When blood fills two chambers in the penis (known as the corpora cavernosa) an erection occurs. This causes the penis to expand and stiffen, much like a balloon as it is filled with water. The process is triggered by nerve impulses from the brain and genital area. Anything that interferes with these impulses or restricts blood flow to the penis can result in erectile dysfunction.
Cannot be used by patients on MAOIsIntraurethral Pellet Therapy (MUSE)No surgery required .
It’s also worth noting that exercise can make you feel better about your body and appearance, which boosts your self-esteem and makes you feel more confident in the bedroom.
Additionally, surgeries or procedures that target the spinal cord or pelvic area can lead to ED. Radiation therapy to the testicles can also cause impotence.
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.
As cholesterol, high blood pressure, diabetes and other health conditions can all contribute to erectile dysfunction, lifestyle changes may help. Lose weight if you're overweight. Exercise regularly: particularly activities that get the heart rate up, such as walking fast, dancing, gardening and cycling. Don’t smoke. Do antiretrovirals and other medications cause erectile dysfunction?
Many supplements and alternative therapies are marketed to help men with ED. The U.S. Food and Drug Administration (FDA) warns that these products may contain potentially harmful drugs, contaminated formulations, or unknown dosages of pharmacologically active medications. They can also interact with other medications you take.
Side effects may include acne, breast enlargement or soreness, high blood pressure, and mood swings. Testosterone therapy can also increase cholesterol levels, prostate specific antigen (PSA) levels, red blood cell count. If you take testosterone therapy, your doctor should monitor your cholesterol, PSA, and hematocrit (red blood cell) levels, and liver function.
It is one form of male sexual dysfunction, which also includes problems ejaculating and reduced sexual desire or satisfaction.
When the aforementioned strategies prove insufficient to address ED symptoms, medical therapies are warranted. The simplest treatments include use of a class of oral medications known as phosphodiesterase type 5 inhibitors (PDE5I, e.g. sildenafil, tadalafil, vardenafil, and avanafil). These drugs enhance the effects of nitric oxide, a natural molecule within the body that relaxes the smooth muscle of the penis, to enable increased blood to flow and result in erection. These medications are generally very safe and reliable. Men who use nitrates (found in certain heart medications and in some recreational drugs) should not use PDE5I. Optimal use of PDE5I requires advice on timing and proper use of these drugs for maximal effect.
One of the most important causes for ED is vascular disease; examples include diabetes (Types I and II), high blood-pressure, high cholesterol/lipids, tobacco use, obesity, and lack of exercise. All of these conditions can lead to impaired response of the blood vessels responsible for controlling penile erection. There is evidence that men who have vascular disease and make healthy lifestyle changes (e.g. increasing exercise, losing weight, quitting smoking) may experience improvement in erectile function. It is important to remember that whatever is good for the heart is also good for the penis.
If blood sugar is not controlled over time, complications can develop. These include:
Kasraeian Urology introduced this new ED treatment in 2021 for their patients in the Jacksonville, FL area.
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
Make your health a priority, call today to schedule an in-person, online or telephone appointment. Quick Links Make An Appointment Our Services MyUHCare PHR Price Estimate Pay My Bill Patient Satisfaction Locations About UH Give to UH Careers at UH
Psychological issues and emotional turmoil can also cause a weak erection. A person may not feel sexually excited due to issues that include Fear of sexual failure Anxiety Depression Problems in relationships, such as miscommunication, lack of communication, or conflicts Low self-esteem Stress (professional stress, financial stress, stress of sexual performance)