'However, the optimum combination of frequency and exercise will vary from individual to individual.'
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4860 Y Street, Suite 2200 | Sacramento, CA 95817 | Clinic: 916-734-2222 About Menu Toggle What is GAINSWave ? What to Expect? How it Works? Comparing Treatments FAQs Medical Advisory Board Expected Results Menu Toggle Erectile Dysfunction Treatment Peyronie’s Disease Treatment Sexual Enhancement Clinical Research Testimonials Am I a Candidate? Testimonials Resources Menu Toggle Men’s Health Guide Provider Resources Magazine Press Become a Provider Find A Provider
Energy wave therapy is a safe and effective treatment. Gentle high frequency, low-intensity sound waves are delivered to the penile tissue through a special treatment wand to stimulate the erectile tissue and improve blood flow in the penis so men can achieve natural, spontaneous erections. The application of energy waves triggers revascularization, a process in which new blood vessels form. The formation of new blood vessels, coupled with the restoration of blood flow in the penis, help restore erectile function in men with ED.
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The most targeted exercise that you can do to help erectile dysfunction is strengthening your pelvic floor. Pelvic floor exercises can help men improve or even ultimately overcome ED.
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LDL Cholesterol Low-density lipoproteins contain the largest percentage of cholesterol and may be responsible for depositing cholesterol on the artery walls. They are known as the "bad" cholesterol.
Self-administered injections of prostaglandin E1 (Caverject® or Invicorp®) provide a simple means of obtaining a natural erection. You will be taught how to administer the injections (pictured) and told what to do in the event of problems such as an erection which will not go down.
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This information is for adult males with cancer. If you are a transgender person, please talk to your cancer care team about any needs that are not addressed here.
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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.
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Men with a rare heart condition known as long QT syndrome should not take vardenafil since this may lead to abnormal heart rhythms. The QT interval is the time it takes for the heart's muscle to recover after it has contracted and is measured on an electrocardiogram (EKG). In addition, vardenafil is not recommended for men taking medications that can affect the QT interval such as quinidine, procainamide, amiodarone, and sotalol.
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These oral medications fit in the phosphodiesterase-5 inhibitors (also called PDE-5 or PDE inhibitors). They allow the man to have an erection, but they do not work as well for maintaining an erection.
Checking the penis for sensitivity determines any nervous system origins. Inspection of penile appearance helps rule out Peyronie's disease. A blood pressure check rules out circulation problems by checking wrist and ankle pulse.
For an algorithm to facilitate evaluation and treatment of patients with ED, see figure 2.
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Therefore, men with these health conditions should not use vardenafil 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.
Following completion of a full interview, physical examination, and laboratory testing, your doctor should be able to determine the general type of dysfunction and the need for any additional testing. Such tests include penile or pelvic blood flow studies, nocturnal penile tumescence testing, penile biothesiometry (nerve testing), and/or more blood tests.
To diagnose ED, your doctor may only need to ask you some questions and perform a physical exam.
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Click here to watch a short video about erectilel dysfunction from the NHS Health & Care Video Library.
Increased consumption of long-chain fats, which are found in most fish, was associated with lower levels of blood vessel inflammation (Lopez-Garcia & Hu, 2004). Blood flow into the penis and surrounding tissue can be improved by reducing inflammation in small blood vessels.
Men can increase the blood flow throughout their bodies by engaging in regular physical activity. Increased blood flow to the penis decreases the risk of ED and enhances sexual performance.
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There's an excellent chance that your erections can be restored through one of the increasingly wide range of treatments now available but the psychological scars may take longer, and be more difficult, to heal.
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Use the links below to find information relating to various urological procedures.
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The symptoms of Erectile Dysfunction are diagnosed through detailed medical, sexual, and social history. There may be a very low sex drive in men. Some laboratory evaluations are done to screen the unrecognized systemic diseases and test the hormonal causes if any, like change in testosterone and prolactin level. If reports show low testosterone level: The sexologist in Jaipur we check follicle-stimulating hormone and then prescribe
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The NHS says PE falls into two categories - primary or secondary, based on whether men have always had the issue or it recently developed.
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Smoking, excessive use of alcohol and illicit drugs are also associated with ED.13 A study in 2005 suggests that ED is not only more likely among men who smoked compared with those who never did, but that in younger men with ED, cigarette smoking is very likely the cause of their impotence.14 15
Treatment depends on what is causing it. If it is caused by uncontrolled blood sugar and high blood pressure, take your medicine and follow your doctor’s instructions.
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Learn More About Diagnosing Erectile Dysfunction: Tests and Screenings, Early Diagnosis, and Your Doctors
Feelings of inadequacy or failure may complicate ED symptoms. ED may result in an inability to maintain an erection sometimes, but not every time. Other signs are the ability to get an erection but unable to maintain it to complete sexual relations, or an inability to attain an erection at all.
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Your free consultation with our doctors can ensure you find the right ED meds for your needs.
