L-citrulline can be converted to L-arginine in the body. L-arginine widens blood vessels, increasing blood flow.
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A full history should also include an inventory of all medications taken (such as antidepressants and antihypertensives) and recreational drugs (including anabolic steroids, alcohol and psychoactive substances) as these may be related to erectile dysfunction.
ERECTILE DYSFUNCTION The hard truth about testosterone and erectile dysfunction Numan is regulated by the Care Quality Commission, the independent regulator of all health and social care services in England
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Erectile dysfunction (ED) is one of the most common conditions affecting middle-aged and older men. Nearly every primary care physician, internist and geriatrician will be called upon to manage this condition or to make referrals to urologists, endocrinologists and cardiologists who will assist in the treatment of ED. This article will briefly discuss the diagnosis and management of ED. In addition, emerging concepts in ED management will be discussed, such as the use of testosterone to treat ED, the role of the endothelium in men with ED and treating the partner of the man with ED. Finally, future potential therapies for ED will be discussed.
Men with erectile dysfunction should talk with their doctors before trying supplements for erectile dysfunction. They can contain 10 or more ingredients and may complicate other health conditions. Asian ginseng and ginkgo biloba (seen here) are popular, but there isn't a lot of good research on their effectiveness. Some men find that taking a DHEA supplement improves their ability to have an erection. Unfortunately, the long-term safety of DHEA supplements is unknown. Most doctors do not recommend using it.
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If you have diabetes, you have a higher risk of heart disease and heart attack. Because of this, it is important to control cholesterol and high blood pressure in addition to blood sugar. The good news is that all of these diseases are responsive to healthy lifestyle changes.
Your provider will likely order blood tests and conduct a Doppler ultrasound, which detects poor blood flow through your penis. You may also be asked to conduct a nocturnal erection test, where a device is slipped on your penis overnight to measure if you can get an erection during sleep. Or you may be injected with medicine to cause an erection to determine how full your penis becomes and how long your erection lasts.
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The pulsating waves also trigger a healing response that “wakes-up” dormant stem cells and growth factors in the penis for an overall rejuvenation of male erectile tissue.
A vacuum device is exactly what it sounds like: a tube that brings blood into the penis. You keep the erection by using a penis ring at the base of the penis.
Peyronie's disease or curvature of the penis (Peyronie disease) is a condition in which scar tissue develops inside the penis. This scar tissue causes the penis to develop an abnormal curvature in the scarred area. At this time, there is no known cause of Peyronie's disease. Symptoms of Peyronie's disease include pain during intercourse or ejaculation, erectile dysfunction (ED, impotence), the inability to have sexual intercourse, anxiety, stress, an indentation of the shaft at the site where there is plaque or scarring, and an angulation of the penis when erect or flaccid. There is no cure for Peyronie's disease, however, there are medications that can reduce symptoms of the disease. Surgery or penile implants may be an option for severe cases.
1. Overview2. Symptoms3. Causes4. Diagnosis5. Prevention6. Treatment7. Everyday Life8. Questions9. Resources
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Premature ejaculation (ejaculating too soon)The inability to have an orgasm after sufficient stimulationDelayed ejaculation (when ejaculation takes too long)
One of the best things men can do to reduce ED is to quit smoking. Smoking leads to cardiovascular disease, which can cause erectile dysfunction. In addition to affecting a man’s blood vessels, smoking itself increases his risk of ED.
A decrease in sex drive can develop both due to medical conditions as well as to psychological or emotional issues. Inhibited sexual desire is a type of sexual dysfunction that affects both men and women. A reduction in sexual desire has been associated with low levels of testosterone in men. Women in the menopausal transitions sometimes report a decrease in sex drive. Low testosterone (low-T) is underproduction or lack of production of testosterone in men and women.Causes of low-T include chronic medical conditions such as diabetes, infections, obesity, or other hormonal conditions.Symptoms of low-T include:Change in sleep patternsReduced sex drive (low libido)Sexual dysfunctionInfertilityEmotional changesDecreased strengthWeight gainLow-T testing includes linking symptoms with testosterone blood levels.Treatment options for low-T include different forms of testosterone replacement therapy. Readers Comments 10 Share Your Story
Sometimes after surgery or pelvic radiation, some of the nerves are damaged and some of the nerves aren’t. Even if nerves are damaged, a man can have an orgasm without having an erection. This is because the nerves that help a man feel pleasure are different than the nerves that cause an erection.
• 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)
(2012). “Should men do pilates for pelvic floor muscle strength?” Prostate.net. Retrieved from: http://prostate.net/articles/pilates-for-pelvic-floor-muscles
You may be able to improve your sex life with a few lifestyle changes. Giving up smoking, losing weight, and exercising more often can improve your blood flow. If you suspect a medication could be to blame, talk to your doctor about adjusting the dosage or switching to another drug.
