With so many possible causes, your doctor has a number of tests they can use to figure out the best treatment for you.
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Mayo Foundation for Medical Education and Research. (2021, August 21). Erectile dysfunction. Mayo Clinic. Retrieved October 14, 2021, from https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/diagnosis-treatment/drc-20355782.
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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Penile erection is the result of a complex sequence of events involving nerves, arteries, veins, and erectile tissues of the penis. A man’s psychological state and his feelings about his relationship/partner(s) also have important implications for penile erection. Issues with any of these systems can result in difficulty achieving and maintaining an erection.
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On the mental and emotional side of things, anxiety, depression, and stress all play a role. Relationship issues can also be a factor.
Did you know that certain medical condition may be responsible for ED? Some causes of impotence are medically treatable and reversible. Learn more about what can be done about erectile dysfunction with the Impotence Quiz.
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Diuretics (pills that increase urine flow)High blood pressure medsAntihistaminesAntidepressantsParkinson's disease drugsAntiarrhythmics (drugs for irregular heartbeat)Tranquilizers and sedativesMuscle relaxantsNonsteroidal anti-inflammatory drugs (NSAIDs)Histamine H2-receptor antagonistsHormonesChemotherapy medicationsProstate cancer drugsAnti-seizure medications
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Erectile dysfunction (ED) and cardiovascular disease share common risk factors, like obesity, smoking, high cholesterol, high blood pressure, and lack of exercise. ED can be an early sign of heart disease because problems with blood flow affect erectile function. This is why men who experience ED should go to the doctor to get checked for heart disease. Anxiety Depression Feelings of self-inadequacy Low self-esteem Inability to describe emotions Stress
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Home Archive Volume 93, Issue 1105 Recent advances in the treatment of erectile dysfunction
erectile dysfunctionendothelial dysfunctiontestosteronetestosterone deficiencyandrogen deficiencytestosterone replacementcardiovascular diseasestem cellsgene therapy
We understand your concerns and can answer your questions about male sexual issues. We’ve heard it all before, and we can find the answers—and the treatment—that is personally best for you.
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Premature ejaculation is the unwanted or uncontrollable early release of semen during sexual intercourse. While premature ejaculation is not considered a medical condition, it can have negative effects on a male’s self-confidence and can affect his sexual relationships.
The idea of using low-energy shock waves to treat erectile dysfunction comes from studies that show that these types of shocks help heart blood vessels regrow, a process called revascularization. Shock wave therapy may also work on the penis, and there have been some promising results, but it’s not currently an approved ED treatment. "It’s similar to the type of shock waves used to break up kidney stones, and it may cause revascularization,” says Bennett. “However, there are not yet any good controlled studies to recommend it to patients."
Penile re-vascularization is considered experimental and investigational for other indications because its effectiveness for indications other than the one listed above has not been established. Consistent with clinical guidelines of the American Urological Association, Aetna considers arterial reconstructive procedures, dorsal vein arterialization procedures, or penile venous occlusive surgery (e.g., venous ligation, dorsal vein ligation) in men with erectile dysfunction secondary to arteriosclerotic occlusive disease experimental and investigational because such procedures have not been proven to be effective.
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Urology, Male Infertility & Reproductive Health, Stone Disease, Urologic Oncology
The National Institute of Diabetes and Digestive and Kidney Diseases: “Erectile Dysfunction.”
In sum, ED is a troubling condition that may be a sign of serious underlying health problems. It is appropriate to discuss ED with your physician. A variety of management options exist; men and their partners may decide which if any of these are appropriate for their specific circumstances.
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When resistance training was combined with aerobic exercise in a series of trials, men who responded positively to the physical exercise regimen experienced a 15% improvement in erectile function.
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These improvements are designed to allow men to create stronger erections that are more sustainable.
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To diagnose ED, the doctor will ask about your symptoms and medical history. They’ll do a complete physical exam to look for signs like poor circulation or nerve trouble. They’ll also check for problems in your genital area that could cause trouble with erections.