Aetna considers exogenous testosterone replacement therapy, including transdermal preparations, experimental and investigational for the treatment of non-hypogonadal impotence because its effectiveness in non-hypogonadal impotence has not been established. (See CPB 0345 - Implantable Hormone Pellets.)
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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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There have been rare reports of priapism (prolonged and painful erections lasting six or more hours) with the use of PDE5 inhibitors. Patients with blood cell diseases such as sickle cell anemia, leukemia, and multiple myeloma have higher than normal risks of developing priapism. Untreated priapism can cause injury to the penis and lead to permanent impotence. Therefore, if your erection lasts four hours, you should seek emergency care.
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Multiple sclerosis or MS is an autoimmune disorder in which brain and spinal cord nerve cells become demyelinated. This damage results in symptoms that may include numbness, weakness, vertigo, paralysis, and involuntary muscle contractions. Different forms of MS can follow variable courses from relatively benign to life-threatening. MS is treated with disease-modifying therapies. Some MS symptoms can be treated with medications.
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NO is one of the key molecules involved in getting an erection. It works by dilating (widening) blood vessels in the penis, allowing more blood to flow into it, which is how an erection takes place. Anything that disrupts its production is bad news for strong erections.
Unfortunately, some men may not recover their ability to have a natural erection.
When using a PDE-5 medication, the man suffering from ED takes the medication at least 15 minutes before he expects to have sexual intercourse. This takes away some of the spontaneity of sex.
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Urology Care Foundation is an organization that supports and improves urological care by funding research, developing patient education, and pursuing financial support. They offer downloadable fact sheets and patient guides to help you understand ED.
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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
Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex, feeling stressed either at home or at work, or feeling troubled in your current sexual relationship. In these cases, treatment incorporating psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress, leading to further erectile failure. Los of desire or interest in sexual activity can be psychological or due to low testosterone levels.
Horny goat weed is an herb that has been used in China for centuries to treat low libido, erectile dysfunction, fatigue, and other conditions. Learn how its extract may help increase blood flow to the penis.
The ACP did not recommend for or against routine use of hormonal blood tests or hormonal treatment in the management of patients with ED.
Erectile dysfunction (ED, impotence) varies in severity; some cannot have an erection at all, whereas other men sometimes have troubles getting a hard erection, and others get a hard erection but it only lasts for a short period of time. Approximately 50% of men over the age of 40 have troubles with erectile dysfunction.
All of this is available to ensure a proper diagnosis of your ED. It allows your ED specialist to customize a treatment specifically for you!
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Once you feel comfortable with this feeling, you can incorporate this into a daily routine of performing pelvic floor exercises. It won't take long, and will soon feel like second nature.
• Medications, most commonly blood pressure medications (especially beta-blockers or thizides), anti-depressants (such as SSRI), anti-androgens, and a variety of other medications
Aetna considers self-administered injectable medications for the treatment of erectile dysfunction medically necessary.Footnotes* Medically necessary self-administered medications for erectile dysfunction include: Injections into the corpus cavernosa to cause an erection (papaverine, alprostadil, phentolamine) and, Medicated Urethral System for Erection (MUSE) method of treatment for erectile dysfunction that involves inserting medication through a small catheter into the urethra.
Formerly known as impotence, erectile dysfunction (ED) is the ongoing inability to have an erection that is hard enough for penetration. Another symptom is an erection that does not last long enough for the completion of sexual activity. ED can have a significant impact on the sex life of a man and his partner.
If you have trouble getting or keeping an erection more than 25% of the time, you should see your health care provider.
To diagnose ED, your doctor may only need to ask you some questions and perform a physical exam.
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To ensure any lifestyle changes are sustainable and realistic, start slow and work your way up.
Not everyone can use these medicines. Your doctor may talk to you about alprostadil if oral medicines aren’t an option for you. Alprostadil is a synthetic version of prostaglandin E. It can be injected into the penis or inserted as a tiny suppository into the urethra (the hole at the end of the penis). Your doctor will help you decide which treatment is best for you.
Insertion of a penile prosthesis (implant) (pictured) is an end stage solution when all other treatment options have failed. It involves a surgical procedure through a small incision in the junction between the penis and scrotum. Patients go home the following day if the procedure is uncomplicated, and the prosthesis can be used for sexual intercourse at 6 weeks following the operation. Complication rates are low in centres that conduct the surgery in large numbers. The risk of infection is <2% and over 85% of the devices are still functioning at 10 years.
Oral phosphodiesterase type 5 (PDE5) inhibitors (sildenafil [Viagra], vardenafil [Levitra and the generic formulation Staxyn], tadalafil [Cialis]), and avanafil [Stendra])Intracavernosal injections (papaverine, phentolamine, and PGE1 [Trimix], Bimix, and alprostadil injection [Caverject, Edex])Intraurethral suppositories (MUSE)Testosterone in individuals with ED and other signs/symptoms of hypogonadism and an unequivocally low serum testosterone
Aetna considers Xiaflex as experimental and investigational for all other indications except for Dupuytren's contracture, see CPB 0800 - Dupuytren's Contracture Treatments.
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