S.noFood that can help in curing sexual dysfunctionBenefits1.SpinachHelps in boosting testosterone level.2.CoffeeHelps in improving sex-life3.AppleRemoving prostate cancer4.AvocadosHelps in boosting libido5.OatsFor getting better orgasm6.TomatoesHelps in maintaining sperm quality and motility7.Pepper and chiliEaten for getting high testosterone levels in a male body. Yoga helps to relax all the body parts and encourage proper blood flow and optimal oxygen level in the body. Performing these 12 yoga poses especially for ED daily for 30-40 minutes has helped to eliminate impotency issues among men.
Understanding the signs and causes of ED is the first step toward achieving a better sex life.
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Nearly every primary care physician, internist and geriatrician will be treating men with ED.
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Vacuum constriction devices, or penis pumps, may be useful in the treatment of erectile dysfunction (impotence). A penis pump is an acrylic cylinder with a pump that can be attached to the end of the penis. The pump then creates a vacuum to help the penis become erect, while a constriction ring maintains the erection.
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Diabetes mellitus, smoking, high cholesterol, and high blood pressure are all risk factors for oxidative stress. These conditions are some of the most common causes of E.D. (Zhang et al., 2011). Antioxidants decrease metabolic stress and reduce the risk of blood vessel damage.
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Lab tests can help diagnose ED. Blood cell counts, blood sugar levels, cholesterol levels, and liver tests can reveal medical conditions that play a role in ED.
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These medications are also easy to obtain online, at sex shops or through other informal channels. However, without adequate consultation with a healthcare professional, there is a greater risk of drug interactions or other problems.
Did you know that around 5% of men aged 40, and 15% of men aged 70 have complete erectile dysfunction?
A decrease in sex drive can develop both due to medical conditions as well as to psychological or emotional issues. Inhibited sexual desire is a type of sexual dysfunction that affects both men and women. A reduction in sexual desire has been associated with low levels of testosterone in men. Women in the menopausal transitions sometimes report a decrease in sex drive. Low testosterone (low-T) is underproduction or lack of production of testosterone in men and women.Causes of low-T include chronic medical conditions such as diabetes, infections, obesity, or other hormonal conditions.Symptoms of low-T include:Change in sleep patternsReduced sex drive (low libido)Sexual dysfunctionInfertilityEmotional changesDecreased strengthWeight gainLow-T testing includes linking symptoms with testosterone blood levels.Treatment options for low-T include different forms of testosterone replacement therapy. Readers Comments 10 Share Your Story
Methods A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) statement. We searched 6 electronic databases between January 1990 and July 2016 and hand-searched reference lists for randomised controlled trials. Only patients with a diagnosis of erectile dysfunction were included. The mean differences between intervention and control groups were calculated for meta-analysis.
Be unable to get an erection at allGet an erection sometimesHave trouble keeping an erection long enough for sexLack desire for sex
Erectile dysfunction can be a sign of a more serious health problem, especially in middle-aged men.
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Methods A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) statement. We searched 6 electronic databases between January 1990 and July 2016 and hand-searched reference lists for randomised controlled trials. Only patients with a diagnosis of erectile dysfunction were included. The mean differences between intervention and control groups were calculated for meta-analysis.
There are many potential causes for erectile dysfunction, such as these conditions/circumstances: Vascular conditions: High blood pressure Elevated cholesterol Cardiovascular disease Diabetes Trauma: Spinal cord injury Pelvis injury Neurologic disease: Stroke Parkinson’s disease Alzheimer’s disease Radiation to the pelvis for cancer Endocrine: Hypogonadism (low testosterone) Hyperprolactinemia (high prolactin levels) Pelvis surgery: Radical prostatectomy (a surgical procedure for the partial or complete removal of the prostate) Surgeries for rectal cancer or bladder cancer Medication side effects: Antidepressants Antihypertensives (high blood pressure medicine) Antiandrogens (testosterone blockers) Antiarrhythmics (heart rhythm medicine) Alcohol Cigarette smoking Cocaine and marijuana Diabetes & ED View full infographic.
Picture of urethral suppository. The Medicated Urethral System for Erections (MUSE) is a small suppository that is placed into the urethra with this device. The suppository is very small, and users often question whether anything is in the device.
Hypogonadism is classified as either primary or secondary. Primary hypogonadism is caused by diseases or defects in the testicles that affect the production of testosterone. Secondary hypogonadism is due to problems in the hypothalamus or pituitary gland that cause high levels of the hormone prolactin. Hypothalamus and pituitary abnormalities also cause low levels of other hormones such as follicle-stimulating hormone and luteinizing hormone. These hormonal imbalances can result in low libido and ED.
There shouldn't be, said Eilber and other experts. Sex is a critical part of being human, and its significance is not just to procreate. Quality sexual activity has a major impact on your mental and emotional health, your quality of life and the strength of your intimate relationships. A series of studies backs this up, indicating sex and affectionate touch are critical for multiple aspects of well-being, such as feeling understood, cared for and accepted.
