If the medicines aren’t right for you, you could try using a penile implant, vacuum pump devices, or have surgery. Your doctor may send you to a urologist to talk about these options. How long will I have to take medicine for erectile dysfunction? What is the difference between tadalafil (Cialis), vardenafil (Levitra), and sildenafil (Viagra)? Are there any lifestyle changes I should make? How can I talk with my partner about my problem? Is there something I can do other than take medicine to help? What other medicines cause this problem?
The academic team, from James Cook University in Australia, found 47 of patients with ED admitted the exercises helped.
With regular pelvic floor exercises, your pelvic floor muscles will strengthen, and your sexual health can improve.
Exercise is good for the heart, blood pressure, joints, muscles, and improves your mood.
Stimulation of growth of the prostate (benign prostatic hypertrophy) and possible growth of existing prostate cancerSkin reactionsLimiting sperm production and shrinkage of testiclesOverproduction of red blood cells (which can contribute to a heart attack)Some studies have implicated testosterone in an increase in cardiovascular events.
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."
Some men with erectile dysfunction report having either a partial erection that is unable to sustain sexual intercourse, or the total absence of swelling of the penis. The severity of erectile dysfunction can be assessed using the International Index of Erectile Function (IIEF-5), which uses a questionnaire to grade ED as either mild, moderate or severe.
As described above, there are many risk factors and causes for ED. Therefore, our team investigates the potential causes for each patient thoroughly and independently to ensure the best possible outcome. Our work up for ED may include:
Surgery to repair arteries (penile arterial reconstructive surgery) can reduce impotence caused by obstructions that block the flow of blood to the penis. The best candidates for such surgery are young men with discrete blockage of an artery because of a physical injury to the pubic area or a fracture of the pelvis. The procedure is less successful in older men with widespread blockage of arteries.
Johns Hopkins Bloomberg School of Public Health: “18 Million Men in the United States Affected by Erectile Dysfunction.”
If it happens more often, it may be caused by physical health or emotional problems. Non-urgent advice: See a GP or go to a sexual health clinic if:
They're not always available on the NHS. Speak to a doctor about where to get a vacuum pump.
In many situations, identifying an underlying minor physical problem relieves the anxiety component of erectile dysfunction, and many patients see improvement without further intervention.
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.
ED is an extremely common issue and it doesn't have to be the end of your sex life. It can be treated, and even reversed, with a little help.
Book a free consultation with us at Oakwood Health Network, our specialists will evaluate your case and build a custom plan for diagnosis and treatment if needed. Previous Post Men’s Mental Health Month 2021 Next Post COVID-19 and Erectile Dysfunction: 6 Factors August 13, 2021 Dr. Manisha Sharma Dr. Manisha Sharma attended medical school at Queens University in Kingston, Ontario in 2007 before returning to her roots in Toronto to complete her residency in Family Medicine at the University of Toronto. Categories ED Diagnosis ED Prevention ED Treatment ED Treatment Specials Men's Health Mental Health Peyronie's Disease Prostate Cancer Tags