ED not only affects the sex life of men in a committed relationship. Single men with ED often avoid dating because of the condition.
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With the increasing age, one can easily encounter symptoms of erectile dysfunction in their body and if that doesn’t happen then here we are sharing with you some basic causes of ED in a body-
In order to achieve and maintain an erection, your nerves must be working properly. Neurological conditions like multiple sclerosis, Parkinson’s disease and Alzheimer’s, can cause erectile dysfunction. Nerve damage from spinal cord injuries and stroke can also cause ED. Erectile Dysfunction Treatment
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In patients with erectile dysfunction, vasculogenic etiologies need to be considered if other causes such as neurogenic, psychogenic, and hormonal could be excluded (24). Vasculogenic etiologies include either arteriogenic or venogenic causes. Venogenic erectile dysfunction is due to veno-occlusive disease, also called “venous leak,” with incomplete relaxation of corporeal smooth muscle during arterial inflow and insufficient occlusion of venous outflow tracts. Dean et al. report that veno-occlusive disease may be due to multiple factors such as degenerative changes or injury of tunica albuginea, impaired relaxation of corporeal smooth muscles, venous shunting, and excessive adrenergic tone in anxious individuals (25).
Pre and post treatment patient's erectile function should be assessed using the International Index of Erectile Function questionnaire (IIEF-6) score (12). Prior to treatment patients should have clinical evaluation to rule out potentially underlying psychogenic causes (Box 2).
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To achieve erection, a complex process has to take place within the man’s body. Because this process is so in-depth and complex, sexual dysfunction and ED are extremely common in men. It is estimated that as many as 30 million men in the United States are affected by ED (The National Institutes of Health).
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.
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Pre and post treatment patient's erectile function should be assessed using the International Index of Erectile Function questionnaire (IIEF-6) score (12). Prior to treatment patients should have clinical evaluation to rule out potentially underlying psychogenic causes (Box 2).
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ED is an extremely common issue and it doesn't have to be the end of your sex life. It can be treated, and even reversed, with a little help.
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Aetna considers penile re-vascularization for vasculogenic erectile dysfunction medically necessary only in men less than 55 years old who meet all of the following criteria: A focal blockage of arterial inflow is demonstrated by duplex Doppler ultrasonography or arteriography; and Diagnostic work-up reveals normal corporeal venous function; and Member is not actively smoking; and Member is not diabetic and has no evidence of systemic vascular occlusive disease; and The erectile dysfunction is the direct result of an arterial injury caused by blunt trauma to the pelvis and/or perineum.
Adopt a regular exercise program, and your general health will improve. Working out may even help you stave off serious conditions such as high blood pressure and diabetes, which sometimes require medications that inhibit arousal. These two medical conditions also can damage the tiny arteries in the penis, resulting in erectile dysfunction. In fact, erectile dysfunction is often one of the first noticeable side effects of high blood pressure and diabetes.
Thankfully, if you’re experiencing these issues, you don’t have to rely solely on expensive medications or complicated and extensive therapies. There are several exercises, specifically Kegel exercises, that can strengthen the core and pelvic area of the body.
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You can start by lying down, standing, or sitting down as per your preferences. After that, clench your bulbocavernosus muscles and pause for like 2 3 minutes. Repeat this routine four to five times. By doing this three times for better results.
There several causes of erectile dysfunction. For example obesity, stress, consumption of drugs, diabetes, anxiety, older age, etc. Many useful and advanced treatments are available to elevate the disease. These are some surgical treatments and few have the involvement of pills and tablets. These treatments can cause some side effects. The most modern and effective treatment is called Kegel exercises. This treatment does not have any side effects. It makes it more popular.
The conclusion builds upon trials of moderate to high intensity exercise. Moderate intensity is the equivalent of a brisk walk. High intensity exercise is indicated by sweating and shortness of breath and could be anything from cycling to work, cross country skiing, or any other activity you enjoy.
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Hormonal therapy is not used as a primary therapy for the treatment of ED. Testosterone therapy is used if there is ED and symptoms of low testosterone, as well a low blood level of testosterone.
The International Society of Sexual Medicine (ISSM) defines premature ejaculation as occurring within one minute of penetration.