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Another way to increase the flexibility of your pelvis and restore sexual energy is by stretching your hip joints specifically. To do this, go into a plank and push your hips upwards and then downwards in an alternate motion. This will also strengthen your lower back and tone your thigh muscles. Your core is also made stronger when you maintain this position for some time. The arms and shoulders, moreover, are strengthened when they carry the weight of your upper body. Go into a plank position. Place your palms firmly on the floor in line with your shoulders. Extend your legs at the back. Keep your elbows and knees straight. Bring your body in one straight line from head to toe. Raise your hips so that your body is in the shape of a mountain. Lower your hips and bring it as close to the floor as possible without touching it. Repeat in a seamless motion. Bridge pose
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Prostate cancer is the most common cancer in men after skin cancer. Risk factors include age, family history, ethnicity, and diet. Prostate cancer is diagnosed by a digital rectal exam, prostate-specific antigen (PSA) test, and prostate biopsy. Symptoms may include frequent need to urinate, incontinence, pain, blood in the urine, fatigue, and more. Prognosis and treatment depend on cancer staging. Watchful waiting, surgery, radiation, cryotherapy, and other management strategies are available. Research and clinical trials strive to find new and better treatments for prostate cancer.
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The primary cause of the problem is considered to be a psychological problem. Any person suffering from anxiety, depression, stress, fear may find it hard to enjoy intimate moments. In some cases, smoking, drugs have also been considered a common cause of erectile Dysfunction.
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Sexual dysfunction is more common as men age. According to the Massachusetts Male Aging Study, about 40% of men experience some degree of inability to have or maintain an erection at age 40 compared with 70% of men at age 70. And the percentage of men with erectile dysfunction increases from 5% to 15% as age increases from 40 to 70 years. erectile dysfunction can be treated at any age.
Reviewed by: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. Start the process now Choose a location Mount Sinai Beth IsraelMount Sinai BrooklynThe Mount Sinai HospitalMount Sinai MorningsideMount Sinai QueensMount Sinai South NassauMount Sinai West New York Eye and Ear Infirmary of Mount SinaiMount Sinai-Union Square Choose a location Mount Sinai-Union Square Urgent CareMount Sinai Doctors-Urgent Care & Multispecialty, Upper West SideMount Sinai Doctors-Urgent Care & Multispecialty, InwoodMount Sinai Doctors West 23rd StreetMount Sinai Doctors East 34th StreetMount Sinai Doctors-Urgent Care, DumboMount Sinai Doctors-Urgent Care, Brooklyn HeightsMount Sinai Express Care at The Mount Sinai Hospital MyUWCalendarDirectoriesLibrariesUW MedicineMapsUW NewsHelpful Links Computing/ITISC/WorkdayHusky CardUW BothellUW TacomaUW FacebookUW Twitter Students Parents Faculty & Staff Alumni Quick Links
Traditional treatments for erectile dysfunction have centered on medications given orally. The brand names of these drugs include Cialis, Levitra, Stendra, Staxyn, and Viagra®.
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.
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.
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.
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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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The needle used is very fine, so pain from the injection site is usually minimal. It is very important that you receive these injections by a trained urologist. Penile injections not administered under the supervision of a urologist or other trained medical professional can result in serious side effects in some men. Most insurance plans will cover the cost of these injections when you are under the care of a urologist. Erection occurs in five to 20 minutes following injection and lasts up to one hour Can be used anytime Erection feels natural No surgery necessary Can be costly if not covered by insurance May cause bleeding and scarring at the injection site Can cause painful erections that last longer than two hours Lack of spontaneity May require surgery if erection is prolonged 75 percent of men stop using injections after one year Urethral Suppositories
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Other disease conditions can also affect erectile dysfunction, such as heart disease and diabetes.
Erythrocytosis has been noted in men on TRT, and should be monitored every 6–12 months depending upon the patients’ response to changes in haematocrit levels. For mild elevations, the dosage of testosterone can be decreased or the interval of using the medication can be increased. With the haematocrit greater than 50%, decisions to temporarily discontinue the medication or periodic phlebotomy may be indicated.38
A quick web search will reveal dozens of "dietary supplements" that claim to treat ED. But the FDA warns that many of these are not what they seem. These pills often contain prescription drugs not listed on the label, including the active ingredient in sildenafil (Viagra). This can cause problems if the medication interacts with something else you take.
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.
