Researchers also found that a traditional Western diet was associated with lower semen quality (La et al., 2018). Avoid high-fat, high-calorie foods and beverages in favor of non-processed foods such as fruits, vegetables, nuts, and grains whenever possible.
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It can be embarrassing to discuss sexual matters with your doctor. Yet a doctor’s appointment is neccessary if you want to get treatment for ED. Here’s how to prepare for your doctor visit.
Vitamin D deficiency has been linked with rickets, cancer, cardiovascular disease, severe asthma in children and cognitive impairment in older adults. Causes include not ingesting enough of the vitamin over time, having limited exposure to sunlight, having dark skin, and obesity. Symptoms include bone pain and muscle weakness. Treatment for vitamin D deficiency involves obtaining more vitamin D through supplements, diet, or exposure to sunlight.
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The first step is identifying what we actually mean by a 'pelvic floor'. Activating pelvic floor muscles can be achieved by trying to stop the flow of urine when you're urinating — those are the same muscles involved in erectile function.
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Phosphodiesterase inhibitor medications, such as sildenafil (Viagra) can cause a reduction in blood pressure, and so should not be taken by patients known to have low blood pressure (hypotension), or in those who have recently had a stroke or heart attack. Similarly, they should not be used in patients who take nitrate medication (such as glyceryl trinitrate, GTN, or isosorbide mononitrate) for chest pain. Phosphodiesterase inhibitor medications are associated with some side-effects, which include headaches, hot flushes, and dizziness. More serious side-effects may occur less commonly, including chest pains, prolonged and painful erections (priapism) or a change in vision. If patients experience any of these symptoms, they should seek immediate medical attention.
These structures are made up of erectile tissue. Erectile tissue is rich in tiny pools of blood vessels called cavernous sinuses. Each of these vessels are surrounded by smooth muscles and supported by elastic tissue composed of a protein called elastin.
What is the role of testosterone therapy in the treatment of erectile dysfunction?
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I would cry myself to sleep worrying about my penis. I started doing drugs. I just thought, my body is messed up anyway – why should I care about damaging it further?
We plan our food diet and routine keeping in mind our heart and stomach. But have you ever thought about what food is good for your sensitive body parts? The food items have natural immunity boosters and vitamin & calcium that can actually help in maintaining proper blood flow and functioning to remove ED and other sexual problems from the body.
With regular pelvic floor exercises, your pelvic floor muscles will strengthen, and your sexual health can improve.
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Conclusions are based on a combination of patients’ own evaluations of whether their erection had improved, and more objective measures such as circulation of blood through the penis.
If you are experiencing sexual difficulties, a full sexual history, a physical examination and evaluation of cardiovascular risk needs to be done. Tests should include the measurement of testosterone levels, blood fats and sugars, and blood pressure. Your doctor should talk to you about reversible lifestyle risk factors that might affect erection quality (such as cigarette smoking, substance use, obesity or a sedentary lifestyle).
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When other treatment options are not successful, penile implant surgery can provide excellent patient and partner satisfaction. Both malleable (bendable) and inflatable devices can be implanted to allow penile rigidity and satisfactory sexual intercourse.
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.
For many of the 30 million Americans affected by erectile dysfunction, Viagra, Levitra, and Cialis are the first line of ED treatment — and they’re successful for about 80 percent of men. These drugs, called phosphodiesterase-5 inhibitors, are approved by the U.S. Food and Drug Administration (FDA) and work by increasing blood flow to an erection. Common side effects include nasal congestion and headache. Note: If you take nitroglycerin pills for heart disease, you won’t be able to take ED pills, as they can cause a dangerous drop in blood pressure.
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Complete List Top What causes weak erection? Related Articles Erectile Dysfunction (ED, Impotence) men's health center/men's health a-z list/low testosterone low t center /low testosterone (low t) article What Is Low-T What is the definition of low testosterone (low-T)?What is low testosterone (low-T)? Causes What causes low testosterone (low-T)? Symptoms/Signs What are low testosterone (low-T) symptoms and signs?How do you know if you have low testosterone (low-T)? Treatment What are the treatment options for low testosterone (low-T)?What natural remedies treat low testosterone (low-T)?Should I take testosterone? Side Effects What are the side effects of testosterone therapy? Medical Author: Jerry R. Balentine, DO, FACEP Medical Editor: John P. Cunha, DO, FACOEP Readers Comments 4 Share Your Story
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This route typically isn’t recommended for men taking nitrate drugs or alpha-blockers, and all medications, including over-the-counter herbs and supplements, should be shared with your doctor to prevent negative interactions. The commonly reported potential side effects of phosphodiesterase-5 inhibitors include headache, flushing, runny nose, stomach pain, back pain, indigestion, vision changes, and dizziness.
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Aging and ED can slow men's sexual health, but pleasure is not only possible, it can also improve quality of life in men 60 and older.
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You must remember that these are prescription-only medications. Do NOT share these medications with your friends or family as they may have medical conditions that would prevent them from taking this medicine. What if ED Pills Don't Work?
We all know that erectile dysfunction can affect a person both physically and psychologically. Exercises heal your body mentally as well, and therefore, a man can get rid of psychological aspects of ED as well.
Kegel exercises, or pelvic exercises, have proven to be effective in addressing erectile dysfunction, and it should be used as the first-line of treatment. The ischiocavernosus and bulbocavernosus muscles in the pelvic area surround the penis and are active during an erection. The following exercises aim to strengthen these muscles.
Most men are sometimes unable to have an erection, perhaps caused by drinking too much alcohol, using recreational drugs, anxiety or tiredness. Occasional problems are not necessarily a cause for concern, but ongoing erectile dysfunction should be investigated by a doctor.