These medicines relax the blood vessels that supply the penis, allowing more blood flow to the area to help you maintain a firmer erection during sexual intercourse. The medicine will not increase your desire for sex.
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Keep in mind that these medications are amplifiers, not magic pills; you must have sexual stimulation for them to work. These pills also typically do not work the first few times. Here are instructions for how to properly take Viagra, Levitra, or Cialis: Take your medication one hour before sexual activity. Take the pills prior to a meal or after a light snack, especially for Viagra. They do not absorb well if you have a full stomach.
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."
This section offers general information about treatment options and situations can vary in different countries.
Many lab tests can be helpful in diagnosing male sexual problems. Measuring testosterone levels can determine whether there is a hormonal imbalance, which is often linked to decreased desire.
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Peyronie's disease is a condition that results from a penis injury, causing scar tissue to form and the shaft to curve. Sexual intercourse is often difficult.
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Vascular etiologies of erectile dysfunction are highly prevalent increasing with age. Especially venogenic causes are of increasing relevance.
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Figure 2. 50-year old man with erectile dysfunction due to veno-occlusive disease. (A) Contrast enhanced CT cavernosography (coronal maximum intensity projection) demonstrates right sided venous leak via periprostatic veins (arrow). (B) Cavernosography with access via the deep dorsal vein and injection of contrast medium demonstrates right sided venous leaks predominatentely via periprostatic veins (arrow). (C) Post embolization of periprostatic veins (arrow) using N-butyl-2-cyanoacrylate mixed with Lipiodol demonstrating radiopaque intravenous embolization material (arrow).
All PDE5i medication does not improve erections in normal men, only in those with difficulty in achieving or maintaining erections sufficient for sexual intercourse due to a true medical problem.
Many herbal products such as horny goat weed, ginkgo, yohimbe and ginseng claim to improve sexual function. There is no sound evidence that these herbal products work well for erectile dysfunction. They have not been well studied or tested. Since some erectile dysfunction is related to psychological problems, herbal products may help with anxiety, which may indirectly help sexual function.
Similarly, if you are taking an alpha-blocker for prostate symptoms, the recommended starting dose of avanafil is 50 mg.
Using a low-dose pill to help the blood flow around the nerves and help the nerves heal.
Alongside your doctor-prescribed treatment, you might also want to consider other holistic ways to manage your health, which in turn, help with the ED experience. One of these options is through various forms of exercise.
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Many herbal products such as horny goat weed, ginkgo, yohimbe and ginseng claim to improve sexual function. There is no sound evidence that these herbal products work well for erectile dysfunction. They have not been well studied or tested. Since some erectile dysfunction is related to psychological problems, herbal products may help with anxiety, which may indirectly help sexual function.
The placement of a penile prosthesis is typically an outpatient procedure and is typically performed through a single incision. All of the parts of the prosthesis are hidden under the skin. Antibiotics are given to decrease the risk of an infection. A catheter may be left in the penis in some men for a short period. After placement, there will be a time period of healing prior to the ability to use the prosthesis.
Other tests, if indicated, are normally arranged by the urology specialist clinic and will be discussed with you.
Patients should continue testosterone therapy only if there is improvement in the symptoms of hypogonadism and should be monitored regularly. You will need periodic blood tests for testosterone levels and blood tests to monitor your blood count and PSA. Testosterone therapy has health risks, and thus doctors should closely monitor its use. Testosterone therapy can worsen sleep apnea and congestive heart failure.
Erectile dysfunction is more likely to be related to an emotional problem if you experience symptoms only occasionally. For example, when you get an erection in the mornings but not during sexual activity.
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4. Extend the time. Gradually increase the length of contractions and relaxations. Work your way up from three to five seconds, to 10.
The pathogenesis of organic ED is related to dysfunction of the endothelium. Endothelial cells can become injured through a variety of mechanisms, most of which cause oxidative stress on the tissues. Many of these causes of oxidative stress are related to lifestyle issues which lead to hypertension, diabetes and dyslipidaemia (figure 1). Endothelial cell dysfunction results in reduction of endothelium-dependent vasorelaxation as well as increased adhesion of leukocytes to the endothelium. Endothelial cell injury then leads to a variety of sequelae, including ED, other types of vasoconstriction, atherosclerosis and thrombus formation.18
If you experience erectile dysfunction (ED) for more than 6 months you should seek professional help. Your doctor can help you find the causes by performing physical and psychological tests. Read more about them in the section Diagnosis of ED.
