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.
Please note that this email address is only for comments, questions, and cancellation of appointments. STIs Balanitis Chancroid Chlamydia Condylomas (HPV) Scabies Gonorrhea Hepatitis A, B, C, D, E Genital Herpes Vaginitis Lymphogranuloma Venereum (LGV) Molluscum contagiosum Crabs Prostatitis Salpingitis Syphilis HIV .
Our PhysiciansAdvanced Practice ProvidersPatient NavigatorsPhysician LiaisonsConditionsSpecialtiesClinical TrialsPatient Resources
The number of men diagnosed with erectile dysfunction has skyrocketed ever since the little blue pill made it okay to talk about. Fortunately, the number of treatment options has increased, too. So, which ones are worth a shot, and which are just hype?
Some men are hesitant to tell their doctors about their symptoms of ED because they’re embarrassed or afraid. You should know that your doctor is there to help you through this process and provide any support that you might need.
Avanafil has similar adverse effects as the other PDE5 inhibitors but is not associated with the visual changes of sildenafil or muscle aches of tadalafil.
Only 10 percent of men seek treatment and many (50 percent) discontinue treatment once they start it because they are too embarrassed to discuss their sexual health issues with a doctor. There is no need to suffer in silence.
Secondary premature ejaculation can be caused by both psychological and physical factors and has been linked to drinking too much alcohol.
PDE5 inhibitors have not been studied in individuals with a condition, retinitis pigmentosa, and thus their use is not recommended for these individuals.
While its true medications can help improve blood flow and hormone levels, dietary changes and simple exercises can also help improve erectile function by supporting overall cardiovascular health. That being said, your first step should be to contact your doctor in order to determine the cause of your E.D. symptoms. In some men, E.D. is an early warning sign of cardiovascular disease.
A number of devices have been developed to determine if an erection occurs during sleep. This snap gauge is fastened around the penis but opens when an erection occurs. Click to view larger image.
To learn more about erections, such as what they are and how they form, see Cancer, Sex, and the Male Body.
Picture of device used to measure penile nerve sensation. The presence of normal skin sensation adequate to produce an erection is measured with this device.
Hall 1 - Painting & Drawing Hall 2 - Sculpture, Pottery & Other Art Hall 3 - Photography Storeroom (Archive)
Most men will experience occasional ED. This can be due to triggers such as stress, anxiety or drinking too much alcohol. Frequent erectile dysfunction can be a sign of an underlying health condition or emotional problems. If it happens regularly you should see your GP or visit a sexual health clinic.
This information is for adult males with cancer. If you are a transgender person, please talk to your cancer care team about any needs that are not addressed here.
Aetna considers genetic polymorphism testing experimental and investigational for the evaluation of response to phosphodiesterase 5 (PDE5) inhibitors in members with erectile dysfunction.