For most men, ED is primarily associated with older age. However, ED is not inevitable with age. Severe ED often has more to do with age-related disease than age itself. In particular, older men are more likely to have heart disease, diabetes, and high blood pressure than younger men. Such conditions and some of their treatments are causes of ED.
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My advice to anyone with this problem would be to find someone you can talk to honestly about it before taking any treatment. And, if you can, find a supportive partner you feel comfortable with. Definitely don’t sneak around secretly popping Viagra like I did.
The penis is the male sex organ, reaching its full size during puberty. See a picture of the Penis and learn more about the health topic.
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Because flavonoids improve circulation, foods high in this nutrient may increase blood flow into the penis. Flavonoids are naturally occurring antioxidants.
Rew KT, Heidelbaugh JJ. Erectile dysfunction. Am Fam Physician. 2016;94(10):820-827. PMID: 27929275 pubmed.ncbi.nlm.nih.gov/27929275/.
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Give exercise a shot for curing erectile dysfunction of your life one time, and you will see some significant results. All you need is the dedication to work out at least four times a week and maintain a drug and alcohol-free life.
The treatment may depend on what is causing the problem and how healthy you are. Your provider can talk with you about the best treatment for you.
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Categories: Family Health, Men, Prevention and Wellness, Seniors, Sex and Birth Control, Sex and Sexuality
Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain a hard enough erection for satisfactory completion of sexual activity. Erectile dysfunction is different from other health conditions that interfere with male sexual function, such as lack of sexual desire (decreased libido) and problems with ejaculation release of the fluid from the penis (ejaculatory dysfunction) and orgasm/climax (orgasmic dysfunction), and penile curvature (Peyronie's disease), although these problems may also be present. ED affects about 50% of men age 40 and over. This article focuses on the evaluation and treatment of erectile dysfunction.
ED often happens before coronary artery disease in almost 70 percent of cases. The arteries in the penis are small compared to those in other parts of the body. If there is underlying coronary artery disease, these smaller arteries in the penis are affected by atherosclerosis (blocked blood vessels) sooner.
If you use sildenafil, tadalfil, or vardenafil and get chest pains, be sure to tell the paramedics, nurses or doctors at the hospital that you use it and when you used it last.
Early detection is easier to treat and more likely to be cured, but PSA testing isn’t always accurate and…
ED from organic or medical causes occurs gradually over time and progressively becomes worse. ED is present with most or all sexual interactions and these men either lack an erection upon awakening, or have poor erections.
• Medications, most commonly blood pressure medications (especially beta-blockers or thizides), anti-depressants (such as SSRI), anti-androgens, and a variety of other medications
It's never too late to improve your sex life. Learn how older adults can overcome common health conditions affecting seniors over 50 such as heart disease, diabetes, and arthritis in order to have a healthy sex life.
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.
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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.
It may come as no surprise that many men are embarrassed to come forward for treatment and may also suffer from low self-esteem and depression and experience difficulties in establishing and maintaining a relationship.
The vacuum device is relatively well tolerated but may cause pain, bruising and numbness.
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The ability to achieve and sustain erections requires the following:A healthy nervous system that conducts nerve impulses from the brain, spinal column, and the penisHealthy arteries in and near the corpora cavernosa of the penis so that when stimulated there is an increase in blood flow to the penisHealthy smooth muscle and fibrous tissue within the corpora cavernosa so that it can fill with bloodAn adequate amount of nitric oxide (NO) in the penis to help with the stimulation of blood flow into the penisNormal functioning of the tunica albuginea, the layer of tissue surrounding the corpora cavernosa and responsible for the compression of the veins to keep blood in the penisAppropriate psychosocial interactions to enhance sexual stimulation/arousal and decrease anxiety/stress
It affects approximately half of all men over age 40 While erectile dysfunction is usually a physical problem, it can also have psychological roots. More often than not, it is a combination of both. And help is available. “We have a treatment for everyone,” says Stanton Honig, MD, a director of the Yale Medicine Male Reproductive Health Program. “It's just a matter of what option you choose.”
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Medications: Medicines that cause a strong penile erection are successful in treating erectile dysfunction in most men. These medications work by increasing the amount of blood flow to the penis by increasing nitric oxide levels in the blood. Examples include:
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The academic team, from James Cook University in Australia, found 47 of patients with ED admitted the exercises helped.
Having erection problems? What is erectile dysfunction (ED)? Learn about erectile dysfunction causes and treatments such as drugs...
Amyl, butyl or isobutyl nitrite, are recreational drugs sniffed during sex to both intensify the experience and relax anal sphincter muscles.
Treatment options for ED have evolved considerably over the past decade to encompass psychological counseling; oral, topical, intraurethral, and intracavernosal vasoactive therapy; oral therapies with other or unknown mechanisms; hormone replacement; vacuum constriction devices; and surgery, including vascular bypass procedures and penile implants. The goal of treatment is to restore satisfactory erections with minimal adverse effects. Men have demonstrated a strong preference for oral treatments even if they have low efficacy.