A man suffering from erectile Dysfunction will experience one or many of these significant symptoms:
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Penile rejuvenation has the highest success of getting rid of ED and there have been various successful transplants to date all over the world. Any day-by-day doctors are learning more and more to make these methods safer and more effective. Penile Shockwave therapy is the most effective and painless treatment done for curing Erectile Dysfunction in a body. It involves passing the low-intensity sound-waves through the erectile tissues in a body. By doing this, the blood functioning is improved and new blood vessels are grown to improve the erection issues.
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.
When talking to your doctor, be as open and honest about your symptoms as possible. Tell your healthcare provider how often you have symptoms and how long you’ve had them.
Certain street drugs such as "poppers" also can cause serious problems if taken with PDE5i medications. These poppers are often types of nitrates and can cause severe drops in blood pressure. Ecstasy is another street drug that may increase sexual desire but interferes with performance. This has prompted some men to combine ecstasy with PDE5i medications. This mixture (a combination sometimes called "sextasy") can improve erection ability but also causes severe headache and priapism. (Priapism is an abnormally prolonged erection that becomes extremely painful and may result in permanent damage to the erection mechanism.) There are also potentially dangerous effects to your heart from mixing PDE5i medications with various other street drugs.
Treatments for erectile dysfunction are usually effective and the problem often goes away.
Type 2 diabetes is a chronic condition that may be reversible with diet and lifestyle changes. Symptoms include excessive thirst, frequent urination, weight loss, fatigue, and an unusual odor to your urine. Most people don't know they have type 2 diabetes until they have a routine blood test. Treatment options include medications, a type 2 diabetes diet, and other lifestyle changes. What Are the Best Three Exercises for Erectile Dysfunction?
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Some types of cancer surgery can affect erections. (See Managing Male Sexual Problems Related to Cancer to learn more.) If any of these surgeries are part of your treatment plan, talk to your doctor before the procedure. Ask doctor about how your erections might be affected by surgery and what may be the best way to manage the problem.
AntidepressantsBlood pressure medicines (especially beta-blockers)Heart medicines, such as digoxinSleeping pillsSome peptic ulcer medicines
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?"
Watts and coworkers, in their review article, make several points about this ED/CAD nexus. Endothelial dysfunction is present in both CVD and ED, and is linked through the NO mechanism. The authors note that PDE5 inhibitors improve endothelial function and have a salutary effect on both CVD and ED. Both ED and cardiac disease respond to modifications in lifestyle as well as pharmacologic manipulation. These authors also report that the presence of ED gives the clinician an opportunity to assess CVD and prevention as well.20
Writing in the journal Physiotherapy, Mr Myers said 30 per cent of men suffer from premature ejaculation.
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Urinalysis or blood tests to check for health conditions such as diabetes, heart problems, or low testosteroneA device you wear at night to check for normal nighttime erectionsUltrasound of your penis to check for blood flow problemsRigidity monitoring to test how strong your erection isPsychological tests to check for depression and other emotional problems
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Exercise is an essential part of maintaining erectile health. It protects against cardiovascular disease, which is the leading cause of ED, and has a myriad of other benefits such as reducing body weight, managing blood glucose levels, and reducing “bad” cholesterol.
The tests for sexual problems like Erectile Dysfunction include a blood test, urine test, and self-evaluation tests that can help you in analyzing and determining the state and extent of ED in your body. By taking the ED test yourself, you can enhance the chances of treating ED with better treatments and methods.
NIH, National Institute of Diabetes and Digestive and Kidney Issues: “Erectile Dysfunction.” Erectile Dysfunction Guide Overview Symptoms & Risk Factors Testing &Treatment Living & Managing
Choose activities you enjoy so the focus is staying motivated and having fun, instead of improving erectile dysfunction or improving cardiovascular health (those are just bonuses).
Eliminate Erectile Dysfunction naturally without needing drugs constantly that may have serious side effects.
Wouldn't you rather REVERSE Erectile Dysfunction instead of having to take a blue pill every time...which might not always work?
Do you know about all the PROBLEMS with Viagra and the generics? Watch now to find out how a lot of men are able to regain full function without pills, shots, or surgery and go back to being intimate the natural way.
