Erection problems are common. Almost all adult men have trouble getting or keeping an erection at one time or another. Often the problem goes away with little or no treatment. But for some men, it can be an ongoing problem. This is called erectile dysfunction (ED).
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You’re taking the first important step by researching ED online. But every man’s situation is unique, and a specialist is the best way for you to be diagnosed accurately.
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Medications inserted or injected into the penisVacuum devicesSurgery (limited to rare cases)
Inadequate production of testosterone is not a common cause of erectile dysfunction. But, when ED does occur due to decreased testosterone production, testosterone replacement therapy may improve the problem.
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Health care professionals do not routinely obtain imaging tests in the evaluation of erectile dysfunction.
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ED can be devastating to men regardless of their age and should always be taken seriously. The Massachusetts Male Aging Study, widely considered a landmark piece of research, showed ED to be more common than suspected. It is estimated that more than 300 million men globally will suffer from the condition in 2025.
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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.
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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.
The American Academy of Cardiology defines high blood pressure slightly differently. The AAC considers 130/80 mm Hg. or greater (either number) stage 1 hypertension. Stage 2 hypertension is considered 140/90 mm Hg. or greater.
Your physician team will work with your primary care physician, as well as your cardiologist, if ED is related to a heart problem. Providers may also recommend lifestyle changes, changing your prescribed medications or seeking mental health counseling to help treat the underlying causes of ED.
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Erectile dysfunction can be a warning sign of serious underlying disease. Research has found that erectile dysfunction is a strong predictor of heart attack, stroke, and even death from cardiovascular disease. All men with erectile dysfunction should be evaluated for cardiovascular disease. Notably, this does not mean every man with erectile dysfunction will develop heart disease, or that every man with heart disease has erectile dysfunction; however, erectile dysfunction patients should be aware of the link.
There are also ED medications that can be delivered directly into the penis, either via injection or a dissolvable pellet.
Bullet point: The relationship between the risk factors for CVD and ED are intimately interwoven, one with the other. Clinicians need to factor this in when counselling the man with ED.
It's natural to feel angry or embarrassed when confronted with erectile dysfunction. Remember too that your partner is also affected. Talking openly about erectile dysfunction with your partner will help them understand the diagnosis and treatment options (and will reassure your partner that you haven't lost interest). Zoran Milich/Allsport Concepts Fancy Plush Studios/Digital Vision Thomas Hoeffgen/Stone Brian Evans/Photo Researchers Inc Cristina Prdrazzini/Photo Researchers Inc Altrendo Images Robert Llewllyn/Workbook Stock Jeffrey Hamilton/Photodisc Dream Pictures/The Image Bank Glow Images Jose Luis Pelaez/Blend Images Lew Robertson/Brand X Thierry Dosogne/The Image Bank Corbis Photo Inc/ Age Fotostock Neville Sukhia Photography/Flickr Superstock Inc BSIP/Photo Researchers Inc Nucleus Medical Art, Inc. David Bluffington/Age Fotostock Smneedham/FoodPix DiMaggio, Kalish/Flirt Moodboard Marcus Lund/Cultura Reviews in Urology Journal: "Relationship Between Testosterone and Erectile Dysfunction" American Journal of Urology: "Erectile Dysfunction: AUA Guideline." Sept. 2018. NIH: "Definition & Facts for Erectile Dysfunction." July 2017. Maturitas: "Testosterone and sexual function in men." Jun 2018. Sooriyamoorthy, Thushanth and Stephen W. Leslie. StatPearls: "Erectile Dysfunction." Feb. 22, 2021. WebMD does not provide medical advice, diagnosis or treatment. See additional information
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.
Antioxidants can increase nitric oxide levels in blood vessels, increasing blood flow. Antioxidants have been shown to improve vascular and erectile function (Meldrum et al., 2012).
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If lifestyle changes and medications do not work, other treatments for ED include:
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There have been rare reports of priapism (prolonged and painful erections lasting more than six hours) with the use of PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil. Patients with blood cell diseases such as sickle cell anemia, leukemia, and multiple myeloma have higher than normal risks of developing priapism. Untreated priapism can cause injury to the penis and lead to permanent impotence. Therefore, if your erection lasts four hours, you should seek emergency medical care.
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• Medications, most commonly blood pressure medications (especially beta-blockers or thizides), anti-depressants (such as SSRI), anti-androgens, and a variety of other medications
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In a study that enrolled 25,906 men, men who consumed foods rich in flavonoids were less likely to report E.D. Flavonoids improve blood vessel function while lowering blood pressure. They have anti-inflammatory properties as well as the ability to modulate nitric oxide levels. When E.D. is caused by inadequate blood flow into the penis, reducing inflammation and dilating blood vessels is likely to help (Cassidy et al., 2016).
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Skeldon SC, Cheng L, Morgan SG, Detsky AS, Goldenberg SL, Law MR. Erectile dysfunction medications and treatment for cardiometabolic risk factors: a pharmacoepidemiologic study. J Sex Med. 2017;14(12):1597-1605. PMID: 29198514 pubmed.ncbi.nlm.nih.gov/29198514/.
