Johns Hopkins Bloomberg School of Public Health: “18 Million Men in the United States Affected by Erectile Dysfunction.”
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Past and present medical conditions, surgeries, and medicationsAny history of psychological problems, including stress, anxiety, or depressionLifestyle factors, such as alcohol, drug, and dietary supplement use
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.
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The bottom line is that taking steps to keep your endothelium healthy will help you prevent or reduce your erectile dysfunction risk. Being more physically active is important to the health of your endothelium and, therefore, to the health of your heart and your penis.
But studies have shown that aerobic exercise can improve both endothelial function and NO production. This, by contrast, is great news for strong erections. And it gets better.
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Avanafil is the most recently FDA-approved PDE5 inhibitor to treat erectile dysfunction.
A doctor can help decide what medication(s) may be the best for the patient. This is an important step to do so the doctor can help choose the best and safest drug(s) and other treatments so that men with other medical problems can get individualized care appropriate for their medical conditions. Read Doctor's View Readers Comments 12 Share Your Story
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In this study, ED proceeded CVD in almost 70% of cases. Similarly, many men with ED have been found to have pre-existing CVD. A study by Vlachopoulos et al evaluated the incidence of asymptomatic CVD in 50 men with ED.22 These authors found that 19% of men with ED had asymptomatic CVD. Similarly, Mulhall and colleagues found that 20% of men presenting with ED and vascular insufficiency on penile duplex had asymptomatic CVD.23
Did you know that around 5% of men aged 40, and 15% of men aged 70 have complete erectile dysfunction?
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Our doctors, including Dr. Honig, are leaders in the field and stand at the forefront of research in men's health issues.
Erectile dysfunction (ED) is most often characterized by the inability to achieve and/or maintain a reliable, firm, prolonged erection that is adequate for sexual activity. For some men, problems with erections are isolated or situational, while others experience chronic ED due to an underlying condition or mechanical abnormality. Oftentimes, ED is multifactorial, meaning there is more than one factor contributing to the patient’s symptoms. Some of the most common erectile dysfunction risk factors and causes include: Hormone imbalance/low testosterone Andropause Age Poor circulation Heart disease Obesity Certain medications Drug/alcohol use Psychological factors Stress/anxiety Trauma Previous surgery/prostate surgery
Alprostadil, available as an injection or a suppository, is a drug that makes the blood vessels expand. That boosts blood flow throughout the body, including the penis, so it helps men with ED have an erection.
The most common sexual problem in men as they age is erectile dysfunction (ED). In general, the younger a man is, the better his sexual function will be.
The stress of erectile dysfunction and its toll on self-confidence and/or a relationship can be hard to deal with. Speaking to a psychologist or counselor about how to cope emotionally can be of great benefit to some people.
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An erection problem occurs when a man cannot get or keep an erection that is firm enough for intercourse. You may not be able to get an erection at all. Or, you may lose the erection during intercourse before you are ready. Erection problems do not usually affect your sex drive.
Treatment for type 1 diabetes is insulin, and treatment for type 2 diabetes are lifestyle changes like eating a healthy diet, getting exercise daily, and if necessary, diabetes medications.
Erectile dysfunction, commonly called impotence or ED, can happen for many reasons — excessive alcohol consumption, stress, aging or even relationship problems. However, if you are regularly having issues getting and keeping an erection, it could be a physical problem, not a psychological one. The urology team at MultiCare can help get your sexual function back on track.
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Other treatments also have possible side effects and complications. Ask your provider to explain the risks and benefits of each treatment.
Erectile dysfunction is a frustrating condition where your penis cannot get or maintain an erection firm enough for sex. There is no specific treatment to reverse damage to blood vessels caused by diabetes, there are several options to help you have erections.
Heart disease, atherosclerosis, high blood pressure, and high cholesterol levels are major risk factors for ED. Peripheral artery disease (PAD), a form of atherosclerosis, is very common in men who have ED. In fact, erectile problems may be a warning sign of these conditions in men at risk for atherosclerosis. Men who experience ED due to vascular causes have a greater risk for angina, (chest pain due to low oxygen levels in the blood), heart attack, and stroke.
