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Home Archive Volume 93, Issue 1105 Recent advances in the treatment of erectile dysfunction

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Picture of rigid penile implant. Two rigid cylinders have been placed into the penis. This type of implant has no inflation mechanism but provides adequate rigidity to the penis to allow penetration.
We talked to five health care providers about what might put men at higher risk for COVID-19 and what they need to do about it. Men's Health Antidepressants and Sexual Side Effects: 5 Things Men Should Know .

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A series of blood tests helps determine many medical conditions known to cause ED. A urinalysis indicates any positive signs of kidney problems, testosterone levels or diabetes. Using a nocturnal penile tumescence (NPT) procedure is common. Ultrasound testing and injections may be useful when diagnosing erectile dysfunction.
Penile re-vascularization is considered experimental and investigational for other indications because its effectiveness for indications other than the one listed above has not been established. Consistent with clinical guidelines of the American Urological Association, Aetna considers arterial reconstructive procedures, dorsal vein arterialization procedures, or penile venous occlusive surgery (e.g., venous ligation, dorsal vein ligation) in men with erectile dysfunction secondary to arteriosclerotic occlusive disease experimental and investigational because such procedures have not been proven to be effective.

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There are times when the cause behind the sexual problem is not because of any physical cause but the psychological issues between a person or a couple. Problems like martial issues and lack of communication can be the reason for having a low sex desire or unpleasurable sex. By giving proper counseling and couples therapies doctors try to build a new bond between a couple and help them recover their ED issues.
Atherosclerosis (narrowing of the arteries)DiabetesHigh blood pressureSmokingUrological problemsPeyronie’s diseasePelvic traumaPelvic floor dysfunctionIncontinence

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Heart disease or atherosclerosis (inflammation and narrowing of the arteries)High blood pressureHigh cholesterolObesityDiabetesStrokeMetabolic syndrome (a cluster of risk factors that includes high blood pressure, elevated insulin levels, high cholesterol and triglycerides, and increased body fat around the waist)Parkinson’s diseaseMultiple sclerosis (MS)A brain or spinal cord injuryChronic kidney diseaseNerve disordersHypogonadism (a condition where the body doesn’t make enough testosterone)Peyronie’s disease (scar tissue inside the penis)Sleep disorders

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erectile DysfunctionFAQ to erectile dysfunction and impotenceWhat is erectile dysfunction?Self-testHow do erections occur?CausesDiagnosisDrug therapyPDE5 inhibitorsStent implantationShock wave therapyself-testAbout UsProf. Dr. Nicolas DiehmDr. Martin C. SchumacherPD Dr. Hak Hong KeoDr. Christian RegliDr. Dagmar SchumacherProf. Dr. Markus BéchirNewsContact erectile DysfunctionFAQ to erectile dysfunction and impotenceWhat is erectile dysfunction?Self-testHow do erections occur?CausesDiagnosisDrug therapyPDE5 inhibitorsStent implantationShock wave therapyself-testAbout UsProf. Dr. Nicolas DiehmDr. Martin C. SchumacherPD Dr. Hak Hong KeoDr. Christian RegliDr. Dagmar SchumacherProf. Dr. Markus BéchirNewsContact

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    Erectile dysfunction (ED) is a problem that needs to be diagnosed correctly, to find what causes it so that you get the appropriate treatment.

    GAINSWave® treatment is a simple procedure that highly trained medical professionals perform in an office. Patients don’t have to get admitted to the hospital or have surgery. GAINSWave® therapy is non-invasive and drug-free. Men who cannot take prescription erectile dysfunction medications because of a heart condition or other health issues can use GAINSWave® therapy.
    ED is a complex condition that can be caused by a variety of factors. Often, there’s more than one issue that’s responsible for ED.

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    Noticing a lack of intimacy with your partner? Here we explore how stress, lack of sleep, weight gain, depression and low T can...

