Erectile Dysfunction > Condition at Yale Medicine

Medications may also be prescribed to slow the progression of Peyronie's Disease, improve erections, and decrease pain. The newer prostheses are very reliable and the chance of mechanical failure is very low, in the range of 2 to 4 percent per year. Tadalfil has the same side effects, except for the flushing and possible changes in vision. This specialist, who may be in charge of your diabetes treatment plan, is also part of your impotence treatment team. What's the most likely cause of my erection problems? If you have ED, you may want to talk to a mental health professional.

Before initiating medical or surgical therapy, doctors here explore aspects of a man's lifestyle that may be contributing to erectile dysfunction including physical exercise, weight, blood lipids (fats, cholesterol), smoking, alcohol consumption, and stress, fatigue, and a busy schedule.

Losing weight and being more physically active can reduce your risk for erectile dysfunction. If you include an alternative medicine practitioner on your treatment team, make sure to let all your doctors know what medications, supplements, and erectile dysfunction treatment approaches you are trying. If a man is on blood thinners, then he may need to talk with a medical expert about stopping the medications for elective surgery and healing. Erectile dysfunction can have a number of different causes and possible treatments, so your treatment team will evolve as you get a better diagnosis your impotence. When a patient does bring up ED, Dr. Then we help you navigate the many treatment options available. The best approach is just to say, "I think I may have ED. "However, the bruises are most often painless and disappear in a few days.

Medications for erectile dysfunction do not work in all men and might be less effective in certain conditions, such as after prostate surgery or if you have diabetes. An early diagnosis is the key to dealing with erectile dysfunction. This depth of experience means every patient sees a physician who is an expert at diagnosing ED and choosing the most effective method of treatment. There are a number of non-surgical and surgical options that can help a man regain normal sexual function. You should not take any of these medicines to treat ED if you are taking nitrates to treat a heart condition.

Nitrates widen and relax your blood vessels. Self-injection lessons should be given in your doctor's office by an experienced professional. Most insurance providers cover the cost of the procedure.

Condition Spotlight

How much will that cost? After learning more about your health, our providers perform a physical examination and tests to gather more information. Bullying, lack of a sex drive is equally prevalent and this concerns both men and women. Last fall he made an appointment with Charles Walker, MD, a urologist who specializes in ED who was then at Yale Medicine.

It is when a man has trouble getting or keeping an erection. Recommended reading, psychological counselling. What are other possible causes? What are the treatment options for erectile dysfunction?

  • What do you think is causing my erection problems?
  • Color images on a computer screen show the speed and direction blood is flowing through a blood vessel.
  • Are there any brochures or other printed material that I can take home with me?
  • While the devices are well-tolerated they may not offer the same benefits of other therapies in terms of spontaneity and being discreet.
  • Oral medications are a successful erectile dysfunction treatment for many men.

Lab Tests

These could stem from relationship conflicts, life's stressors, depression or anxiety from past problems with ED (performance anxiety). A tendency to sustain only brief erections – You can get an erection, but can’t keep it long enough for satisfying sex. Muse can be used in combination with oral therapy such as Viagra. Having had success in treating erectile dysfunction, we’re confident that we can find the best option for you at our clinic in Oxford, Mississippi. This can cause anxiety, which might make erectile dysfunction worse. Mercado will start by conducting a thorough physical examination and taking a detailed medical and psychosexual history assessment.

Erectile dysfunction can affect men of any age, but is more common as men get older. If one of our urologists discovers that a person's ED is caused by an underlying illness, he or she will refer the patient to an appropriate specialist for further evaluation. Between 5% and 25% of men with the condition now see a doctor for help. Instead, it can also cause back pain and muscle aches. Generally, all symptoms of erectile dysfunction will contribute to an inability to develop or sustain an erection.

