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Learn More About Diagnosing Erectile Dysfunction: Tests and Screenings, Early Diagnosis, and Your Doctors

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Erectile dysfunction (or impotence) is when you cannot get or keep an erection that enables you to have sex.
It is very important to treat any underlying health conditions that may be causing ED. It is also important to engage in healthy lifestyle behaviors by eating right, staying physically active, reducing stress, and stopping smoking and substance abuse. .

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Erectile dysfunction (ED) is the inability to achieve or maintain an erection firm enough for sexual intercourse. Signs of ED vary from a total inability to get an erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Symptoms Inability to achieve or maintain an erection Inconsistent ability to achieve/maintain erection Tendency to sustain only brief erections Causes
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• Conditions such as diabetes, high blood pressure, heart or thyroid conditions, poor blood flow, depression, or neurologic disorders (such as multiple sclerosis or Parkinson's disease)
Thiazolidinediones: pioglitazone (Actos) and rosiglitazone (Avandia)acarbose (Precose)pramlintide (Symlin)Incretin mimetic drugs including exenatide (Byetta), liraglutide (Victoza), long-acting exenatide (Bydureon), dulaglutide (Trulicity), and semaglutide (Ozempic)DPP-IV inhibitors such as (sitagliptin [Januvia], saxagliptin [Onglyza], linagliptin [Tradjenta])Combination drugs (Glyburide/metformin [Glucovance], rosiglitazone/metformin [Avandamet], glipizide/metformin [Metaglip], pioglitazone/metformin [Actoplusmet], and metformin/sitagliptin [Janumet])

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The pressure applied to the pelvic floor during these activities can result in nerve and vascular damage that may inhibit erections.

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"It was a new area of research for my lab group, certainly," said Cheryl Quenneville, an associate professor in mechanical and biomedical engineering at McMaster. "I have to admit there were a few jokes flying around."

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    Erectile dysfunction (E.D.) is often caused by blood vessel damage or suboptimal hormone levels; however, it can also be caused by stress or poor lifestyle choices such as smoking, an unhealthy diet, or not making time for physical activity.

    Professor Vlachopoulos said: “These results imply that hypertensive patients already have significant structural damage in the penile arteries and adding antihypertensive drugs does not further reduce penile blood flow. But in men with normal or high-normal blood pressure, the penile arteries have minimal structural damage and medications could have a negative impact on penile blood flow.”
    While erectile dysfunction can occur at any age, the risk of developing erectile dysfunction increases with age.

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    The recommended starting dose of tadalafil for use as needed for most patients is 10 mg taken orally approximately one hour before sexual activity. A doctor may adjust the dose higher to 20 mg or lower to 5 mg depending on efficacy and side effects. Doctors recommended that patients take tadalafil no more frequently than once per day. Some patients can take tadalafil less frequently since the improvement in erectile function may last 36 hours. Patients may take tadalafil with or without food. Tadalafil is currently the only PDE5 inhibitor that is FDA-approved for daily use for erectile dysfunction and is available in 2.5 mg or 5 mg dosages for daily use.

    The protein collagen is the major component in structural tissue in the body, including in the penis. However, excessive amounts of collagen can form scar tissue, which can impair erectile function.
    Some men schedule a physical examination with their family doctor, including blood and urine tests, to check for underlying health problems like diabetes or cardiovascular disease. A patient may also be referred to a urologist for further tests if indicated, including: A nocturnal penile tumescence (NPT) test. A small, battery-operated device evaluates a man’s nocturnal erections on his thigh. Dava saved on the device is reviewed by the urologist.An injection test. A man’s penis is stimulated to form an erection with an injectable medication. The erection is evaluated for firmness and longevity.

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    Another second-line therapy is the use of alprostadil, either intracavernosal or intraurethral. Two products are available for direct injection, Caverject (Pfizer) or Edex (Actient). A small needle is used to inject the medication into the lateral aspect of the penis through a small-gauge needle.

    When suffering from erectile dysfunction it is important to answer all questions from your health care provider with honesty. Your doctor will likely ask you questions about your current health, prescription medications and over the counter medications you might be taking, your smoking habits, and your alcohol consumption. From this information, your doctor will learn more about what may be causing your erection issues.
    Surgery. Most men don't get surgery for ED. But in some cases, doctors will do an operation to repair your arteries to boost blood flow to your penis. Or they can implant a bendable or inflatable rod inside your penis that you adjust to make it erect.

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    Erectile dysfunction is often associated with a number of common medical conditions, such as diabetes, high blood pressure, heart disease, nervous system disorders, depression, and the medications used to treat these conditions. Psychologic problems such as anxiety and stress can also affect erectile function.

    Over the past decades, the medical perspective on the causes of erectile dysfunction (ED) has shifted. Doctors used to think that almost all cases of ED were related to psychological factors. Now doctors believe that up to 85% of ED cases are caused by medical or physical problems. Only around 15% cases of ED are due to psychological factors. Sometimes, ED is due to a combination of physical and psychological causes.
    Psychotherapy can be beneficial for men with erectile dysfunction even when erectile dysfunction has a known physical cause. The therapist can instruct the man and his partner in techniques to reduce performance anxiety and improve intimacy. Therapy can also help couples adjust to the use of vacuum devices and implants. Erectile Dysfunction Treatment: Alternative Therapies

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Because of changes in regulations, you no longer need a prescription to get sildenafil.

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Erectile dysfunction is common and becomes increasingly more so with age. Complete impotence occurs in 5% of men aged 40 years and 15% of men aged 70 years old. Milder forms of impotence can affect 50% of men aged 50 years old, increasing to 70% of men over 70 years old.

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As blood flows into the penis, the corpora cavernosa swell, and this swelling compresses the veins (blood vessels that drain the blood out of the penis) against the tunica albuginea. Compression of the veins prevents blood from leaving the penis. This creates a hard erection. When the amount of cGMP decreases by the action of a chemical called phosphodiesterase type 5 (PDE5), the muscles in the penis tighten, and the blood flow into the penis decreases. With less blood coming into the penis, the veins are not compressed, allowing blood to drain out of the penis, and the erection goes down. IUDs a Very Effective Form of Birth Control FDA Approves First Condom Designed for Anal Sex Could Semen Hold Key to New OTC Contraceptive? Could the 'Love Hormone' Help Drive Sex Addiction? Fragile Male Egos Have Many Women 'Faking It' Daily Health News Close Watch on U.K. COVID Surge What Are 'Antibiotic Diets'? Mammograms Highlight Heart Risks Second COVID Booster for Seniors Breathing Dirty Air Up Arthritis Risk More Health News » Trending on MedicineNet Triple-Negative Breast Cancer Causes of Stool Color Changes Good Heart Rate By Age Laminectomy Recovery Time Normal Blood Pressure By Age Read Doctor's View Readers Comments 2 Share Your Story

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