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
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Psychoteraphy is often the first form of treatment recommended for depression. Psychotherapy helps depression by helping people understand the behaviors, emotions and ideas that contribute to their depression, regain a sense of control and pleasure in life, and learn coping techniques as well as problem solving skills.
The definite verdict on testosterone therapy is still out. Testosterone therapy is accepted as a treatment for hypogonadism, a clearly defined medical condition.
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If you can’t get or keep an erection that lasts long enough or is rigid enough for sex, you have erectile dysfunction.
You probably already know that aerobic exercise is associated with a range of overall health benefits like weight loss, preventing vascular disease and improving mental health, but did you know that exercise is the lifestyle factor most strongly associated with erectile function and sexual health?
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In one study, 55 men with E.D. were either taught pelvic floor exercises with biofeedback and lifestyle changes (treatment group) or advised on lifestyle changes (control group). After six months, 40 percent of men who performed pelvic floor exercises regained normal erectile function (Dorey et al., 2005).
While oral medications are a common first step for therapy, they only tend to work in about 50 percent of men with diabetes. Diabetic men are more likely to move on to other treatment options, such as the pump, penile injection therapy, and penile implants. However, the penile implant has the highest satisfaction rate of all treatment options.
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Watching porn may extinguish erections in the bedroom. But the brain, not the penis, is the problem.
Melanie Radzicki McManus is a freelance writer who specializes in hiking, travel and fitness.
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A vacuum constriction device (VCD) is an external pump with a band on it that a man with erectile dysfunction can use to get and maintain an erection.
Often, men with ED benefit from talking to a therapist, especially if they suffer from depression, anxiety, or low self-esteem. If relationship problems are a factor, couples therapy may be useful.
"This is truly a medical issue we should be dealing with as part of someone's overall health and well-being," said Dr. Karyn Eilber, a urologist at Los Angeles' Cedars-Sinai Medical Center and a sexual wellness expert. "But there's still a stigma around the topic."
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The vacuum device is relatively well tolerated but may cause pain, bruising and numbness.
Stress, anxiety, depression and other mental health conditions can also lead to or worsen erectile dysfunction.
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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Though you're the one with ED, your partner is also affected. Talking openly about ED will help your partner understand the diagnosis and treatment options. This can reassure them that you haven't lost interest.
Pressure to use condoms could also have an impact upon sexual performance. Some men find that their penis is less sensitive to touch when using condoms, which may contribute to erectile dysfunction. Research has linked sexual dysfunction with less condom use and risky sexual behaviour, possibly for this reason.
Some men may be able to gain an erection by using this medication. It involves the placement of a small pellet into the urethra which may subsequently cause the penis to become engorged with blood. This medication proves to be efficacious in only about 30% of men. Medication price is also an issue.
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Prescriptions are heavily relied upon, having to be taken 15 minutes to 36 hours before sexual activity is initiated – not only reducing the spontaneity of one’s sex life but oftentimes fostering dependence.
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)
Tadalfil has the same side effects, except for the flushing and possible changes in vision. It can also cause back pain and muscle aches. For each of the medicines, headache is the most common side effect. Vision changes are the least common. Talk to your doctor if you have any side effect that bothers you.
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Pelvic floor exercises could help men overcome erectile dysfunction or premature ejaculation, physiotherapists say.
I’m only 35, but the other day I was being intimate with my partner the other day and had trouble maintaining an erection. I’m not ready for impotence this young! I thought ED was a problem just for older guys. What age does a man stop getting hard?
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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)
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Smoking contributes to the development of ED, mainly because it increases the effects of other blood vessel disorders, including high blood pressure and atherosclerosis. Smokers have an increased risk for ED compared with non-smokers. ED is more likely in those who smoke for longer periods of time or who are heavier smokers. In turn, quitting smoking can reduce this risk.
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.
If you have symptoms like needing to pee more often, you may also need to have an examination of your prostate. Treatment for erection problems depends on the cause
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.
Rarely, a doctor may perform an angiogram (injecting a dye into the arteries that supply the penis and taking X-rays to look for areas of narrowing of the arteries) in cases in which possible vascular surgery could be beneficial.
There are two main causes of ED: physical and psychological. Most doctors agree that the majority of cases are physical but it's also clear that many men with ED also quickly start to feel anxious, stressed or depressed. These feelings can easily make the symptoms of ED worse. Relationship conflicts Stress and anxiety Depression (90% of men affected by depression also have complete or moderate ED) Unresolved sexual orientation Sexual boredom
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Women who exercised up to six hours per week, in contrast, showed lower sexual distress and resistance in their clitoral arteries compared to women who did not exercise, according to a 2021 study published in The Journal of Sexual Medicine. The exercisers also showed significantly higher levels of desire, arousal, lubrication and orgasm.
Other drugs may be used to treat erectile dysfunctions such as self-injections of medication at the base of the penis, hormone replacement for low testosterone, or suppositories.
A hollow tube is placed over the penis and the air inside the tube is vacuumed out (manually or battery operated) using a pump. The vacuum pulls blood into the penis, leading to an erection. Once the erection is achieved, a tension ring is placed at the base of the penis to keep the blood in the penis to maintain and erection.
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The blood vessel processes that lead to an erection are controlled by your nervous system. Some medications can interfere with the nerve signals that make an erection happen. They include certain stimulants, sedatives, diuretics, antihistamines, and drugs to treat high blood pressure, cancer, or depression. But never stop taking a medication unless your doctor tells you to. Alcohol, tobacco, and illegal drugs, such as marijuana, may also contribute to ED.
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Learn More About Treatment for Erectile Dysfunction: Medication, Alternative and Complementary Therapies, Surgery Options, and More
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That might sound like a quirky bit of science clickbait — but the study's primary author warns that his findings could have broader consequences for wildlife and human health in the oilsands region in northern Alberta.
