Can we develop a simple yet accurate method to distinguish organic from psychogenic ED?
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Making sure you are getting regular erections that are hard enough for penetration. It’s best if you can have an erection 2 to 3 times a week. This will help keep the tissue in your penis healthy.
When a man is at the age of 40, he might face diabetes problems or bp problems, which may also affect the proper blood flow and can also lead to an erection problem.
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This is especially important for erections. When a man is sexually stimulated, his penis fills with blood. This blood gives him the firmness he needs for sexual activity. Once he ejaculates, the blood flows out of the penis and back into the rest of his body.
These diseases include high blood pressure, diabetes, clogged arteries, heart and blood vessel disease, high cholesterol, and chronic kidney disease. Other possible causes include: Nerve injury: The penis, spinal cord, prostate, bladder or pelvis may have sustained a physical injury that needs to be treated. This includes a large group of men who have had surgery or radiation treatment for prostate cancer. Unhealthy lifestyle: This includes smoking, excessive alcohol use, obesity and not exercising. Mental health: Depression, stress and anxiety surrounding sexual failure can all lead to erectile dysfunction. Medications: Some medications, including antidepressants, can cause sexual side-effects. Hormones: A small number of erectile dysfunction cases result from low levels of the male hormone testosterone.
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There are various ways to treat erectile dysfunction. The treatment options range from home remedies to medications and therapies.
Erectile dysfunction is a potential complication following prostate cancer treatments. The nerves that control an erection lie very close to the prostate and may be injured during treatment. However, some men may regain their previous level of erectile function with nerve-sparing procedures. But it may take up to a year while some men may never recover their ability to have a natural erection.
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John Hopkins Bloomberg School of Public Health: "18 Million Men in the United States Affected by Erectile Dysfunction."
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Erectile dysfunction is the ongoing inability to achieve or maintain an erect penis, and men experience these erectile dysfunction symptoms:
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The Exercise Erectile Dysfunction app teaches the user simple, safe and adequate exercises to deal with Erectile Dysfunction using interactive tools such as images, videos, calendar with exercise register functionality to keep track on symptoms and exercise frequency and type of activity. The user can then export it to show it to the doctor. Besides, the user can test its knowledge regarding Erectile Dysfunction in an amusing way through a little and fun quiz.
Men with diabetes, high blood pressure, heart disease are at greater risk. ED also increases with age and may develop in men with an enlarged prostate and/or urinary incontinence. Sometimes it can develop following pelvic surgery, pelvic radiotherapy, pelvic trauma or spinal cord injury. smoking, high consumption of alcohol, high cholesterol levels, drug abuse, cycling, a sedentary lifestyle, obesity weak pelvic floor muscles
The healthy foods on this list are expected to improve cardiovascular health and, therefore, erectile function. However, it is important to investigate the underlying cause of E.D. Your doctor can discuss your symptoms and develop a comprehensive plan that emphasizes a healthy diet while also considering the many potential medical interventions such as Trimix that have helped many men with E.D. regain normal erectile function.
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When psychological factors are believed to be the principle cause of ED– particularly in men who are experiencing anxiety or depression – psychological counseling is mandatory. Consultation with a mental health professional with expertise in sexuality should be considered in all cases as this consultation is seldom harmful and the majority of patients will have some psychogenic or relational component to their sexual symptoms.
Sildenafil treats erectile dysfunction of either physical or psychological cause. It is effective in treating erectile dysfunction in men with coronary artery disease, diabetes mellitus, hypertension, depression, coronary artery bypass grafting (CABG), and men who are taking antidepressants and several classes of antihypertensives.
If you’re battling ED, you’ll want to arm yourself with credible information. Here are some of Everyday Health’s top resources.
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Our team is made up of doctors and oncology certified nurses with deep knowledge of cancer care as well as journalists, editors, and translators with extensive experience in medical writing.
You will also be asked a detailed past medical and surgical history as you may have other medical conditions which may be contributing to your erectile dysfunction. It is important to tell your GP about other symptoms such as pain, premature ejaculation (uncontrolled ejaculation before or immediately after penetration) or symptoms of prostatic obstruction because they are often associated with erectile dsyfunction.
