Stimulation of growth of the prostate (benign prostatic hypertrophy) and possible growth of existing prostate cancerSkin reactionsLimiting sperm production and shrinkage of testiclesOverproduction of red blood cells (which can contribute to a heart attack)Some studies have implicated testosterone in an increase in cardiovascular events.
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There are other oral and injectable drugs for patients with type 2 diabetics such as:
Since the penis arteries are very small, they tend to become diseased prior to the larger coronary (heart) or carotid (neck) arteries. Thus, erectile dysfunction is yet another sign of vascular disease predating heart attacks and strokes. In other words, patients who develop ED, are at higher risk of having a heart attack or a stroke in the future.
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It helps to understand how an erection works. Sexual stimulation delivers extra blood to the penis through the arteries, causing an erection.
Your private physical examination happens with an ED specialist in a confidential men’s health clinic. Your blood pressure will be checked. Your testicles and penis will be examined, and a brief rectal exam may be recommended to check your prostate health.
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The study, Co-exposures to trace elements and polycyclic aromatic compounds impacts North American river otter baculum, appeared in the peer-reviewed scientific journal Chemosphere this month.
Erectile dysfunction: A consistent inability to sustain an erection sufficient for sexual intercourse. Commonly known as impotence. Medically, the term erectile dysfunction is used to properly differentiate this form of impotence from other problems that interfere with sexual intercourse, such as disease, injury, drug side effects, or a disorder that impairs the nerve supply or the blood flow to the penis. Other forms of impotence include lack of sexual desire and problems with ejaculation and orgasm. Erectile dysfunction is treatable in all age groups, and treatment includes using medication (notably Viagra) and penile implants. Abbreviated ED. SLIDESHOW Erectile Dysfunction (ED) Causes and Treatment See Slideshow Health Solutions From Our Sponsors Drug Categories Drugs & Medications Slideshows Pill Identification Tool Vitamins, Herbs, & Dietary Supplements Images Diseases Symptom Checker Dictionary Quizzes RxList About Us Consumer Contact RxList Terms of Use Privacy Policy Sponsor Policy Pharmaceutical Companies A-Z Site Map WebMD Network WebMD Medscape Reference Medscape MedicineNet eMedicineHealth OnHealth WebMDRx
Drugs for treating erectile dysfunction can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. The most commonly used drugs on the market today include:
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Chrichton-Stuart, C. (2018). “Do erectile dysfunction exercises help?” Medical News Today. Retrieved from: http://www.medicalnewstoday.com/articles/322600.php
Most men begin seeing results after about a month of daily exercise. By the end of that month, you should be able to hold the squeezes for 10 seconds, and be able to do eight to 10 sets.
Side effects may include acne, breast enlargement or soreness, high blood pressure, and mood swings. Testosterone therapy can also increase cholesterol levels, prostate specific antigen (PSA) levels, red blood cell count. If you take testosterone therapy, your doctor should monitor your cholesterol, PSA, and hematocrit (red blood cell) levels, and liver function.
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Ultimately, how successful the medical treatment is and how well it is accepted depends, in large part, on the man's expectations and how he and his partner both adapt to the procedure.
If the penis cannot trap any blood into the spongy tissues located in the erection chambers, they will be unable to achieve an erection. If the blood gets trapped in the penis but cannot stay there, a man will lose his erection. Poor circulation and poor blood flow are both common among men who suffer from erectile dysfunction.
ED may be a side effect of medication, including certain blood pressure drugs and antidepressants. Talk to your doctor if you think a prescription or over-the-counter drug may be causing erectile problems. But never stop taking any medicine before you discuss it with your doctor.
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Check out the illustrations below for further insight into various ED treatments.
A recent non-invasive treatment method using shock waves is under investigation as a novel ED therapy. This method is based on the idea that a type of acoustic waves focused on an organ can release molecules and help blood supply of that organ function better. Studies using LI-ESWT for ED had mixed results, and more research is needed.
