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While ED is not life threatening, the condition may result in withdrawal from sexual intimacy, reduced quality of life, decreased working productivity, and increased healthcare utilization. Patterns of care may shift away from surgical and device therapies provided by urologists and toward pharmacologic treatments and/or multidisciplinary approaches. With men increasingly seeking to preserve sexual function and quality of life as they age, the treatment of ED will take on even greater importance in the years to come.
Physical disorders associated with erectile dysfunction can sometimes be related to hormones in the body. Non-hormonal causes include conditions that affect the blood supply to the penis (such as high blood pressure, type 1 or type 2 diabetes and smoking) and those that affect the nerves supplying the penis (such as Parkinson’s disease and damage to the nerves in the body e.g. due to both type 1 or type 2 diabetes). Erectile dysfunction can also be a side-effect of a medical intervention or treatment. Potential treatments that may be implicated in the cause of erectile dysfunction include certain antidepressants and treatment for high blood pressure (antihypertensives).
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“Kegel exercises for men: understand the benefits.” Mayo Clinic. Retrieved from: http://www.mayoclinic.org/healthy-lifestyle/mens-health/in-depth/kegel-exercises-for-men/art-20045074
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This book works because every piece of advice we provide has a simple anatomical or biological explanation, and all that's asked of you is to put in a little bit of physical exercise to get the result you want. There are no magical solutions here. You are required to learn the precise techniques for performing these exercises, follow our holistically designed workout routines, make a few specific lifestyle changes, and in the end, your penis function will be better than ever.
It's more likely to be an emotional problem if you only have erection problems some of the time. For example, you get an erection when waking up in the morning, but not during sexual activity.
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6. Watermelon is natural Viagra; it has citrulline content that helps to relax blood vessels and promote the flow of blood to the penis. Cut the outer skin of the watermelon in small pieces and run through a juicer and drink the juice; this is an effective way to fight erectile dysfunction.
Weight loss (calories are burned as a result of increases in lean body mass and basal metabolism)Prevention and management of diabetes (which is associated with ED)3. Pelvic floor exercises (aka Kegels)
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Serum testosterone levels should be followed during treatment. An initial 3 months trial is most often recommended. Prostate specific antigen testing or PSA (for prostate cancer) must be done before treatment and periodically after that. Liver functions test and lipid profiles should also be monitored.
Once the endothelium or smooth muscle becomes damaged, the penis may not function normally, even with adequate blood flow. Atherosclerosis (hardening of the arteries) is also more likely to develop. Plaque builds up on the artery walls, which can slow down or completely block blood flow.
Erectile dysfunction, also known as ED or impotence, is defined as the inability to maintain a penile erection sufficient for successful sexual intercourse. Achieving an erection is a complex process involving the brain, hormones, nerves, muscles, and blood circulation. If something interferes with this process, the result can be erectile dysfunction. SLIDESHOW Sex-Drive Killers: The Causes of Low Libido See Slideshow Being able to achieve an erection sometimes but not every time you want to have sex Being able to achieve an erection that doesn’t last long enough for intercourse Being unable to achieve an erection at all
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One must be very careful using both PDE5 inhibitors and medications commonly used to treat an enlarged prostate, alpha-blockers (for example, tamsulosin [Flomax], terazosin [Hytrin]). It is recommended that one be on a stable dose of the alpha-blocker prior to starting a PDE5 inhibitor and that one start on a low dose of the PDE5 inhibitor and increase as tolerated and needed to treat the erectile dysfunction. Similarly, if you are on a PDE5 inhibitor and your doctor recommends that you start an alpha-blocker for your prostate, you should start at a low dose and increase as tolerated and needed to treat your prostate symptoms.
A number of medical conditions share a common problem with ED, such as the impaired ability of blood vessels to open and allow normal blood flow.
Erectile dysfunction could be a symptom of “long COVID,” he said, an array of symptoms that can last months after the initial coronavirus infection. Common symptoms of long COVID include difficulty breathing, chest pain, heart palpitations and loss of smell or taste.
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
When you're working out regularly, you develop more endurance. That's important for your sexual health, because having sex is in itself a workout. The Mayo Clinic compares a bout of sexual intercourse to climbing two or three flights of stairs. And a study by the National Institutes of Health says a half-hour of sexual activity can burn 125 calories for men and nearly 100 for women, similar to walking at a 3 mile-per-hour pace.
Another second-line therapy is the use of alprostadil, either intracavernosal or intraurethral. Two products are available for direct injection, Caverject (Pfizer) or Edex (Actient). A small needle is used to inject the medication into the lateral aspect of the penis through a small-gauge needle.
