Learn More About Treatment for Erectile Dysfunction: Medication, Alternative and Complementary Therapies, Surgery Options, and More
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American association of sexuality educators,counselors and therapists https://www.aasect.org/certification Randrup E , Wilson S , Mobley D , et al . Clinical experience with Mentor Alpha I inflatable penile prosthesis. Report on 333 cases. Urology 1993;42:305–8. doi:10.1016/0090-4295(93)90620-P Khera M , Albersen M , Mulhall JP . Mesenchymal stem cell therapy for the treatment of erectile dysfunction. J Sex Med 2015;12:1105–6. doi:10.1111/jsm.12871 Frey A , Sønksen J , Fode M . Low-intensity extracorporeal shockwave therapy in the treatment of postprostatectomy erectile dysfunction: a pilot study. Scand J Urol 2016;50:1–5. doi:10.3109/21681805.2015.1100675 Soni SD , Song W , West JL , et al . Nitric oxide-releasing polymeric microspheres improve diabetes-related erectile dysfunction. J Sex Med 2013;10:1915–25. doi:10.1111/jsm.12216
Vidyut Jammwal is an action hero in Hindi cinema who advocates fitness not only for films, but as a way of life. Having gone to a sports school and been trained in India’s ancient martial art form Kalaripayattu, his strength and stamina know no bounds. In the hope to share his knowledge with thousands of his fans who were struggling to stay fit during the lockdown, he decided to start a YouTube channel last year. So far, he's posted crazy workout challenges, movements to improve balance and alignment and country boy exercises among other informative and inspiring videos.
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This information was updated by the EAU Patient Information Working Group, July 2021.
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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.
You have a question that many men are concerned about. You go online to research the question: do I have erectile dysfunction?
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ERECTILE DYSFUNCTION The hard truth about testosterone and erectile dysfunction Numan is regulated by the Care Quality Commission, the independent regulator of all health and social care services in England
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ED and IHD share the same risk factors (Figure 1). Endothelial dysfunction is the common link between ED and IHD.5
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Pelvic floor exercises tighten the muscles around the base of the penis. These muscles exert pressure on the blood vessels that drain the penis. Tightening these muscles can help keep blood in the penis longer and therefore help maintain an erection. Pelvic floor exercises (also called Kegel exercises) can tighten the muscles that sag and weaken as we age (Meldrum et al., 2014).
Oral pills called phosphodiesterase type-5 inhibitors are the most commonly prescribed medications for ED and include: Viagra (sildenafil) Cialis (tadalafil) Levitra (vardenafil) Stendra (avanafil)
Pelvic floor exercises tighten the muscles around the base of the penis. These muscles exert pressure on the blood vessels that drain the penis. Tightening these muscles can help keep blood in the penis longer and therefore help maintain an erection. Pelvic floor exercises (also called Kegel exercises) can tighten the muscles that sag and weaken as we age (Meldrum et al., 2014).
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This depends on whether you know what it is causing your ED. There are some things you can do that may help prevent ED, including: Avoid drinking too much alcohol, smoking, or abusing drugs. Ask your doctor if ED is a side effect of a new or current medicine you are taking. He or she may have an alternative medicine. Control your blood sugar and blood pressure. Try to relax and avoid stress.
It is recommend that the first trial of intraurethral prostaglandin be performed in the doctor's office due to the risk of hypotension with this medication.
Often, men with ED benefit from talking to a therapist, especially if they suffer from depression, anxiety, or low self-esteem. If relationship problems are a factor, couples therapy may be useful.
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Did you receive surgical intervention for your erectile dysfunction? Were you satisfied with the results?
Aetna considers Xiaflex as experimental and investigational for all other indications except for Dupuytren's contracture, see CPB 0800 - Dupuytren's Contracture Treatments.
Unstable angina (chest pain due to coronary artery disease that occurs at rest or with minimal physical exertion)Low blood pressure (a resting systolic blood pressure less than 90 mm Hg)Uncontrolled high blood pressure (greater than 170/110 mm Hg)Recent stroke or heart attack (within six months)Uncontrolled, potentially life-threatening abnormal heart rhythmsSevere liver diseaseSevere kidney failure requiring dialysisSevere heart failure or disease of the heart's valves, for example, aortic stenosis (hardening of the main artery in the body)Retinitis pigmentosa (a condition that affects the retina of the eye and can cause blindness)
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ED is sometimes the cause and sometimes the result of unsatisfying or dysfunctional relationships. It is often difficult to find out which started first.