    Erectile dysfunction (E.D.) is often caused by blood vessel damage or suboptimal hormone levels; however, it can also be caused by stress or poor lifestyle choices such as smoking, an unhealthy diet, or not making time for physical activity.
    4860 Y Street, Suite 2200 | Sacramento, CA 95817 | Clinic: 916-734-2222 About Menu Toggle What is GAINSWave ? What to Expect? How it Works? Comparing Treatments FAQs Medical Advisory Board Expected Results Menu Toggle Erectile Dysfunction Treatment Peyronie’s Disease Treatment Sexual Enhancement Clinical Research Testimonials Am I a Candidate? Testimonials Resources Menu Toggle Men’s Health Guide Provider Resources Magazine Press Become a Provider Find A Provider

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    Diabetes is a chronic condition characterized by high levels of sugar (glucose) in the blood. The two types of diabetes are referred to as type 1 (insulin dependent) and type 2 (non-insulin dependent). Symptoms of diabetes include increased urine output, thirst, hunger, and fatigue. Treatment of diabetes depends on the type.

    No effect on libido (desire) or sensationPenile Injection TherapyRefrigeration not required for some of the therapies
    The American Academy of Cardiology defines high blood pressure slightly differently. The AAC considers 130/80 mm Hg. or greater (either number) stage 1 hypertension. Stage 2 hypertension is considered 140/90 mm Hg. or greater.

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    To ensure any lifestyle changes are sustainable and realistic, start slow and work your way up.

    Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain a hard enough erection for satisfactory completion of sexual activity. Erectile dysfunction is different from other health conditions that interfere with male sexual function, such as lack of sexual desire (decreased libido) and problems with ejaculation release of the fluid from the penis (ejaculatory dysfunction) and orgasm/climax (orgasmic dysfunction), and penile curvature (Peyronie's disease), although these problems may also be present. ED affects about 50% of men age 40 and over. This article focuses on the evaluation and treatment of erectile dysfunction.
    Note: Many Aetna pharmacy benefit plans exclude coverage of drugs for lifestyle enhancement or performance. Please check benefit plan descriptions for details. Under these plans, sildenafil citrate (Viagra), vardenafil hydrochloride (Levitra) and tadalafil (Cialis) are covered only when required by state regulation or when a plan sponsor has elected an optional rider under the pharmacy plan, or, for indemnity or PPO plans without a separate pharmacy benefit, when the plan sponsor has added optional coverage under the medical plan.

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erectile DysfunctionFAQ to erectile dysfunction and impotenceWhat is erectile dysfunction?Self-testHow do erections occur?CausesDiagnosisDrug therapyPDE5 inhibitorsStent implantationShock wave therapyself-testAbout UsProf. Dr. Nicolas DiehmDr. Martin C. SchumacherPD Dr. Hak Hong KeoDr. Christian RegliDr. Dagmar SchumacherProf. Dr. Markus BéchirNewsContact erectile DysfunctionFAQ to erectile dysfunction and impotenceWhat is erectile dysfunction?Self-testHow do erections occur?CausesDiagnosisDrug therapyPDE5 inhibitorsStent implantationShock wave therapyself-testAbout UsProf. Dr. Nicolas DiehmDr. Martin C. SchumacherPD Dr. Hak Hong KeoDr. Christian RegliDr. Dagmar SchumacherProf. Dr. Markus BéchirNewsContact

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Infection is a concern after placement of a prosthesis and is a reported complication in 8%-20% of men undergoing placement of a penile prosthesis. If a prosthesis becomes infected (redness, pain, and swelling of the penis and sometimes purulent drainage are signs of infection), the prosthesis must be removed. Depending on the timing and severity of the infection and your surgeon's preference, the area can be irrigated extensively with antibiotic solutions and a new prosthesis placed at the same time or removal of the infected prosthesis and an attempt to place a new prosthesis made at a later time when the infection is totally cleared.

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Erythrocytosis has been noted in men on TRT, and should be monitored every 6–12 months depending upon the patients’ response to changes in haematocrit levels. For mild elevations, the dosage of testosterone can be decreased or the interval of using the medication can be increased. With the haematocrit greater than 50%, decisions to temporarily discontinue the medication or periodic phlebotomy may be indicated.38

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If an individual is taking ketoconazole, erythromycin, or ritonavir, it is recommended that the maximum dose of avanafil not exceed 50 mg in 24 hours.

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