Your ED specialist is interested in your physical and mental health, your relationships, and if medications, drugs, or alcohol could also be contributing factors. There is no judgment, and your honest responses can lead to a more effective ED treatment. How long have your ED symptoms been happening?Did your symptoms happen suddenly, or were they gradual?Do you ever have firm erections?Are your erections harder in particular situations or with different types of stimulation?Do you awake with an erection or feel an erection at night (a nocturnal erection)?Are you aware of any underlying health conditions?Have you suffered a pelvic injury or had any pelvic surgery?Do you take prescription drugs? Do you have problems feeling desire, having an orgasm, or ejaculating during sex?How often do you have sex?Do you have sex less often now? What is your current relationship status?Do you and your partner have expectations for each other?Has your relationship or your expectations changed? Have your stress levels increased?Do you use tobacco, alcohol, or nonprescription drugs more frequently or to de-stress? Additional Testing
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With a proper set of medication, it is possible to treat Erectile Dysfunction causes with the best success rates. We at the Institute of Andrology and Sexual Health, we have all the expertise and knowledge to treat any symptoms of erectile dysfunction in males.
You should speak to your doctor if it keeps happening, so they can investigate further.
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Have you been able to get and keep erections in the past?Are you having trouble getting an erection or keeping erections?Do you have erections during sleep or in the morning?How long have you had trouble with erections?
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Cancer and cancer treatments that involve the pelvic area including colon cancer surgery, prostate cancer surgery or radiation treatments may cause neurological as well as vascular damage which may lead to sexual dysfunction as well.
Journal of Sexual Medicine: “Prevalence and correlates of erectile dysfunction by race and ethnicity among men aged 40 or older in the United States: from the male attitudes regarding sexual health survey.
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Having a healthy sex life and enjoying sexual activity is a normal, enjoyable part of living. Regular pelvic exercises can improve sexual performance by preventing premature ejaculation, help maintain an erection and even eliminate ED.
In a meta-analysis of 10 studies involving 540 men, L-arginine appeared to significantly improve E.D. symptoms when compared to placebo (Rhim et al., 2018).
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But before taking the test let’s understand what Erectile dysfunction is and why it is important to get it tested on time?
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Only 10 percent of men seek treatment and many (50 percent) discontinue treatment once they start it because they are too embarrassed to discuss their sexual health issues with a doctor. There is no need to suffer in silence.
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“Street” drugs can dampen a man’s feelings of arousal as well as other sensations. Illicit drugs can take away the pleasure of sex and make a man impotent. Some men use drugs to cope with other issues that could be the root of their penile dysfunction. Using drugs only compounds a man’s difficulty in achieving and maintaining erections.
Sexual HealthErectile DysfunctionPremature EjaculationGenital HerpesHair & SkinHair LossDaily Skin RoutineAcneCold SoresSleepSleep
CT-cavernosography is performed following intracavernosal injection of 20 μg prostaglandin E1. Thirty min post-injection a 7-G needle is inserted at the dorsal side of the corpora cavernosum and injection of 30–60 ml of 30% saline-diluted non-ionic iodinated contrast medium (320 mg ml−1) is performed with an infusion velocity of 6–180 ml min−1 (15). Recommended CT parameters are as follows: 64 × 0.625 mm collimation, gantry rotation time 0.75 s, time resolution 30 ms, pitch factor 0.984. The tube voltage is 80 kV, and the tube current-time is 51–90 mAs. Scanning range extends from the upper brim of the true pelvis to the most distant level of the penis. The data constructive section thickness is 1 mm with a reconstruction increment of 1 mm for post-processing.
By keeping a healthy lifestyle and timely check on other health conditions you have, you can easily prevent erectile dysfunction.