Please note that this email address is only for comments, questions, and cancellation of appointments. STIs Balanitis Chancroid Chlamydia Condylomas (HPV) Scabies Gonorrhea Hepatitis A, B, C, D, E Genital Herpes Vaginitis Lymphogranuloma Venereum (LGV) Molluscum contagiosum Crabs Prostatitis Salpingitis Syphilis HIV
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Kidney failure can occur from an acute event or a chronic condition or disease. Prerenal kidney failure is caused by blood loss, dehydration, or medication. Some of the renal causes of kidney failure include sepsis, medications, rhabdomyolysis, multiple myeloma, and acute glomerulonephritis. Post renal causes of kidney failure include bladder obstruction, prostate problems, tumors, or kidney stones.Treatment options included diet, medications, or dialysis.
If you’re older, there’s probably a physical reason for your ED. But the causes can be in your head, too. Experts say stress, depression, low self-esteem, and performance anxiety can short-circuit the process that leads to an erection. These factors can also make the problem worse if your ED stems from a physical problem.
"For men who are unwilling or unable to self-inject alprostadil, the FDA has approved this dissolvable pellet that can be inserted directly into the urethra, the opening of the penis," says Dr. Feloney. MUSE, with an inspiring name that actually stands for medicated urethral system for erection, will trigger an erection in about 10 minutes that may last as long as an hour. Using MUSE to treat ED can result in somewhat unpleasant side effects, however — including an aching sensation, burning, redness, and minor bleeding.
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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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Your doctor may recommend pursuing some mental health support to alleviate the impact of stress, depression, or anxiety on your ED. Seeking help from a mental health professional can help treat erectile dysfunction.
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Because flavonoids improve circulation, foods high in this nutrient may increase blood flow into the penis. Flavonoids are naturally occurring antioxidants.
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Also, it is important to remember that there are psychogenic issues such as performance-related issues, traumatic past experiences, relationship problems, anxiety, depression and stress that can certainly cause or be considered a comorbid condition contributing to ED.
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This patient education application provides patients and Health Care Practitioners with easy to access information on Erectile Dysfunction management. The developer, BuiltByDoctors, has not provided details about its privacy practices and handling of data to Apple.
It is important for clinicians prescribing these drugs to make the patient aware of the action of the drugs especially the fact that they do not result in an immediate erection, and that they do not cause an erection without sexual stimulation. There is frequently a great expectation when men begin using these drugs and it is wise to temper their enthusiasm and explain they do not work immediately, and may not work every time, but also let the patient know that if these drugs do not work, there are other options.
Couple therapy- Seek a therapist to do away with the stress, anxiety or depression leading to erectile dysfunction.
If you are experiencing symptoms of erectile dysfunction, know that you aren’t alone. ED is common, especially as people age, and it is treatable. Don’t let your self-esteem and sex life continue to suffer because you’re too embarrassed to talk to a doctor. MultiCare urologists have the experience, knowledge and compassion to ensure you get the correct diagnosis and a treatment that works for your lifestyle. Learn more about erectile dysfunction and the treatment options available at MultiCare from Jack Walter, MD, of MultiCare Urology of Tacoma.
Alcoholism is a disease that includes alcohol craving and continued drinking despite repeated alcohol-related problems, such as losing a job or getting into trouble with the law. It can cause myriad health problems, including cirrhosis of the liver, birth defects, heart disease, stroke, psychological problems, and dementia. Counseling and a few medications can be effective for alcoholism treatment.
Surgery is an option in some cases of erectile dysfunction. Most surgery cases are performed for one of three reasons: to implant a device to initiate erections; to reconstruct arteries and increase penis blood flow; to block off veins that allow blood to leak from the penile tissues.
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Various studies have shown that around 11 percent of men experience mild symptoms of ED in their early 30s. And by doing proper exercises and yogas, one can overcome those symptoms to get over their problem before touching their 40s.
These drugs work by improving blood flow to the penis during arousal and are taken 30 to 60 minutes before sexual activity. They should not be used more than once a day. Cialis can be taken up to 36 hours before sexual activity and also comes in a lower, daily dose. Staxyn dissolves in the mouth. All require a doctor's prescription for safety.
