If these medications fail to work or if you are deemed unfit to take them, your urologist can recommend one or more of the following therapies: Penile pump (vacuum erection device [VED] or vacuum constriction device [VCD]) Penile injections (intracavernous injection [ICI], intracavernosal alprostadil) Intraurethral (IU) medication (alprostadil) Surgical procedure involving fitting a penile implant into the penis
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The Penis Book: A Doctor's Complete Guide to the Penis--From Size to Function and Everything in Between
This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.
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Aetna considers the external penile vacuum pump device medically necessary durable medical equipment (DME) when it is prescribed by a physician as an alternative to other therapies for erectile dysfunction. External penile pumps are considered experimental and investigational for other indications including for the prevention of erectile dysfunction following prostatectomy because their effectiveness for these indications has not been established.
Male erectile problems often produce a significant emotional reaction based on the impact of erectile dysfunction on confidence, self-esteem, and morale in most men. This is described as a pattern of anxiety and stress that can further interfere with normal sexual function. Such "performance anxiety" needs to be recognized and addressed by a doctor.
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Liver disease can be cause by a variety of things including infection (hepatitis), diseases, for example, gallstones, high cholesterol or triglycerides, blood flow obstruction to the liver, and toxins (medications and chemicals). Symptoms of liver disease depends upon the cause and may include nausea, vomiting, upper right abdominal pain, and jaundice. Treatment depends upon the cause of the liver disease.
Some endocrine conditions are associated with erectile dysfunction and include those that cause a low testosterone level (hypogonadism), although the mechanism by which this results in erectile dysfunction is not yet fully known, and some men can continue to have normal sexual function despite low levels of testosterone. Prolactin is a hormone produced by the pituitary gland within the brain. Certain conditions can cause a raised prolactin level (hyperprolactinaemia), which can suppresses the production of other hormones (called luteinising hormone, LH, and follicle stimulating hormone, FSH) from the pituitary gland, and therefore in turn result in low testosterone levels. Low testosterone levels can subsequently predispose to erectile dysfunction.
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If you are experiencing erectile issues, it is important to speak with your physician. There could be a health condition contributing to your erectile dysfunction. A men’s health specialist will play an active role in your health and treatment plan for ED. Top 5 Common Causes of ED Vascular disease Endocrine disorders Medications Pelvic surgery Neurological disorders ED & Vascular Disease
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Other tests, if indicated, are normally arranged by the urology specialist clinic and will be discussed with you.
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If this small selection of benefits from walking, running, or swimming, were not enough, then you can add improved erectile function among men who live a sedentary lifestyle, are overweight, suffer from atherosclerosis, or have high blood pressure.
Albumin Serum one of the major proteins in the blood and a reflection of the general state of nutrition.
Certain medications can alter testicular function, including some diuretics (water pills), some seizure medications, long-acting oral opiate pain medications, antipsychotic medications, and oral steroids.
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Erectile Dysfunction is one of the most commonly seen sexual issues in males. The point to note is that if occasional erection issues are there, then there is no point of concern, but getting frequent ones can actually destroy your sexual life and your relationship as well.
Men can have several types of issues including poor sex drive and problems with ejaculation. But ED refers specifically to trouble getting or keeping an erection. You might have a healthy sex drive, but a body that won’t respond. Most of the time there is a physical basis for the problem.
Premature ejaculation (ejaculating too soon)The inability to have an orgasm after sufficient stimulationDelayed ejaculation (when ejaculation takes too long)
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Please provide your email address and phone number and a Chesapeake Urology representative will contact you shortly to assist with your question or issue.
A lot goes into achieving an erection. When you're turned on, nerves fire in your brain. Blood then flows into your penis. If all goes well, you’re ready for sex.
Impotence treatments were discussed in the oldest Chinese text, The Yellow Emperor’s Classic of Internal Medicine, which describes traditional Chinese medicine during the time of the Yellow Emperor’s rule which ended around 2600 BC. One of the treatments for impotence discussed is a potion with 22 ingredients.4
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If the lining of the blood vessels (known as the endothelium) becomes damaged and inflamed, this can also disrupt nitric oxide (NO) production.
