A healthy lifestyle can prevent almost all cases of type 2 diabetes. A large research study called the Diabetes Prevention Program, found that people who made intensive lifestyle changes including diet and exercise reduced their risk of developing diabetes by 58%. Those over 60 years old seemed to experience extra benefit; they reduced their risk by 71%. In comparison, people who were given the drug metformin for diabetes prevention only reduced their risk by 31%.
Sildenafil treats erectile dysfunction of either physical or psychological cause. It is effective in treating erectile dysfunction in men with coronary artery disease, diabetes mellitus, hypertension, depression, coronary artery bypass grafting (CABG), and men who are taking antidepressants and several classes of antihypertensives. .
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A hydraulic implant consists of a pump, reservoir, and two cylinders placed within the erection chambers of the penis. The pump releases a saline solution from the reservoir to the chambers to cause an erection and later removes the solution to deflate the erection. There is also a model that only has the pump and two cylinders.A penile prosthesis is composed of two semi-rigid but bendable rods that are placed inside the erection chambers of the penis. The penis can then be manipulated to an erect or unerect position.
ObesityHigh CholesterolVascular diseasesAnxietyDiabetesAny many more DepressionStressDiabetesExercises for Erectile Dysfunction
Aging and ED can slow men's sexual health, but pleasure is not only possible, it can also improve quality of life in men 60 and older.
A river otter at the Sedgwick County Zoo plays in the snow Feb. 5, 2014, in Wichita, Kan. (The Canadian Press)
Preventing or treating erectile dysfunction could also combat these underlying conditions.
The recommended starting dose is 100 mg taken as early as 15 minutes prior to sexual activity, no more than once a day. The maximum dose is 200 mg. Avanafil may be taken with or without food. As with the other PDE5 inhibitors, sexual stimulation is necessary for avanafil to work.
Sexual health and function are important determinants of quality of life. As males age, erectile dysfunction (ED) or impotence is more common. Erectile dysfunction often has a negative impact on sex life and overall quality of life for both the male experiencing the erectile troubles and his partner.
Besides PDE5 inhibitors and among second-line therapies are VCDs which are clear plastic chambers placed over the penis, tightened against the lower abdomen with a mechanism to create a vacuum inside the chamber. This directs blood into the penis. If an adequate erection occurs inside the chamber, the patient slips a small constriction band off the end of the VCD and onto the base of the penis. An erection beyond 30 min is not recommended. These devices can be a bit cumbersome, but are very safe.40
Certain oral medications can be used to relax the penis and allow for proper blood flow when sexually aroused.
More blood flows into the penis. In the two flexible tubes of spongy tissue that extend the length of the shaft (the corpora cavernosa, or “cave-like bodies”), muscle tissue slackens. Their tiny caverns swell with blood, straining against the surrounding membranes. Blood gets trapped in the organ. The result is a longer, stiffer penis -- and also, because blood brings oxygen with it, a thoroughly oxygenated one.
A malleable penile prosthesis usually consists of paired rods that are inserted surgically into each of the corpora cavernosa. The rods are stiff, and basically to have an erection, one bends them up and when finished with intercourse they are bent down. They do not change in length or width. The malleable penile prosthesis has the lowest risk of malfunction, however they have the least normal appearance.
Symptoms of erectile dysfunction include erections that are too soft for sexual intercourse, erections that last only briefly, and an inability to achieve erections. Men who cannot have or maintain an erection at least 75% of the time that they attempt sex are considered to have erectile dysfunction.
Not everyone can use these medicines. Your doctor may talk to you about alprostadil if oral medicines aren’t an option for you. Alprostadil is a synthetic version of prostaglandin E. It can be injected into the penis or inserted as a tiny suppository into the urethra (the hole at the end of the penis). Your doctor will help you decide which treatment is best for you.