Male infertility is caused by abnormal sperm production, blockage of sperm delivery or low sperm production. Treatments are available that work.
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Yes they can. Our doctors will assess your condition and can prescribe a treatment remotely if determined to be medically appropriate.
When sexually stimulated/aroused, the nerves supplying the penis release a chemical, nitric oxide (NO). Nitric oxide is important because it stimulates the production of a chemical called cyclic guanosine monophosphate (cGMP). cGMP causes the muscle in arteries of the penis to relax and increase blood flow into the penis. NO is broken down in the body by phosphodiesterase enzymes. PDE5 inhibitors thus prevent the breakdown of NO and thus promote increased blood flow into the penis.
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The first time he experienced ED in his mid-50s he thought it was just a fluke, which was a reasonable assumption to make. More than half of men experience episodic erectile dysfunction at some time in their life from things like stress, too much alcohol, or as a side effect of medication. Read More About Gene's Story
Exercise can help reverse some of the risk factors for E.D., such as being overweight or obese, having high blood pressure, being stressed, or having weak pelvic floor muscles.
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If your doctor doesn't take your problem seriously, ask to be referred to a specialist. Don't let yourself be fobbed off with comments like "What do you expect at your age?"
1. Identify the pelvic floor muscles: To find the pelvic floor muscles, you can either stop urination midstream or squeeze the muscles that stop you from passing gas.
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Nishimoto PW, Mark DD. Sexuality and reproductive issues. In Brown CG, ed. A Guide to Oncology Symptom Management. 2nd ed. Pittsburgh, PA: Oncology Nursing Society; 2015:551-597.
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Everyone deserves to feel comfortable and confident during intimacy. If ED is holding you back, we can help. To learn more about the exciting erectile dysfunction solutions offered at Kasraeian Urology, call our knowledgeable team to schedule your private consultation in Jacksonville, FL with board-certified urologists Dr. Ahmad Kasraeian and Dr. Ali Kasraeian today! Tags Ahmad Kasraeian, M.D., FACS Ali Kasraeian, M.D., FACS Jacksonville Beach Location Jacksonville Location North Jacksonville Location Erectile Dysfunction Shockwave Therapy Jacksonville Location Jacksonville Beach Location North Jacksonville Location
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Sexual health and function are important determinants of quality of life. As males age, erectile dysfunction (ED) or impotence is more common. Erectile dysfunction often has a negative impact on sex life and overall quality of life for both the male experiencing the erectile troubles and his partner.
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An erection occurs because of increased blood flow to your penis. ED can occur as a problem in any stage of the erection process. It may be related to problems with blood flow to your penis, nerve damage, or stressors and emotions.
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Aging and ED can slow men's sexual health, but pleasure is not only possible, it can also improve quality of life in men 60 and older.
Depending on the cause of your erectile dysfunction, your urologist will suggest lifestyle changes that include: Quitting smoking Limiting alcohol intake Exercising regularly Maintaining a healthy weight
Medication therapy is effective, especially in older men. Additional treatment may include self-injected medication, vacuum erection devices, or urethral suppositories. Surgical interventions include vascular reconstruction for improved penile blood flow. Penile implants are considered for some cases.
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Erectile dysfunction is very common and so are the misconceptions surrounding it. For instance, erectile dysfunction is not necessarily a result of aging and is often the result of an underlying physical health problem.
Similar to injections, studies show that about half of men discontinue use of this treatment within six to eight months. Side effects can include pain, bleeding at the injection site, urethral pain or burning, low blood pressure, and dizziness.
Traditional treatments for both problems revolve around lifestyle changes and drugs, Mr Myers and his colleagues said.
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Rare side effects of all PDE5 inhibitors include a sudden loss of vision in one or both eyes, NAION (nonarteritic anterior ischemic optic neuropathy), and sudden loss of hearing. These rare side effects have been reported with all of the PDE5 inhibitors, and should you develop loss of vision or hearing, you should seek immediate medical care.
Risk exposure is important to consider in the PDE5 inhibitors. Cardiovascular diseases may be a contraindication to treatment, as severely impaired patients may run the risk of a cardiac complication related to vigorous sexual activity. Likewise, patients actively taking nitrates, including nitroglycerine and other agents, are contraindicated from receiving prescriptions for PDE5 inhibitor. Relative contraindications to the use of PDE5 inhibitor include alpha-adrenergic antagonists. Visual disturbances can be seen with sildenafil (blue haze to the visual field) as a result of inhibition of the PDE6 enzyme.
Currently, there are no therapies that cure erectile dysfunction. However, a number of effective therapies are available that allow an individual to have an erection when desired. Depending on the cause of the erectile dysfunction, certain therapies may be more effective than others. Although there is limited data on lifestyle modification, intuitively, decreasing risk factors for erectile dysfunction may help prevent progression of disease.
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While medications are a common first therapy, they tend to only work in about 50 percent of men with diabetes. Good blood sugar control can help slow the progression of ED and sexual dysfunction in men. Men with diabetes are more likely to move on to other treatment options, such as the: vacuum erection pump, penile injection therapy, and penile implants. ED and Medications
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Normal erections are dependent upon complex interactions between the vascular, hormonal, neurologic, and physiological systems. A disruption within any of these systems can compromise a man’s ability to achieve an erection.
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The stress of erectile dysfunction and its toll on self-confidence and/or a relationship can be hard to deal with. Speaking to a psychologist or counselor about how to cope emotionally can be of great benefit to some people.
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Drugs for treating erectile dysfunction can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis. The most commonly used drugs on the market today include:
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Low blood flow is the outcome of many diseases or bad lifestyles. The improper blood flow also affects suitable penis erection. Some of the reason for poor blood flow are;
Metabolism (breakdown) of vardenafil can be slowed by aging, liver disease, and concurrent use of certain medications (such as erythromycin [an antibiotic], ketoconazole [Nizoral, a medication for fungal/yeast infections], and protease inhibitors [medications used to treat AIDS]). Slowed breakdown allows vardenafil to accumulate in the body and potentially increase the risk for side effects. Therefore, in men over 65 years of age with liver disease, or who are also taking medication(s) that can slow the breakdown of vardenafil, the doctor will initiate vardenafil at low doses to avoid its accumulation. For example,
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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.
Unlike other treatments for erectile dysfunction, PDE5i medications requires sexual stimulation to function. Without stimulation, these medications will not provide any effect.
Aetna considers the following laboratory tests medically necessary for the diagnosis of erectile dysfunction: Biothesiometry (Note: Biothesiometry is considered an integral part of the comprehensive history and physical examination.) Blood glucose Complete blood count Creatinine Hepatic panel Lipid profile Prostate specific antigen Serum testosterone
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Sexual arousal is complex! It involves our brains, hormones, emotions, nerves, muscles, and blood vessels. Erectile dysfunction may be triggered by physical or psychological issues or stressful situations.
Glomerular Filtration (eGFR) Provides an assessment of the filtering capacity of the kidney.
Depending on the cause of your erectile dysfunction, your urologist will suggest lifestyle changes that include: Quitting smoking Limiting alcohol intake Exercising regularly Maintaining a healthy weight
Knee fallouts. Start by lying down, knees bent and feet flat on the floor. Clench your lower pelvic muscles, and lower one knee sideways towards the floor. Repeat five times on each knee.Supine foot raises. These might not sound like a penis-related exercise, because they're not, but it helps with pelvic floor activation. Start in the knee fallout pose, then slowly raise one foot, keeping your torso still. Slowly lower, and repeat with the other leg.Pelvic curl. You might know these as bridges, and this one also starts with the same technique of lying on your back, legs hip-width apart. Squeeze and lift your buttocks in the air, keeping your hip width stable, tensing the pelvic floor muscles. Slowly lower, and repeat.Tips for maximising the sexual benefits of Kegel exercises
When possible, “nerve-sparing” methods are used in radical prostatectomy, radical cystectomy, AP resection, or TME. In nerve-sparing surgery, doctors carefully try to avoid these nerves. When the size and location of a tumor allow for nerve-sparing surgery, more men recover erections than with other techniques. But even if the surgeon is able to spare these nerves, they might still be injured during the operation and need time to heal.
Aging and ED can slow men's sexual health, but pleasure is not only possible, it can also improve quality of life in men 60 and older.
