It’s tough for men to ask for help but if you don’t ask when you need it, things generally only get worse. Especially during a major pandemic like Covid-19. So we’re asking.
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If you experience erectile dysfunction (ED) for more than 6 months you should seek professional help. Your doctor can help you find the causes by performing physical and psychological tests. Read more about them in the section Diagnosis of ED.
Aetna considers the following diagnostic workup of erectile dysfunction medically necessary: Comprehensive history and physical examination (including medical and sexual history and psychosocial evaluation) Duplexscan (Doppler and ultrasound) in conjunction with intracorporeal papaverine Dynamic infusion cavernosometry and cavernosography only for members who are to undergo re-vascularization procedures and meet medical necessity criteria for penile re-vascularization (see below) Pharmacological response test for erectile dysfunction (using vasoactive drugs, e.g., papaverine HCl, phentolamine mesylate, prostaglandin E1) Pudendal arteriography (angiography) only for members who are to undergo penile re-vascularization and meet the medical necessity criteria for penile revascularization (see below).
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Researchers have known for a long time that when a man has too much to drink, he can struggle to perform sexually. What few people realize is that heavy drinking has a long-term impact on a man’s ability to achieve erections, not just on the night in which he over-imbibes.
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'However, the optimum combination of frequency and exercise will vary from individual to individual.'
Testosterne therapyPenile InjectionsIntraurethral medicationVacuum Erection Devices
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Some information provided may not be valid for residents of other countries due to variations in medical practice and drug approval and indications.
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The International Society of Sexual Medicine (ISSM) defines premature ejaculation as occurring within one minute of penetration.
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A vacuum device is exactly what it sounds like: a tube that brings blood into the penis. You keep the erection by using a penis ring at the base of the penis.
to reconstruct arteries in order to increase the flow of blood to the penis; andto block veins that drain blood from the penis (currently not recommended).Currently, placement of a penile prosthesis is the most common surgical procedure performed for erectile dysfunction. Penile prosthesis placement is typically reserved for men who have tried and failed (either from efficacy or tolerability) or have contraindications to other forms of therapy including PDE5 inhibitors, intraurethral alprostadil, and injection therapy.Penile prosthesis
Our providers at Low T Center take a holistic approach to men’s health care. When you come in to talk about symptoms of erectile dysfunction or any other health condition, they perform a comprehensive health assessment to help identify underlying causes and conditions. Our team is here to help you address your overall health and help you start the path toward better wellness. Make an appointment at one of our convenient locations to discuss ED with our medical providers.
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If you have a neurological disorder or spinal cord injury and other erectile dysfunction treatments aren’t effective, two types of surgical implants could offer solutions to your ED. “An implantable pump can be used to manually create an erection by pumping fluid into cylinders placed inside the penis,” explains Feloney. “The other option is a malleable prosthesis that works like a gooseneck lamp to direct the penis into position for intercourse." Risks for these ED treatments include infection and mechanical breakdown.
Treatments for erectile dysfunction are usually effective and the problem often goes away.
Premature ejaculation is the unwanted or uncontrollable early release of semen during sexual intercourse. While premature ejaculation is not considered a medical condition, it can have negative effects on a male’s self-confidence and can affect his sexual relationships.
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Urinalysis (urine test, drug test) is a test performed on a patient's urine sample to diagnose conditions and diseases such as urinary tract infection, kidney infection, kidney stones, and inflammation of the kidneys, or screen for progression of conditions such as diabetes and high blood pressure.
Injections do require training and it may be tricky to get the right dose initially. We always do the first injection in the office to show you how to do it and to give us a good idea about the proper dose. Our patients are usually anxious about injecting their penis but are almost always surprised by how painless the process is. Pros Cons Very effective (85%) Mimics normal erection Discreet Risk of prolonged erection (priapism) Risk of penile scarring Pain with injection (usually mild) Bruising or bleeding Hard to use if have tremor or poor vision or severe obesity Poor long-term satisfaction (less than 40%)
Get the painless, non-invasive, drug-free, safe, and effective erectile dysfunction treatment. The latest and most advanced shock wave therapy machine from Germany is now available at the Institute of Andrology and Sexual Health (IASH), Jaipur. Low-intensity extracorporeal shock wave therapy (Li-ESWT) has been proposed as a new non-invasive treatment for erectile dysfunction, causing blood vessels to carry blood to the penis.
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One type of blood test can check your thyroid function. A butterfly-shaped gland in your neck, it has a lot of jobs to do. One of them is to help with the flow of sex hormones. This test can check whether it’s working right.
When oral treatments (tablets) do not work or are not suitable, injection, urethral and topical treatments can help men with ED.
Exercises have helped many with erectile problems. For a normal erection to happen,
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A doctor may ask for the following laboratory tests in the evaluation of erectile dysfunction:
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Burnett AL. Evaluation and management of erectile dysfunction. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 27.
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Alprostadil, available as an injection or a suppository, is a drug that makes the blood vessels expand. That boosts blood flow throughout the body, including the penis, so it helps men with ED have an erection.
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Your urologist will perform a physical examination to check your health. They will examine your genitals (testes and scrotum) for any signs of injury or problems that point to erectile dysfunction. They will also check your heart rate and blood pressure to know about your cardiovascular health. They may even perform a rectal examination to check your prostate.
