Many men report disappointment, fear, and distress when they have trouble with erections. They report they feel that something important is missing. Men may report a general unhappiness with life and depression when they have problems with erections. These feelings are a natural part of coping with erection problems. And most men, if they are able find effective treatments to help with their erections, will start to feel better. If these feelings are severe or persist, most men find it very helpful to see a mental health professional who specializes in sexual issues or a psychiatrist who can help address these feelings.
Monitoring erections that occur during sleep (nocturnal penile tumescence) can help you and your doctor to understand if the erectile dysfunction is due to psychological or physical causes. The nocturnal penile tumescence test is a study to evaluate erections at night. Normally men have three to five erections per eight hours of sleep. The test can be performed at home or in a sleep lab. The most accurate way to perform the test involves a special device that is connected to two rings. The rings are placed around the penis, one at the tip of the penis and the other at the bottom (base) of the penis. The device records how many erections occur, how long they last, and how rigid they are. The test is limited in that it does not assess the ability to penetrate. .
You may see many herbs and supplements that claim to help sexual performance or desire. However, none have been proven to successfully treat ED. Plus, they may not always be safe. DO NOT take anything without talking with your provider first.
Erectile dysfunction (ED) refers to difficulty getting or maintaining an erection. It is more common in men who have any of the following:
According to research, about 30 per cent of men below the age of 40 years and 20 per cent across age groups experience difficulties in getting/maintaining an erection.
To ensure any lifestyle changes are sustainable and realistic, start slow and work your way up.
For an algorithm to facilitate evaluation and treatment of patients with ED, see figure 2.
This problem affects men of all ages, but as men get older, there is a greater chance of developing erection problems. Population studies show that nearly 20% of men over age 20 and about 50% of men over the age of 50 have ED. The primary cause of ED is poor circulation to the penis. Just as poor circulation to the heart may result in a heart attack, so too in ED, the penis often suffers from lack of adequate circulation which results in poor erections. Age High Blood Pressure Diabetes Smoking High cholesterol Cardiovascular disease such as previous heart attacks or strokes
Second, there is a range of medically reviewed, evidence-based options for treating ED. The best part? You can start today.
Lab tests can help diagnose ED. Blood cell counts, blood sugar levels, cholesterol levels, and liver tests can reveal medical conditions that play a role in ED.
Oral phosphodiesterase type 5 inhibitors (PDE5 inhibitors) unless contraindicated are the recommended first line medical therapy for erectile dysfunction. Currently, there are four different PDE5 inhibitors available. They all work the same way and have essentially the same results. They differ in how long they last in your body and in side effects.
When you do your Kegels, try not to contract the muscles in your pelvis or thighs. The goal is to focus your attention on contracting the pelvic floor muscles.
Alprostadil is an FDA-approved erectile dysfunction drug that can be injected directly into the penis to trigger an automatic erection. "Penile injection is the most effective type of ED treatment for men who can't take oral treatment," says Nelson Bennett, MD, a urologist at the Lahey Clinic in Burlington, Mass. In fact, it has an 85 percent success rate. Possible side effects include a burning sensation and priapism, an erection that lasts more than four hours and requires medical treatment.
A recent meta-analysis found an overall complication rate of 5.2 % (11 of 212 patients) post endovascular therapy of veno-occlusive disease (9). Thereof, two complications were classified as major complication and nine were classified as minor complication. Both patients with major complication demonstrated symptomatic pulmonary embolism during endovascular treatment (21). Minor complications included mild penis curvature (n = 2), mild perineal pain for several weeks (n = 2), asymptomatic pulmonary embolism (n = 1), partial subcutaneous reflux of N-butyl-2-cyanoacrylate associated with pain (n = 1), small subvesical hematoma (n = 1), epitheliolysis of penile glans due to allergic reaction to disinfectant (n = 1), and cough for 2 weeks post embolization (n = 1).
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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“Alcohol is a depressant and can cause both temporary and long-term erectile dysfunction,” Mucher cautions.