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Having erection problems? What is erectile dysfunction (ED)? Learn about erectile dysfunction causes and treatments such as drugs (pills), pumps, and more.

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Your doctor will ask you to describe the firmness and duration of your morning erections and sexually stimulated ones. The doctor will also ask if you have problems with arousal, ejaculation, and orgasm.
Erythrocytosis has been noted in men on TRT, and should be monitored every 6–12 months depending upon the patients’ response to changes in haematocrit levels. For mild elevations, the dosage of testosterone can be decreased or the interval of using the medication can be increased. With the haematocrit greater than 50%, decisions to temporarily discontinue the medication or periodic phlebotomy may be indicated.38 .

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A self-test erection is a test that any person can do all by himself just by sitting at his house and following whether the cause of the issue is psychological or physical.
A web-based project by the Society for Endocrinology that aims to give patients and the general public access to reliable online information on endocrine science. Privacy Disclaimer Browse Search Cookie settings Facebook Twitter

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Avid cyclists suffer more erectile dysfunction than other athletes because the shape of some bicycle seats causes pressure on the nerves that are vital to sexual arousal. Cyclists who ride for many hours each week may benefit from seats designed to protect the perineum.
Liver disease can be cause by a variety of things including infection (hepatitis), diseases, for example, gallstones, high cholesterol or triglycerides, blood flow obstruction to the liver, and toxins (medications and chemicals). Symptoms of liver disease depends upon the cause and may include nausea, vomiting, upper right abdominal pain, and jaundice. Treatment depends upon the cause of the liver disease.

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Complete List Top The Best Three Exercises for Erectile Dysfunction Related Articles Erectile Dysfunction (ED, Impotence)

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In addition, your doctor may address underlying conditions. They may suggest counseling or medication changes. They also may suggest lifestyle changes, including increased exercise or dietary changes. It is also a good idea to avoid drugs, alcohol, and cigarettes. American Urological Association: “Erectile Dysfunction (ED).” Andrologia: “Erectile dysfunction, physical activity and physical exercise: Recommendations for clinical practice.” Coronary Artery Disease: “A Home-Based Walking Program Improves Erectile Dysfunction in Men with an Acute Myocardial Infarction.” Memorial Sloan Kettering Cancer Center: “Pelvic Floor Muscle (Kegel) Exercises for Men.” National Institute of Diabetes and Digestive and Kidney Diseases: “Erectile Dysfunction (ED).”

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    There is insufficient information on the safety of vardenafil in men with the following health disorders:

    A duplex ultrasound is a diagnostic technique that uses painless, high frequency sound waves to measure blood flow in structures such as the penis.The procedure itself is painless. It is usually performed before and after injection of a smooth muscle relaxing medication into the penis, which should significantly increase the diameter of the penile arteries.A duplex ultrasound is most useful in evaluating possible penile arterial disorders. Further studies of the venous drainage system as well as arterial imaging are usually recommended if vascular reconstructive surgery is anticipated.
    Metabolism (breakdown) of vardenafil can be slowed by aging, liver disease, and concurrent use of certain medications (such as erythromycin [an antibiotic], ketoconazole [Nizoral, a medication for fungal/yeast infections], and protease inhibitors [medications used to treat AIDS]). Slowed breakdown allows vardenafil to accumulate in the body and potentially increase the risk for side effects. Therefore, in men over 65 years of age with liver disease, or who are also taking medication(s) that can slow the breakdown of vardenafil, the doctor will initiate vardenafil at low doses to avoid its accumulation. For example,

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    By asking about your sexual history -- your relationships, sex drive, if you ever get erections -- they can begin to figure out whether the problem is more likely to be physical or mental. Be honest with your doctor; they can’t help you if you withhold information.

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    Self-administered injections of prostaglandin E1 (Caverject® or Invicorp®) provide a simple means of obtaining a natural erection. You will be taught how to administer the injections (pictured) and told what to do in the event of problems such as an erection which will not go down.

    Often, erectile dysfunction can be a symptom of a heart condition, diabetes, or high blood pressure. To address this, Yale Medicine established the Male Reproductive Health/Sexual Medicine Program, a collaboration between the specialties of cardiovascular medicine and urology.
    Individuals must remove the rubber band immediately after completing intercourse. Leaving the band on too long can harm the penis. Rarely, bruising of the penis or blood in the ejaculate/urine may occur.

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    Information about your personal and sexual history may be useful when making a diagnosis. Your doctor might ask questions, such as:

    An injection test is also called an intracavernosal test. Your doctor injects a medicine into the base of your penis that should give you an erection. If you don’t get one, you may have a problem with blood flow to your penis.
    NOTE: Some of the information provided contains graphic, medical images which individuals may find upsetting

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VEDs are generally safe (although there have been some very rare but serious complications). Pros Cons Works Well No drug effects Cheapest option Cumbersome Unnatural erection Bruising or burst blood vessels Penile pain Pain with ejaculation Numbness "Hinging" or instability of erection Penis may feel cold to partner Poor overall satisfaction ED Injections

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While conducting a full interview, specific questions like these will probably be asked:

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As with all content on Greater Boston Urology's blog, the following information is educational in nature, not medical advice. Always talk to your physician about your specific questions concerning erectile dysfunction.

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“We chose to make the cut there because we could see an effect when people trained on average a little over the half hour exercise recommended by the Danish Health Authority. No doubt it also helps to follow the official recommendation for exercise, but if you want to solve problems or maintain the beneficial effects for impotency, then you probably need to do a little more,” she says.

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