Suppose you find that dietary and exercise changes are not enough to restore your erectile function to normal. In that case, we hope you will consider contacting the telemedicine professionals at Invigor Medical to learn more about the wide range of medical treatment options that can supplement your dietary and exercise regimen.
When a man orgasms, another set of nerves will create a signal. When this signal reaches the penis it causes the muscular tissues of the penis to begin to contract. The blood is then released back into circulation. At this time the erection will go down. .
Rew KT, Heidelbaugh JJ. Erectile dysfunction. Am Fam Physician. 2016;94(10):820-827. PMID: 27929275 pubmed.ncbi.nlm.nih.gov/27929275/.
Noticing a lack of intimacy with your partner? Here we explore how stress, lack of sleep, weight gain, depression and low T can...
If medications are causing ED, discuss with your doctor whether to change to a different medication or reduce the dosage.
Commercials for drugs to improve “low T,” or testosterone, the male hormone, are now vying for airtime, but they address desire, not performance. "Male hormone is not an approved treatment for erectile dysfunction," notes Bennett. "It may be used to increase desire in men who have low testosterone, but it doesn’t improve blood flow to an erection." A doctor can do a blood test to check you for low testosterone, but it is a rare cause of ED. Hormone therapy with injections, patches, or gels applied to the skin may improve mood and sex drive, but it likely won’t fix any mechanical issues. Also, testosterone drugs should not be used by men with prostate cancer. Side effects include acne, breast enlargement, prostate enlargement, and fluid retention.
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.
While the ED experience might feel overwhelming, know that there are medically backed treatment options available for erectile dysfunction.
Men with diabetes, radical prostatectomy, and other complicating factors may still benefit from treatment with a phosphodiesterase type-5 inhibitor such as Viagra. Patients who fail a trial of PDE5 inhibitor should be informed of the benefits and risks of other therapies. This of a different PDE5 inhibitor is unlikely to have a profound effect on sexual function and someone who fails a first drug trial, but should be considered in selected cases. Second-line therapies include intra-urethral suppositories, intra-cavernous drug injection, vacuum-constriction devices, and penile prosthesis. Medicated Urethral System for Erection (MUSE). MUSE is an intra-urethral suppository of alprostadil, of vaso-active drug that relaxes smooth muscle in the penis and induces penile erection. Although not as effective as intra-cavernosal penile injection, MUSE is a less invasive treatment option. An initial trial dose of intra-urethral alprostadil should be administered under healthcare provider supervision due to the risk of fainting. The cost of intra-urethral suppositories is high with respect to the overall success and therefore should be used judiciously.
To see an improvement in erectile dysfunction, one research paper recommended that those experiencing ED engage in aerobic exercise “of moderate to vigorous intensity 4 times per week for 40 minutes”.
Berglund stressed that it had not been proved that COVID-19 causes erectile dysfunction.
Aside from age, risk factors for developing ED include smoking, obesity, diabetes, cardiovascular disease, inactive lifestyle, cancer, stroke, and taking certain medications such as antidepressants or beta-blockers. Annals of Internal Medicine. Sexual Function in Men Older Than 50 Years of Age . 5 August 2003. 28 December 2018 . Cunningham, MD, Glenn R and Raymond C Rosen, PhD. Overview of male sexual dysfunction. 18 April 2018. 28 December 2018 . JOHANNES, CATHERINE B, et al. INCIDENCE OF ERECTILE DYSFUNCTION IN MEN 40 TO 69 YEARS OLD: LONGITUDINAL RESULTS FROM THE MASSACHUSETTS MALE AGING STUDY. 1 February 2000. Journal of Urology. 28 December 2018 .
Since the release of NO is dependent on sexual stimulation/arousal, PDE5 inhibitors only work if there is sexual stimulation. Simply taking the pill will not produce an erection. This is important because this is different than other treatments for erectile dysfunction.
The most common cause of ED is a lack of flowing blood to erectile tissue. Plaque and damaged vessels can restrict circulation enough to disrupt function. Typically, symptoms begin with difficulty maintaining an erection before advancing to a complete inability to obtain one.
Medications such as erythromycin, ketoconazole (Nizoral), itraconazole (Sporanox), ritonavir (Norvir), and indinavir (Crixivan) can slow the breakdown of tadalafil. Therefore, men taking these medications should not take more than 10 mg of tadalafil and should not take tadalafil more frequently than every 72 hours.If you have kidney troubles, your doctor may recommend that you try a lower dose of tadalafil or change how often you use the tadalafil depending on your kidney function. Men with severe liver disease should not take tadalafil. Men with mild to moderate liver disease should not exceed tadalafil dose of 10 mg once daily.
The good news is that there’s a cure for ED. Depending on the underlying cause of the problem, your doctor can opt for one of these treatment options;
When a man is sexually aroused -- whether by a touch to the penis or a favorite Jenna Jameson flick -- nerves stretching from the brain to the base of the spine and throughout the penis kick into action, triggering chemical and electrical signals.