Health care professionals do not routinely obtain imaging tests in the evaluation of erectile dysfunction.
Erectile dysfunction (ED) is most often characterized by the inability to achieve and/or maintain a reliable, firm, prolonged erection that is adequate for sexual activity. For some men, problems with erections are isolated or situational, while others experience chronic ED due to an underlying condition or mechanical abnormality. Oftentimes, ED is multifactorial, meaning there is more than one factor contributing to the patient’s symptoms. Some of the most common erectile dysfunction risk factors and causes include: Hormone imbalance/low testosterone Andropause Age Poor circulation Heart disease Obesity Certain medications Drug/alcohol use Psychological factors Stress/anxiety Trauma Previous surgery/prostate surgery .
This type of exercise has been shown to help reduce erectile dysfunction. One reason for this is because aerobic exercise lowers blood pressure.
Given that erectile dysfunction can be a sensitive marker of vascular pathology, it is also recommended that all patients with erectile dysfunction undergo an assessment of cardiovascular risk, including assessing risk factors for cardiovascular disease.
If you are dealing with ED, you are not alone: nearly one in every four men over sixty years of age will experience some degree of erectile dysfunction. Younger men often struggle with ED as well. By taking the time to become involved in discussing ED, you’ve made an important first step in finding a solution to Erectile Dysfunction. There’s a lot to learn and many options to consider, so let’s get started.
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.
A physical examination helps in diagnosing ED. Some additional testing may rule out underlying health issues.
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
The first step in the medical management of erectile dysfunction is taking a thorough sexual, medical, and psychosocial history. This is a delicate topic, and your doctor should be sensitive and caring to make you comfortable about sharing these intimate details of your private life.
While the ED experience might feel overwhelming, know that there are medically backed treatment options available for erectile dysfunction.
If you can’t get or keep an erection that lasts long enough or is rigid enough for sex, you have erectile dysfunction.
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A variety of testosterone therapies are available, including oral, topical (gel, spray, patch), intramuscular, and pellets. Patient should review the advantages and disadvantages of each of these with a physician, as well as the health risks and benefits of testosterone therapy.
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
Urethral suppositories, also called intraurethral pellet therapy or medicated urethral system for erections (MUSE®), are a self-administered treatment for erectile dysfunction that may be effective for men who dislike penile injections or for whom oral medications are not effective. Alprostadil, a drug used for penile injection therapy, is also available as a small suppository that is placed directly into the urethra to achieve an erection, usually within five to 10 minutes.