A meta-analysis of 36 744 men with ED in 12 prospective cohort studies found that the presence of ED significantly increased the risk of CVD, CAD, stroke and all-cause mortality, and the presence of ED was an independent risk factor for CVD. Ponholzer et al found that men with moderate to severe ED had a 65% increased relative risk for developing symptomatic CAD compared with men who did not have ED.26
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Therefore, men with these health conditions should not use tadalafil without having these conditions evaluated and stabilized first. For example, men with uncontrolled high blood pressure should have their blood pressure controlled; and men with potentially life-threatening abnormal heart rhythms should have these rhythms controlled.
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This patient education application provides patients and Health Care Practitioners with easy to access information on Erectile Dysfunction management. The developer, BuiltByDoctors, has not provided details about its privacy practices and handling of data to Apple.
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Surgery to repair arteries (penile arterial reconstructive surgery) can reduce impotence caused by obstructions that block the flow of blood to the penis. The best candidates for such surgery are young men with discrete blockage of an artery because of a physical injury to the pubic area or a fracture of the pelvis. The procedure is less successful in older men with widespread blockage of arteries.
All men receiving testosterone replacement need to have periodic measurement of haemoglobin and haematocrit to monitor for erythrocytosis. Feldman HA , Goldstein I , Hatzichristou DG , et al . Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol 1994;151:54–61. Araujo AB , Esche GR , Kupelian V , et al . Prevalence of symptomatic androgen deficiency in men. J Clin Endocrinol Metab 2007;92:4241–7. doi:10.1210/jc.2007-1245 Lindau ST , Schumm LP , Laumann EO , et al . A study of sexuality and health among older adults in the United States. N Engl J Med 2007;357:762–74. doi:10.1056/NEJMoa067423 Shah J . Erectile dysfunction through the ages. BJU Int 2002;90:433–41. doi:10.1046/j.1464-410X.2002.02911.x Mobley D . Early history of inflatable penile prosthesis surgery. Asian J Androl 2015;17:225–9. Roumeguère T , Wespes E , Carpentier Y , et al . Erectile Dysfunction is associated with a high prevalence of hyperlipidemia and coronary Heart Disease Risk European Urology.44:355–9. Klein R , Klein BE , Lee KE , et al . Prevalence of self-reported erectile dysfunction in people with long-term IDDM. Diabetes Care 1996;19:135–41. doi:10.2337/diacare.19.2.135 Larsen SH , Wagner G , Heitmann BL . Sexual function and obesity. Int J Obes 2007;31:1189–98. doi:10.1038/sj.ijo.0803604 McWaine DE , Procci WR . Drug-induced sexual dysfunction. Med Toxicol Adverse Drug Exp 1988;3:289–306. doi:10.1007/BF03259941 Croft H , Settle E , Houser T , et al . A placebo-controlled comparison of the antidepressant efficacy and effects on sexual functioning of sustained-release bupropion and sertraline. Clin Ther 1999;21(4):643–58. doi:10.1016/S0149-2918(00)88317-4 Janeway M , Baum N . Managing the enlarged prostate gland in elderly men. Clinical Geriatrics http://www.consultant360.com/articles/managing-enlarged-prostate-gland-elderly-men. Kumar RJ , Barqawi A , Crawford ED . Adverse events associated with hormonal therapy for prostate Cancer. Rev Urol 2005;7 Suppl 5:S37–S43. Aksam A , Yassin A , Saad F . Testosterone and erectile dysfunction. J Andrology 2008;29. Gades NM , Nehra A , Jacobson DJ , et al . Association between smoking and erectile dysfunction: a population-based study. Am J Epidemiol 2005;161:346–51. doi:10.1093/aje/kwi052 Mobley D , Baum N . Smoking: it’s impact on urologic conditions. Rev Urology 17 2015. Stein RA . Endothelial dysfunction, erectile dysfunction, and coronary heart disease: the pathophysiologic and clinical linkage. Rev Urol 2003;5(Suppl 7):S21–S27. Andersson K , Stief C . Penile erection and cardiac risk: pathophysiologic and pharmacologic mechanisms. Am J Cardiol 2000;86:23–6. doi:10.1016/S0002-9149(00)00887-0 Feldman HA , Johannes CB , Derby CA , et al . Erectile dysfunction and coronary risk factors: prospective results from the