This means it can be caused by a number of factors, including: The erection usually starts within 10 minutes and, when effective, lasts between 30 and 60 minutes. A sample of your blood might be sent to a lab to check for signs of heart disease, diabetes, low testosterone levels and other health conditions. In any type of sex therapy, the partner's full acceptance of whatever technique is used is always helpful.

  • No matter which type of doctor you see, shelve any embarrassment or ego issues, and be open and honest about your symptoms and how ED is impacting your life.
  • Our goal is to effectively treat this condition so patients can resume sexual intimacy with their partners.
  • Your surgeon may suggest a lubricant for your partner.
  • If these are not successful we move to the more complex, expensive, and non-reversible treatments.

ED (Erectile Dysfunction)

Men most often start having sex with their penile implants by eight weeks after surgery. If you’re too uncomfortable to speak to your doctor face-to-face about ED, many clinics and insurance companies offer online or over-the-phone doctor consultations so it’s possible to get your prescription without needing to visit an office in person. This causes the penis to become erect. It creates a video image to let your doctor see if you have blood flow problems. A counselor can teach you how to lower your anxiety or stress related to sex. In most cases, erectile dysfunction can be overcome. While men still shy away from talking about the condition, tremendous strides have been made to not only better diagnosis it, but also treat it more effectively.

Diabetes and ED: Symptoms, Treatment

Diabetes and heart disease are two of the most common causes of erectile dysfunction. These medications might not treat your erectile dysfunction immediately. Ask your physician which drug might be best for you. The ability to have an erection requires the normal, integrative functions of the nerves, blood vessels, muscles and brain. Write down any symptoms you've had, including any that might seem unrelated to erectile dysfunction.

Based upon your individual condition, additional tests may be considered, such as blood tests, neurological testing or a psychological evaluation. Discomfort, bruising and swelling after the surgery will last for a few weeks. By taking the time to educate yourself about ED, you’ve made an important first step in finding a solution to erectile dysfunction (impotence). Administered over the course of just 6 twice-weekly sessions, many patients notice an improvement in their erections within a few weeks. A vacuum is then created in the tube by use of a small hand pump. ED is defined as a man's inability to achieve and maintain an erection that is sufficient for satisfactory sexual intercourse. Transient erectile dysfunction can affect up to 50 percent of men between the ages of 40 and 70. Smoking, drug abuse or alcohol abuse, particularly over periods of time, will compromise the blood vessels of the penis.

Your doctor is likely to ask you a number of questions.

How Penile Implants Work

Erectile dysfunction affects about 10 to 20 million men, and as many as 30 million men suffer at least partial erectile dysfunction. Once we understand the causes and nature of your difficulties, we develop a personalized treatment plan for you. Mercado has been treating ED for years and combines extensive experience with a compassionate approach to care. So what is erectile dysfunction, anyway? Tests for underlying conditions might include: Psychotherapist. You're likely to start by seeing your family doctor or a general practitioner. Several ED medications increase blood flow to the penis.

Overnight erection test: If you have questions about an erectile dysfunction medicine you have been prescribed or any other drugs you’re taking, talk to your pharmacist. Some of those possible problems include:

Erectile Dysfunction: An Early Sign of More Serious Health Problems

Approximately 95% of penile implant surgeries are successful in producing erections that enable men to have sexual intercourse. Talking to your partner can also be helpful in obtaining an accurate history and planning treatment for a successful outcome. The veterans Choice Program (VCP) enables veterans to receive care closer to home from a specialist.

They are able to prescribe medication under appropriate supervision. How erections change as we age, absence of sperm in a urine sample obtained after an orgasm indicates anejaculation, whereas presence of many sperm indicates retrograde ejaculation. However, it’s important to discuss your ED openly and honestly with your doctor. These tests may require blood and urine samples. Factors that can contribute to ED include: Penile implantation is a surgical procedure where malleable or inflatable rods are inserted into the penis. ED becomes more common as you get older.