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Erectile dysfunction is also known as impotence. It means you can't maintain an erect enough penis for satisfactory sexual intercourse. Many men have erection problems at times and the chance of this happening increases with age. Key points about erectile dysfunction Erectile dysfunction is not a disease, but a symptom of some other problem, either physical or psychological or a mixture of both. It can be distressing and may cause loss of confidence and self-esteem or depression, as well as relationship problems. There are several solutions, but recognising the problem and talking about it with your doctor are the key first steps. You can help yourself by cutting down on alcohol, stopping smoking and reducing the stress in your life. How does an erection happen?
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Some men should not take PDE5 inhibitors. They can cause hypotension (abnormally low blood pressure that can lead to fainting and even shock) when given to patients who are taking nitrates (medications taken for heart disease). Therefore, patients taking nitrates daily should not take any of the PDE5 inhibitors. Nitrates relieve angina (chest pain due to insufficient blood supply to the heart muscle because of narrowing of the coronary arteries); these include nitroglycerine tablets, patches, ointments, sprays, and pastes, as well as isosorbide dinitrate and isosorbide mononitrate. Other nitrates such as amyl nitrate and butyl nitrate also are in some recreational drugs called "poppers."
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Aetna considers ESWT experimental and investigational for Peyronie’s disease because of a lack of evidence from prospective randomized controlled clinical studies of the effectiveness of ESWT for this indication.
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Pelvic floor exercises or Kegels are the most helpful treatment for ED. A person feels improvement in erection after 4-6 weeks. Following different Kegel exercises can be tried to get a harder and long-lasting erection.
An intimate relationship between two people is complex and involves many aspects. ED may affect or change your relationship with yourself and your partner. You may be embarrassed and feel guilty, making it difficult to talk to your partner about this issue. ED could have a direct impact on a committed relationship.
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Erectile dysfunction is the ongoing inability to achieve or maintain an erect penis, and men experience these erectile dysfunction symptoms:
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Some men experience symptoms only occasionally. For others, the symptoms are constant and interfere with their sexual relationships.
Testosterne therapyPenile InjectionsIntraurethral medicationVacuum Erection Devices
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.
Penis exercise “may sound good,” says Hellstrom, “but I don’t think there are data to support it.”
If you’re older, there’s probably a physical reason for your ED. But the causes can be in your head, too. Experts say stress, depression, low self-esteem, and performance anxiety can short-circuit the process that leads to an erection. These factors can also make the problem worse if your ED stems from a physical problem.
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An erection occurs when blood flows into the corpora cavernosa (erection bodies) and gets trapped there. If the blood has problems getting to or staying in those erection bodies, you may have erectile dysfunction.
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
When did you first notice symptoms of ED?What are your main symptoms?How often do you have erections?If you have erections, how firm are they?Do you have erections at night or in the morning?What sexual techniques do you use?Do you notice that your ability to get an erection changes at different times during sex?Are there problems in your current relationship?How has ED affected your current relationship?Do you have problems with sex drive or arousal?
A penile prosthesis or implant is an effective treatment for erectile dysfunction. Penile implant surgeries take about an hour and are typically done in an outpatient center.
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.
The doctor says that ED can limit daily life, affect intimacy, contribute to low self-esteem and impact personal relationships. “The good news, however, is that it can be treated with medications or with penile prosthesis, and the treatment varies depending on the severity of the condition.
There needs to be proper blood flow in the groin to make it hard or cause an erection. Working out improves the blood flow and helps in erection. But if you’re excessively working out or have any diseases like Peyronie disease, low libido, then you still can find problems in erection.
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As you seek solutions to impotence, you will undoubtedly run into male enhancement recommendations, possibly suggesting penis exercise to improve your erections.
Erectile dysfunction itself is not inherited. However, some of the underlying physical causes may run in families (for example, type 2 diabetes has a genetic predisposition).
Understanding the signs and causes of ED is the first step toward achieving a better sex life.