All four of the PDE5 inhibitors (Viagra, Cialis, Levitra, and Stendra) are approved by the Food and Drug Administration for on-demand use for erectile dysfunction.
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:
Gerbild recommends giving up smoking, drinking less, and following a healthier diet in combination with exercise.
“We listen to the patient and partner, understand the cause of the problem and work with the couple to start treatment that works best for the patient,” says Dr. Honig. PDE-5 inhibitors (phosphodiesterase type 5 inhibitors): These are medicines which relax muscle cells in the penis and increase blood flow. Vacuum erection device: This pulls blood into the penis, causing an erection. The erection is maintained by placing an elastic ring at the base of the penis. Injection therapy: Doctors use a very small needle to inject medication directly into the side of the penis. This relaxes the muscle allowing for blood flow and is a highly successful. Minimally invasive penile implant surgery: which our experienced physicians routinely perform. Most patients recover full sexual function in six to eight weeks. Yale Medicine Urology has extensive experience in standard and complicated penile implant surgery.
Figures suggest more than half of men over the age of 50 have erectile dysfunction, which gets more common with age.
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If you are overweight or obeseIf you are sedentary (you don't exercise and are not physically active)If you watch more than 2 hours of TV per dayIf you drink artificially sweetened or sugar sweetened products. These products increase your risk by 26%-67%.Economic stress. People who live in the lowest-income circumstances have 2 1/2 times greater risk of developing the disease. QUESTION ______________ is another term for type 2 diabetes. See Answer
Stability ball is one of the most versatile exercise equipment out there. You can use it to stretch and strengthen any part of your body. Vidyut, for instance, has incorporated it into his kalari sutra workout. He has placed his feet atop it while being in a plank position and pushed his hips upward and downward in an alternate motion, so as to stretch and strengthen the joints. When you do this exercise, make sure you maintain proper balance and stop your legs from falling off the stability ball. Go down on all fours. Place your palms on the floor in line with your shoulders. Lift your legs off the floor and place them on a stability ball. Keep your elbows and knees straight. Raise your hips to make a mountain with your body. Lower your hips and bring them as close to the floor as possible without touching it. Repeat in a seamless motion.
The third and final exercise which may be of benefit if you have erectile dysfunction is pelvic floor exercise (Kegels).
No matter what the treatment, a healthy lifestyle is important for restoring and maintaining erectile function. This includes a heart-healthy diet, regular exercise, and engaging in activities that help reduce stress. Oral Medications (PDE5 Inhibitors)
Early detection is easier to treat and more likely to be cured, but PSA testing isn’t always accurate and…
Erectile dysfunction can be a sign of a more serious health problem, especially in middle-aged men.
Research suggests that avid bikers are more likely to get ED than other athletes. Some bicycle seats put pressure on the perineum, an area between the anus and scrotum full of arteries and nerves vital to sexual arousal. If you bike for many hours each week, get a seat designed to protect this area.
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Reluctance to seek treatment remains the major barrier to restoring full sexual function for men who have erectile dysfunction.
"We've demonstrated how the bone health measure, the penis bone, is tied to exposure to certain trace elements and to hydrocarbons," said Philippe Thomas, a wildlife toxicologist with Environment and Climate Change Canada.
Urine tests for individuals with diabetes is important to check for diabetes-related kidney disease and severe hypoglycemia. With proper monitoring of blood glucose levels, diabetic-kidney disease can be avoided. Sex Therapy Home Medical Reference Features Video Slideshows & Images Quizzes Health Tools Expert Commentary News Archive Erectile Dysfunction Home News Reference Slideshows Quizzes Questions & Answers Medications Find a Doctor Erectile Dysfunction Guide Overview Symptoms & Risk Factors Testing &Treatment Living & Managing Related to Erectile Dysfunction Diabetes Drug Interaction Checker Heart Disease Hypertension Living Healthy Low T Assessment Smoking Cessation In this Article What Is Erectile Dysfunction? Erectile Dysfunction Causes Erectile Dysfunction Symptoms Erectile Dysfunction Diagnosis Erectile Dysfunction Treatment
In rare cases, penile vascular surgery may be considered as treatment for ED. Two types of operations are most commonly performed:
Once you feel comfortable with this feeling, you can incorporate this into a daily routine of performing pelvic floor exercises. It won't take long, and will soon feel like second nature.
As HIV is associated with increased risk of heart disease, the link between erectile dysfunction and heart disease is of particular importance for men living with HIV. Impotence may be an early marker for undiagnosed heart disease. If you are living with HIV and having difficulty getting an erection, you should have a thorough cardiovascular risk assessment done and any risk factors for heart disease should be addressed.
Sildenafil (Viagra) 50 mg and 100 mg on demandTadalafil (Cialis) 10 mg and 20 mg on demand; 2.5 mg and 5 mg once dailyVardenafil (Levitra) 10 mg and 20 mg on demandAvanafil (Stendra) 50 mg, 100 mg, and 200 mgHow Do PDE5 Inhibitors Work?