Most of the people ignore these issues as they think that there is no such way that they can treat their sexual problems. And going for any surgery and operation is not an option for them.
If you have a regular sexual partner, your doctor may ask to talk to the two of you together. This can help them learn more about your relationship and how it might affect your ability to get and keep erections.
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Usually, men have 3 to 5 erections during the night as they sleep. Your doctor may use an overnight erection test to see whether you’re able to get an erection.
“Kegel exercises for men: understand the benefits.” Mayo Clinic. Retrieved from: http://www.mayoclinic.org/healthy-lifestyle/mens-health/in-depth/kegel-exercises-for-men/art-20045074
Nishimoto PW, Mark DD. Sexuality and reproductive issues. In Brown CG, ed. A Guide to Oncology Symptom Management. 2nd ed. Pittsburgh, PA: Oncology Nursing Society; 2015:551-597.
'However, the optimum combination of frequency and exercise will vary from individual to individual.'
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Erectile dysfunction is often associated with a number of common medical conditions, such as diabetes, high blood pressure, heart disease, nervous system disorders, depression, and the medications used to treat these conditions. Psychologic problems such as anxiety and stress can also affect erectile function.
You can help yourself by cutting down on alcohol, stopping smoking and reducing the stress in your life. References Sexual dysfunction in men – when Viagra doesn't work Goodfellow Unit, NZ, 2019 Erectile dysfunction BPAC, NZ, 2008 Erectile problems Best Health, UK, 2014 Dietary supplements for erectile dysfunction – a natural treatment for ED? Mayo Clinic, US, 2017 Reviewed by Jeremy Steinberg is a GP with special interests in musculoskeletal medicine, evidence-based medicine and use of ultrasound. He's been reviewing topics for Health Navigator since 2017 and in his spare time loves programming. You can see some of the tools he's developed on his website. A compact guide to sexual health Lifelong sexuality Related topics Anxiety | Mate māharahara Sex & cancer Sexual health overview Men's health Sildenafil Tadalafil Vardenafil Credits: Health Navigator Editorial Team. Reviewed By: Dr Jeremy Steinberg, FRNZCGP Last reviewed: 13 May 2020 Page last updated: 09 Dec 2021
This exercise is simple to do but it’s also important. It allows a person to activate pelvic floor muscles.
Cannot be used by patients on MAOIsIntraurethral Pellet Therapy (MUSE)No surgery required
Follow your doctor’s instructions when taking ED medicine. Usually, a man takes 1 tablet 30 minutes to 1 hour before he plans to have sex. Sildenafil works for 4-8 hours; vardenafil works for up to 8 hours; and tadalafil works for up to 36 hours.
If you experience erectile dysfunction (ED) for more than 6 months you should seek professional help. Your doctor can help you find the causes by performing physical and psychological tests. Read more about them in the section Diagnosis of ED.
There’s nothing better than the buzz you get after an intense session in the gym.
We recommend that ALL of our patients with ED get a heart and stroke screening checkup with their primary doctor. Low testosterone (male hormone) levels Peyronie’s Disease (penile curvature and plaque formation) Neurological diseases - like neuropathy, multiple sclerosis, spinal cord injury Drug Side Effects - most commonly implicated drugs are blood pressure medications (which may cause ED simply by doing what they are intended to do—lower blood pressure) and antidepressants, due to their neurological effects Psychogenic - only 10% of cases are related to a psychological problems like anxiety, post traumatic stress disorder, depression, stress, relationship problems
Your doctor will do a physical exam and ask you questions about your symptoms. He or she may do a blood or urine test. Your doctor may consider other tests to rule out other conditions.
”I think that we should work with the least invasive treatment, and what we know is the healthiest choice. Now that we know the degree to which exercise improves our health, I think we should focus on this in the first instance instead of medical treatment,” says Kristensen.
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Youtube: “Kegel Exercises for Men - Beginners Pelvic Floor Strengthening Guide.” Michelle Kenway.
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