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The disease that causes ED in a body is examined by blood and urine tests. And these diseases can be
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When other treatment options are not successful, penile implant surgery can provide excellent patient and partner satisfaction. Both malleable (bendable) and inflatable devices can be implanted to allow penile rigidity and satisfactory sexual intercourse.
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Bilirubin, Total A chemical involved with liver functions. High concentrations may result in jaundice.
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HDL Cholesterol High-density lipoproteins are believed to take cholesterol away from cells and transport it back to the liver for removal or processing. They are known as the "good" cholesterol as people with high levels of HDL may have less heart disease. Low HDL could be the result of lack of exercise and smoking.
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Survey says more then 50 percent with erectile dysfunction problems during partnered sex don’t have a problem when watching porn.
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More permanent surgical prostheses may be considered, but only after conservative options have been attempted.
Vacuum Erection Device is one such external device that is FDA approved and is easy and safe to use. At IASH, we explain step by step procedure for the safe and competent use of this device.
Sometimes, blood flow problems develop because of damage to the endothelium or penile smooth muscle – tissues in the penis that are important for normal erections. This damage may be the result of high blood pressure or smoking. It can also happen if a man has high cholesterol, triglyceride, or blood sugar levels.
If ED comes from a blocked artery leading to the penis, surgery can restore blood flow. The procedure usually works best on men under 30. Doctors don’t recommend it for older men with widespread narrowing of the arteries.
What Is Eosinophilic Esophagitis (EoE)? Symptoms, Causes, Diagnosis, Treatment, and Prevention
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Click here to watch a short video about erectilel dysfunction from the NHS Health & Care Video Library.
A closer look at the relationship between hypertension and ED, including how certain blood pressure medications may affect your symptoms.
There are other similar medicines called tadalafil (Cialis), vardenafil (Levitra) and avanafil (Spedra) that work in a similar way. Buying Viagra online
The good news is that the medically reviewed research suggests physical activity with a moderate to high intensity completed for 40 minutes, four times a week can result in a significant improvement of ED symptoms, as well as preventing cardiovascular disease.
Disclaimer : All content posted on this website is commentary or opinion. This website does not give or attempt to give medical advice and your personal information is not stored. THIS WEBSITE IS NOT DESIGNED TO – AND DOES NOT – PROVIDE MEDICAL ADVICE.
Similarly, clinical studies have shown that moderate exercises gradually helped middle aged men improve their performance in the bedroom.
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Your doctor can provide you with specific details about the pros and cons of each of the following treatments: Lifestyle changes like stopping smoking, losing weight and eating healthier Vacuum Erection Devices
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Due to the fact that ED and CVD share many of the same risk factors, it is not surprising that there is a high incidence of ED in men who present with CVD. A study by Montorsi et al found that ED was present in roughly 50% of patients with acute chest pain and confirmed CAD on angiography.21
All treatments are medically proven to assist in getting and maintaining an erection – but each one of them are unique in their abilities and effectiveness.
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The ability to achieve and sustain erections requires the following:A healthy nervous system that conducts nerve impulses from the brain, spinal column, and the penisHealthy arteries in and near the corpora cavernosa of the penis so that when stimulated there is an increase in blood flow to the penisHealthy smooth muscle and fibrous tissue within the corpora cavernosa so that it can fill with bloodAn adequate amount of nitric oxide (NO) in the penis to help with the stimulation of blood flow into the penisNormal functioning of the tunica albuginea, the layer of tissue surrounding the corpora cavernosa and responsible for the compression of the veins to keep blood in the penisAppropriate psychosocial interactions to enhance sexual stimulation/arousal and decrease anxiety/stress
Because it is a hydraulic device, it can give you the hardest erection possible. IPPs have high satisfaction rates among patients AND their partners. (Read this first-hand account from a happy patient.) And once you are done having sex, you push the button in the scrotum and it deflates.