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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.
Pelvic floor exercises could help men overcome erectile dysfunction or premature ejaculation, physiotherapists say.
Peyronie's disease is a condition that results from a penis injury, causing scar tissue to form and the shaft to curve. Sexual intercourse is often difficult.
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.
The severity of ED has been correlated with the extent of CVD. Banks et al reported that the risk of future CV events increased progressively according to ED severity.28 This was shown in both men with and without known CVD at baseline and after controlling for confounders. Solomon and colleagues found an inverse correlation between international index of erectile function (IIEF) scores and plaque burden seen on coronary angiography.29 In addition, Yaman et al demonstrated a significant correlation between ED severity on IIEF questionnaires and coronary artery calcification.30
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Because of changes in regulations, you no longer need a prescription to get sildenafil.
Citrulline is an amino acid. It is a precursor to L-arginine, an amino acid that dilates blood vessels and increases blood flow. Despite the fact that citrulline is not a component of muscle, it appears to stimulate muscle growth (Bahri et al., 2013). Increasing blood flow and muscle mass are two advantages that will help you lose weight and improve your cardiovascular health.
Men presenting with ED should have consideration for a cardiovascular work-up as significant numbers of these men have occult or asymptomatic heart or vascular disease.
But the BIG QUESTION is, which exercises are most effective? According to this study, pelvic floor exercises, also known as kegel, can help men suffering from ED. The study goes ahead to recommend these exercises as a first line approach for those seeking long term relief from ED.
Disclaimer : All content posted on this website is commentary or opinion. This website does not give or attempt to give medical advice and your personal information is not stored. THIS WEBSITE IS NOT DESIGNED TO – AND DOES NOT – PROVIDE MEDICAL ADVICE.
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Men being treated for prostate cancer with treatments such as radical prostatectomy, radiation therapy or the use of Lutenizing hormone-releasing hormone (LHRH) agonists and antagonists can expect that ED may accompany these treatments.12
ED is not a life-threatening disorder, but it can have a negative impact on your quality of life and that of your partner.
• Low testosterone. Some men with low testosterone have weak erections or are unable to have erections at all. Similarly, low testosterone has been linked to depression. • Poor muscle relaxation- In order to get a firm erection, the muscles in a man’s penis need to relax and allow blood to flow in. It’s possible that depression affects areas of the brain that release compounds involved with this process. • Medications. Many medications used to treat depression have performance side effects, which may include ED.
However, Pedersen and Kristensen are doubtful that such a precise conclusion can be drawn without further research. The study indicates that intense exercise has an effect on erectile dysfunction, but whether that means 30, 40, or 50 minutes of training three or four times a week is something that should be studied further, they say.
An erection occurs when blood flows into the corpora cavernosa (erection bodies) and gets trapped there. If the blood has problems getting to or staying in those erection bodies, you may have erectile dysfunction.
Ultrasound (and ultrasonography) is imaging of the body used in the medical diagnosis and screening of diseases and conditions such as: TIAs, stroke, aneurysm's, heart valve irregularities, carotid artery disease, heart disease, gallstones, kidney stones, liver disease, diseases of the female reproductive, and diseases of the male reproductive organs.
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An unhappy sex lifeLoss of intimacy within the relationshipAnxietyDepressionLow self-esteemDifficulty when trying to get a woman pregnant
Call your provider right away or go to an emergency room if you are taking ED medicine and it gives you an erection that lasts for more than 4 hours.
Several medications can interfere with the chemical processing of PDE5i medications by the liver. These can include ketoconazole (an antifungal medication known by the brand name Nizoral), erythromycin (an antibiotic), and cimetidine (also known as Tagamet, for reducing stomach acid). A lower dose of PDE5i medications should be used if one is taking any of these medications.
First line treatment will be medication with a phosphodiesterase inhibitor such as sildenafil (Viagra), tadalafil (Cialis) or avanafil (Spedra). These drugs only work when used together with sexual stimulation and will have no effect on your sex drive. There is no evidence that these drugs are dangerous if you have underlying heart disease. However, they should not be used if you are taking nitrates (e.g. GTN, isosorbide) for angina
Pelvic surgeries are a common cause of sexual dysfunction. Erectile dysfunction is a potential complication following prostate cancer surgery.
Based on your physical exam as well as your medical and sexual history, your doctor may want to order certain blood or urine tests. They’ll use these to check for problems that can lead to ED, such as:
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For some people, this is a delicate talking point to go about asking our friends, neighbours, family members or even the doctor! I believe that the first step we should do when facing a situation like this is to bear in mind that this is quite normal and to get informed. For this reason, I believe that this reader is helpful. Nevertheless, I am of the opinion that apart from reading this book, an appointment with the doctor is a must for those people going through this type of situation.
Urology Associates provides various treatment options for erectile dysfunction (ED). Our urology team will help treat your ED safely and effectively.
You can usually get an erection within five to 10 minutes of injecting this medicine. Your erection should last between 20 minutes to an hour.
You’re taking the first important step by researching ED online. But every man’s situation is unique, and a specialist is the best way for you to be diagnosed accurately.
The duration of ED depends on what causes it and how you respond to your treatment. Many men notice an immediate improvement when they start on medication or another form of treatment.
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