Cialis (tadalafil), Viagra (sildenafil), and Levitra (vardenafil) are FDA-approved treatments for erectile dysfunction.
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Half of men with diabetes will experience ED within 10 years of their diagnosis. High blood sugar levels can damage the nerves that control sexual stimulation. They can also damage the blood vessels needed to provide adequate blood flow to the penis in order to have and maintain an erection.
Erectile dysfunction can occur as a side effect of medication taken for another health condition. Common culprits are high blood pressure meds, antidepressants, some diuretics, beta-blockers, heart medication, cholesterol meds, antipsychotic drugs, hormone drugs, corticosteroids, chemotherapy, and medication for male pattern baldness, among others.
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.
Smoking, drinking alcohol and the use of recreational drugs such as narcotics, stimulants and hallucinogens can all affect sexual function. Chemicals from smoking can interfere with blood flow to your penis and damage the lining of the blood vessels or lead to atherosclerosis (hardening of the arteries). It can also affect the smooth muscle tissue that needs to relax to allow blood to flow in. Short-term use of alcohol affects sexual desire, reduces performance and delays orgasm and ejaculation.
Prostate cancer is a malignant tumour in the prostate gland. It is the most common form of cancer in older men. There are various treatment options for localised prostate cancer. Two of the most common ones are radical prostatectomy and radiation therapy. These treatment options can affect sexual health, and men frequently experience erectile dysfunction (ED) after treatment.
The partner notification service is part of a public health initiative to help protect the public and limit the spread of STIs.
90% of men with impotence (erectile dysfunction) have at least one underlying physical cause for their problem
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.
Aetna considers the following diagnostic workup of erectile dysfunction medically necessary: Comprehensive history and physical examination (including medical and sexual history and psychosocial evaluation) Duplexscan (Doppler and ultrasound) in conjunction with intracorporeal papaverine Dynamic infusion cavernosometry and cavernosography only for members who are to undergo re-vascularization procedures and meet medical necessity criteria for penile re-vascularization (see below) Pharmacological response test for erectile dysfunction (using vasoactive drugs, e.g., papaverine HCl, phentolamine mesylate, prostaglandin E1) Pudendal arteriography (angiography) only for members who are to undergo penile re-vascularization and meet the medical necessity criteria for penile revascularization (see below).
Currently, there are no therapies that cure erectile dysfunction. However, a number of effective therapies are available that allow an individual to have an erection when desired. Depending on the cause of the erectile dysfunction, certain therapies may be more effective than others. Although there is limited data on lifestyle modification, intuitively, decreasing risk factors for erectile dysfunction may help prevent progression of disease.
Tadalafil (Cialis) is the third oral medicine approved by the U.S. FDA for the treatment of erectile dysfunction. Like sildenafil (Viagra) and vardenafil (Levitra), tadalafil inhibits PDE5 (as described earlier). Unlike the other PDE 5 inhibitors, patients should take tadalafil once daily and is approved for the treatment of BPH (benign enlargement of the prostate).
British Journal of Sports Medicine 2017; 51 1381-1381 Published Online First: 18 Sep 2017. doi: 10.1136/bjsports-2017-098321 ContentLatest content Current issue Archive Browse by collection BJSM e-edition: Female athlete health Top Cited Articles Most read articles BJSM education Responses Blog Podcasts JournalAbout Editorial board Sign up for email alerts Subscribe Thank you to our reviewers AuthorsInstructions for authors Submit an article Editorial policies Resources Open Access at BMJ BMJ Author Hub HelpContact us Reprints Permissions Advertising Feedback form Copyright © 2022 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine. All rights reserved. Medical Editor: John P. Cunha, DO, FACOEP Pelvic Floor Muscles What Are the Pelvic Floor Muscles? Kegels for Men How Are Kegel Exercises Performed in Men? Guide Are Kegel Exercises Good For ED? Topic Guide Kegels are exercises used to strengthen the muscles of the pelvic floor, which can help prevent incontinence, prevent accidentally passing gas or stool, and improve orgasms. Kegel exercises can also help men with erectile dysfunction (ED) and enhance sexual performance.
Exercise and maintain a healthy weight.Stop smoking.Avoid alcohol and substance abuse.Keep diabetes under control.
First line treatment will be medication with a phosphodiesterase inhibitor such as sildenafil (Viagra), tadalafil (Cialis) or avanafil (Spedra). These drugs only work when used together with sexual stimulation and will have no effect on your sex drive. There is no evidence that these drugs are dangerous if you have underlying heart disease. However, they should not be used if you are taking nitrates (e.g. GTN, isosorbide) for angina