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.
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Worries about self-image and performance can sometimes lead to erection problems, too. Instead of letting go and feeling excited, a man may focus on whether he will be able to function, and fear of failure might make it happen. He may blame the resulting problem on his medical condition, even though he might be able to have an erection if he were able to relax.
Gerbild agrees, but stands by the recommendation as a goal for people looking to improve erectile function.
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Men who smoke a lot are at higher risk (double) of facing the episodes of erectile dysfunction. ED can become an ongoing problem for such men and cause total impotency. (Also Read: Smoking Causes Erectile Dysfunction)
Alprostadil should not be used in men with urethral stricture (scarring and narrowing of the tube that urine and the ejaculate pass through), balanitis (inflammation/infection of the glans [tip] of the penis, severe hypospadias (a condition where the opening of the urethra is not at the tip of the penis, rather on the underside of the penis), penile curvature (abnormal bend to the penis), and urethritis (inflammation/infection of the urethra).
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When you have heart disease, or coronary artery disease (blocked blood vessels), it will affect the tiny arteries in your penis sooner. Many times, we will refer you to a cardiologist to determine if you have cardiovascular disease that is causing your ED. increasing physical activity, quitting tobacco products, losing weight, and consuming a healthy, well-balanced diet.
When there is angina or heart failure, the doctor may need to determine whether the heart has enough reserve to carry out the work necessary for sexual activity by performing cardiac treadmill stress testing.
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To see an improvement in erectile dysfunction, one research paper recommended that those experiencing ED engage in aerobic exercise “of moderate to vigorous intensity 4 times per week for 40 minutes”.
Nishimoto PW, Mark DD. Sexuality and reproductive issues. In Brown CG, ed. A Guide to Oncology Symptom Management. 2nd ed. Pittsburgh, PA: Oncology Nursing Society; 2015:551-597.
A web-based project by the Society for Endocrinology that aims to give patients and the general public access to reliable online information on endocrine science. Privacy Disclaimer Browse Search Cookie settings Facebook Twitter Quick Links What Causes Erectile Dysfunction? Evaluation of a Man Presenting with ED Treatments of Erectile Dysfunction
What are truly the norms for testosterone levels in men and could we better determine which might actually benefit, and thus, should receive TRT?
Treatment options vary widely according to the specific diagnosis. Regardless, common treatment includes referral for counseling or therapy due to residual effects ED has to strip the man of confidence and self-esteem.
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Suppose you find that dietary and exercise changes are not enough to restore your erectile function to normal. In that case, we hope you will consider contacting the telemedicine professionals at Invigor Medical to learn more about the wide range of medical treatment options that can supplement your dietary and exercise regimen.
Erectile dysfunction (ED) is most often characterized by the inability to achieve and/or maintain a reliable, firm, prolonged erection that is adequate for sexual activity. For some men, problems with erections are isolated or situational, while others experience chronic ED due to an underlying condition or mechanical abnormality. Oftentimes, ED is multifactorial, meaning there is more than one factor contributing to the patient’s symptoms. Some of the most common erectile dysfunction risk factors and causes include: Hormone imbalance/low testosterone Andropause Age Poor circulation Heart disease Obesity Certain medications Drug/alcohol use Psychological factors Stress/anxiety Trauma Previous surgery/prostate surgery
Urology Associates provides various treatment options for erectile dysfunction (ED). Our urology team will help treat your ED safely and effectively.
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What erectile dysfunction studies are under way? What are future treatment options?
Diuretics (pills that increase urine flow)High blood pressure medsAntihistaminesAntidepressantsParkinson's disease drugsAntiarrhythmics (drugs for irregular heartbeat)Tranquilizers and sedativesMuscle relaxantsNonsteroidal anti-inflammatory drugs (NSAIDs)Histamine H2-receptor antagonistsHormonesChemotherapy medicationsProstate cancer drugsAnti-seizure medications
An injection test is also called an intracavernosal test. Your doctor injects a medicine into the base of your penis that should give you an erection. If you don’t get one, you may have a problem with blood flow to your penis.
