Male Sexual Dysfunction

It may mean your blood vessels are clogged. A trained technician will hold a small instrument over the blood vessels that supply the penis and gather a series of pictures to identify if there’s diminished blood flood. Polyneuropathy. Although he learned that he is not at high risk for future heart disease issues, he has made a number of lifestyle changes—working out, eating healthier meals and cutting down on coffee. But that doesn’t mean it is something you should ignore.

It’s Important to Connect the Dots ED can be embarrassing. Therapy with a trained counselor can help a person address feelings of anxiety, fear or guilt that may have an impact on sexual dysfunction. With the implant, men can control firmness and, sometimes, the size of the erection. What are other possible causes? The surgeon or health care expert in the surgeon's office will talk about how to inflate and deflate the implant. Nerve damage from diabetes, complications from surgery, and spinal cord injury also may cause problems. You have options for performing at-home tests, either on your own or using a device recommended by your doctor. However, benefits might be less in some men, including those with established heart disease or other significant medical conditions.

What to think about Oral medicines are commonly tried first before other medicine or surgery.

These are a few examples of questions they may ask: There are several different causes of ED. Testicular failure - treat with testosterone. If needed, your doctor may also refer you to a psychologist specializing in sexual dysfunction.

Anticonvulsants: Most therapies not approved by the FDA are not covered by government or private insurance benefits. Then your doctor may refer you to a specialist if more information is needed. Endocrinology work-up. Patients should know that many over-the-counter drugs have been found on drug testing to have ‘bootlegged' PDE 5 Inhibitors as their main ingredient. You also should not take certain alpha-blockers—used to lower blood pressure and to treat an enlarged prostate gland—with these medicines. Whichever study, country or methodology is used, this is clearly a significant condition likely to present regularly to a GP, on average between 1 and 4 times per month.

  • Appointments these days can be short, so coming prepared with a list of your questions can increase the likelihood that you will get the answers you need.
  • Recreational drugs.
  • But if you have ED, you should tell your doctor.

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Most physicians will also suggest that you get into a regular exercise routine and eat healthier. The best approach is just to say, "I think I may have ED. "It is estimated erectile dysfunction affects:

Smoking cessation is encouraged and current medications are evaluated to look for pharmacological causes of ED. Genitourinary examination (it is necessary to detect, for example, Peyronie's disease, gonadal anomalies, retractile foreskin). These medications improve blood flow to the penis by working directly on the blood vessels. Psychologist. Almost half had severe ED. Urology of Indiana Men’s Health Center offers UWave – a revolutionary shock wave technology that can help patients achieve more satisfying, longer lasting erections without medications. “There are two types of prostheses. Walker calls the “gold standard” for men who cannot tolerate the drugs and for whom other treatments fail.

For the blood to flow into the penis, the muscles in it have to be relaxed, and when it contracts again, the blood flows out, signalling the end of the erection. It should be applied 5-30 minutes before intercourse. If you are taking nitrate-containing medicines, such as nitroglycerin, you cannot use sildenafil (for example, Viagra), tadalafil (for example, Cialis), or vardenafil (for example, Levitra).

  • Most cases are organic, which are typically caused by diseases of the nervous system, such as diabetes; disorders of the circulatory system, such as arteriosclerosis; or disorders allowing blood to leak out of the penis prematurely, which is also called venous leak impotence.
  • PDE-5 inhibitors and heart problems PDE-5 inhibitors should never be used if you may need to take a nitrate-containing medicine, such as nitroglycerin.
  • Do you drink alcohol?
  • Age, however, doesn’t cause erectile dysfunction, but the condition is more common in older men.
  • But you’re also not alone in your course of treatment.
  • Non-invasive treatments are often tried first.
  • Psychological causes Psychological issues seem to be involved in many cases of erection problems.

What to Ask

Significant disruption to normal social and occupational activities. We use a minimally invasive technique through a small incision which allows quicker return to normal activity. Surgery (for example, of pelvis or retroperitoneum). Some men take this dietary supplement to try to treat erection problems. In those rare cases where a low sex drive and low blood levels of Testosterone are at fault for ED, Testosterone Therapy may fix normal erections or help when combined with ED drugs (PDE type 5 inhibitors). Don't assume you have a long-term problem. Urine tests to check for signs of diabetes and other health problems.

Fortunately, many of the things that cause erection problems can be treated. You then place a rubber ring around the base of the penis to maintain the erection. These are some of the most popular and effective that men try first: Other treatment options include: Do you think I need to see a specialist? Adverse events include pain, petechiae, bruising and numbness. Also, medication is more effective for some causes of ED than for others. How do doctors diagnose erectile dysfunction?

Make sure they're prescribed by a doctor or come from a UK pharmacy. If you use sildenafil, tadalfil, or vardenafil and get chest pains, be sure to tell the paramedics, nurses or doctors at the hospital that you use it and when you used it last. Sexual stimulation delivers extra blood to the penis through the arteries, causing an erection.


