Erectile dysfunction is a frustrating condition where your penis cannot get or maintain an erection firm enough for sex. There is no specific treatment to reverse damage to blood vessels caused by diabetes, there are several options to help you have erections.
These erectile dysfunction treatments should not be used in patients with high blood pressure. If you do not know your blood pressure you can have it tested at a number of places, including: .
With Aquablation therapy for BPH, most men experience no long-term problems with erectile dysfunction, ejaculatory dysfunction, or incontinence.
Prior to starting testosterone therapy, it is important for a doctor to perform a thorough evaluation on the patient.
Vacuum constriction devices, or penis pumps, may be useful in the treatment of erectile dysfunction (impotence). A penis pump is an acrylic cylinder with a pump that can be attached to the end of the penis. The pump then creates a vacuum to help the penis become erect, while a constriction ring maintains the erection.
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
The various PDE5 inhibitors share several common side effects, including flushing, nasal congestion, nausea, dyspepsia (stomach discomfort/indigestion), and diarrhea. Differences exist in side effects of the different PDE5 inhibitors, and thus it is important to be familiar with the prescribing information of the PDE5 inhibitor you are prescribed.
Though you're the one with ED, your partner is also affected. Talking openly about ED will help your partner understand the diagnosis and treatment options. This can reassure them that you haven't lost interest.
To diagnose ED, your doctor may only need to ask you some questions and perform a physical exam.
MUSE should not be used in men with a history of urethral stricture (narrowing of the tube in the penis that urine and semen pass through), inflammation or infection of the glans (tip) of the penis (balanitis), severe hypospadias (a condition where the opening of the urethra is not at the tip of the penis, rather on the underside of the penis), penile curvature (abnormal bend to the penis), and urethritis (inflammation/infection of the urethra).
ED is a common condition in men of all ages and ethnicities. The risk of having ED increases with age.
Total Cholesterol/HDL Ratio calculated by dividing the total cholesterol by the HDL cholesterol. This is the ratio used by physicians in determining your relative risk for developing cardiovascular disease. Thyroid Panel with Thyroid-Stimulating Hormone (TSH) - Thyroid function is critical to your metabolism and affects your energy level, weight control, heart rate, and more. The thyroid-stimulating hormone is produced in the pituitary gland and stimulates the production of thyroid hormones. The TSH helps to identify an overactive or underachieve thyroid state. This comprehensive evaluation of your thyroid hormone levels includes: T-3 Uptake, T4, T7, and Thyroid-Stimulating Hormone (TSH)
For Women Chronic UTIs diVa Laser Vaginal Therapy Interstitial Cystitis (IC) MonaLisa Touch Laser Vaginal Therapy Overactive Bladder (OAB) Pelvic Organ Prolapse Stress Urinary Incontinence Women’s Sexual Health Women’s Urology Leading Edge Surgery Minimally Invasive Surgery Radical Prostatectomy Reconstructive Urology Robotic Surgery
Understanding the signs and causes of ED is the first step toward achieving a better sex life.
Khera M, Snyder PJ, Martin KA. Treatment of male sexual dysfunction. UpToDate. 2019. Accessed at https://www.uptodate.com/contents/treatment-of-male-sexual-dysfunction on January 31, 2020.
(2012). “Should men do pilates for pelvic floor muscle strength?” Prostate.net. Retrieved from: http://prostate.net/articles/pilates-for-pelvic-floor-muscles
Treatment options vary widely according to the specific diagnosis. Regardless, common treatment includes referral for counseling or therapy due to residual effects ED has to strip the man of confidence and self-esteem.