A German study found that 69% of men involved in a sleep apnea study also suffered from ED. Disruptions to breathing during sleep affect oxygen levels in the blood, which can cause problems generating an erection. Lack of sleep also disrupts hormone production.
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Learn about the symptoms of erectile dysfunction, treatment options, and the quickest way to help you resolve the condition. Health Categories Medical Slideshows Diseases & Conditions Symptoms & Signs Procedures & Tests Medications Healthy Living Vitamins & Supplements Image Collection Quizzes MedTerms Dictionary MedicineNet Privacy Policy About Us Contact Us Site Map WebMD Corporate WebMD WebMDRx Medscape Medscape Reference eMedicineHealth RxList OnHealth
The key to all of this is the endothelium, the inner lining of blood vessels that helps blood flow smoothly. Regular exercise has been shown to improve the way the endothelium works. The endothelium lines the blood vessels in the heart and the penis, explains Dr. Hellstrom, but the blood vessels in the penis are about one-third the size of those in the heart. So if you fail to have erections due to vascular problems, that indicates that you’re at risk for heart problems as well.
Physical disorders associated with erectile dysfunction can sometimes be related to hormones in the body. Non-hormonal causes include conditions that affect the blood supply to the penis (such as high blood pressure, type 1 or type 2 diabetes and smoking) and those that affect the nerves supplying the penis (such as Parkinson’s disease and damage to the nerves in the body e.g. due to both type 1 or type 2 diabetes). Erectile dysfunction can also be a side-effect of a medical intervention or treatment. Potential treatments that may be implicated in the cause of erectile dysfunction include certain antidepressants and treatment for high blood pressure (antihypertensives).
Erectile dysfunction (ED) is not new in either medicine or human experience, but it is often not easily or openly discussed. Cultural expectations of male sexuality inhibit many men from seeking help for a disorder that can usually benefit from treatment.
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.
ED can be frustrating in its own right, but it can also lead to any of the following:
If you have used drugs for any prostate ailment, you are susceptible to reduction in the size of your manhood. But you must be careful in having to go through the surgeon’s blade for any treatment.
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.
Studies have shown that strengthening these muscles by doing pelvic floor exercises can improve the hardness and duration of your erections. You can find a guide to pelvic floor exercises written by the UK’s National Health Service here.
Triglycerides are a common form of fat that we digest. Triglycerides are the main ingredient in animal fats and vegetable oils. Elevated levels of triglycerides are a risk factor for heart disease, heart attack, stroke, fatty liver disease, and pancreatitis. Elevated levels of triglycerides are also associated with diseases like diabetes, kidney disease, and medications (for example, diuretics, birth control pills, and beta blockers). Dietary changes, and medication if necessary can help lower triglyceride blood levels.
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Because it is a hydraulic device, it can give you the hardest erection possible. IPPs have high satisfaction rates among patients AND their partners. (Read this first-hand account from a happy patient.) And once you are done having sex, you push the button in the scrotum and it deflates.
Age (being over age 45)A family history of diabetesBeing of a race or ethnic group with a genetic predisposition for this type of diabetesBeing overweightHaving had prediabetes or gestational diabetesHaving other metabolic syndrome conditions such as high blood pressure, low HDL or "good" cholesterol, or high triglyceridesWhat lifestyle factors affect my chances of getting this type of diabetes?
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.
Priapism is sustained, painful, and unwanted erection that lasts for longer than 4 hours. PDE5 inhibitors pose a very low risk for priapism in most men with the exception of young men with normal erectile function. Priapism is an emergency situation that requires prompt treatment to prevent permanent damage to the penis.
There have been reports of fatal heart attacks in a small percentage of men taking PDE5 inhibitors. These medications can cause sudden and dangerous drops in blood pressure when the drug is taken with nitrate drugs, which are used for angina. Common nitrate drugs include nitroglycerine (Nitrostat), isosorbide mononitrate (Monoket), isosorbide dinitrate (Dilartrate-SR), and sodium nitroprusside (Nitropress). Men who use nitrates, including related substances such as amyl nitrate ("poppers"), should never take sildenafil, vardenafil, tadalafil, or avanafil.
Metabolic syndrome is a risk factor for ED in men older than age 50 years. It is a cluster of conditions that includes obesity and abdominal fat, unhealthy cholesterol and triglyceride levels, high blood pressure, and insulin resistance.
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When sexually stimulated/aroused, the nerves supplying the penis release a chemical, nitric oxide (NO). Nitric oxide is important because it stimulates the production of a chemical called cyclic guanosine monophosphate (cGMP). cGMP causes the muscle in arteries of the penis to relax and increase blood flow into the penis. NO is broken down in the body by phosphodiesterase enzymes. PDE5 inhibitors thus prevent the breakdown of NO and thus promote increased blood flow into the penis.
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