Conversations around sexual health usually take place in hushed tones. But it is the need of the hour is to talk about it openly so that timely medical opinion can be sough, if needed. As such, recently-engaged actor Vidyut Jammwal has earlier spoken about how erectile dysfunction (ED) is becoming a common issue considering sedentary lifestyle, a fact that has often been pointed out by doctors too.
In some cases, more extensive exams might be necessary to see if you have other conditions that could be causing your ED symptoms.
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Performance anxiety. People with depression tend to think more negatively and may feel less confident. A depressed man might think, “I don’t have what it takes to please my partner” and then have erection difficulties.
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Nearly 95% of men with erectile dysfunction can obtain an erection sufficient for sexual satisfaction with a vacuum constriction device. Only vacuum constriction devices containing a vacuum limiter should be used. All FDA approved devices have such a limiter. Vacuum constriction devices can be a useful second-line treatment option especially in the patient with a supportive partner in a stable relationship. Virtually all men of all ages and with all types of erectile dysfunction can have successful intercourse with a vacuum constriction device.
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Putting off a doctor’s visit can delay effective treatment and may be harmful if you have other, underlying conditions.
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.
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Erectile dysfunction can result from a number of factors such as medical conditions, psychological conditions, certain medical treatments, injuries and drug and alcohol use. While most cases of erectile dysfunction are caused by physical issues, sometimes a combination of physical and psychological issues can contribute to developing the condition.
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For most healthy adults, the U.S. Department of Health and Human Services recommendation is to engage in at least 150 minutes of moderate aerobic exercise or 75 minutes of vigorous aerobic activity each week or a combination of moderate and vigorous exercise.
An ultrasound examination of your penis and testicles may be performed. The principle of ultrasound is similar to the sonar used on submarines. Sound waves are reflected back when they contact relatively dense structures, such as fibrous tissue or blood vessel walls. These reflected sound waves are then converted into pictures of the internal structures being studied.
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Quitting smoking, exercising regularly, losing excess weight, curtailing excessive alcohol consumption, controlling hypertension, and optimizing blood glucose levels in patients with diabetes are not only important for maintaining good health but also may improve or even prevent progression of erectile dysfunction. It is unclear if such lifestyle changes can reverse erectile dysfunction. However, lifestyle improvements may prevent progression of the erectile dysfunction. Some studies suggest that men who have made lifestyle improvements experience increased rates of success with oral medications.
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This procedure is performed in an exam room and does not require anesthesia. You do not need to prepare anything in advance for your appointment.
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If lifestyle changes and medications do not work, other treatments for ED include:
Without adequate blood flow, erection problems can occur. In some cases, the erection is weak. In others, the man is unable to have an erection at all.
You shouldn’t use these medicines if you take nitroglycerin or any other nitrates for chest pain. If you have heart problems, tell your doctor before taking any ED medicines. These medicines can have serious side effects in people who have heart problems.
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Limit the intake of added salt, fat, and sugar which will help to reduce the risk of having erectile dysfunction. Increase the intake of dietary fiber, vitamin E, and lycopene-rich foods such as avocados, tomatoes, etc.
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Urethral suppositories (MUSE) have the same ingredient as ED injections (alprostadil) only they are in pellet form. You will insert the pellet into your urethra (urinary channel), where it will dissolve.
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Additionally, surgeries or procedures that target the spinal cord or pelvic area can lead to ED. Radiation therapy to the testicles can also cause impotence.
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Male erectile problems often produce a significant emotional reaction based on the impact of erectile dysfunction on confidence, self-esteem, and morale in most men. This is described as a pattern of anxiety and stress that can further interfere with normal sexual function. Such "performance anxiety" needs to be recognized and addressed by a doctor.