The way Matthew Lucarelli saw it, elderly men might develop erectile dysfunction, or ED, but not a guy like himself, a 36-year-old lawyer who lives in Cheshire with his wife, Leah, and their young son.

How Will Side Effects Of Erectile Dysfunction Medicines Affect Me?

Learn more about how this condition is diagnosed, some of the possible causes, and what treatment options are available. Erectile dysfunction (ED) is a common type of male sexual dysfunction. What are the other options for treatment if one or more treatment doesn’t work? Do you use illicit drugs? If a patient has a systemic, skin, or urinary tract infection, this surgery should be postponed until all infections are treated.

” “Are there any new treatments for erectile dysfunction?

Blood flow then increases to the erectile tissue of the penis. Injection therapy is effective in treating a wide variety of erection issues caused by blood vessel, nerve and psychological conditions. Depending on your diagnosis, your doctor will recommend some form of treatment for your erectile dysfunction.

Treatment of underlying health conditions:

Recent medical research shows that more than 80% of men suffering from ED can trace its origin to a physical problem or disorder. Innovative, expert urology care. You may have erectile dysfunction if you have trouble becoming or staying erect during sex. Surgery (penile implant). Most often, one small surgical cut is made. Treatment of Underlying Conditions – Pre-existing medical conditions, such as diabetes and hypertension can play a part in ED, so treating them successfully may resolve ED. Angtiotensin ii receptor antagonist/diuretic, “Despite being fairly young, physically active, vegan, and otherwise healthy, I was diagnosed with hypertension in 2020,” says Harley Sears, a hypnotist based in Kansas City, Missouri. The main surgical treatment of ED involves insertion of a penile implant (also called penile prostheses). Men who have diabetes are at increased risk for erectile dysfunction.


ED is a common — and treatable — problem for many men, particularly older men. But starting the conversation is well worth it. You can work with a health care professional to treat an underlying cause of your erectile dysfunction (ED).

Surgery – Penile implants or vascular reconstructive surgery may be recommended as a last resort. Smoking, excessive drinking, drug use and diet can also contribute to ED. He knows all about you and your health and can talk with you about your medical history, current problems, and other factors that may be short-circuiting your sexual desire and performance. Depending on your particular health concerns, you might go directly to a specialist — such as a doctor who specializes in male genital problems (urologist) or a doctor who specializes in the hormonal systems (endocrinologist). “If the patient is very unhealthy and has not exerted himself, sexual activity can be a risky exertion,” he says.


Using the device may make your penis feel cold or numb and have a purple color. Don't assume you have a long-term problem. 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 use a special applicator to insert the suppository into your penile urethra. Can you get an erection by masturbation? Depending on how well patients respond to their initial plan, we may try other approaches. Implantation of a penile prosthesis is one of several options available for the treatment of erectile dysfunction. An estimated 30 million men in the United States experience erectile dysfunction.

These silicone rods give the man's penis the firmness needed for sexual penetration. The address is 1040 North Mason Road, at the corner of North Mason and Olive Boulevard. It’s common for doctors to listen to your heart and test your blood pressure, as well as examine your penis, testicles, and prostrate for abnormalities. Over time, this reduces the curvature caused by Peyronie’s Disease.

Provider Type

Whenever you visit a doctor, you may want to prepare some questions, such as: Try nicotine replacement, such as over-the-counter gum or lozenges, or ask your doctor about a prescription medication that can help you quit. Depending on the cause and severity of your erectile dysfunction and any underlying health conditions, you might have various treatment options. Reader results, natural treatment of erectile dysfunction without drugs Acupuncture. When you visit his clinic in The Woodlands, he will carefully assess your degree of erectile dysfunction (ED) and address any concerns you may have. Sexual stimulation is needed first to cause the release of nitric oxide from your penile nerves. In some patients where psychologic causes are not the originating problem but have become a significant factor, counseling may be necessary during the difficult rehabilitation period. The surgeon or health care expert in the surgeon's office will talk about how to inflate and deflate the implant.