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A small number of men have experienced sudden hearing loss in one ear, sometimes accompanied by ringing in the ears and dizziness. If you have this symptom, immediately contact your doctor.
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To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzes reviews to verify trustworthiness. View Image Gallery 5.0 out of 5 stars Informative and Detailed! Reviewed in the United States on October 13, 2021 Top reviews Most recent Top reviews Reviewed in the United States on October 13, 2021 Erectile dysfunction is more common than we think and there are multiple factors that can cause it. Its consequences, though, are not only related to sexual intercourse.
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Besides PDE5 inhibitors and among second-line therapies are VCDs which are clear plastic chambers placed over the penis, tightened against the lower abdomen with a mechanism to create a vacuum inside the chamber. This directs blood into the penis. If an adequate erection occurs inside the chamber, the patient slips a small constriction band off the end of the VCD and onto the base of the penis. An erection beyond 30 min is not recommended. These devices can be a bit cumbersome, but are very safe.40
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Mayo Foundation for Medical Education and Research. (2021, August 21). Erectile dysfunction. Mayo Clinic. Retrieved October 14, 2021, from https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/diagnosis-treatment/drc-20355782.
Brittle penis bones could impair the species' ability to reproduce, affecting other species up and down the food chain.
Spinal cord injury and pelvic trauma, such as a pelvic fracture, can cause nerve damage that result in ED. Other conditions that can injure the spine and cause ED include spinal cord tumors, spina bifida, and a history of polio.
Learn More About Diagnosing Erectile Dysfunction: Tests and Screenings, Early Diagnosis, and Your Doctors
men taking erythromycin or ketoconazole should not take more than 5 mg of vardenafil in a 24-hour period;men taking high doses of ketoconazole (Nizoral) should not take more than 2.5 mg of vardenafil in a 24-hour period;men with moderately severe liver disease also should not take more than a 5 mg dose of vardenafil in a 24-hour period;men taking the protease inhibitor (for the treatment of HIV/AIDS) indinavir (Crixivan) should not take more than 2.5 mg of vardenafil in a 24-hour period; andmen taking another protease inhibitor ritonavir (Norvir), erythromycin, or ketoconazole, should not take more than 2.5 mg of vardenafil every 72 hours.
Since the penis arteries are very small, they tend to become diseased prior to the larger coronary (heart) or carotid (neck) arteries. Thus, erectile dysfunction is yet another sign of vascular disease predating heart attacks and strokes. In other words, patients who develop ED, are at higher risk of having a heart attack or a stroke in the future.
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2Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J. 2018;39:3021–3104.
Citrulline is an amino acid. It is a precursor to L-arginine, an amino acid that dilates blood vessels and increases blood flow. Despite the fact that citrulline is not a component of muscle, it appears to stimulate muscle growth (Bahri et al., 2013). Increasing blood flow and muscle mass are two advantages that will help you lose weight and improve your cardiovascular health.
No effect on libido (desire) or sensationPenile Injection TherapyRefrigeration not required for some of the therapies
Many medications can cause or contribute to erectile dysfunction, including certain blood pressure drugs, antidepressants, and tranquilizers. Men with erectile dysfunction should talk with their doctor if they suspect a prescription or over-the-counter drug may be causing erectile problems. Born This Way? Physiology and Erectile Dysfunction
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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As you seek solutions to impotence, you will undoubtedly run into male enhancement recommendations, possibly suggesting penis exercise to improve your erections.
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In the 14 years or so since Viagra was introduced in 1998, the number of men diagnosed with erectile dysfunction (ED) has increased by a whopping 250 percent. Men are realizing more and more that they’re not alone and that they have options. Aside from pills like Viagra, Levitra, and Cialis, for example, there are surgical, therapeutic, even do-it-yourself treatments that can bring back that lovin’ feeling. "Some older ED treatments are actually being used more than ever, especially for men who can't take the pill," says Michael Feloney, MD, a urologist at the Nebraska Medical Center in Omaha. Read on to find out about nine common remedies for ED, plus the truth about which ones live up to the hype and which fall flat.
OverviewWhat is erectile dysfunction?What are the risk factors for erectile dysfunction?How is erectile dysfunction treated?What else should you know about ED?What makes Yale Medicine’s approach to treating erectile dysfunction unique?