While not as effective as aerobic activity, anaerobic exercise has also proven to help improve sexual health and decrease factors that can contribute to ED. Examples of anaerobic exercise include high intensity interval training, sprinting, and heavy weight lifting.
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PDE5 inhibitors work only when the man experiences some sexual arousal. The pill should be taken about 1 hour before sexual intercourse. It generally starts to work within 10 to 30 minutes. The availability of these drugs may last for several hours in the bloodstream, and tadalafil may last for up to 36 hours. The erection should not last for more than 4 hours. If it does, it becomes an emergency (called priapism) and men should seek medical attention.
The penis contains three cylinders, the two corpora cavernosa, which are on the top of the penis (see figure 1 below). These two cylinders are involved in erections. The third cylinder contains the urethra, the tube that the urine and ejaculate passes through, runs along the underside of the penis. The corpus spongiosum surrounds the urethra. Spongy tissue that has muscles, fibrous tissues, veins, and arteries within it makes up the corpora cavernosa. The inside of the corpora cavernosa is like a sponge, with potential spaces that can fill with blood and distend (known as sinusoids). A layer of tissue that is like Saran Wrap, called the tunica albuginea, surrounds the corpora. Veins located just under the tunica albuginea drain blood out of the penis. SLIDESHOW Erectile Dysfunction (ED) Causes and Treatment See Slideshow Readers Comments 5 Share Your Story
This depends on whether you know what it is causing your ED. There are some things you can do that may help prevent ED, including: Avoid drinking too much alcohol, smoking, or abusing drugs. Ask your doctor if ED is a side effect of a new or current medicine you are taking. He or she may have an alternative medicine. Control your blood sugar and blood pressure. Try to relax and avoid stress.
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?
The severity of ED has been correlated with the extent of CVD. Banks et al reported that the risk of future CV events increased progressively according to ED severity.28 This was shown in both men with and without known CVD at baseline and after controlling for confounders. Solomon and colleagues found an inverse correlation between international index of erectile function (IIEF) scores and plaque burden seen on coronary angiography.29 In addition, Yaman et al demonstrated a significant correlation between ED severity on IIEF questionnaires and coronary artery calcification.30
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Viagra inhibits an enzyme called phosphodiesterase-5 (PDE5) which destroys the cGMP. Thus, Viagra prevents the destruction of cGMP and allows cGMP to accumulate and persist longer. The longer cGMP persists, the more prolonged the engorgement of the penis. The FDA approved Viagra in March 1998.
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Erectile dysfunction can be caused by any number of medical and psychological conditions. In general, ED is divided into organic (having to do with a bodily organ or organ system) and psychogenic (mental) impotence. Interestingly, and not surprisingly, most men with organic causes have a mental or psychological component, as well.
No nitrate-based drugs should be given to men with suspected heart attacks if they have taken PDE5i medications within 24 hours. Combining PDE5i with nitrate-based medications can cause a severe and dramatic drop in blood pressure with potentially very dangerous consequences. This is also why someone should absolutely never share PDE5i medications with anyone else. If they happen to be taking one of the drugs that interacts dangerously with PDE5i medications, the results could be very serious. If there is any question about possible drug interactions, always check with a doctor or pharmacist.
Dr. Natalya Lopushnyan treats many patients suffering from erectile dysfunction. Below is an article she wrote describing erectile dysfunction treatment options.
A variety of testosterone therapies are available, including oral, topical (gel, spray, patch), intramuscular, and pellets. Patient should review the advantages and disadvantages of each of these with a physician, as well as the health risks and benefits of testosterone therapy.
“It’s also the blood vessels themselves that can become inflamed,” Berglund said, “which could cause an obstructive phenomenon and negatively impact the ability to get erections.”
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It can be embarrassing to discuss sexual matters with your doctor. Yet a doctor’s appointment is neccessary if you want to get treatment for ED. Here’s how to prepare for your doctor visit.
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
There are also specific treatments for some of the causes of erectile dysfunction. Treatments for some causes of erectile dysfunction Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol Medicine to lower blood pressure, statins to lower cholesterol Hormone problems Hormone replacement (for example, testosterone) Side effects of prescribed medicine Change to medicine after discussion with GP
There are times when exercises do not create a more significant impact on erectile dysfunction. At these times, it is advised for a man to go for medical treatments. Medication is a very easy and painless way to treat ED issues without any complications. You can always rely on ED medicines when no other thing works on erection failures.
Where psychological causes contribute significantly to erectile dysfunction, psychosexual or cognitive behavioural therapy could be helpful. Counselling should also be provided in cases where the primary cause is physical to reduce the associated psychological component. Counselling may also help with HIV-related stigma, reducing anxiety relating to erectile dysfunction and fear of HIV transmission.
