Penile erection is a complex process in which the brain, nerves, muscles and blood vessels play a major role. In addition, hormones and emotions are at work. Problems in any of these may result in an inability to get or maintain an erection during sexual activity. This disorder is known as erectile dysfunction. Erectile dysfunction may be caused by several reasons. Major causes may differ in different age groups. Causes of erectile dysfunction may be broadly divided as follows. Psychological issues such as depression, anxiety or stress Underlying health conditions such as diabetes or cardiovascular disease Medications such as antiandrogens, appetite suppressants and antidepressants Trauma due to an injury or a surgery Lifestyle factors such as lack of exercise or addictions such as smoking
You get an erection when blood fills two chambers known as the corpora cavernosa. This causes your penis to expand and stiffen, much like a balloon as it is filled with water. Impulses from the brain and genital nerves start the process. Anything that blocks these impulses or restricts blood flow to the penis can cause ED.
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Response is dose related and usually occurs within 10–15 min, and does not require stimulation. The intraurethral preparation, medicated urethral suppository for erection (MUSE), consists of a tiny pellet of drug inserted into the urethral meatus. Response is also dose related, and onset similar to the cavernosal preparations.
All Saints' Hospital London Norfolk and Norwich Hospital St Paul's Hospital London St Peter's Hospital for Stone London St Phillip's Hospital London The Shaftesbury Hospital
To reduce your risk of erectile dysfunction, exercise and maintain a healthy weight, stop smoking, avoid alcohol and substance abuse, and keep your diabetes under control, if you have it.
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According to Harvard Health Publishing, walking for 30 minutes a day can slash a man’s likelihood of developing ED. Research shows that men who take 30-minute daily walks have a 41 percent lower risk of erectile dysfunction than men who don’t go for walks. Men don’t have to live in the gym to see benefits from exercise for ED.
If you want to find out whether you are suffering from symptoms of erectile dysfunction then we have an interesting test for you to be done at your home.
Exercise is an essential part of maintaining erectile health. It protects against cardiovascular disease, which is the leading cause of ED, and has a myriad of other benefits such as reducing body weight, managing blood glucose levels, and reducing “bad” cholesterol.
Aetna considers the following treatments experimental and investigational for erectile dysfunction because their effectiveness has not been established: Acupuncture Acoustical wave therapy (Alpha Wave SwissWave Protocol) Botulinum toxin Endovascular treatment (e.g., angioplasty and drug-eluting stent placement for the treatment of vasculogenic ED) Epalrestat Extracorporeal shock wave therapy (ESWT) Gene therapy Pelvic floor muscle training (for ED following radical prostatectomy) Percutaneous electrostimulation of the perineum Statins Stem cell therapy (including adipose-derived stem cells and mesenchymal stem cells) Tacrolimus.
If unsuccessful, interferes with other treatmentsFully Inflatable ImplantsMimics natural process of rigidity-flaccidity
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Mild and moderate ED affects about 10 percent of men per decade of life. That means 50 percent of men in their fifties suffer, 60 percent of men in their sixties, and so on.
Turkish Journal of Urology: “Prevalence of erectile dysfunction in men over 40 years of age in Turkey: Results from the Turkish Society of Andrology Male Sexual Health Study Group.”
This is an oral tablet that stimulates the brain’s dopamine chemical. Dopamine plays a role in sexual arousal and the intensity of the sensations related to sex.
A doctor may ask for the following laboratory tests in the evaluation of erectile dysfunction: