Suppose you find that dietary and exercise changes are not enough to restore your erectile function to normal. In that case, we hope you will consider contacting the telemedicine professionals at Invigor Medical to learn more about the wide range of medical treatment options that can supplement your dietary and exercise regimen.
Your doctor will take a full medical history and perform a complete physical exam. Although it can be awkward to discuss ED with your doctor, it is important to be open and honest about all your symptoms, because they could indicate a serious medical problem.
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Erectile dysfunction, commonly called impotence or ED, can happen for many reasons — excessive alcohol consumption, stress, aging or even relationship problems. However, if you are regularly having issues getting and keeping an erection, it could be a physical problem, not a psychological one. The urology team at MultiCare can help get your sexual function back on track.
Caffeine and nicotine both narrow blood vessels, reducing blood flow into the penis and increasing the risk of E.D. when it is secondary to vascular problems. Several studies have found that smoking is the leading modifiable cause of E.D., particularly in younger men.
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.
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.
GovernanceAwardsAffiliated SocietiesPast PresidentsHistoryExecutive OfficeContact Differences in Sexual Response for Men During Partnered Sex and Masturbation Is There a Connection Between Erectile Dysfunction and Heart Disease? Treating Erectile Dysfunction With Low-Intensity Shockwave Therapy and Tadalafil: The Results of a New Clinical Trial Erectile Aids: How Helpful Are They for Prostate Cancer Patients? Study Analyzes Diabetes, Mental Health, and Sexual Function During COVID-19 Pandemic In Colombia, Sexual Dysfunction Linked to Higher Rates of LUTS PRP Injections Could be Effective ED Treatment; More Research is Needed Are men with anxiety disorders more likely to develop erectile dysfunction (ED)? Female Sexual Dysfunction Linked to Sexual Problems in Men How can I manage performance anxiety and psychogenic erectile dysfunction (ED)? Men With BPH May Have Better Erectile Function After TUDP Procedures Duplex Doppler Ultrasound in the Evaluation of Patients With Erectile Dysfunction Study Suggests ED Treatment “Disparities” After Radical Prostatectomy Nonorganic ED Might be Managed with Pharmacotherapy Should We Tailor the Clinical Management of Erectile Dysfunction According to Different Ages? Sign up here to receive the ISSM Update (our weekly update) and stay up-to-date on ISSM! HomeFor providersFor PublicSexual Health TopicsQ&AHeadlinesFind a ProviderAboutVision and MissionLeadershipCommitteesBylaws CommitteeCommunication CommitteeConsultation and Guidelines CommitteeDeveloping Countries CommitteeEducation CommitteeEthics CommitteeFinance & Audit CommitteeGrants & Prizes CommitteeHistory CommitteeMembership CommitteeNominating CommitteePublication CommitteeScientific CommitteeYoung Researchers CommitteeYoung Trainees CommitteeGovernanceAwardsAffiliated SocietiesPast PresidentsHistoryExecutive OfficeContact Quick Links What Causes Erectile Dysfunction? Evaluation of a Man Presenting with ED Treatments of Erectile Dysfunction
The recommended starting dose of vardenafil is 10 mg taken orally approximately one hour before sexual activity. A doctor may adjust the dose higher or lower depending on efficacy and side effects. The maximum recommended dose is 20 mg, and the maximum recommended dosing frequency is no more than once per day. Patients can take vardenafil with or without food. As with sildenafil, for vardenafil to be effective, sexual stimulation must occur.
This is usually caused by stress, tiredness, anxiety or drinking too much alcohol, and it's nothing to worry about.
But the BIG QUESTION is, which exercises are most effective? According to this study, pelvic floor exercises, also known as kegel, can help men suffering from ED. The study goes ahead to recommend these exercises as a first line approach for those seeking long term relief from ED.
There are hundreds of medications that have the side effect of ED and/or decreased libido. Examples of drugs implicated as a cause of ED include hydrochlorothiazides and beta-blocking agents. Medications used to treat depression, particularly the SSRIs such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Prozac Weekly, Sarafem), fluvoxamine (Luvox, Luvox CR), paroxetine (Paxil, Paxil CR, Pexeva) and sertraline (Zoloft), may also contribute to ED.9 Bupropion (Wellbutrin) which has a predominant effect on blocking the reuptake of dopamine is an antidepressant with lower incidence of ED.10 The side effects of 5ARIs occurring in fewer than 5% of patients can include gynaecomastia, ED, loss of libido and ejaculatory dysfunction.11
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But exercise does more for you than simply fill you with a feeling of euphoria. It can also help you get stronger erections. We look at the science behind exercise and erections – and give you 3 types of exercises that will maintain and improve your erectile function.
Men with ED without hypogonadism (a low testosterone level and symptoms related to this) should not use testosterone therapy.
As sexual activity often involves a partner, it is important to try to involve the partner in the evaluation and management of erectile dysfunction and determine if assistance with relationship problems will be needed. Sex therapists are helpful in assisting couples deal with sexual relationship difficulties.
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These tests are only done in certain patients who have not responded to initial therapies, and may include: Ultrasonography (penile Doppler) to check blood flow in the penis A special injection into the penis to check erection Arteriography (an imaging test that uses X-rays and a special dye to see inside the arteries) Magnetic resonance imaging (MRI) or computed tomography (CT) scan Nocturnal penile tumescence or NPT (using a special electronic device to monitor nocturnal erections)