Massachusetts male aging study. Prev Med 2000;30:328–38. doi:10.1006/pmed.2000.0643 Vlachopoulos C , Ioakeimidis N , Terentes-Printzios D , et al . The triad: erectile dysfunction-endothelial dysfunction-cardiovascular disease Curr Pharm Des. 2008;14:3700–14. Watts GF , Chew KK , Stuckey BG et al . The erectile-endothelial dysfunction nexus: new opportunities for cardiovascular risk prevention. Nat Clin Pract Cardiovasc Med 2007;4:263–73. doi:10.1038/ncpcardio0861 Montorsi F , Briganti A , Salonia A , et al . Erectile dysfunction prevalence, time of onset and association with risk factors in 300 consecutive patients with acute chest pain and angiographically documented coronary artery disease. Eur Urol 2003;44:360–5. doi:10.1016/S0302-2838(03)00305-1 Vlachopoulos C , Rokkas K , Ioakeimidis N , et al . Prevalence of asymptomatic coronary artery disease in men with vasculogenic erectile dysfunction: a prospective angiographic study. Eur Urol 2005;48:996–1003. doi:10.1016/j.eururo.2005.08.002 Mulhall J , Teloken P , Barnas J et al . Vasculogenic erectile dysfunction is a predictor of abnormal stress echocardiography. J Sex Med 2009;6:820–5. doi:10.1111/j.1743-6109.2008.01087.x Hodges LD , Kirby M , Solanki J , et al . The temporal relationship between erectile dysfunction and cardiovascular disease. Int J Clin Pract 2007;61:2019–25. doi:10.1111/j.1742-1241.2007.01629.x Inman BA , Sauver JL , Jacobson DJ , et al . A population-based, longitudinal study of erectile dysfunction and future coronary artery disease. Mayo Clin Proc 2009;84:108–13. doi:10.4065/84.2.108 Ponholzer A , Temml C , Obermayr R , et al . Is erectile dysfunction an indicator for increased risk of coronary heart disease and stroke? Eur Urol 2005;48:512–8. doi:10.1016/j.eururo.2005.05.014 Thompson IM , Tangen CM , Goodman PJ , et al . Erectile dysfunction and subsequent cardiovascular disease. JAMA 2005;294:2996–3002. doi:10.1001/jama.294.23.2996 Banks E , Joshy G , Abhayaratna WP , et al . Erectile dysfunction severity as a risk marker for cardiovascular disease hospitalisation and all-cause mortality: a prospective cohort study. PLoS Med 2013;10:e1001372. doi:10.1371/journal.pmed.1001372 Lewis RW , Fugl-Meyer KS , Corona G , et al . Definitions/epidemiology/risk factors for sexual dysfunction. J Sex Med 2010;7:1598–607. doi:10.1111/j.1743-6109.2010.01778.x Yaman O , Gulpinar O , Hasan T , et al . Erectile dysfunction may predict coronary artery disease: relationship between coronary artery calcium scoring and erectile dysfunction severity. Int Urol Nephrol 2008;40:117–23. doi:10.1007/s11255-007-9293-8 Montorsi P , Ravagnani PM , Galli S , et al . Association between erectile dysfunction and coronary artery disease. role of coronary clinical presentation and extent of coronary vessels involvement: the COBRA trial. Eur Heart J 2006;27:2632–9. doi:10.1093/eurheartj/ehl142 Montorsi P , Ravagnani PM , Galli S , et al . Association between erectile dysfunction and coronary artery disease:matching the right target with the right test in the right patient. Eur Urol 2006;50:721–31. doi:10.1016/j.eururo.2006.07.015 Yassin AA , Saad F . Testosterone and erectile dysfunction. J Androl 2008;29:593–604. doi:10.2164/jandrol.107.004630 Khera M . Androgens and erectile function: a case for early androgen use in postprostatectomy hypogonadal men. J Sex Med 2009;6:234–8. doi:10.1111/j.1743-6109.2008.01159.x Aversa A , Isidori AM , De Martino MU , et al . Androgens and penile erection: evidence for a direct relationship between free testosterone and cavernous vasodilation in men with erectile dysfunction. Clin Endocrinol 2000;53:517–22. doi:10.1046/j.1365-2265.2000.01118.x Wespes E , Amar E , Hatzichristou D , et al . EAU guidelines on erectile dysfunction: an update. 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erectile dysfunctionendothelial dysfunctiontestosteronetestosterone deficiencyandrogen deficiencytestosterone replacementcardiovascular diseasestem cellsgene therapy
The treatment you receive for your ED will depend on the underlying cause. Your doctor may recommend adjusting your medications to eliminate side effects that could be causing problems. If psychological causes are suspected, your provider may suggest counseling. Lifestyle changes like losing weight and quitting drinking can also have a big impact.