On the horizon is gene therapy that would deliver genes that produce products or proteins that may not be functioning properly in the penile tissue of men with ED. Replacement of these proteins may result in improvement in erectile function. Experimental animal models have demonstrated improvement in erectile function with gene therapy. Human studies may also demonstrate success with this therapy. Gene therapy may take a long time for regulatory approval and public acceptance.
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The penis contains three cylinders, the two corpora cavernosa, which are on the top of the penis (see figure 1 below). These two cylinders are involved in erections. The third cylinder contains the urethra, the tube that the urine and ejaculate passes through, runs along the underside of the penis. The corpus spongiosum surrounds the urethra. Spongy tissue that has muscles, fibrous tissues, veins, and arteries within it makes up the corpora cavernosa. The inside of the corpora cavernosa is like a sponge, with potential spaces that can fill with blood and distend (known as sinusoids). A layer of tissue that is like Saran Wrap, called the tunica albuginea, surrounds the corpora. Veins located just under the tunica albuginea drain blood out of the penis. SLIDESHOW Erectile Dysfunction (ED) Causes and Treatment See Slideshow Readers Comments 5 Share Your Story
Treatment options may vary depending on the presumed cause of your ED. Our team will work with and may suggest the following treatments: Oral medications, such as Viagra, Cialis, or Levitra Vacuum devices Penile self-injection therapy Lifestyle modifications Surgical procedures
GBL is found in products marketed for improving sexual function (Verve and Jolt). This substance can convert to a chemical that can cause toxic and life-threatening effects, including seizures and even coma.
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Pull up on your pelvic floor. In order to do so, think of pulling in your genitals and lifting them up. Hold the muscles taut for five seconds before releasing for five. Try to perform ten repetitions several times a day.
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A number of tests are available that can help identify the cause. However, unless the presenting symptoms and findings are unusual or complex, this type of testing is not required or useful for most people. Some tests with more supportive evidence behind them include:
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If this small selection of benefits from walking, running, or swimming, were not enough, then you can add improved erectile function among men who live a sedentary lifestyle, are overweight, suffer from atherosclerosis, or have high blood pressure.
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GAINSWave®, the clinically proven, non-invasive therapy, was specifically developed for men seeking an erectile dysfunction treatment that would improve their sexual performance.
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Another relatively simple, non-invasive treatment for ED includes use of a vacuum erection device (‘penile pump’), to assist with achieving erection for intercourse. These devices work by pulling blood into the penis; a tight constrictive ring is then placed at the base of the penis. While generally safe, care should be taken not to overinflate the device nor to leave the constrictive ring on for prolonged periods as either of these may lead to penile damage.
Symptoms of diabetes that are the same in women and men are excessive thirst and hunger, bad breath, and skin infections, darkening of skin in areas of body creases (acanthosis nigricans), breath odor that is fruity, sweet, or acetone, and tingling or numbness in the hands or feet, blurred vision, fatigue, tingling or numbness in the hands or feet, wounds that heal slowly, irritability, and weight loss or gain.
Strengthening the muscles that surround and support the genital area can assist the penis in obtaining and maintaining an erection and address issues that cause premature ejaculation.
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.
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Erectile dysfunction or impotence is a man's inability to achieve and maintain a penile erection suitable for sexual intercourse.
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If medications are causing ED, discuss with your doctor whether to change to a different medication or reduce the dosage.
The recent shift in the management and evaluation of ED, with primary care physicians replacing urologists in the forefront of ED diagnosis and therapy, has been a welcome and timely change.
PDE5 inhibitors are a good choice for men of any age who are in good health and who do not have conditions that prevent taking them.
Viagra was introduced in 1998 (the others in 2003) and revolutionized the way that men and their partners looked at ED.
Erectile dysfunction itself may be treated with both medical and non-medical treatments.
"We do find, for the most part, that [the] river otter baculum is stronger, stiffer and denser at the low impact of those control sites — so in areas with usually lower levels of some of these hydrocarbons," Thomas said.
ED can be embarrassing to talk about. However, if it is affecting your relationship, you need to discuss it. Find tips for talking to your partner and getting successful treatment.
