication you’re taking that is causing the problem, your doctor may treat the condition by reducing the dosage or having you try another drug.The treatment options for ED include lifestyle changes, counseling, medications, penile injections, vacuum pumps and surgery.
The pulses in your legs will normally be assessed and the nerve reflexes involving your legs, and your penis or anus (back passage). Rectal examination (pictured) may be performed to assess the tone of your anal muscles and to feel your prostate gland.
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Sildenafil (Viagra) 50 mg and 100 mg on demandTadalafil (Cialis) 10 mg and 20 mg on demand; 2.5 mg and 5 mg once dailyVardenafil (Levitra) 10 mg and 20 mg on demandAvanafil (Stendra) 50 mg, 100 mg, and 200 mgHow Do PDE5 Inhibitors Work?
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Erectile dysfunction (ED, impotence) varies in severity; some cannot have an erection at all, whereas other men sometimes have troubles getting a hard erection, and others get a hard erection but it only lasts for a short period of time. Approximately 50% of men over the age of 40 have troubles with erectile dysfunction.
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A series of blood tests helps determine many medical conditions known to cause ED. A urinalysis indicates any positive signs of kidney problems, testosterone levels or diabetes. Using a nocturnal penile tumescence (NPT) procedure is common. Ultrasound testing and injections may be useful when diagnosing erectile dysfunction.
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If these medications fail to work or if you are deemed unfit to take them, your urologist can recommend one or more of the following therapies: Penile pump (vacuum erection device [VED] or vacuum constriction device [VCD]) Penile injections (intracavernous injection [ICI], intracavernosal alprostadil) Intraurethral (IU) medication (alprostadil) Surgical procedure involving fitting a penile implant into the penis
erectile DysfunctionFAQ to erectile dysfunction and impotenceWhat is erectile dysfunction?Self-testHow do erections occur?CausesDiagnosisDrug therapyPDE5 inhibitorsStent implantationShock wave therapyself-testAbout UsProf. Dr. Nicolas DiehmDr. Martin C. SchumacherPD Dr. Hak Hong KeoDr. Christian RegliDr. Dagmar SchumacherProf. Dr. Markus BéchirNewsContact erectile DysfunctionFAQ to erectile dysfunction and impotenceWhat is erectile dysfunction?Self-testHow do erections occur?CausesDiagnosisDrug therapyPDE5 inhibitorsStent implantationShock wave therapyself-testAbout UsProf. Dr. Nicolas DiehmDr. Martin C. SchumacherPD Dr. Hak Hong KeoDr. Christian RegliDr. Dagmar SchumacherProf. Dr. Markus BéchirNewsContact
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Causes and risk factors for erectile dysfunction are as follows:StrokeObesityProstate cancerSmokingAlcohol useHigh cholesterol dietLow levels of physical activityCardiovascular disease
The evaluation of a man who presents to our office includes an open, honest and absolutely confidential discussion about the current sexual function and overall medical health. A thorough physical exam and generalized, as well as specialized, bloodwork are often done. We also offer patients blood circulation studies of the penis to further delineate the cause of ED. At Broward Urology Center, we focus on a goal-oriented approach to erectile dysfunction treatment. The treatment options for ED include: The Priapus Shot Or P-Shot® PRP (Platelet Rich Plasma) Penile Injection
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Second line therapies for ED include the use of intraurethral prostaglandin E1 (Muse), the vacuum device, and intracavernous injection therapies.
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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:
An intimate relationship between two people is complex and involves many aspects. ED may affect or change your relationship with yourself and your partner. You may be embarrassed and feel guilty, making it difficult to talk to your partner about this issue. ED could have a direct impact on a committed relationship.
Other alternative therapies that may help reduce stress, and in turn, ease ED symptoms, include:
Treatment options for ED have evolved considerably over the past decade to encompass psychological counseling; oral, topical, intraurethral, and intracavernosal vasoactive therapy; oral therapies with other or unknown mechanisms; hormone replacement; vacuum constriction devices; and surgery, including vascular bypass procedures and penile implants. The goal of treatment is to restore satisfactory erections with minimal adverse effects. Men have demonstrated a strong preference for oral treatments even if they have low efficacy.
If your erection problems have a medical cause, your doctor can explain the treatment options, the techniques needed to make them work and their suitability for your needs based on your overall health.
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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These changes can be very difficult to deal with because for most men sexuality and erection remain important throughout their whole life. You may even go into denial or suffer from depression. That is why the effect of ED on your quality of life should not be underestimated.