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If ED comes from a blocked artery leading to the penis, surgery can restore blood flow. The procedure usually works best on men under 30. Doctors don’t recommend it for older men with widespread narrowing of the arteries.
It is estimated that ED occurs in 10% of healthy men without any apparent physical cause. This is known as idiopathic ED. the blood supply to the penis, hormonal abnormalities, interruption of normal nerve supply, certain medications, psychogenic factors weak or tight pelvic floor muscles.
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.
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There are several different types of injection therapy ranging from injection of a single chemical (monotherapy) to a combination of chemicals, Bimix and Trimix. The selection of which therapy to use will vary with the severity of your erectile dysfunction and whether or not you tried and had pain with MUSE.
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I like this book because it is informative, educational and clearly written. We've all seen those late night erectile dysfunction advertisements on TV, and you've probably heard them on the radio too. ED is something that many men deal with, but immediately turning to a blue pill may not always be the answer. This book outlines natural remedies for ED through diet and exercise. These methods are for men who want to take initiative to gain a better understanding of their bodies and how they function. This book is easy to follow and easy to read. It is written in laymen terms and seems pretty down to earth. The information is educational and the techniques make sense but are so easily overlooked. I'm glad that I read this to gain more insight on a common issue many don't feel comfortable talking about. Very informative and explains ways to improve Erectile Dysfunction with diet and exercise. As always still see your doctor because you still should know if it maybe related to health issues.
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If you have high blood pressure you are at risk of developing life threatening diseases like stroke and heart attack.
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Figure: Penile blood flow velocity across blood pressure categories in treated and untreated men
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These are the conclusions of a new study where scientists have reviewed almost 2,000 scientific studies published between 2006 and 2016.
With this alternative ED treatment, there are no expensive prescriptions to remember to take or refill, and no penile implants or surgery. There are none of the harmful side effects with this ED treatment as with oral drugs.
2. Strengthen the pelvic floor muscles: Once you have located your pelvic floor muscles, try squeezing them for three seconds, then relax for three seconds. Try it in your seat now.
Oral drugs Popular medicines like sildenafil (Viagra), tadalafil (Adcirca, Cialis), vardenafil (Levitra, Staxyn), and avanafil (Stendra) work by boosting the effects of nitric oxide — a chemical that relaxes muscles in the penis. Note that drugs in this class (PDE-5 inhibitors) are contraindicated in patients who take nitrates in any form, because the combination can lead to severe hypotension.
It is very important to treat any underlying health conditions that may be causing ED. It is also important to engage in healthy lifestyle behaviors by eating right, staying physically active, reducing stress, and stopping smoking and substance abuse.
You can usually get an erection within five to 10 minutes of injecting this medicine. Your erection should last between 20 minutes to an hour.
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A GP might recommend sex therapy, either on its own or in combination with other psychotherapy.
Last year, however, the Lucarellis sensed something was wrong. “Things just weren’t the same,” says Leah, an advanced practice registered nurse. “We attributed it to the fact that we are both working parents. We both have stressful jobs and anxieties. It wasn’t until we tried to have a second child that we started to ask, ‘What’s going on here?’ We had been trying for a year and a half.”
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
Knee fallouts. Start by lying down, knees bent and feet flat on the floor. Clench your lower pelvic muscles, and lower one knee sideways towards the floor. Repeat five times on each knee.Supine foot raises. These might not sound like a penis-related exercise, because they're not, but it helps with pelvic floor activation. Start in the knee fallout pose, then slowly raise one foot, keeping your torso still. Slowly lower, and repeat with the other leg.Pelvic curl. You might know these as bridges, and this one also starts with the same technique of lying on your back, legs hip-width apart. Squeeze and lift your buttocks in the air, keeping your hip width stable, tensing the pelvic floor muscles. Slowly lower, and repeat.Tips for maximising the sexual benefits of Kegel exercises
The doctor will perform a physical exam, including examination of the genitals and a digital rectal examination (the doctor inserts a gloved and lubricated finger into the person's rectum) to check for prostate abnormalities. The doctor will also examine your breasts and thyroid gland. The doctor should check your blood pressure and evaluate your blood circulation by checking the pulses in your legs.
Blood tests, for example, the hemoglobin A1c test (A1c test) and urinalysis can diagnose the type of diabetes the person has. Diabetes during pregnancy, called gestational diabetes, should be managed by you and your OB/GYN or another healthcare professional.