Men with diabetes, high blood pressure, heart disease are at greater risk. ED also increases with age and may develop in men with an enlarged prostate and/or urinary incontinence. Sometimes it can develop following pelvic surgery, pelvic radiotherapy, pelvic trauma or spinal cord injury. smoking, high consumption of alcohol, high cholesterol levels, drug abuse, cycling, a sedentary lifestyle, obesity weak pelvic floor muscles
You get an erection when blood fills two chambers known as the corpora cavernosa. This causes your penis to expand and stiffen, much like a balloon as it is filled with water. Impulses from the brain and genital nerves start the process. Anything that blocks these impulses or restricts blood flow to the penis can cause ED.
Pelvic area muscles are the ones that help in increasing the blood flow to the groin and helps in maintaining erections. Strengthening the muscles with pelvic floor exercises can actually improve sexual functioning like erections, ejaculations, and orgasm.
“Street” drugs can dampen a man’s feelings of arousal as well as other sensations. Illicit drugs can take away the pleasure of sex and make a man impotent. Some men use drugs to cope with other issues that could be the root of their penile dysfunction. Using drugs only compounds a man’s difficulty in achieving and maintaining erections.
Sildenafil (Viagra) 50 mg and 100 mg on demandTadalafil (Cialis) 10 mg and 20 mg on demand; 2.5 mg and 5 mg once dailyVardenafil (Levitra) 10 mg and 20 mg on demandAvanafil (Stendra) 50 mg, 100 mg, and 200 mgHow Do PDE5 Inhibitors Work?
ProfileFriendsGroupsDiscussionsCommentsReading ChallengeKindle Notes & HighlightsQuotesFavorite genresFriends’ recommendationsAccount settingsHelpSign out Start by marking “Sexual Dysfunction: Natural Way To Manage Your Limping Weak Penis Into A Long Lasting Rod Forever: Foods For Erectile Dysfunction” as Want to Read: We’d love your help. Let us know what’s wrong with this preview of Sexual Dysfunction by Rene Rishel. Problem: It’s the wrong book It’s the wrong edition Other Not the book you’re looking for? Preview — Sexual Dysfunction by Rene Rishel Sexual Dysfunction: Natural Way To Manage Your Limping Weak Penis Into A Long Lasting Rod Forever: Foods For Erectile Dysfunction 0.00 · Rating details · 0 ratings · 0 reviews This book is not yet featured on Listopia. Add this book to your favorite list »
Picture of vacuum device in action. This image demonstrates the vacuum device in place. Note the presence of the constricting ring at the base of the penis.
Unfortunately, many men are reluctant to report erectile dysfunction (ED) to their partner, or physician, due to social stigmas associated with bedroom performance. ED, or the inability to maintain an erection, is much more common than the general population may realize and has a lot to do with men’s health. A Johns Hopkins study revealed that over 18 million men in the U.S. over the age of 20 experience difficulties having and maintaining an erection.
According to a survey taken by a hospital, about 5% of males that are more than 40 years of age have complete ED, and this percentage increases gradually up to 15 percent when the age reaches 70. And not only Erectile Dysfunction but the risk of other sexual problems also increases as the age of a man increases.
The penis is the male sex organ, reaching its full size during puberty. See a picture of the Penis and learn more about the...
The diagnosis of low-T is based on correlating a low blood level (300 ng/dl or below) with symptoms.
A meta-analysis of 36 744 men with ED in 12 prospective cohort studies found that the presence of ED significantly increased the risk of CVD, CAD, stroke and all-cause mortality, and the presence of ED was an independent risk factor for CVD. Ponholzer et al found that men with moderate to severe ED had a 65% increased relative risk for developing symptomatic CAD compared with men who did not have ED.26
If you are a diabetic and are pregnant you can have a normal, healthy pregnancy, but you need to take extra steps to avoid gaining excess weight and high blood sugars. Lifestyle habits (eating primarily vegetables and lean protein and exercising every day) will prevent problems during pregnancy. If you are a diabetic and become pregnant, monitor your blood sugar levels often. Talk with your doctor about exploring additional health care professionals, for example, a nutritionist, health coach, or naturopathic doctor about a healthy eating plan. If your blood sugar gets out of control you may:
There needs to be proper blood flow in the groin to make it hard or cause an erection. Working out improves the blood flow and helps in erection. But if you’re excessively working out or have any diseases like Peyronie disease, low libido, then you still can find problems in erection.
Lasting erectile dysfunction associated with COVID-19 has consequences beyond sexual activity. It can be an indicator of related disease of the heart and blood vessels, he said, and those suffering from it should tell a doctor and get a regular heart checkup.
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?
You can REVERSE Erectile Dysfunction instead of having to take a blue pill every time...which might not always work?
Do you know about all the serious issues with Viagra and their generic substitutes? Check out how a lot of informed men are able to regain full function without pills, shots, or surgery and go back to being intimate the natural way.