A physical. It will include an examination of your penis and testicles.Blood and pee tests. These check for problems like diabetes, heart disease, and low testosterone.A mental health exam. This can reveal whether you have stress, depression, or other issues that could lead to ED.An ultrasound. This allows your doctor to see whether blood flow problems are affecting your penis.Erectile Dysfunction Treatment
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Feeling dizzy or light-headedDifficulty concentrating or making decisionsFeeling sweaty or clammyVision changes, like blurring or narrowing of the visual fieldFeeling physically weakFeeling sleepyFeeling irritable
A feeling of unease, such as worry or fear, which can be mild or severe. Anxiety disorders are conditions in which anxiety dominates a person’s life or is experienced in particular situations.
Exercises should not cause any pain whatsoever. If you do experience pain, stop the exercises immediately, and seek medical help.
Radiation therapy is a cancer-fighting technique. In radiation therapy, a radiation oncologist uses high-energy rays to kill cancer cells and stop them from growing and dividing. The two types of radiation therapy are external and internal. Potential side effects of radiation therapy include: tiredness, rash, skin redness, permanent pigmentation, scarring, diarrhea, and a reduction in white blood cells.
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?
There are hundreds of medications that have the side effect of ED and/or decreased libido. Examples of drugs implicated as a cause of ED include hydrochlorothiazides and beta-blocking agents. Medications used to treat depression, particularly the SSRIs such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Prozac Weekly, Sarafem), fluvoxamine (Luvox, Luvox CR), paroxetine (Paxil, Paxil CR, Pexeva) and sertraline (Zoloft), may also contribute to ED.9 Bupropion (Wellbutrin) which has a predominant effect on blocking the reuptake of dopamine is an antidepressant with lower incidence of ED.10 The side effects of 5ARIs occurring in fewer than 5% of patients can include gynaecomastia, ED, loss of libido and ejaculatory dysfunction.11
Half of men with diabetes will experience ED within 10 years of their diagnosis. High blood sugar levels can damage the nerves that control sexual stimulation. They can also damage the blood vessels needed to provide adequate blood flow to the penis in order to have and maintain an erection.
These are the conclusions of a new study where scientists have reviewed almost 2,000 scientific studies published between 2006 and 2016.
Radiation therapy is a cancer-fighting technique. In radiation therapy, a radiation oncologist uses high-energy rays to kill cancer cells and stop them from growing and dividing. The two types of radiation therapy are external and internal. Potential side effects of radiation therapy include: tiredness, rash, skin redness, permanent pigmentation, scarring, diarrhea, and a reduction in white blood cells.
Your sexual drive or performance can be affected by depression, stress or anxiety, relationship problems, embarrassment or guilt. Psychological causes may be particularly relevant for men living with HIV as there are specific psychological stressors linked to having HIV, such as the fear of transmitting it to others, the stigma surrounding infection, concerns about discussing your status with others, and body image changes. These can potentially affect your feelings about sex.
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.
Penile tissue is like other tissue: Oxygen is good for it. But unlike, say, muscles in the forearm, the corpora cavernosa tissue spends no more than three hours a day -- a good day -- fully oxygenated.
This problem affects men of all ages, but as men get older, there is a greater chance of developing erection problems. Population studies show that nearly 20% of men over age 20 and about 50% of men over the age of 50 have ED. The primary cause of ED is poor circulation to the penis. Just as poor circulation to the heart may result in a heart attack, so too in ED, the penis often suffers from lack of adequate circulation which results in poor erections. Age High Blood Pressure Diabetes Smoking High cholesterol Cardiovascular disease such as previous heart attacks or strokes
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Quitting smoking, exercising regularly, losing excess weight, curtailing excessive alcohol consumption, controlling hypertension, and optimizing blood glucose levels in patients with diabetes are not only important for maintaining good health but also may improve or even prevent progression of erectile dysfunction. It is unclear if such lifestyle changes can reverse erectile dysfunction. However, lifestyle improvements may prevent progression of the erectile dysfunction. Some studies suggest that men who have made lifestyle improvements experience increased rates of success with oral medications.
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