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Can we develop a simple yet accurate method to distinguish organic from psychogenic ED?
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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If medications do not work, we would discuss either penis injections or the vacuum pump. There is also something called MUSE, which is basically a small medication pellet that gets inserted inside the urethra (the tube that transports urine) and releases medication directly into the penis. Some men prefer it, as it may be a bit more effective than oral medications, but some will complain of pain and burning with insertion.
Dr. Chirag Bhandari and a team of sexual health experts have now made it possible to cure ED with only medication. Dr. Chirag and other experts are making every possible effort to make people aware of sexual problems in men like Erectile dysfunction and its early signs to alert the young generation from getting into big trouble too soon.
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Additionally, it’s a good idea to share any life changes or stressors that could be affecting your mental health, such as the death of a loved one, a job change, the birth of a child, or trouble in your relationship.
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To reduce your risk of erectile dysfunction, exercise and maintain a healthy weight, stop smoking, avoid alcohol and substance abuse, and keep your diabetes under control, if you have it.
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While low T isn't the only cause of erectile dysfunction, the two do seem to be connected. However, the connection between low testosterone and erectile dysfunction is complicated. Researchers believe the two are connected because they both seem to coincide as a man ages. However, some men with low testosterone continue to produce healthy erections.
'However, the optimum combination of frequency and exercise will vary from individual to individual.'
A man’s psychological state is clearly an essential consideration when addressing issues of sexual function. While ED that is purely psychological is not common, many men who experience difficulty with erections may develop anxiety or fear about being able to get an erection the next time they try. This anxiety may lead to a stress response involving activation of the sympathetic nervous system and release of adrenaline, which will tend to make it even more difficult to get an erection. Conflict with a partner (or the absence of a partner) will also tend to increase stress and potentially interfere with erectile function.
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Surgical or radiation treatments for prostate cancer, bladder cancer, or prostate enlargement (BPH) can sometimes damage nerves and blood vessels near the penis. Occasionally, the nerve damage is permanent and the patient requires treatment to achieve an erection. Sometimes, surgery causes temporary erectile dysfunction that improves on its own after 6 to 18 months.
Rarely, a doctor may perform an angiogram (injecting a dye into the arteries that supply the penis and taking X-rays to look for areas of narrowing of the arteries) in cases in which possible vascular surgery could be beneficial.
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Unfortunately, some men may not recover their ability to have a natural erection.
Stress, anxiety, depression and other mental health conditions can also lead to or worsen erectile dysfunction.
Ultrasound tests for determining ED can not be done at home but only in a professional clinic and hospitals. Under the surveillance of a professional doctor, the wandlike device known as a transducer is kept over the blood vessels. By seeing the video image of the blood supply to the penis, one can identify the level of ED. On your sexual behavior for the past 6 months, try to answer the question honestly and assign the points assigned to particular answers. After you finish answering all five main questions, total up all the points to check the result.
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If your urologist suspects a particular medication to be the root cause of your erectile dysfunction (ED), they may offer an alternative drug. However, do not stop taking medications without their advice.
A series of blood tests helps determine many medical conditions known to cause ED. A urinalysis indicates any positive signs of kidney problems, testosterone levels or diabetes. Using a nocturnal penile tumescence (NPT) procedure is common. Ultrasound testing and injections may be useful when diagnosing erectile dysfunction.
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.
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Sildenafil treats erectile dysfunction of either physical or psychological cause. It is effective in treating erectile dysfunction in men with coronary artery disease, diabetes mellitus, hypertension, depression, coronary artery bypass grafting (CABG), and men who are taking antidepressants and several classes of antihypertensives.
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GovernanceAwardsAffiliated SocietiesPast PresidentsHistoryExecutive OfficeContact Differences in Sexual Response for Men During Partnered Sex and Masturbation Is There a Connection Between Erectile Dysfunction and Heart Disease? Treating Erectile Dysfunction With Low-Intensity Shockwave Therapy and Tadalafil: The Results of a New Clinical Trial Erectile Aids: How Helpful Are They for Prostate Cancer Patients? Study Analyzes Diabetes, Mental Health, and Sexual Function During COVID-19 Pandemic In Colombia, Sexual Dysfunction Linked to Higher Rates of LUTS PRP Injections Could be Effective ED Treatment; More Research is Needed Are men with anxiety disorders more likely to develop erectile dysfunction (ED)? Female Sexual Dysfunction Linked to Sexual Problems in Men How can I manage performance anxiety and psychogenic erectile dysfunction (ED)? Men With BPH May Have Better Erectile Function After TUDP Procedures Duplex Doppler Ultrasound in the Evaluation of Patients With Erectile Dysfunction Study Suggests ED Treatment “Disparities” After Radical Prostatectomy Nonorganic ED Might be Managed with Pharmacotherapy Should We Tailor the Clinical Management of Erectile Dysfunction According to Different Ages? Sign up here to receive the ISSM Update (our weekly update) and stay up-to-date on ISSM! HomeFor providersFor PublicSexual Health TopicsQ&AHeadlinesFind a ProviderAboutVision and MissionLeadershipCommitteesBylaws CommitteeCommunication CommitteeConsultation and Guidelines CommitteeDeveloping Countries CommitteeEducation CommitteeEthics CommitteeFinance & Audit CommitteeGrants & Prizes CommitteeHistory CommitteeMembership CommitteeNominating CommitteePublication CommitteeScientific CommitteeYoung Researchers CommitteeYoung Trainees CommitteeGovernanceAwardsAffiliated SocietiesPast PresidentsHistoryExecutive OfficeContact Quick Links What Causes Erectile Dysfunction? Evaluation of a Man Presenting with ED Treatments of Erectile Dysfunction
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Some mental health conditions are linked to ED. Because of this, your doctor might ask you questions to screen for depression, anxiety, or other psychological causes.