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There are many treatment solutions for ED including oral medications, injections, hormone replacement therapy, vacuum therapy, and implants. Your healthcare provider will prescribe a treatment plan based on your situation and menMD will provide treatment progress updates and data driven recommendations to ensure your continuous treatment success. Treatments +Pros oConsiderations PDE5 Inhibitors (oral medications) +Oral +Easy to take +Relatively inexpensive +Non-invasive o 30%-35% of men don’t respond o Cannot take if on nitrates or if you have advanced cardiovascular disease o 17% loss of efficacy leads to discontinuation Intraurethral Gels +Few side effects o Requires training to administer o Can cause pain when inserted o Only 43%-60% effective Injection Therapy +Few side effects +Up to 90% effective o Injection o Can cause priapism and penile pain Testosterone +Topical and patch formulations are easy to administer o Only effective in men with hypogonadism o 30%-35% of men don’t respond Vacuum Devices +No systemic side effects +Very inexpensive +70%-94% effective o Unnatural erection o Can cause pain, numbness, and bruising o Can cause trapped ejeculation Implants +Highly effective o Requires surgery and anesthesia o Irreversible o Eventually requires replacement Herbals +All natural (plant derived) +No Rx required o Not as effective o Unregulated Treatments +Pros oCons PDE5 Inhibitors (oral medications) +Oral +Easy to take +Relatively inexpensive +Non-invasive o 30%-35% of men don’t respond o Cannot take if on nitrates or if you have advanced cardiovascular disease o 17% loss of efficacy leads to discontinuation Gels +Few side effects o Requires training to administer o Can cause pain when inserted o Only 43%-60% effective Injection Therapy +Few side effects +Up to 90% effective o Injection o Can cause priapism and penile pain Testosterone +Topical and patch formulations are easy to administer o Only effective in men with hypogonadism o 30%-35% of men don’t respond Devices +No systemic side effects +Very inexpensive +70%-94% effective o Unnatural erection o Can cause pain, numbness, and bruising o Can cause trapped ejeculation Implants +Highly effective o Requires surgery and anesthesia o Irreversible o Eventually requires replacement Herbals +All natural (plant derived) +No Rx required o Not as effective o Unregulated
Various surveys have shown that it is now possible to get occasional and mild symptoms of Erectile Dysfunction.
You might need other tests to check for underlying issues or to further assess your condition. These might include the following:
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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.
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What causes ED? There are many causes of impotence both medical and psychological. Often, age is a predominant factor in erectile dysfunction; however, your chronological age is not solely responsible for ED’s development. Men over the age of 40 typically experience ED as the result of inadequate blood flow to the penis, most often due to the narrowing of blood vessels. This can arise due to many causes including:
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What Is Erectile Dysfunction (ED)? Symptoms, Causes, Diagnosis, Treatment, and Prevention
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It is important to note that not any food can do an instant miracle for eliminating Erectile Dysfunction. But taking proper take of your body and having a good diet can help you to a great extent.
Patients should start with a low dose and increase in small doses until the dose that results in a rigid enough erection for completion of sexual activity is achieved. If one injects and there is an inadequate response, one should not reinject another dose of the medication at that time, due to the risk of priapism.
A study published in May 2014 in The Journal of Sexual Medicine found that some men can reverse erectile dysfunction with healthy lifestyle changes, such as exercise, weight loss, a varied diet, and good sleep. The Australian researchers also showed that even if erectile dysfunction medication is required, it's likely to be more effective if you implement these healthy lifestyle changes.
5. Aim high. Set a goal of 30 to 40 kegel exercises per day for optimal erectile dysfunction treatment. It might sound like a lot, but you can do them while driving, standing on the train, or waiting for the kettle to boil.
Up to three quarters of patients with erectile dysfunction develop atherosclerosis, obesity, cardiovascular problems, diabetes, and similar diseases.
When the aforementioned strategies prove insufficient to address ED symptoms, medical therapies are warranted. The simplest treatments include use of a class of oral medications known as phosphodiesterase type 5 inhibitors (PDE5I, e.g. sildenafil, tadalafil, vardenafil, and avanafil). These drugs enhance the effects of nitric oxide, a natural molecule within the body that relaxes the smooth muscle of the penis, to enable increased blood to flow and result in erection. These medications are generally very safe and reliable. Men who use nitrates (found in certain heart medications and in some recreational drugs) should not use PDE5I. Optimal use of PDE5I requires advice on timing and proper use of these drugs for maximal effect.
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They can check your health and any current medications for likely side effects. If psychological reasons are suspected, your doctor can advise you on what would help, including helping you access counselling services you (and your partner) may benefit from. a physical examination, which may include your genitals and prostate gland checking your medications for side effects blood and urine tests for hormones, blood lipids, thyroid, liver and kidney function and diabetes.
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This section lists the different tests your doctor may need to assess your situation. It offers general information about the diagnosis of ED. Keep in mind that situations can vary in different countries.
Men who want to treat their ED have another option. The GAINSWave® treatment is a safe, non-surgical therapy that can restore sexual function and help to prevent erectile dysfunction in men who don’t have ED.