Yes. Get help and advice as soon as you notice a problem. This isn't only important in terms of getting treatment for your ED: it could also be a symptom of other potentially serious conditions (such as diabetes or heart disease).
Aetna considers testosterone injection experimental and investigational for Peyronie’s disease because of a lack of evidence from prospective randomized controlled clinical studies of the effectiveness of this approach for this indication.
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Caffeine and nicotine both narrow blood vessels, reducing blood flow into the penis and increasing the risk of E.D. when it is secondary to vascular problems. Several studies have found that smoking is the leading modifiable cause of E.D., particularly in younger men.
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If you’re older, there’s probably a physical reason for your ED. But the causes can be in your head, too. Experts say stress, depression, low self-esteem, and performance anxiety can short-circuit the process that leads to an erection. These factors can also make the problem worse if your ED stems from a physical problem.
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Poor communication with your partner.Feelings of doubt and failure.Stress, fear, anxiety, or anger.Expecting too much from sex. This can make sex a task instead of a pleasure.
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David F Mobley1, Mohit Khera2, Neil Baum3 1 Department of Urology, Weill-Cornell Medicine, Houston, Texas, USA 2 Department of Urology, Baylor College of Medicine, Houston, Texas, USA 3 Department of Urology, Tulane Medical School, New Orleans, Louisiana, USA Correspondence to Dr David F Mobley, Department of Urology, Weill-Cornell Medicine, 18300 Katy Fwy, Ste 325, Houston 77094, TX, USA; mobleyresearch{at}gmail.com
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Alternative treatments, such as nutritional supplements, herbal remedies, and acupuncture, are options to consider. However, evidence supporting many of these treatments is spare and due to the lack of FDA regulation the quality of any given supplement is unclear. In several high profile cases allegedly “natural” ED treatments were found to contain erection medications; as these medications have certain side effects and drug interactions (specifically PDE5I and nitrates) there is potential for very serious reactions even with “natural”, non-prescription medications.
They reported that 160 minutes of exercise a week for 6 months “contributes to a decrease of ED” for men experiencing ED due to physical inactivity, obesity, and cardiovascular disease.
You may see many herbs and supplements that claim to help sexual performance or desire. However, none have been proven to successfully treat ED. Plus, they may not always be safe. DO NOT take anything without talking with your provider first.
Radiation for prostate cancer can cause ED symptoms to appear gradually, usually within two to three years after treatment. If you are experiencing ED after undergoing prostate cancer treatment, you can get a healthy sex life back. We can help you choose the best treatment options for you. By Name By Location ED Treatments pills, injections, penile suppositories, vacuum devices, shockwave therapy, and surgery.
When 3724 men were questioned about their dietary habits, men who reported a higher caffeine intake were less likely to report E.D. However, this study was based on self-reported data and was not a prospective study (Lopez et al., 2015). Caffeine is a vasoconstrictor, which means that it can reduce blood flow into the penis. Further study is needed to determine whether caffeine improves or worsens E.D. symptoms.
To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzes reviews to verify trustworthiness. View Image Gallery 5.0 out of 5 stars Informative and Detailed! Reviewed in the United States on October 13, 2021 Top reviews Most recent Top reviews Reviewed in the United States on October 13, 2021 Erectile dysfunction is more common than we think and there are multiple factors that can cause it. Its consequences, though, are not only related to sexual intercourse.
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The side effects of ED medicine are mostly the same. Sildenafil and vardenafil can cause: Headache. Flushing (face and upper body turning red and warm). Stomach upset. Runny nose (sniffles). vision changes (things look blue).
“We can’t see any limit. Perhaps, you can’t have too much of a good thing,” says Gerbild.
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Increased consumption of long-chain fats, which are found in most fish, was associated with lower levels of blood vessel inflammation (Lopez-Garcia & Hu, 2004). Blood flow into the penis and surrounding tissue can be improved by reducing inflammation in small blood vessels.