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The man must be sufficiently stimulated psychologically.His nerves which carry the signal of initiating an erection must be intact and in good health.The blood vessels in the penis or groin which carry the blood must be healthy.Pelvic muscles must be toned enough to lift the penis up when the blood fills the penis, thus solving all the penis problems.
While low T isn't the only cause of erectile dysfunction, the two do seem to be connected. However, the connection between low testosterone and erectile dysfunction is complicated. Researchers believe the two are connected because they both seem to coincide as a man ages. However, some men with low testosterone continue to produce healthy erections.
Erectile dysfunction can occur if a man doesn't meet one or more of these requirements. The following are 13 common causes of erectile dysfunction, and many men have more than one potential cause: QUESTION Erectile dysfunction (ED) is… See Answer Readers Comments 1 Share Your Story
Top Picks Talking to Your Partner About ED Penis Enlargement: Does It Work? ED: Tips for Talking With Your Doctor Men's Super Foods: Some Fight ED Photos: When Your Body Won't Cooperate 10 Things That Can Deflate Your Erection
Physicians make a diagnosis of erectile dysfunction in men who complain of troubles having a hard enough erection or a hard erection that does not last long enough. It is important as you talk with your doctor that you be candid in terms of when your troubles started, how bothersome your erectile dysfunction is, how severe it is, and discuss all your medical conditions along with all prescribed and nonprescribed medications that you are taking. Your doctor will ask several questions to determine if your symptoms are suggestive of erectile dysfunction and to assess its severity and possible causes. Your doctor will try to get information to answer the following questions:
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In some cases, ED can be a warning sign of a more serious disease. One study suggests it can predict heart attack, stroke, and even death from cardiovascular disease. If you’re diagnosed with ED, get checked for cardiovascular disease. This doesn’t mean every man with ED will develop heart disease, or that every man with heart disease has ED, but you should be aware of the link.
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If you have symptoms like needing to pee more often, you may also need to have an examination of your prostate. Treatment for erection problems depends on the cause
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Your doctor will take a medical history to understand your general state of health. As part of the medical history your doctor will ask about any other conditions you may have. If you take any medication If you smoke When and how much you drink If you drink much coffee or alcohol If you use recreational drugs on a regular basis If you ever had pelvic surgery If you have any heart and/or vascular problems If you have hormonal disorders If you have any psychological problems
Treatment options may vary depending on the presumed cause of your ED. Our team will work with and may suggest the following treatments: Oral medications, such as Viagra, Cialis, or Levitra Vacuum devices Penile self-injection therapy Lifestyle modifications Surgical procedures
Be ready to answer certain questions that will help the urologist know the cause of your erectile dysfunction (ED), such as: If you suffer from any other health issues If you are taking medications for any illness If you are into using recreational drugs If you smoke Your alcohol intake per day If you have any history of surgery or other treatments targeted at the pelvic area If you have any problems with urination Your stress levels Your mental health status Your relationship with your partner
Yes, our medicines are licensed and approved by the MHRA (Medicines and Healthcare Products Regulatory Agency) and have undergone strict clinical trials in human subjects to test their safety and their effectiveness.
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The study also concludes that training should be supervised, since the men involved all received professional help to adapt their exercise regimes into their daily lives and to keep their motivation up.
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The third Princeton Consensus (Expert Panel) Conference recommends assessing cardiovascular risk in all patients with ED and CVD. This refers to estimating the risk of mortality and morbidity associated with sexual activity. The current recommendations classify patients into low-, intermediate- and high-risk, based on their New York Heart Association class.57 The consensus also recommended that all patients with ED and CVD should undergo lifestyle changes, such as exercise, smoking cessation, healthy diet and weight reduction. These measures are likely to reduce cardiovascular risk and improve erectile function.58
The next new treatments for erectile dysfunction will probably be improvements in some ED drugs already being used. "A dissolvable form of Levitra that you put under your tongue is coming that may work more quickly than the pills we have now," says Feloney. A new form of alprostadil may make it possible for you to rub it directly on the penis instead of inserting or injecting it. And newer phosphodiesterase inhibitors that last even longer and cause fewer side effects are being developed. Stay tuned!
However, it can be a sign of an underlying medical condition such as high blood pressure or cholesterol, side effects of medication, or hormonal issues.
Diabetes mellitus, smoking, high cholesterol, and high blood pressure are all risk factors for oxidative stress. These conditions are some of the most common causes of E.D. (Zhang et al., 2011). Antioxidants decrease metabolic stress and reduce the risk of blood vessel damage.
The American Academy of Cardiology defines high blood pressure slightly differently. The AAC considers 130/80 mm Hg. or greater (either number) stage 1 hypertension. Stage 2 hypertension is considered 140/90 mm Hg. or greater.
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).
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General good health, particular cardiovascular, is important for sexual function. Avoiding obesity and belly fat can help you avoid and treat erectile dysfunction. A good diet and exercise should be part of your daily regimen.
Erectile dysfunction, also known as impotence, is when a man is unable to get or maintain an erection.
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.
Aetna considers topical cream or gel containing vasodilators, such as verapamil cream, experimental and investigational for the treatment of erectile dysfunction because their effectiveness for this indication has not been established.
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