The Mediterranean diet and other similar diets, rich in fruits and vegetables, lean sources of proteins, and healthy fats, promote overall good health and decrease the risk of obesity. Maintaining a healthy weight can improve erectile function and testosterone levels.
This exercise is simple to do but it’s also important. It allows a person to activate pelvic floor muscles.
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Call your doctor right away if you take one of these medications and have a prolonged erection that lasts 4 hours or longer. This condition may cause permanent impotence if not treated.
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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.
The doctor says that ED can limit daily life, affect intimacy, contribute to low self-esteem and impact personal relationships. “The good news, however, is that it can be treated with medications or with penile prosthesis, and the treatment varies depending on the severity of the condition.
A recent study published in the Journal of Sexual Medicine reported that men with severe periodontal disease were three times more likely to have consistent difficulties having an erection. While this may be a case of correlation rather than causation, poor dental health has long been associated with vascular disease, which is known to contribute to ED.
Have you been able to get and keep erections in the past?Are you having trouble getting an erection or keeping erections?Do you have erections during sleep or in the morning?How long have you had trouble with erections?
Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex, feeling stressed either at home or at work, or feeling troubled in your current sexual relationship. In these cases, treatment incorporating psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress, leading to further erectile failure. Los of desire or interest in sexual activity can be psychological or due to low testosterone levels.
Squats can also be done as exercises to help erectile dysfunction, because they not only strengthen the thigh and buttock muscles, but increase the blood flow and circulation to the groin area. To do a proper squat, feet should be planted flat on the ground, roughly shoulder-width apart. Keeping the back straight, the upper body can then be lowered down slowly by bending the knees. To finish the exercise, the body is lifted back up. These exercises can be repeated ten to 30 times. Kegel exercises can be used to treat impotence in aging men.
Low self-esteemStressAnxietyRelationship issuesA lack of intimacyAn unfulfilling sex lifeInability to get your partner pregnant
Eat a healthy dietStop smokingLose excess weightExercise dailyMaintain normal blood pressure and cholesterol levelsGet help for alcohol or drug addiction problemsLearn about the side effects of medicines you takeConsider couples counseling if you and your partner are having trouble communicating
If this problem becomes frequent or lasts a long time, you should see your doctor.
While many cases of ED are caused by medical conditions that can’t be cured, various treatment options can help restore sexual function.
There’s nothing better than the buzz you get after an intense session in the gym.
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Researchers have known for a long time that when a man has too much to drink, he can struggle to perform sexually. What few people realize is that heavy drinking has a long-term impact on a man’s ability to achieve erections, not just on the night in which he over-imbibes.
Penile prostheses are very effective, and most patients who have a prosthesis placed are satisfied with the prosthesis. However, placement of a prosthesis causes scarring of the tissue within the corpora cavernosa, and if the prosthesis requires removal, other forms of therapy, except for the vacuum device, are often not effective. Thus, most physicians reserve placement of a prosthesis for men who have tried and failed or have contraindications to other therapies.
• Repeated feelings of doubt and failure or negative communication that reinforce the erection problems
If you have erections in the morning or at night while you sleep, it is likely not a physical cause. Most men have 3 to 5 erections at night that last about 30 minutes. Talk with your provider about how to find out if you have normal nighttime erections.
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.
Our team is made up of doctors and oncology certified nurses with deep knowledge of cancer care as well as journalists, editors, and translators with extensive experience in medical writing.
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You are not alone 50% of men in their 50s are affected by ED symptoms (University of Wisconsin Health, 2019). Sometimes a man becomes nervous during sex, or perhaps he’s had too many drinks beforehand. While this may affect his sexual performance, it doesn’t necessarily mean a man has ED.
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Side effects of intraurethral alprostadil include pain in the penis and sometimes in the testicles, mild urethral bleeding, dizziness, and vaginal itching in the sex partner. Patients rarely report syncopal (fainting) episodes with initial use, and thus the first trial of this medication should be performed in the physician's office.
Systolic and diastolic are the two readings in which blood pressure is measured. The American College of Cardiology released new guidelines for high blood pressure in 2017. The guidelines now state that blood normal blood pressure is 120/80 mmHg. If either one of those numbers is higher, you have high blood pressure.
Male erectile problems often produce a significant emotional reaction based on the impact of erectile dysfunction on confidence, self-esteem, and morale in most men. This is described as a pattern of anxiety and stress that can further interfere with normal sexual function. Such "performance anxiety" needs to be recognized and addressed by a doctor.
A physical examination helps in diagnosing ED. Some additional testing may rule out underlying health issues.
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