General ageingConditions affecting cardiovascular health like high blood pressure, diabetes, high cholesterolExperiencing an acute myocardial infarction (heart attack)Cardiovascular disease
High blood pressure (hypertension) is a disease in which pressure within the arteries of the body is elevated. About 75 million people in the US have hypertension (1 in 3 adults), and only half of them are able to manage it. Many people do not know that they have high blood pressure because it often has no has no warning signs or symptoms. .
First-line treatment is typically with the use of phosphodiesterase inhibitors, such as sildenafil (also known as Viagra). In the UK, Viagra is now available without a prescription, and can be obtained over the counter from pharmacists, once suitability has been assessed. A vacuum device, or pump, can also be useful especially if medications are not suitable. Vacuum pumps work by encouraging blood flow to the penis, resulting in an erection.
Atherosclerosis and diabetes are common causes of long-standing erectile dysfunction. Other health issues that can significantly contribute to the problem of erectile dysfunction include Heart disease Obesity Hypertension (high blood pressure) Hyperlipidemia (high lipid or cholesterol level) Benign enlargement of the prostate Parkinson’s disease Sleep disorders Chronic kidney disease Liver disease Injury to the penis or prostate Accidents involving trauma to the spinal cord Multiple sclerosis Peyronie’s disease (formation of scar tissue under the skin of the penis) Treatments for prostate cancer Radiation therapy Prostate surgery Surgery for bladder cancer
The duration of ED depends on what causes it and how you respond to your treatment. Many men notice an immediate improvement when they start on medication or another form of treatment.
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.
American Urological Association website. What is erectile dysfunction? www.urologyhealth.org/urologic-conditions/erectile-dysfunction(ed). Updated June 2018. Accessed October 15, 2019.
The problem does not go away with lifestyle changesThe problem begins after an injury or prostate surgeryYou have other symptoms, such as low back pain, abdominal pain, or a change in urination
Men need a lot of different body parts working the right way -- from the brain and glands that control hormones to blood vessels and the penis -- to get and keep an erection. Because of that, erectile dysfunction, or ED, can have a lot of causes. Some of them are physical; others are mental and emotional.
Your physician team will work with your primary care physician, as well as your cardiologist, if ED is related to a heart problem. Providers may also recommend lifestyle changes, changing your prescribed medications or seeking mental health counseling to help treat the underlying causes of ED.
The presence of normal skin sensation adequate to produce an erection is measured with this device. Click to view larger image. Medically reviewed by Michael Wolff, MD; American Board of Urology
People with erectile dysfunction (ED) have difficulty getting and/or keeping an erection. The difficulty may be constant or occasional. While ED is sometimes called “impotence,” healthcare professionals have increasingly moved away from a term that can be perceived as pejorative or confused with nonmedical definitions of the word.
Several medications are not recommended for the treatment of erectile dysfunction. These include trazadone, yohimbine, and herbal therapies, as there is no evidence to support their safe use for the treatment of erectile dysfunction. It is important to note that testosterone therapy is not indicated for the treatment of erectile dysfunction in the patient with a normal serum testosterone level.
- Simple sexercises that you can do even in public to enhance your sexual performance.
Erectile dysfunction (ED) can occur at any age and can severely impact on the quality of life of men and their partners.
Erectile dysfunction (ED) is the inability to achieve or maintain an erection to satisfactorily engage in sexual intercourse. It is estimated that around 18 million American men experience erectile dysfunction, with prevalence increasing as age increases. One in three men will experience some form of ED in their lifetime.
Katz A. Breaking the Silence on Cancer and Sexuality: A Handbook for Healthcare Providers. 2nd ed. Pittsburgh, PA: Oncology Nursing Society.; 2018.