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.
Erectile dysfunction can cause stress, self-confidence, and relationship problems. It's no wonder men are embarrassed to talk about it and often seek solutions on their own. Urologist Dr. John Smith says a majority of th... View More in Health Feed Site Links Find an Interpreter About Us Academics & Research Billing Jobs Giving Maps & Directions Newsroom Referring Providers Helpful Links Patient Rights & Responsibilities Disclaimer Privacy Statement DNV GL Public Information Policy Statement Non-Discrimination Policy Surprise Billing Rights Webmaster Facebook Twitter Youtube
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Being able to enjoy sex without worrying about losing my erection has been mindblowing. But sometimes I question whether getting an implant was the right decision. It’s not reversible, so if a cure for ED comes out in 20 years’ time, I’m stuck with it.
Social attitudes that suggest that having a particular illness or being in a particular situation is something to be ashamed of. Stigma can be questioned and challenged.
Stopping urination midstream is one way of tightening the muscles, building their strength and control. Drawing the testicles upwards is another.
Also, it is important to remember that there are psychogenic issues such as performance-related issues, traumatic past experiences, relationship problems, anxiety, depression and stress that can certainly cause or be considered a comorbid condition contributing to ED.
The diagnosis of erectile dysfunction is made clinically, based on a patient’s symptoms. It therefore is important for patients to be evaluated by their GP in the first instance. At this appointment, a full history will be taken from the patient regarding the current symptoms and other medical issues. Regular medications will also be reviewed to ensure that there are no contributing factors. Questions regarding alcohol intake and smoking will also be asked. A general physical examination will be performed by the GP, which may include checking blood pressure and an examination of the genitals. Examination of the vascular system and peripheral nervous system may also be undertaken.
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Pelvic floor exercises tighten the muscles around the base of the penis. These muscles exert pressure on the blood vessels that drain the penis. Tightening these muscles can help keep blood in the penis longer and therefore help maintain an erection. Pelvic floor exercises (also called Kegel exercises) can tighten the muscles that sag and weaken as we age (Meldrum et al., 2014).
The third and final exercise which may be of benefit if you have erectile dysfunction is pelvic floor exercise (Kegels).
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.
Stanton Honig, MD, a urologist and director of the Men’s Health Program at Yale Medicine, uses duplex Doppler ultrasound to evaluate penile blood vessels and assess whether a patient has early blood flow problems to the penis.
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)
L-citrulline can be converted to L-arginine in the body. L-arginine widens blood vessels, increasing blood flow.
While many cases of ED are caused by medical conditions that can’t be cured, various treatment options can help restore sexual function.
Scar tissue (the protein collagen) also can build up in the fibrous sheathe that surrounds the chambers in the penis involved in erections. Blockages within these chambers can result in smaller erections. Being overweight is another reason for shrinkage due to accumulation of fat in the lower abdomen which makes the flow of blood into the penis poor hence the brevity of your erection. Closely related to age induced cause of two-minute erection and shrinkage has to do with medical condition and your lifestyle.
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.