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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.
Aetna considers exogenous testosterone replacement therapy, including transdermal preparations, experimental and investigational for the treatment of non-hypogonadal impotence because its effectiveness in non-hypogonadal impotence has not been established. (See CPB 0345 - Implantable Hormone Pellets.) .

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The nerves that control an erection lie very close to the prostate. These nerves may be injured during treatment. If the surgeon uses nerve-sparing procedures, some men may regain their previous level of erectile function. This typically takes a year or two.
Smoking, drinking alcohol and the use of recreational drugs such as narcotics, stimulants and hallucinogens can all affect sexual function. Chemicals from smoking can interfere with blood flow to your penis and damage the lining of the blood vessels or lead to atherosclerosis (hardening of the arteries). It can also affect the smooth muscle tissue that needs to relax to allow blood to flow in. Short-term use of alcohol affects sexual desire, reduces performance and delays orgasm and ejaculation.

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Viagra was introduced in 1998 (the others in 2003) and revolutionized the way that men and their partners looked at ED.
Your doctor may switch you to another medication to see if that resolves the issue.

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Patients must ask themselves how important erections are – and which treatments they’re willing to consider. One option is penile injection therapy, where the man injects a medication into his penis for an immediate erection. Alternately, a device known as a penile prothesis that permanently corrects ED can be surgically implanted. Two less popular treatments are a vacuum device that pulls blood into the penis and a suppository that’s inserted into the urethra prior to intercourse.

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A man could try new activities, like swimming. Yard work and gardening count as physical activity. A man’s goal should be to be physically active for 30 minutes a day, at least four days a week.

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    Erectile dysfunction is extremely common, and many men will experience it at some point in their lifetime. Healthy lifestyle habits are an excellent starting point for treating erectile dysfunction. Strengthening your muscles and consuming a healthy diet can improve your cardiovascular health as well as your erectile function.

    A person with an erectile dysfunction will see improvement after making changes to lifestyle. This will reduce the need for medication and will benefit the person in their overall health.
    Also, it is important to remember that there are psychogenic issues such as performance-related issues, traumatic past experiences, relationship problems, anxiety, depression and stress that can certainly cause or be considered a comorbid condition contributing to ED.

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    Check out our Town Hall videos in leiu of in person Sub I's or reach out to our education team with questions or for more information at [email protected] or 206-685-1982. University of Washington Be boundless Connect with us: Facebook Twitter Instagram YouTube LinkedIn Pinterest Accessibility Contact Us Jobs Campus Safety My UW Rules Docket Privacy Terms Newsletter Billing & Insurance MyChart Search Menu Request an Appointment Refer a Patient Request an Appointment Refer a Patient What Is Erectile Dysfunction? Quick Links + Erectile Dysfunction (ED) Injections: Trimix Penile Implant Vacuum Erection Device (VED) Shockwave Therapy for ED

    An unhappy sex lifeLoss of intimacy within the relationshipAnxietyDepressionLow self-esteemDifficulty when trying to get a woman pregnant
    Even when the nerves are spared, research has shown that the healing process takes up to 2 years for most men. We don’t know all the reasons some men regain full erections and others do not. We do know that men are more likely to recover erections when nerves on both the left and right sides of the prostate are spared.

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    Choose activities you enjoy so the focus is staying motivated and having fun, instead of improving erectile dysfunction or improving cardiovascular health (those are just bonuses).

    Some sexual disorders are related to ED and may cause similar symptoms to ED, such as:
    ED pills you take by mouth can have side effects. These can range from muscle pain and flushing to heart attack. DO NOT use these drugs with nitroglycerin. The combination can cause your blood pressure to drop.

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    Luckily, exercise is great at combating stress, anxiety and depression, which can translate into a revived sex drive. Antidepressants are also notorious for negatively affecting your libido, Eilber said, so if exercising can help you lower your dosage or scrap them altogether, all the better.

    Future treatments for erectile dysfunction focus on providing medications that are more effective, work rapidly, and have fewer, if any, side effects than currently available treatments.
    The role of the endothelium in erectile function became clearer with the observation that the phosphodiesterase type 5 (PDE5) inhibitor, sildenafil, enhanced erectile function. Erection occurs with the release of nitric oxide (NO) from the vascular endothelial cells.17 The reduction in endothelial cell production of NO results in the negative impact on the smooth muscles in the corporal bodies and results in less relaxation of the smooth muscle cells with decrease in blood supply and resulting ED. A similar phenomenon is well known to impact the coronary arterial system resulting in CVD.

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Kegel exercises, also called pelvic muscle exercises, are performed to strengthen the muscles of the pelvic floor, which can help prevent incontinence, prevent accidentally passing gas or stool, and improve orgasms.

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Due to the fact that ED and CVD share many of the same risk factors, it is not surprising that there is a high incidence of ED in men who present with CVD. A study by Montorsi et al found that ED was present in roughly 50% of patients with acute chest pain and confirmed CAD on angiography.21

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First line treatment will be medication with a phosphodiesterase inhibitor such as sildenafil (Viagra), tadalafil (Cialis) or avanafil (Spedra). These drugs only work when used together with sexual stimulation and will have no effect on your sex drive. There is no evidence that these drugs are dangerous if you have underlying heart disease. However, they should not be used if you are taking nitrates (e.g. GTN, isosorbide) for angina

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