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Erectile dysfunction can be caused by many factors and may have a gradual or sudden onset. It can be very upsetting and result in a lot of stress and worry. It can feel embarassing to discuss this with your doctor but it is important that you do, so that you can receive the appropriate help. Erectile dysfunction can also be a sign of other illnesses such as heart disease or diabetes, so it is important that you seek medical advice. What are the facts about impotence? Erectile dysfunction becomes commoner with increasing age and is seen in 50 - 55% of men between 40 and 70 years old; It is often associated with obesity, high blood pressure, high cholesterol & diabetes which are all significant risks to health; Investigation is only indicated if both partners wish to pursue treatment; Most treatable causes can be identified by a clinical history, physical examination and routine blood tests; If there is no treatable cause, treatment with tablets is the first option for most men; Other methods of treatment are only indicated if medication proves ineffective, causes side-effects or cannot be used because of specific medical conditions. What should I expect when I visit my GP?
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.”
Unlike other treatments for erectile dysfunction, PDE5i medications requires sexual stimulation to function. Without stimulation, these medications will not provide any effect.
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The most obvious symptom of erectile dysfunction (ED) is an inability to get an erection.
Your hormonal status for testosterone (the male hormone) is evaluated, particularly if one of your symptoms is low sexual desire (low libido).Blood tests for testosterone should ideally be taken early in the morning because that is when levels are usually at their highest.Blood may also be tested for other hormones that can affect sexual function (eg, luteinizing hormone, prolactin).Your blood may be checked for glucose (sugar), cholesterol, thyroid function, triglycerides, and prostate specific antigen (PSA).A urinalysis looking for blood cells, protein, and glucose (sugar) may also be done.
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Sometimes called Doppler ultrasound, this is another way to check blood flow to the penis. It may be used along with the injection test.
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Medicine such as sildenafil (sold as Viagra) is also often used by doctors to treat erectile dysfunction. It's also available from pharmacies.
Injections Some medicines can be injected or placed inside the penis to help create an erection.Testosterone Your doctor may recommend that you take this hormone if your levels are low.Devices and Surgery
Aerobic exercises, such as walking or running, improve cardiovascular health, help men maintain a healthy weight, and decrease the risk of high blood pressure. In a review of studies on exercise and E.D., researchers discovered that 160 minutes of moderate to vigorous aerobic activity per week divided over four days decreased E.D. (Gerbild et al., 2018).
NOTE: Some of the information provided contains graphic, medical images which individuals may find upsetting
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Membership of BAUS is open to any medical practitioner in urological practice interested in promoting the objects or the organisation.
“People shy away from consulting an expert and instead opt for products like supplements, creams etc., available in the market. But, it may not be safe. Before using any such products, check with your doctor, especially if you have chronic health conditions,” the doctor concludes.
The sexual health of a person is as important as their mental and physical health. But often, it gets ignored, because there is a certain form of stigma attached to sexual health conditions. This even stops people from seeking timely treatment, if at all. Dr Gautam Banga, consultant and andrologist at the Sunrise Hospital New Delhi, says in India, Erectile Dysfunction (ED) is a taboo, because people don’t see it as a medical disorder but as sexual incompetence. “It does not happen because the man is not interested in or is incapable of having sex, but there are medical reasons like diabetes, high cholesterol, high blood pressure and ischemic heart disease (IHD), depression etc., that leads to ED,” he tells indianexpress.com.
There is reliable evidence that oral phosphodiesterase-5 (PDE-5) inhibitors (e.g., sildenafil, vardenafil, tadalafil, mirodenafil, and udenafil) improve erectile functioning in men with ED. However, there is a lack of reliable evidence of the efficacy of hormonal treatments and the value of hormone testing for ED. The American College of Physicians (ACP) developed guidelines on hormonal testing and pharmacological treatments of ED (Qaseem et al, 2009). Current drug therapies include PDE-5 inhibitors as well as hormonal treatment. The ACP recommended clinicians initiate therapy with a PDE-5 inhibitor in men who seek treatment for erectile dysfunction and who do not have a contra-indication to PDE-5 inhibitor use, and clinicians base the choice of a specific PDE-5 inhibitor on the individual preferences of men with erectile dysfunction, including ease of use, cost of medication, and adverse effects profile.
Information about your personal and sexual history may be useful when making a diagnosis. Your doctor might ask questions, such as:
• Conditions such as diabetes, high blood pressure, heart or thyroid conditions, poor blood flow, depression, or neurologic disorders (such as multiple sclerosis or Parkinson's disease)
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