There have been rare reports of priapism (prolonged and painful erections lasting six or more hours) with the use of PDE5 inhibitors. 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 care.
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People with diabetes can manage and prevent low or high blood sugar levels (hyperglycemia or hypoglycemia) by keeping a log of your blood sugar levels when you are eating and fasting and eat foods that are high in carbohydrates and sugar, for example, buttered potatoes, candy, sugary desserts, and fatty foods.
Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex, feeling stressed either at home or at work, or feeling troubled in your current sexual relationship. In these cases, treatment incorporating psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress, leading to further erectile failure. Los of desire or interest in sexual activity can be psychological or due to low testosterone levels.
Erectile dysfunction can result from a number of factors such as medical conditions, psychological conditions, certain medical treatments, injuries and drug and alcohol use. While most cases of erectile dysfunction are caused by physical issues, sometimes a combination of physical and psychological issues can contribute to developing the condition.
The NHS says PE falls into two categories - primary or secondary, based on whether men have always had the issue or it recently developed.
Drug therapy with oral PDE5 inhibitors is the main treatment for ED. Sildenafil (Viagra), vardenafil (Levitra, Staxyn), tadalafil (Cialis), and avanafil (Stendra) are the PDE5 inhibitor drugs approved for treating ED. In general, if a man is a candidate for PDE5 inhibitor therapy and is satisfied with the results, no further treatment is necessary.
Neurological problems: Suffering from stroke, neck or back injuries also have a similar effect on the penis as reduced circulation and restricted blood flow interfere with most of its normal functioning.
When 3724 men were questioned about their dietary habits, men who reported a higher caffeine intake were less likely to report E.D. However, this study was based on self-reported data and was not a prospective study (Lopez et al., 2015). Caffeine is a vasoconstrictor, which means that it can reduce blood flow into the penis. Further study is needed to determine whether caffeine improves or worsens E.D. symptoms.
Bullet point: In men with ED, assessing androgen status is a simple evaluation, and therapy when indicated can be beneficial, and in most men, safe.
Depending on the symptoms elicited, further investigations including blood tests will be performed. These blood tests will include a check of testosterone (which is best checked first thing in the morning, preferably after fasting), as well checking other hormones, including thyroid function and blood sugar (or glycosylated haemoglobin, HbA1c, which may be used to check for diabetes).
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Penile implants: Penile implants are devices that are fitted on both sides of the penis via a surgical procedure. These devices make the penis firm but allow it to bend as well.
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Recently, the US Food and Drug Administration (FDA) has issued a safety announcement regarding TRT. In part it reads ‘The benefit and safety of these medications have not been established. We are also requiring these manufacturers to add information to the labeling about a possible increased risk of heart attacks and strokes in patients taking testosterone.’37
My close friends were so supportive. I was so surprised - for years I’d imagined they just take the piss out of me - but actually they were mostly just sad that I hadn’t told them sooner.
About 40% of men are affected by erectile dysfunction at age 40, and nearly 70% of men are affected by ED by the time they turn 70.
Vacuum erection devices, also called vacuum constriction devices, are another option for men with ED. They are available without prescription and have a high success rate, but are cumbersome and may be difficult to use for some men. They typically work as follows:
Penile implants or abnormally shaped penisBlood cell conditions that may cause priapism (abnormally long-lasting erections) such as sickle cell anemia, leukemia, or multiple myelomaBleeding abnormalities or the use of medications that thin the blood, such as heparin or warfarin
Picture of vasodilator injection into penis. A vasodilator such as prostaglandin E1 can be injected. If the blood vessels are capable of dilating, a strong erection should develop within five minutes.
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Exercise is an essential part of maintaining erectile health. It protects against cardiovascular disease, which is the leading cause of ED, and has a myriad of other benefits such as reducing body weight, managing blood glucose levels, and reducing “bad” cholesterol.
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.
Exercise that results in losing weight, particularly around the waistline, can cut a man’s risk of ED. A man with a 32-inch waistline has only half the likelihood of erectile dysfunction as a man with a 42-inch waistline. Losing excess weight is one of many factors that can affect penile dysfunction.
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Individuals must remove the rubber band immediately after completing intercourse. Leaving the band on too long can harm the penis. Rarely, bruising of the penis or blood in the ejaculate/urine may occur.
Surgery is an option in some cases of erectile dysfunction. Most surgery cases are performed for one of three reasons: to implant a device to initiate erections; to reconstruct arteries and increase penis blood flow; to block off veins that allow blood to leak from the penile tissues.
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