“The advantage of a prosthesis is that it’s portable, you don’t have to remember to refill anything or travel with anything, and it allows for the spontaneity of sex because you can always initiate an erection. You have an erection that lasts longer than 3 hours. When you see your doctor, they’ll gather your health history, ask additional follow-up questions regarding your sexual health, and perform a physical exam. Arousal, ejaculation and orgasmic difficulties. Have an erection, most of the time. How do you treat erectile dysfunction? Discuss your options with your doctor to determine the best treatment for you. Several restorative or regenerative treatments are under investigation for the future treatment of ED:

Do a complete physical exam of the abdomen, penis, prostate, rectum, and testicles. Penile disorders or deformities requiring possible surgical correction. ED risk factors include: If you have chronic health conditions or your doctor suspects that an underlying condition might be involved, you might need further tests or a consultation with a specialist. Ultimately, if you suspect ED, you should make an appointment to see your doctor. No medicines or injections are needed, and once the prosthesis is placed and functioning there are no further costs.

Antipsychotics: Relationship problems, depression, stress, or other psychological disturbances, which can interfere with sexual performance. Penile implants are devices that are placed fully inside your body.


This condition can happen to any man from time to time. Here are some steps you can take: The first step in treating erectile dysfunction is making an appointment with a urologist. The members of your erectile dysfunction team will reflect the fact that many health and personal conditions can contribute to your impotence:

  • Sexuality educator, counselor, or therapist.
  • Indications for referral for these further tests are given below.
  • While we do see the incidence of ED increase as a man gets older, it is often partly caused by other medical conditions such as diabetes or high blood pressure.
  • Start at 10 mg (change according to response).

Personal Trainer Or Exercise Coach

Men who are on medicines that contain nitrates such as nitroglycerine should not take oral ED medications. You're likely to start by seeing your family doctor or a general practitioner. If you don't want to use medicine, or if medicine doesn't work for you, you may want to talk with your doctor about some of the following options. One of the treatment options for erectile dysfunction is the placement of prosthetic inner tubes within the penis to mimic the inflation process and create an erection.

Medication should be listed. Minor health problems may slow your sexual response, but the accompanying anxiety that comes with the slow sexual response can shut things down entirely. This can cause anxiety, which might make erectile dysfunction worse. Vacuum devices. That way, you can be sure it suits your needs and that it's made by a reputable manufacturer. If you need more tests, he may send you to an urologist. Studies suggest that whilst two thirds of patients are unable to achieve ejaculation, 74% are able to achieve orgasm. Write down key personal information, including any major stresses or recent life changes.

There are also multiple causes and degrees of ED. Most of these methods have never been medically proved to work. Currently, the existing treatment options for this condition include:


If you have heart problems, tell your doctor before taking any ED medicines. Your doctor will help you decide which treatment is best for you. A therapist will ask about your personal life and relationships. Most often, the side effects of PDE5 inhibitors are mild and often last just a short time. To reduce your risk of having an erection problem, don't smoke, drink too much alcohol, or use illegal drugs. Testosterone deficiency while rare, can cause or contribute to impotence. But it's important to answer them fully and honestly. In this case, testosterone replacement therapy might be recommended as the first step or given in combination with other therapies.

Most men with penile implants and their partners say that they're satisfied with the results, and they return to more spontaneous intimacy. For more information, please see Erectile Dysfunction Causes. If you do start to have sex, do you then lose the erection? Call the VA at 866-606-8198 or visit www. When you have erection problems often, "performance anxiety" can make the problem worse. You should discuss the feasibility and costs with your provider.

Previous advice or treatments.

Exams and Tests

Blood is drawn into the penis, causing engorgement, enlargement and rigidity. Medications including antidepressants, blood pressure medicines, and drugs used to treat hypertension, cardiac disease, and psychiatric disorders. BSC offers no recommendation, endorsement or guarantee with respect to any particular provider or service. For example, frequent long-distance bicycle riding on a hard, narrow saddle may increase risk.

Wear brief-style underwear with a fly. How should I take ED medications? Always speak with your health care provider before using a PDE5 inhibitor to learn how it might affect your health. Most men will be found to have organic impotence and treatment options will be discussed. Some men may try methods available in health food stores or through magazine ads. In the last decades doctors have recognized that impotence can be caused by a variety of physical conditions, as well as by psychological factors. Erectile dysfunction is when a man cannot achieve or maintain an erection that is firm enough for sexual intercourse. The health care professional may also ask your sexual partner questions about your relationship and how it may affect your ED.

Your Significant Other

Oral erectile dysfunction medications are not aphrodisiacs, will not cause excitement and are not needed in men who get normal erections. In theory, L-arginine could improve erections. This can be lessened with proper dosing and by following the treatment guidelines. You can ask both your primary care doctor and a specialist many of these questions. Your physician can help you decide which treatment is best for you. The medications vary in dosage, how long they work and side effects. Underlying illnesses like diabetes can be responsible for causing or worsening ED. Fortunately, the majority of ED cases are treatable and curable.


