Your doctor may recommend pursuing some mental health support to alleviate the impact of stress, depression, or anxiety on your ED. Seeking help from a mental health professional can help treat erectile dysfunction.
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Oral phosphodiesterase type 5 (PDE5) inhibitors (sildenafil [Viagra], vardenafil [Levitra and the generic formulation Staxyn], tadalafil [Cialis]), and avanafil [Stendra])Intracavernosal injections (papaverine, phentolamine, and PGE1 [Trimix], Bimix, and alprostadil injection [Caverject, Edex])Intraurethral suppositories (MUSE)Testosterone in individuals with ED and other signs/symptoms of hypogonadism and an unequivocally low serum testosterone
If you have trouble getting or keeping an erection more than 25% of the time, you should see your health care provider.
Paduch DA, Brannigan RE, Fuchs EF, Kim ED, Marmar JL, Sandlow JI. The laboratory diagnosis of testosterone deficiency. Urology. 2014;83(5):980-988. PMID: 24548716 pubmed.ncbi.nlm.nih.gov/24548716/.
Sometimes, blood flow problems develop because of damage to the endothelium or penile smooth muscle – tissues in the penis that are important for normal erections. This damage may be the result of high blood pressure or smoking. It can also happen if a man has high cholesterol, triglyceride, or blood sugar levels.
Men do not have to begin a more active lifestyle with drastic measures. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) recommends that men slowly incorporate more activity into their lives. A man can begin by taking short walks at a normal speed and gradually increasing the pace and length of his walks.
However, his most recent video delves into erectile dysfunction: a sexual disorder which one in every ten men suffer from at some point in their life, but due to the stigma attached to it, remains largely undiscussed in our society. “It’s time we braved into the topic of sexual health” he wrote in his caption, and then went ahead and demonstrated a range of exercises that will boost the flow of blood and bring sexual energy back to the pelvic region.
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?
Some men may be able to gain an erection by self-injecting drugs into the penis, causing it to become engorged with blood. The advantage of injection therapy that it can easily be self-administered and in most patients leads to a strong erection when given the right dose. Potential side effects of injection therapy include: fibrosis (scarring) and long-lasting painful erections. Injections are shown to have a long-term dropout rate of about 37% – 76%. Reasons for dropping out of drug therapy include: Desire for a permanent treatment alternative Inadequate response Return of spontaneous erections Fear of needles Concern over side effects
Certain medications can also cause erectile dysfunction as their side effect. These are Anti-hypertensive medicines (medicines for blood pressure) Antiandrogens (medicines used for prostate cancer therapy) Antidepressants (medications for depression) Sedatives (medicines that make a person sleepy) Medicines for ulcers Antihistamines (medicines for cold and allergies) Appetite suppressants
Yale Medicine Urology offers many advanced medical and surgical options to address erectile dysfunction. The department is guided by personalized care to treat the patient.
Lastly, remember that the best way to tackle erectile dysfunction is often to combine several treatments and techniques. In the short term, taking ED tablets such as Viagra and Cialis can be a great way of boosting your confidence and happiness in the bedroom. Related Articles heart health center/heart a-z list/what causes weak erection center /what causes weak erection? article How to Treat It How to treat weak erection Medical Author: Dr. Jasmine Shaikh, MD Medical Reviewer: Pallavi Suyog Uttekar, MD How to Treat It How to treat weak erection Center What Causes Weak Erection? Center
These diseases include high blood pressure, diabetes, clogged arteries, heart and blood vessel disease, high cholesterol, and chronic kidney disease. Other possible causes include: Nerve injury: The penis, spinal cord, prostate, bladder or pelvis may have sustained a physical injury that needs to be treated. This includes a large group of men who have had surgery or radiation treatment for prostate cancer. Unhealthy lifestyle: This includes smoking, excessive alcohol use, obesity and not exercising. Mental health: Depression, stress and anxiety surrounding sexual failure can all lead to erectile dysfunction. Medications: Some medications, including antidepressants, can cause sexual side-effects. Hormones: A small number of erectile dysfunction cases result from low levels of the male hormone testosterone.
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While the risk factors are typically associated with older men, ED is often the only cardiac risk factor in a younger man. “When young men have erectile dysfunction, we can more purely see that as a marker for potential heart problems,” Dr. Walker says.
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.