Sometimes, ED happens when your hormones are out of balance. Your doctor can perform a blood test to check your hormones.
In fact, one common reason many younger men visit their doctor is to get erectile dysfunction medication. Often, men with erectile dysfunction suffer with diabetes or heart disease, or may be sedentary or obese, but they don’t realize the impact of these health conditions on sexual function. Along with erectile dysfunction treatment, the doctor may recommend managing the illness, being more physically active, or losing weight.
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You are not alone 50% of men in their 50s are affected by ED symptoms (University of Wisconsin Health, 2019). Sometimes a man becomes nervous during sex, or perhaps he’s had too many drinks beforehand. While this may affect his sexual performance, it doesn’t necessarily mean a man has ED.
A closer look at the relationship between hypertension and ED, including how certain blood pressure medications may affect your symptoms.
Other research has shown Black men may be less likely to report symptoms of moderate to severe ED.
Men with diabetes, radical prostatectomy, and other complicating factors may still benefit from treatment with a phosphodiesterase type-5 inhibitor such as Viagra. Patients who fail a trial of PDE5 inhibitor should be informed of the benefits and risks of other therapies. This of a different PDE5 inhibitor is unlikely to have a profound effect on sexual function and someone who fails a first drug trial, but should be considered in selected cases. Second-line therapies include intra-urethral suppositories, intra-cavernous drug injection, vacuum-constriction devices, and penile prosthesis. Medicated Urethral System for Erection (MUSE). MUSE is an intra-urethral suppository of alprostadil, of vaso-active drug that relaxes smooth muscle in the penis and induces penile erection. Although not as effective as intra-cavernosal penile injection, MUSE is a less invasive treatment option. An initial trial dose of intra-urethral alprostadil should be administered under healthcare provider supervision due to the risk of fainting. The cost of intra-urethral suppositories is high with respect to the overall success and therefore should be used judiciously.
Information about your personal and sexual history may be useful when making a diagnosis. Your doctor might ask questions, such as:
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Erectile dysfunction is a common condition which leaves men struggling to achieve or maintain an erection for sex.
Technical success rates vary between 86 and 97% (Box 4). In one study technical failure was specified as failed access of the periprostatic veins via femoral access (18). In another study the deep dorsal vein could not be punctured in two patients either due to venous hypoplasia or venous alteration following previously attempted surgical ligation.
ED is usually easy to diagnose. If you are tempted to self-diagnose, talk to your doctor. He or she will want to make sure it isn’t related to another health condition.
For some men, vacuum pump devices, rigid or inflatable surgical penile implants or testosterone replacement (only for men with unequivocally low levels of this hormone) may also be options. Constriction bands at the base of the penis can be a treatment option for men with non-sustained erections. Discuss these options with your doctor.
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A lot goes into achieving an erection. When you're turned on, nerves fire in your brain. Blood then flows into your penis. If all goes well, you’re ready for sex.
The prostate gland is located just below the bladder and is surrounded by nerves and blood vessels. These nerves and blood vessels are needed to achieve a normal erection. Much research has been done to understand where these nerves are located and how to prevent them from getting damaged during surgery or other treatments.
The U.S. FDA (Food and Drug Administration) has a list of 29 OTC products that claim to treat erectile dysfunction. Patients should avoid these because many contain harmful ingredients. Other natural or herbal remedies such as DHEA, L-arginine, ginseng, and yohimbe are supplements that have been used but have not been proven safe and effective according to some researchers. Before using such compounds, individuals should consult their doctor. According to some experts, acupuncture does not effectively treat erectile dysfunction. Other home remedies for reducing ED symptoms include diet changes such as eating blueberries and citrus fruits and drinking red wine.
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