It is common for men with erectile dysfunction to have an underlying physical basis for it, particularly in older men. However, psychological factors may be present in 10% to 20% of men with erectile dysfunction. Experts say stress, depression, poor self-esteem, and performance anxiety can impair the ability to have an erection. These factors can also make erectile dysfunction worse in men whose sexual dysfunction stems from something physical.
Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction.
Kasraeian Urology introduced this new ED treatment in 2021 for their patients in the Jacksonville, FL area.
What are the side effects of sildenafil (Viagra) that may be different from some of the other PDE5 inhibitors?
Our physicians are experienced in treating the complete range of urologic conditions and diseases, from kidney stones and sexual dysfunction to prostate cancer, incontinence and infertility. Our Physicians Physician Assistants Pelvic Floor Physical Therapists Registered Dietitians Nurse Practitioners & Navigators Ultrasound Technicians Conditions Treated Men’s Health Women’s Health & Urogynecology General Urology Pelvic Floor Physical Therapy Medical Nutrition Therapy New Patient Intake Form Patient Portal Schedule an Appointment Message from Our CEO & COO GBU in the News Careers with GBU Locations All Care Centers North Easton/Brockton Map and Directions Events Current Events ZERO Prostate Cancer Run/Walk BCAN Walk to End Bladder Cancer Resources Press Releases One Patient’s Story Doctors & Medical Staff Physician Assistants Pelvic Floor Physical Therapists Registered Dietitians Nurse Practitioners & Navigators Ultrasound Technicians Conditions Treated Conditions Treated Women’s Health & Urogynecology Services Pelvic Floor Physical Therapy Medical Nutrition Therapy For Patients New Patient Intake Form Schedule an Appointment About About Message from Our CEO & COO Locations Locations North Easton/Brockton Events Events ZERO Prostate Cancer Run/Walk BCAN Walk to End Bladder Cancer Resources Resources One Patient’s Story
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If erectile dysfunction is caused by a blockage in an artery leading to the penis, surgery can be used to restore blood flow. Optimal candidates are typically younger men whose blockage stems from an injury to the crotch or pelvis. The surgery is not recommended for older men with widespread narrowing of the arteries throughout their bodies.
Bullet point: In men with ED, assessing androgen status is a simple evaluation, and therapy when indicated can be beneficial, and in most men, safe.
In 1973, Dr Brantley Scott from Baylor College of Medicine reported on the implantable inflatable prosthesis that urologists still use today.5
Exercise does more than improve penile blood flow, however. Staying fit keeps a man’s weight under control, may increase his testosterone levels, and boosts his confidence. It can also reduce depression and anxiety. These factors can affect erections as well as other aspects of sexual health.
Your partner may suffer without saying much, so it is very important that you openly discuss the best way to cope with this condition.
Home Archive Volume 51, Issue 19 Physical activity and exercise for erectile dysfunction: systematic review and meta-analysis
Aetna considers Xiaflex (collagenase clostridium histolyticum) for the treatment of Peyronie’s disease medically necessary when the following criteria are met: The member has stable Peyronie’s disease without clinical changes (e.g., worsening curvature) for at least three months; and The member has a palpable plaque and curvature deformity of at least 30 degrees and less than 90 degrees prior to initiating Xiaflex therapy; and The member has intact erectile function (with or without medication); and The member is 18 years of age or older; and The member will receive a maximum of one treatment course with a maximum of 8 injections total, including any injections the member has received for any previous treatment.
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Erectile dysfunction can be caused by any number of medical and psychological conditions. In general, ED is divided into organic (having to do with a bodily organ or organ system) and psychogenic (mental) impotence. Interestingly, and not surprisingly, most men with organic causes have a mental or psychological component, as well.