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Mechanical vacuum devices cause an erection by creating a vacuum around the penis that draws blood into the penis, engorging it, and expanding it. The devices have three components:
Having erectile dysfunction isn't something you just have to live with. Almost all cases of erectile dysfunction are treatable, and treatment can lead to better overall physical and emotional health for nearly every patient as well as improve intimacy for couples.
Unstable angina (chest pain due to coronary artery disease that occurs at rest or with minimal physical exertion)Low blood pressure (a resting systolic blood pressure less than 90 mm Hg)Uncontrolled high blood pressure (greater than 170/110 mm Hg)Recent stroke or heart attack (within six months)Uncontrolled, potentially life-threatening abnormal heart rhythmsSevere liver diseaseSevere heart failure or disease of the heart valves (for example, aortic stenosis)Retinitis pigmentosa
You’ve probably heard of sildenafil (Viagra), but it isn’t the only pill for ED. This class of drugs also includes avanafil (Stendra), tadalafil (Cialis), and vardenafil (Levitra, Staxyn). All work by improving blood flow to the penis during arousal. They're generally taken 30-60 minutes before sexual activity and should not be used more than once a day. You can take tadalafil up to 36 hours before sexual activity. It also comes in a lower, daily dose. All require an OK from your doctor first for safety.
S.NOWhat to eat to eliminate EDHow is it helpful?1.Leafy Green and BeatsHelps in relaxing the effect of nitrates on the blood vessels2.Dark ChocolatesLowers the blood pressure and cholesterol in the body.3.PistachiosKeeps the blood vessels relaxed for better blood flow.4.Oysters and ShellfishProduction of the male hormone5.WatermelonsHelps in increasing the sexual desires6.TomatoesFor better circulation and sexual desires.7.CoffeeBetter arousal and desires.
The severity of ED has been correlated with the extent of CVD. Banks et al reported that the risk of future CV events increased progressively according to ED severity.28 This was shown in both men with and without known CVD at baseline and after controlling for confounders. Solomon and colleagues found an inverse correlation between international index of erectile function (IIEF) scores and plaque burden seen on coronary angiography.29 In addition, Yaman et al demonstrated a significant correlation between ED severity on IIEF questionnaires and coronary artery calcification.30
If we think more broadly about blood flow, aerobic exercises improve circulation in the entire body, including the penis. This is backed up by a whole heap of medically reviewed research.
The association of CVD and ED was noted in 1997 as one analysed the results of the MMAS. In this landmark study, 1709 men aged 40–70 years were enrolled between 1987 and 1989. A follow-up some 10 years later revealed a striking relationship between ED and CVD. In this study, it became clear that the risk factors for ED were very similar to those of CVD, such as diabetes mellitus, smoking and dyslipidaemia.18
If you are suffering from any sexual problems, then try to look for some basic symptoms of Erectile dysfunction.
In general, there are three main pelvic floor muscles that are used when performing a kegel:
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Erectile dysfunction is the inability to obtain an erection that is firm enough to engage in sexual intercourse. It is not unusual for men to experience erectile dysfunction from time to time when stressful situations arise. If the condition becomes more of a frequent problem, one should consider being tested. Walk-In Lab offers the Erectile Dysfunction (ED)#1 and #2 Essential Blood and Urine Blood Test Panel. Thank you for browsing our selection of Erectile Dysfunction blood tests and panels. Shop additional Men Specific Tests confidentially and order online without insurance or a doctor's note.
Note: Some traditional medical plans exclude coverage of charges for the treatment of sexual dysfunction. Under these plans, procedures for treatment of impotence would be excluded from coverage. Please check benefit plan descriptions.
Patients of the UAB Urology Clinic usually are referred by their primary care doctor, but some men start their ED treatment journey at the clinic. Almost always, treatment begins with pills designed to increase blood flow to the penis. These include: Sildenafil (Viagra) Tadalafil (Cialis) Vardenafil (Levitra and Staxyn) Avanafil (Stendra)
Erectile dysfunction (impotence) is defined as an inability to obtain or maintain an erection sufficient for penetration and for the satisfaction of both sexual partners.
Physical reasons for ED range from heart disease and diabetes to high blood pressure and obesity. Damage to your nerves or arteries can cause problems with erections, too. Lack of exercise, drinking, and smoking can lead to problems.
At Yale Medicine, we take a multidisciplinary approach to determine the underlying causes of your erectile dysfunction. We understand the relationship between erectile dysfunction and other health issues which inspires us to use an interdisciplinary approach to caring for our patients. We regularly collaborate with colleagues across different areas of medicine to help patients who we treat.
Yes. In addition to other health benefits, regular exercise can help men with their erections.
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