Don’t hold your breathDon’t push down — instead, squeeze your pelvic muscles together tightly as if you are trying to lift something up with those musclesTry to keep your stomach muscles relaxed throughoutRelax your pelvic floor muscles between each squeeze
Erection problems usually produce a significant psychological and emotional reaction in most men. This is often described as a pattern of anxiety, low self-esteem, and stress that can further interfere with normal sexual performance. This "performance anxiety" needs to be recognized and addressed by your health care provider.
Your private physical examination happens with an ED specialist in a confidential men’s health clinic. Your blood pressure will be checked. Your testicles and penis will be examined, and a brief rectal exam may be recommended to check your prostate health.
Eat a healthy dietStop smokingLose excess weightExercise dailyMaintain normal blood pressure and cholesterol levelsGet help for alcohol or drug addiction problemsLearn about the side effects of medicines you takeConsider couples counseling if you and your partner are having trouble communicating
Click here to watch a short video about erectilel dysfunction from the NHS Health & Care Video Library.
AtherosclerosisDiabetes High blood pressureChronic kidney diseaseHeart diseaseMultiple sclerosisPeyronie’s diseaseProstate cancerInjury to the penis or surrounding organs
Urology, Male Infertility & Reproductive Health, Reconstructive Urologic Surgery & Trauma
The various PDE5 inhibitors for the treatment of ED share several common side effects, including headache, flushing, nasal congestion, nausea, dyspepsia (stomach discomfort), and diarrhea. Differences exist in side effects of the different PDE5 inhibitors, and thus it is important to be familiar with the prescribing information of the PDE5 inhibitor you are prescribed.
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.
Some men schedule a physical examination with their family doctor, including blood and urine tests, to check for underlying health problems like diabetes or cardiovascular disease. A patient may also be referred to a urologist for further tests if indicated, including: A nocturnal penile tumescence (NPT) test. A small, battery-operated device evaluates a man’s nocturnal erections on his thigh. Dava saved on the device is reviewed by the urologist.An injection test. A man’s penis is stimulated to form an erection with an injectable medication. The erection is evaluated for firmness and longevity.
Men who want to treat their ED have another option. The GAINSWave® treatment is a safe, non-surgical therapy that can restore sexual function and help to prevent erectile dysfunction in men who don’t have ED.
Erectile dysfunction is the inability to either achieve or maintain an erection. This may happen either occasionally or regularly, but may occur only in certain situations depending on the cause (i.e. patients may still have early morning erections).
Aetna considers implantation of semi-rigid penile prostheses or inflatable penile prostheses (implantable penile pumps) medically necessary for members with documented physiologic erectile dysfunction when all of the following criteria are met Absence of active alcohol or substance abuse; and Absence of drug-induced impotence related to: anabolic steroids, anticholinergics, antidepressants, antipsychotics or central nervous system depressants; and Absence of untreated depression or psychiatric illness; and Nonsurgical methods have proven ineffective or are contraindicated; and Normal prolactin and thyroid hormone levels; and Normal serum testosterone levels (low testosterone suggests treatable endocrine cause of impotence); and History of organic disease including any one or more of the following: Documented injury to perineum/genitalia; or Major pelvic trauma affecting bladder and/or anal and/or erection control; or Major vascular surgery involving aorta or femoral blood vessels; or Neurological disease (eg, diabetic neuropathy); or Peyronie’s disease; or Renal failure; or Secondary to spinal cord injury; or Status-post prostate, bladder, bowel or spinal surgery; or Vascular insufficiency or venous incompetence documented by dynamic infusion cavernosometry and cavernosography (DICC); or Venous leak of the penis.
If you use sildenafil, tadalfil, or vardenafil and get chest pains, be sure to tell the paramedics, nurses or doctors at the hospital that you use it and when you used it last.
Managing other health conditions and making the necessary lifestyle changes are important to help overcome erectile dysfunction. That’s why our team at the Male Infertility & Sexual Health Program at UH uses a specialized, team-based approach to deliver expert and highly individual ED care.
Physical disorders associated with erectile dysfunction can sometimes be related to hormones in the body. Non-hormonal causes include conditions that affect the blood supply to the penis (such as high blood pressure, type 1 or type 2 diabetes and smoking) and those that affect the nerves supplying the penis (such as Parkinson’s disease and damage to the nerves in the body e.g. due to both type 1 or type 2 diabetes). Erectile dysfunction can also be a side-effect of a medical intervention or treatment. Potential treatments that may be implicated in the cause of erectile dysfunction include certain antidepressants and treatment for high blood pressure (antihypertensives).