“The drugs work well in these patients because once they get their erectile function back, their confidence improves, their performance anxiety gets better, and they get better,” Dr. Walker says.
Erections that are too soft for sex.Erections that are don’t last long enough for sex.An inability to get an erection.
Medications inserted or injected into the penisVacuum devicesSurgery (limited to rare cases)
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Vidyut Jammwal is an action hero in Hindi cinema who advocates fitness not only for films, but as a way of life. Having gone to a sports school and been trained in India’s ancient martial art form Kalaripayattu, his strength and stamina know no bounds. In the hope to share his knowledge with thousands of his fans who were struggling to stay fit during the lockdown, he decided to start a YouTube channel last year. So far, he's posted crazy workout challenges, movements to improve balance and alignment and country boy exercises among other informative and inspiring videos.
In patients with low testosterone, testosterone treatment can improve libido and erectile dysfunction, but many men still may need additional oral medications such as sildenafil, vardenafil, or tadalafil. Some studies suggest that men with ED and low testosterone may respond better to PDE5 inhibitors when given testosterone therapy; however, this is controversial.
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).
Next, the researchers sat back and waited five years. Then they tracked down the men again and asked about their general health -- including any erection problems that had developed since the first questionnaire.
MedicineNet does not provide medical advice, diagnosis or treatment. See additional information. sexual health center/sexual health a-z list/erectile dysfunction ed impotence center /erectile dysfunction (ed, impotence) article Erectile Dysfunction (ED, Impotence) Medical Author: Pamela I. Ellsworth, MD Medical Editor: Melissa Conrad Stöppler, MD
Because each man’s situation is unique, the “best” treatment for ED can vary from patient to patient. Drs. Ahmad and Ali Kasraeian are committed to finding the most appropriate and effective erectile dysfunction treatment for each patient based on his specific needs, goals, and overall situation. During your initial consultation for ED treatment in the Greater Jacksonville area, Dr. Kasraeian will take a thorough health history, perform an examination, and order any necessary studies – including lab work or imaging – to determine the cause and severity of your condition. Based on this information, Dr. Kasraeian will discuss with you all of the available ED treatment options to find the one best suited to your needs.
Without adequate blood flow, erection problems can occur. In some cases, the erection is weak. In others, the man is unable to have an erection at all.
Viagra was introduced in 1998 (the others in 2003) and revolutionized the way that men and their partners looked at ED.
Tadalafil is effective in treating erectile dysfunction in men of all ages and has been shown to be effective in men with diabetes mellitus and erectile dysfunction after prostate cancer surgery. Studies demonstrated that tadalafil improved the ability to get a hard erection and to have the hard erection last long enough.
This is where Kegels come in: they are pelvic floor exercises that help strengthen these muscles, leading to pelvic floor activation, and can improve erectile function.
Pills you take by mouth, such as sildenafil (Viagra), vardenafil (Levitra, Staxyn), avanafil (Stendra), and tadalafil (Adcirca, Cialis). They work only when you are sexually aroused. They usually start to work in 15 to 45 minutes.Medicine inserted into the urethra or injected into the penis to improve blood flow. Very small needles are used and do not cause pain.Surgery to place implants in the penis. The implants may be inflatable or semi-rigid.A vacuum device. This is used to pull blood into the penis. A special rubber band is then used to keep the erection during intercourse.Testosterone replacement if your testosterone level is low. This comes in skin patches, gel, or injections into the muscle.
You need to pay attention to your night time erections. Do you wake up hard? Do you experience erections during the night? These are indications that your penis is receiving decent blood flow and is functioning properly. Getting out of your situation include:
Some ethnic groups have a higher inherited incidence of it. African Americans, Latinos, Native Americans, Asian Americans, and Pacific Islanders are all at increased risk.Other causes include unhealthy lifestyle habits, for example, if you:Eat too much sugar and carbohydratesEat or drink foods with artificial sweetenersDon't get enough exerciseAre under chronic, high stress If you have type 2, you can lower high blood sugar levels with diet, exercise, and oral drugs that either make the body more sensitive to insulin or help the pancreas release more insulin.In type 1 diabetes, the pancreas cannot make any insulin, and people have to depend on insulin injections to lower blood sugar.Over time, people with type 2 also can require insulin. This happens when the pancreas "wears out."
Are your portions deceiving you? Take the Food Portion Distortion Quiz to find out how and why gigantic portions trick you into eating more than reasonable amounts of food!
Depression: You can’t ignore the fact that mental health and sexual health are very closely related. In fact, men suffering from depression face sexual issues too. A study showed that such men fail to achieve the natural morning erection and their penis seems slightly curved from the tip and is less rigid [3].
Chemotherapy is the treatment of cancer with drugs that can destroy cancer cells. These drugs often are called "anticancer" drugs. Chemotherapy is often used with other treatments. Coping with side effects (fatigue, nausea, vomiting, pain, hair loss, infection, diarrhea, constipation, fluid retention, mouth and throat problems) are important to understand when undergoing chemotherapy treatment. It is important to eat well during chemotherapy, and get the support you need both during and after treatment.
The link between underlying chronic disease and erectile dysfunction is most striking with diabetes. Approximately half of the men with diabetes experience erectile dysfunction. Nevertheless, good blood sugar control can minimize this risk.
According to Harvard Health Publishing, walking for 30 minutes a day can slash a man’s likelihood of developing ED. Research shows that men who take 30-minute daily walks have a 41 percent lower risk of erectile dysfunction than men who don’t go for walks. Men don’t have to live in the gym to see benefits from exercise for ED.
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