Low testosterone levels. This can make it difficult to get an erection. It can also reduce a man's sex drive.Nerve damage from prostate surgery.Nicotine, alcohol, or cocaine use.Spinal cord injury.
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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.”
Recent studies have found that even if medication is used as part of treating erectile dysfunction, it's way more likely to be effective if lifestyle changes are also addressed.
Congestive heart failure with borderline low blood pressure and borderline low blood volume is a contraindication to PDE5 inhibitors, as is high blood pressure requiring multiple medications to treat the blood pressure as PDE5 inhibitors could lead to lowering of the blood pressure and medical problems.
We can strengthen our pelvis bone and muscles through some basic pelvic floor exercises like kegels. Kegel exercise is also known as pelvic floor exercises are the best way to strengthen pelvic bones and overcome ED problems. There are some basic pelvic floor exercises or other variations like sitting pelvic floor activation or standing pelvic floor activation.
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.
A vacuum device is exactly what it sounds like: a tube that brings blood into the penis. You keep the erection by using a penis ring at the base of the penis.
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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.
Another relatively simple, non-invasive treatment for ED includes use of a vacuum erection device (‘penile pump’), to assist with achieving erection for intercourse. These devices work by pulling blood into the penis; a tight constrictive ring is then placed at the base of the penis. While generally safe, care should be taken not to overinflate the device nor to leave the constrictive ring on for prolonged periods as either of these may lead to penile damage.
An ultrasound examination of your penis and testicles may be performed. The principle of ultrasound is similar to the sonar used on submarines. Sound waves are reflected back when they contact relatively dense structures, such as fibrous tissue or blood vessel walls. These reflected sound waves are then converted into pictures of the internal structures being studied.
“Any man who has experienced ED can tell you that it takes its toll on his self-confidence as well as his intimate relationships. Now, energy wave therapy offers most men a future without erectile dysfunction,” said Aaron Weinberg, M.D., Associate Director, Erectile Dysfunction Program, Chesapeake Urology.
With the increasing interest in more natural and holistic therapies for erectile dysfunction, many men are choosing nonsurgical shockwave therapy. This breakthrough treatment delivers virtually painless ultrasonic waves to the penis in order to remodel tissues, strengthen blood vessels, and increase blood flow to the penis. In the days and weeks following a quick shockwave ED treatment, which typically lasts 30 minutes or less and requires no downtime, patients will begin to develop stronger, firmer, longer-lasting erections.
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You should speak to your doctor if it keeps happening, so they can investigate further.
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The doctor says that ED can limit daily life, affect intimacy, contribute to low self-esteem and impact personal relationships. “The good news, however, is that it can be treated with medications or with penile prosthesis, and the treatment varies depending on the severity of the condition.
It is recommend that the first trial of intraurethral prostaglandin be performed in the doctor's office due to the risk of hypotension with this medication.
The book turned out to be informative and practical, it provides tips and easy ways out through diets, exercises and other natural ways to reverse ED. Anyway, I consider it does not replace a doctor. Those suffering from this should still consult with one.
Acupuncture is the practice of inserting needles into the body to reduce pain or induce anesthesia. More broadly, acupuncture is a family of procedures involving the stimulation of anatomical locations on or in the skin by a variety of techniques.
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