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Penile implants or abnormally shaped penisBlood cell conditions that may cause priapism (abnormally long-lasting erections) such as sickle cell anemia, leukemia, or multiple myelomaBleeding abnormalities or the use of medications that thin the blood, such as heparin or warfarin
Many conditions are closely related to ED and may contribute to symptoms, including the following:
If there seems to be a psychological cause contributing to your erectile dysfunction, the doctor may ask the patient questions to help determine stressor, events, and relationship issues that may be causing your erectile troubles. It may be helpful to have your sexual partner involved in this assessment. Featured Centers Good and Bad Foods for PsoriasisVideo: Getting Personal on Life With MS Health Solutions From Our Sponsors Shot-Free MS Treatment Your Child and COVID-19
4. A mixture of powdered walnuts and honey are a natural remedy that proves to be an effective decoction to tide over erectile problems. Take equal measure of powdered walnuts and honey and mix it well. Take a spoonful of this mixture thrice a day followed by a cup of milk.
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
Erectile dysfunction, also known as impotence or ED, is the inability to achieve or maintain an erection sufficient for sexual intercourse. Almost all cases of erectile dysfunction are treatable, says Dr. Honig.
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Erectile dysfunction is a frustrating condition where your penis cannot get or maintain an erection firm enough for sex. There is no specific treatment to reverse damage to blood vessels caused by diabetes, there are several options to help you have erections.
Having a healthy sex life and enjoying sexual activity is a normal, enjoyable part of living. Regular pelvic exercises can improve sexual performance by preventing premature ejaculation, help maintain an erection and even eliminate ED.
As with most other organ system in the human body, changes and loss of function is normal consequence of the ageing process. This is also true of the endocrine system, specifically the levels of testosterone production from the Leydig cells of the testicle. Accompanying the decrease in testosterone is a decrease in erections which also has a component in decrease in the blood supply to the penis making erection not as frequent and not as rigid compared with a young man’s erectile function. Although these changes are in itself not life threatening, they can impact a man’s relationship with his partner, and also ED may be a harbinger of other undiagnosed conditions such as coronary artery disease (CAD), hypercholesterolaemia or diabetes mellitus.6
Other hormonal and endocrinologic causes of ED include thyroid and adrenal gland problems.
If unsuccessful, interferes with other treatmentsVascular Reconstructive SurgeryRestores natural erections when successful
Alprostadil is derived from a natural substance, prostaglandin E1, which opens (relaxes) blood vessels. This medicine is an effective treatment for many men with ED. It can be administered by:
Calcium is an essential ion for the normal contraction and relaxation of smooth muscle tissues which regulate blood flow in the corpus cavernosum.
Medications such as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) and avanafil (Spedra or Stendra) are used to treat erectile dysfunction. They work by increasing blood flow to the penis, making it more sensitive to touch. They do not primarily increase sexual desire and only work when you are sexually stimulated. These medications are usually the first-line medical treatment for erectile dysfunction and are effective for about 70% of men.
Check out the illustrations below for further insight into various ED treatments.
If you’re concerned that your medication could be causing your difficulties getting or staying hard, it is important to discuss this with your doctor.
Sexual wellbeing is an important part of your overall health and problems in this area can have an impact on how you feel about yourself. Help is available from healthcare professionals if you are struggling with erectile dysfunction. Having sexual problems may also indicate that there are other areas of your physical and psychological health that need to be attended to.
Exercise: Moderate to vigorous cardio exercises can help improve erectile dysfunction. Ask the doctor to know the exercises that will work best for a person.
Complete List Top The Best Three Exercises for Erectile Dysfunction Related Articles Erectile Dysfunction (ED, Impotence)
A GP might recommend sex therapy, either on its own or in combination with other psychotherapy.
It is important to consider both the physical and the psychological reasons behind sexual problems. If you have experienced impotence in the past, you may fear not being able to get an erection during sex. Your anxiety around sexual performance may add to an existing physical cause and worsen the problem.
A river otter's penis bone, otherwise known as a baculum. (Submitted/ Philippe Thomas)
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