Second-generation cardioselective beta-blockers (atenolol, metoprolol, bisoprolol, etc.) can also lead to ED. Atenolol was shown to cause significant reduction of sexual activity compared with placebo in a double-blind, parallel-arm study.22 The same study also showed a significant reduction in testosterone levels with atenolol versus valsartan. An open, prospective study of hypertensive men treated with atenolol, metoprolol and bisoprolol for at least 6 months showed high prevalence of ED – approaching 66 % – in these patients.23
Furthermore, certain medications can lead to erectile dysfunction including antiandrogens (testosterone blockers) used in conjunction with prostate cancer therapy, certain antidepressants, blood pressure medications, sedatives or tranquilizers, some ulcer medications, and appetite suppressants.
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You need at least three healthy things for an erection: a penis, blood vessels, and nerves. The most simplistic explanation of an erection is that nerves send signals to the blood vessels to deliver more blood to the penis. Then, spongy (erectile) tissue of the penis (corpus cavernosum) gets filled with blood and an erection occurs. If any of the above components are not functioning well, erection may not happen.
Mechanical malfunction is another risk of the prosthesis. However, advancements including lock-out valves and special covering over areas of the tubing have decreased the risk of mechanical malfunction.
Risk of ED is higher if you have high blood pressure, diabetes, vascular disease, low testosterone, history of prostate surgery, or take certain medications. Stress and other psychological aspects can sometimes play a role.
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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As described above, there are many risk factors and causes for ED. Therefore, our team investigates the potential causes for each patient thoroughly and independently to ensure the best possible outcome. Our work up for ED may include:
The exciting news is, ED can be treated effectively in many ways, and treatments can be combined and customized for you. Our clinics offer 8 ED treatments backed by science and extensive research.
Pelvic area muscles are the ones that help in increasing the blood flow to the groin and helps in maintaining erections. Strengthening the muscles with pelvic floor exercises can actually improve sexual functioning like erections, ejaculations, and orgasm.
It is recommended that testosterone be measured in patients with ED because low levels are a reliable measure of hypogonadism. Hypogonadism is not only a treatable cause of ED, but can also lead to reduced or lack of response to PDE5 inhibitors.73 Testosterone deficiency is also associated with increased cardiovascular and all-cause mortality.74 Levels >350 ng/dl do not usually require replacement, but in patients with testosterone <230 ng/dl, replacement can usually be beneficial.57 In patients with congestive heart failure, testosterone replacement can lead to fluid retention, so caution is advised. In these patients, the aim should be to keep testosterone levels in the middle range, i.e. 350–600 ng/dl.57
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The hard facts could provide additional motivation to do the exercise that doctors are perhaps already recommending to patients suffering from obesity, atherosclerosis, cardiac problems, or other conditions where the blood vessels do not work as well as they should.
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Depending on the cause of impotence, there may be other signs and symptoms present. For example, where hypogonadism (low testosterone) is the cause, patients may additionally describe reduced sex-drive (low libido), reduced need to shave facial hair and reduced muscle mass. If diabetes has caused damage to the nerve or blood supply to the penis, patients may also describe other symptoms suggestive of damage to other blood vessels or nerves, such as numbness and tingling of the feet.
Oral medications include Viagra® (Sildenafil), Cialis® (Tadalafil), and Levitra® (Vardenafil). These medications improve blood flow to the penis by working directly on the blood vessels. They allow your arteries to expand, which can produce an erection.
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If lifestyle changes and medications do not work, other treatments for ED include:
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Surgery provides the only true cure, but men typically want to explore other, less invasive options first.
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Gerbild expects this new recommendation to ease the symptoms of impotency, such that men who suffer severe erectile dysfunction can expect to see an improvement, while the problem could disappear entirely among men who suffer only mild problems.
Alprostadil is an FDA-approved erectile dysfunction drug that can be injected directly into the penis to trigger an automatic erection. "Penile injection is the most effective type of ED treatment for men who can't take oral treatment," says Nelson Bennett, MD, a urologist at the Lahey Clinic in Burlington, Mass. In fact, it has an 85 percent success rate. Possible side effects include a burning sensation and priapism, an erection that lasts more than four hours and requires medical treatment.
L-citrulline can be converted to L-arginine in the body. L-arginine widens blood vessels, increasing blood flow.
But if underlying conditions are a suspected cause for your ED, you may need certain tests, such as:
The most targeted exercise that you can do to help erectile dysfunction is strengthening your pelvic floor. Pelvic floor exercises can help men improve or even ultimately overcome ED.
Aetna considers the diagnosis and treatment of erectile dysfunction (ED; impotence) medically necessary according to the criteria outlined below.
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