It’s important to distinguish shockwave therapy from radial wave therapy, which is commonly advertised as a noninvasive treatment for erectile dysfunction available at both medical and non-medical facilities. Here are some key differences: Shockwave therapy Data shows it can stimulate blood flow and potentially help grow new blood vessels. A licensed medical professional with professional training is required to administer this treatment. It is not yet approved by the Food and Drug Administration (FDA) for use in treating erectile dysfunction. Radial wave therapy There is no data to support claims that it can help with erectile dysfunction. It is not regulated by the FDA because it is a Class I medical device. No medical license or professional training is required to administer this treatment. Shockwave Therapy Cost
Discussing ED with your family doctor or urologist may be uncomfortable, but it is important to do so. Together you can discuss which treatment is right for you.
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Even when there is an initial physical reason, when this has passed you may still feel anxious about having sex and this can add to the problem.
If necessary, your doctor may refer you to a neurologist, a psychiatrist, an andrologist, or an endocrinologist for further tests.
Dr. Chirag Bhandari says that the same factor that causes Erectile Dysfunction in a body causes heart disease in a person. So we can say that ED can be an early sign of Erectile Dysfunction. And so proper treatment for heart disease can help you in getting rid of Erectile Dysfunction symptoms at 30.
PDE5 inhibitors have not been studied in individuals with a condition, retinitis pigmentosa, and thus their use is not recommended for these individuals.
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.
These tests aren’t painful, and are helpful since they can provide useful information about your condition.
Vacuum constriction devices, or penis pumps, may be useful in the treatment of erectile dysfunction (impotence). A penis pump is an acrylic cylinder with a pump that can be attached to the end of the penis. The pump then creates a vacuum to help the penis become erect, while a constriction ring maintains the erection.
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
Penile self-injection therapy is a shot that is inserted into the penis and produces an erection for up to an hour or more. This injection is mostly used to treat erectile dysfunction, but can help with other penile conditions as well.
A study published in May 2014 in The Journal of Sexual Medicine found that some men can reverse erectile dysfunction with healthy lifestyle changes, such as exercise, weight loss, a varied diet, and good sleep. The Australian researchers also showed that even if erectile dysfunction medication is required, it's likely to be more effective if you implement these healthy lifestyle changes.
A number of devices have been developed to determine if an erection occurs during sleep. This snap gauge is fastened around the penis but opens when an erection occurs. Click to view larger image.
Experts often treat psychologically based impotence using techniques that decrease anxiety associated with intercourse. The patient's partner can help apply the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety during treatment of physical impotence. If these simple behavioral methods at home are ineffective, a doctor may refer an individual to a sex counselor. Readers Comments 2 Share Your Story
Oral drugs Popular medicines like sildenafil (Viagra), tadalafil (Adcirca, Cialis), vardenafil (Levitra, Staxyn), and avanafil (Stendra) work by boosting the effects of nitric oxide — a chemical that relaxes muscles in the penis. Note that drugs in this class (PDE-5 inhibitors) are contraindicated in patients who take nitrates in any form, because the combination can lead to severe hypotension.
For many men, stopping smoking is an erectile dysfunction remedy, particularly when ED is the result of vascular disease, which occurs when blood supply to the penis becomes restricted because of blockage or narrowing of the arteries. Smoking and even smokeless tobacco can also cause the narrowing of important blood vessels and have the same negative impact.
The evaluation of a man who presents to our office includes an open, honest and absolutely confidential discussion about the current sexual function and overall medical health. A thorough physical exam and generalized, as well as specialized, bloodwork are often done. We also offer patients blood circulation studies of the penis to further delineate the cause of ED. At Broward Urology Center, we focus on a goal-oriented approach to erectile dysfunction treatment. The treatment options for ED include: The Priapus Shot Or P-Shot® PRP (Platelet Rich Plasma) Penile Injection
Kasraeian Urology introduced this new ED treatment in 2021 for their patients in the Jacksonville, FL area.
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.
Trouble getting an erectionTrouble keeping an erectionHaving an erection that is not firm enough for intercourseLess interest in sex
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