If my supply of pills ran out, I would panic and make excuses to get out of having sex. Even when the drugs worked, I still didn’t enjoy sex. The fear of losing my hard-on nagged at me constantly.
The effects of the pandemic, including losing jobs and the impact of stay-at-home orders, can also affect people’s moods and contribute to erectile dysfunction, Jannini said.
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In randomized placebo-controlled trials, an estimated 60% of men with diabetes, and 80% of men without diabetes experienced improved erections with sildenafil.
Other medications can also contribute to erectile dysfunction. These include some drugs taken to treat depression, other mental health conditions and high blood pressure, as well as opioid painkillers. Many recreational drugs cause it too.
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
Research has found that doing Kegel exercises twice a day can help a man build a strong pelvic floor. The benefits of a strong pelvic floor include maintaining longer and more rigid erections.
In other words, sex is not unlike sports. If you want to be a good tennis player, play lots of tennis; if you want to be a good lover, make lots of love.
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The treatment of erectile dysfunction depends on the underlying cause. If an underlying physical cause is found (such as diabetes), treatments will be needed to manage these. Other treatments, such as cognitive behavioural therapy (CBT), may be offered for any related mental health disorders including anxiety and depression. Irrespective of the contributing causes, psychosexual counselling may be recommended to help with the effects of impotence on sexual relationships.
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AtherosclerosisDiabetes High blood pressureChronic kidney diseaseHeart diseaseMultiple sclerosisPeyronie’s diseaseProstate cancerInjury to the penis or surrounding organs
Injections Some medicines can be injected or placed inside the penis to help create an erection.Testosterone Your doctor may recommend that you take this hormone if your levels are low.Devices and Surgery
Evaluation should include a breast examination, rectal examination of the prostate, and a PSA level (prostate specific antigen) blood test. Patients who have breast and prostate cancers should not use testosterone.
No nitrate-based drugs should be given to men with suspected heart attacks if they have taken PDE5i medications within 24 hours. Combining PDE5i with nitrate-based medications can cause a severe and dramatic drop in blood pressure with potentially very dangerous consequences. This is also why someone should absolutely never share PDE5i medications with anyone else. If they happen to be taking one of the drugs that interacts dangerously with PDE5i medications, the results could be very serious. If there is any question about possible drug interactions, always check with a doctor or pharmacist.
The pills cost £1.50 each and came in packs of 20. I must have spent hundreds of pounds over the years. Most young guys have condoms in their wallets - I had Viagra in mine. I couldn’t understand why this was happening to me when I was so young - it was so frustrating.
If nothing else works (or if these other options don't fit into the patient's lifestyle), there is always a penile implant. A penile implant (or Inflatable Penile Prosthesis – IPP, as most urologists call it) is a hydraulic device that gets implanted into the penis and replaces the erectile tissue with two cylinders. There is a little pump that gets placed into the scrotum, next to the testicles (not into the testicles) to inflate and deflate the device.
Finally, penile implants or surgery to bypass penile artery damage in younger men with a history of severe pelvic trauma may be performed.
Exercise does more than improve penile blood flow, however. Staying fit keeps a man’s weight under control, may increase his testosterone levels, and boosts his confidence. It can also reduce depression and anxiety. These factors can affect erections as well as other aspects of sexual health.
Heart disease, atherosclerosis, high blood pressure, and high cholesterol levels are major risk factors for ED. Peripheral artery disease (PAD), a form of atherosclerosis, is very common in men who have ED. In fact, erectile problems may be a warning sign of these conditions in men at risk for atherosclerosis. Men who experience ED due to vascular causes have a greater risk for angina, (chest pain due to low oxygen levels in the blood), heart attack, and stroke.
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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.
Infection is a concern after placement of a penile prosthesis and is reported as a complication in up to 20% of men undergoing placement of a penile prosthesis. If the device becomes infected more commonly, it needs to be removed. Another prosthesis can be placed after the infection is treated and the penile tissues have healed, but it is a difficult surgery. Erosion of the prosthesis, whereby it compresses through the corporal tissue, into the urethra may occur. Symptoms include pain, blood in the urine, discharge, abnormal stream, and malfunction of the prosthesis. If the prosthesis erodes, it will need to be removed. A catheter is placed to allow the urethra to heal.
This is now the topic of some discussion among doctors and health experts as they try to better understand the effects of the coronavirus. The problem has been observed in some patients, but experts agree more study is needed to form any conclusions.
Some men should not take PDE5 inhibitors. They can cause hypotension (abnormally low blood pressure that can lead to fainting and even shock) when given to patients who are taking nitrates (medications taken for heart disease). Therefore, patients taking nitrates daily should not take any of the PDE5 inhibitors. Nitrates relieve angina (chest pain due to insufficient blood supply to the heart muscle because of narrowing of the coronary arteries); these include nitroglycerine tablets, patches, ointments, sprays, and pastes, as well as isosorbide dinitrate and isosorbide mononitrate. Other nitrates such as amyl nitrate and butyl nitrate also are in some recreational drugs called "poppers."
The pressure applied to the pelvic floor during these activities can result in nerve and vascular damage that may inhibit erections.
An inflatable penile implant can be implemented in the case of erectile dysfunction, Peyronie’s disease, or other medical conditions in which a man can no longer maintain an erection or sexual function.
“Kegel exercises for men: understand the benefits.” Mayo Clinic. Retrieved from: http://www.mayoclinic.org/healthy-lifestyle/mens-health/in-depth/kegel-exercises-for-men/art-20045074
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