GovernanceAwardsAffiliated SocietiesPast PresidentsHistoryExecutive OfficeContact The Association Between Erectile Dysfunction and Mental Health Conditions in Young Men Differences in Sexual Response for Men During Partnered Sex and Masturbation Is There a Connection Between Erectile Dysfunction and Heart Disease? Treating Erectile Dysfunction With Low-Intensity Shockwave Therapy and Tadalafil: The Results of a New Clinical Trial Erectile Aids: How Helpful Are They for Prostate Cancer Patients? Study Analyzes Diabetes, Mental Health, and Sexual Function During COVID-19 Pandemic In Colombia, Sexual Dysfunction Linked to Higher Rates of LUTS PRP Injections Could be Effective ED Treatment; More Research is Needed Are men with anxiety disorders more likely to develop erectile dysfunction (ED)? Female Sexual Dysfunction Linked to Sexual Problems in Men How can I manage performance anxiety and psychogenic erectile dysfunction (ED)? Men With BPH May Have Better Erectile Function After TUDP Procedures Duplex Doppler Ultrasound in the Evaluation of Patients With Erectile Dysfunction Study Suggests ED Treatment “Disparities” After Radical Prostatectomy Nonorganic ED Might be Managed with Pharmacotherapy Should We Tailor the Clinical Management of Erectile Dysfunction According to Different Ages? Sign up here to receive the ISSM Update (our weekly update) and stay up-to-date on ISSM! HomeFor providersFor PublicSexual Health TopicsQ&AHeadlinesFind a ProviderAboutVision and MissionLeadershipCommitteesBylaws CommitteeCommunication CommitteeConsultation and Guidelines CommitteeDeveloping Countries CommitteeEducation CommitteeEthics CommitteeFinance & Audit CommitteeGrants & Prizes CommitteeHistory CommitteeMembership CommitteeNominating CommitteePublication CommitteeScientific CommitteeYoung Researchers CommitteeYoung Trainees CommitteeGovernanceAwardsAffiliated SocietiesPast PresidentsHistoryExecutive OfficeContact
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For people who cannot take medications, a vacuum device, or “penis pump,” can help maintain an erection. In extreme cases, surgery may be required.
Can over-the-counter (OTC) and/or natural or home remedies treat erectile dysfunction?
MultiCare urology clinics are conveniently located throughout the South Puget Sound. View our locations to find a clinic near you. A referral from your primary care physician is required prior to scheduling an appointment. Facebook Twitter Instagram icon-linkedin-white YouTube About MultiCare About MultiCare Contact Us Giving MultiCare in the Community MultiCare Vitals Blog Newsroom Research & Innovation Patient Resources Accepted Insurance Plans Classes & Events Financial Assistance MyChart Login Pay your Bill Online Virtual Health MultiCare does not discriminate. Read our patient nondiscrimination policy. Language assistance is available. Website Privacy | Terms of use | Notice of Privacy Practices What Can You Do for Severe Erectile Dysfunction? Medical Author: John P. Cunha, DO, FACOEP Medical Author: Pamela I. Ellsworth, MD Ask a Doctor Doctor’s Response What Can You Do for Severe Erectile Dysfunction? Topic Guide
The developer will be required to provide privacy details when they submit their next app update. Seller Built by Doctors World Ltd. Category Medical Compatibility iPhone Requires iOS 8.0 or later. iPad Requires iPadOS 8.0 or later. iPod touch Requires iOS 8.0 or later. Mac Requires macOS 11.0 or later and a Mac with Apple M1 chip. Age Rating 17+ Infrequent/Mild Horror/Fear Themes Frequent/Intense Sexual Content or Nudity Frequent/Intense Medical/Treatment Information Family Sharing More ways to shop: Find an Apple Store or other retailer near you. Or call 1-800-MY-APPLE. (CNN)Many people know exercise is important for good physical health, even if they personally don't work out on a regular basis. But you may not realize being fit is also crucial for your sexual health.
Avanafil has been demonstrated to be effective in treating ED in men of various ages and has been shown to be effective in men with ED related to diabetes mellitus.
They reported that 160 minutes of exercise a week for 6 months “contributes to a decrease of ED” for men experiencing ED due to physical inactivity, obesity, and cardiovascular disease.
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.
Lose those extra pounds if you are overweight or obese. Weight loss improves blood circulation below the waist and reduce stress on your groin area.
Erectile dysfunction or ED (also known as impotence) is when a man cannot achieve or sustain an erection for sexual intercourse. This can be: a total inability, inconsistent ability, or a tendency to sustain only brief erections.
Blood test A blood sample may help your doctor look for signs of diabetes, heart disease, low testosterone, or other issues such as liver or kidney disease.Urine test A urine test can look for markers of diabetes.Ultrasound/Doppler exam This test can let your doctor see if you have problems with penile blood flow.Psychological exam Your doctor might screen you for depression or another mental health disorder that could be linked to ED symptoms.What Should You Tell Your Doctor About Symptoms?
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.
Impotence treatments were discussed in the oldest Chinese text, The Yellow Emperor’s Classic of Internal Medicine, which describes traditional Chinese medicine during the time of the Yellow Emperor’s rule which ended around 2600 BC. One of the treatments for impotence discussed is a potion with 22 ingredients.4
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