In order that erectile dysfunction may be diagnosed, you have to "bring it up". Talk with your physician – your erectile dysfunction is not obvious to anyone outside of your sexual partner(s). Once addressed, your physician will likely conduct a detailed history and physical examination in an attempt to elucidate the potential causes of your ED. Blood sugar Cholesterol Blood pressure Hormonal levels (particularly testosterone) Genital examination Inguinal pulses (blood vessels in the groin) Neurological evaluation Medication history Recreational drug history Alcohol use and/or abuse Tobacco history
Erectile dysfunction (E.D.) is often caused by blood vessel damage or suboptimal hormone levels; however, it can also be caused by stress or poor lifestyle choices such as smoking, an unhealthy diet, or not making time for physical activity.
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Doctors have not tested the PDE5 inhibitors in patients with retinitis pigmentosa, an eye condition that affects the retina and can cause blindness, and so caution is recommended if you have this health condition.
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Exercise is an essential part of maintaining erectile health. It protects against cardiovascular disease, which is the leading cause of ED, and has a myriad of other benefits such as reducing body weight, managing blood glucose levels, and reducing “bad” cholesterol.
Other research has shown Black men may be less likely to report symptoms of moderate to severe ED.
VEDs provide a simple way of obtaining an erection for 30-45 minutes by sucking blood into the penis and holding it in place with a constriction (pictured). Ejaculation may be restricted by the ring but this technique is simple, safe and has no known side-effects. Unfortunately, most patients have to purchase VEDs themselves.
To help your erections, your doctor may suggest taking medication as a pill or as an injection in your penis, or using a mechanical device. And you'll need to deal with the underlying medical condition, too.
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Some men choose not to discuss it with anybody or not to go to their doctor because they: Think they have normal erection, so it is unnecessary to take any treatment Assume they can stop their sexual life, so it is unnecessary to take any treatment Are afraid they may have an incurable disease Are worried about a wrong diagnosis Do not have easy access to a doctor Have had a negative experience in the hospital Have friends or relatives who had a negative experience when treated for a similar condition Do not know about possible treatment options Have financial issues Feel isolated because of their age or condition
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
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).
Erectile DysfunctionPremature EjaculationLow Testosterone/ AndropauseLow LibidoRetrograde EjaculationDelayed EjaculationPainful EjaculationPeyronie’s DiseaseMale InfertilityForeskin ProblemsPenis ProblemsTestes ProblemsSexually Transmitted Infections
Cancer and cancer treatments that involve the pelvic area including colon cancer surgery, prostate cancer surgery or radiation treatments may cause neurological as well as vascular damage which may lead to sexual dysfunction as well.
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.
Once your blood sample reaches the lab, you should receive your results via email within 3 to 5 working days. When you’ve received them you’ll be able to view them any time by logging onto your Numan account.
A penile prosthesis is a pair of malleable (bendable) rods that are surgically inserted into the penis. It allows erections to happen by a mechanism of compressing on a special part by the device. Men disappointed with other treatments might be fit for penile prosthesis. Medical Author: Stephen W Leslie, MD, FACS Medical Editor: Bradley Fields Schwartz, DO, FACS Medical Editor: Mary L Windle, PharmD Medical Editor: Martin I Resnick, MD What to Expect During Your Doctor Visit Sexual, Medical, and Psychosocial History to Diagnose Erectile Dysfunction Physical Examination to Diagnose Erectile Dysfunction Laboratory Testing to Diagnose Erectile Dysfunction Imaging Studies to Diagnose Erectile Dysfunction Further Testing to Diagnose Erectile Dysfunction Diagnostic Testing Results Diagnosing Erectile Dysfunction Pictures Diagnosing Erectile Dysfunction Topic Guide Men are frequently reluctant to discuss their sexual problems, particularly erectile dysfunction or ED, and often need to be specifically asked.You can assist and initiate this process just by telling your doctor directly that erectile dysfunction is a problem for you. Opening a dialogue allows your doctor to begin the investigation or refer you to a consultant.Scheduling enough time with your doctor to conduct a full interview and physical examination is important.After performing a full interview, physical examination, and laboratory testing, your doctor can then discuss your particular situation, the most likely cause, and reasonable treatment options.
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