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The options for management beyond behaviour modification include TRT, PDE5 inhibitors, intracavernosal injection therapy, vacuum constriction devices (VCDs), intraurethral prostaglandin suppositories and surgical placement of a penile prosthesis.40
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It’s tough for men to ask for help but if you don’t ask when you need it, things generally only get worse. Especially during a major pandemic like Covid-19. So we’re asking.
There are a variety of other options to treat erectile dysfunction including medication, surgical options, injections, or vacuum devices:
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Impotence does not go hand in hand with aging. Other factors, such as a person's physical health and emotional well-being, are more likely to be the reason for the lack of sexual performance in an individual.
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An unhappy sex lifeLoss of intimacy within the relationshipAnxietyDepressionLow self-esteemDifficulty when trying to get a woman pregnant
No effect on libido (desire) or sensationPenile Injection TherapyRefrigeration not required for some of the therapies
Second line therapies for ED include the use of intraurethral prostaglandin E1 (Muse), the vacuum device, and intracavernous injection therapies.
Aetna considers the following laboratory tests medically necessary for the diagnosis of erectile dysfunction: Biothesiometry (Note: Biothesiometry is considered an integral part of the comprehensive history and physical examination.) Blood glucose Complete blood count Creatinine Hepatic panel Lipid profile Prostate specific antigen Serum testosterone
Additionally, it’s a good idea to share any life changes or stressors that could be affecting your mental health, such as the death of a loved one, a job change, the birth of a child, or trouble in your relationship.
Some sexual disorders are related to ED and may cause similar symptoms to ED, such as:
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By giving yourself the given points and by comparing it with the details given below you can determine the extent of your ED issues
Erectile Dysfunction Test: A Step Towards Sexual WellnessHomeMens HealthErectile Dysfunction Test: A Step Towards Sexual Wellness
Exercise is good for the heart, blood pressure, joints, muscles, and improves your mood.
Men need a lot of different body parts working the right way -- from the brain and glands that control hormones to blood vessels and the penis -- to get and keep an erection. Because of that, erectile dysfunction, or ED, can have a lot of causes. Some of them are physical; others are mental and emotional.
GAINSWave® therapy does not involve drugs or invasive procedures. There are few to no side effects. The therapy is clinically proven to treat erectile dysfunction and enhance sexual performance. When a man improves blood flow in the penis, sexual performance benefits. GAINSWave® therapy uses extracorporeal shockwave therapy to increase blood flow. The sound waves help men grow new tissue, including blood vessels, in the penis, thereby increasing blood flow.
Tadalafil (Cialis) is the third oral medicine approved by the U.S. FDA for the treatment of erectile dysfunction. Like sildenafil (Viagra) and vardenafil (Levitra), tadalafil inhibits PDE5 (as described earlier). Unlike the other PDE 5 inhibitors, patients should take tadalafil once daily and is approved for the treatment of BPH (benign enlargement of the prostate).
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One of the most important causes for ED is vascular disease; examples include diabetes (Types I and II), high blood-pressure, high cholesterol/lipids, tobacco use, obesity, and lack of exercise. All of these conditions can lead to impaired response of the blood vessels responsible for controlling penile erection. There is evidence that men who have vascular disease and make healthy lifestyle changes (e.g. increasing exercise, losing weight, quitting smoking) may experience improvement in erectile function. It is important to remember that whatever is good for the heart is also good for the penis.
If you are looking for a urologist with many years of experience, contact Kasraeian Urology's office in Jacksonville, FL.
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
What erectile dysfunction studies are under way? What are future treatment options?
MultiCare urology clinics are conveniently located throughout the South Puget Sound. View our locations to find a clinic near you. A referral from your primary care physician is required prior to scheduling an appointment. Facebook Twitter Instagram icon-linkedin-white YouTube About MultiCare About MultiCare Contact Us Giving MultiCare in the Community MultiCare Vitals Blog Newsroom Research & Innovation Patient Resources Accepted Insurance Plans Classes & Events Financial Assistance MyChart Login Pay your Bill Online Virtual Health MultiCare does not discriminate. Read our patient nondiscrimination policy. Language assistance is available. Website Privacy | Terms of use | Notice of Privacy Practices
Some sexual disorders are related to ED and may cause similar symptoms to ED, such as:
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