Then if you have a problem during the test, it will be safe to use nitrate-containing medicines such as nitroglycerin. The most important aspect is to develop a relationship with health professionals you trust and can talk to about this most intimate of problems. Your doctor may want to change your tablet strength. In addition, some medications to treat high blood pressure can contribute to ED. Self-injection lessons should be given in your doctor's office by an experienced professional. With other symptoms such as loss of hair, enlargement of the breasts, or backache. Recurring ED can be detrimental to your love life and cause embarrassment and frustration. Should I Take Medicine?

Problems with the structure of the penis or its surrounding tissues. Lose excess pounds. The doctor may examine your penis, testicles, patterns of hair loss on certain parts of your body, or the presence of gynecomastia—a condition where the breast tissue in a man swells in response to hormone imbalances. Efficacy is reduced after fatty meals. To achieve an erection, the male body goes through a complex process that involves several parts of the body, including the brain, the organs responsible for producing and regulating hormones, the nerves and blood vessels leading to it, and muscles in the male organ. Based on your family's medical history, as well as your own medical history and current health, your doctor may treat you with oral medications (Viagra®, Levitra®, Cialis®). These pills can be dangerous if you have heart disease that requires you to take nitroglycerin or other medicines that contain nitrates.

It's also available from chemists. If your condition is chalked up to mental causes, your doctor may refer you to a psychologist for counseling and therapy. Side effects can include pain, minor bleeding in the urethra and formation of fibrous tissue inside your penis. Some medical conditions are easy to ignore, especially when they seem as common as erectile dysfunction (ED). You may also like, turnip stimulates the synthesis of the main sex hormone – testosterone, improves sexual endurance. To start, your doctor may: Stress and other mental health concerns can cause or make erectile dysfunction worse.

Who's at risk for erectile dysfunction?

Getting Ready for Your Visit

If you don't see your doctor, these problems will go untreated. Not everyone can use these medicines. Coronavirus warning: uk government reveals new risk factor - does this describe you? Pelvic injuries and complications of prostate or other surgeries that interfere with nerve impulses or blood flow to the penis. The three most common medicines are prostaglandin E1 (alprostadil), papaverine (Papacon®), and phentolamine (Regitine®). What's the best treatment? Other approaches also can help, including:

Involve your sexual partner.

Lifestyle And Home Remedies

Micropenis and other penile anomalies. These implants consist of either inflatable or malleable (bendable) rods. This test usually takes place at home or in a special sleep lab. A Cologne study reported that ED was the most prevalent of the male sexual dysfunctions (prevalence age 30-80 years) at 19. A meta-analysis confirmed the effectiveness of group psychotherapy in the treatment of ED and that psychological interventions were as effective as vacuum devices and local injections. As part of the consultation, your doctor may:

To schedule an appointment, give us a call today.

Schulman SP, et al. Your doctor is also likely to ask about your psychological well-being and lifestyle: This directory is a resource only. Operations, radiotherapy, or trauma to the pelvis or scrotum. The erection usually starts within 10 minutes and, when effective, lasts between 30 and 60 minutes.

Self-Checks and At-Home Testing

Talking to a therapist who works with people on mental or emotional health concerns can get you to face your issues, identify problems such as anxiety or depression that contribute to erectile dysfunction, and help in other ways, such as ensuring that both partners in a relationship have realistic expectations of erectile dysfunction treatments like surgery. Fact is, the effect of Viagra on penile erections was discovered accidentally. Your significant other. Psychological factors like depression or anxiety can cause ED. A rectal exam, in which your doctor uses a finger to feel your prostate gland, may be necessary to check the health of your prostate.

If you have erectile dysfunction, you’re not alone: Most importantly, they can interact with certain heart medications. Different types of prostheses have been developed, and hundreds of thousands of men throughout the world have been successfully treated with penile implants. And you may become more relaxed. Webmd network, greenfield et al (2020) stated that while surgery remains the gold standard of therapy to correct the acquired curvature of Peyronie's disease, the search for a less invasive therapy continues. Weakened nerve signals from the brain to the penis may also be to blame. You only need to activate your account once. (Levitra) are medicines that are taken by mouth that help maintain an erection. Sometimes this test is done before and after giving a medicine that may help produce an erection.

Using vacuum devices or getting shots of medicine into the penis. Low hormone levels may play a role in ED. The side effects of ED medications are mostly the same. Men’s health experts at our Alexandria and Woodbridge, VA offices have experience treating ED with a variety of treatment options. Lower stress in your life. Your doctor will consider your particular situation to determine which medication might work best. If you have questions about an erectile dysfunction medicine you have been prescribed or any other drugs you’re taking, talk to your pharmacist. Doctors who treat erectile dysfunction Erectile dysfunction (ED) can be caused by physical problems, psychological factors, or a combination of both.