Erectile Dysfunction: Causes & Treatment

Erection problems become more common with age. You may have lost interest in sex, or been unable to maintain an erection, or have difficulty with premature ejaculation, or be having difficulty having an orgasm. If you have heart problems, tell your doctor before taking any ED medicines. Sexual stimulation is required for sildenafil citrate to have the best efficacy. Cancer can interfere with nerves or arteries that are vital to erection. At this point, pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis), and vardenafil (for example, Levitra) are often recommended unless an easily treated cause (such as a medicine side effect or testosterone deficiency) has been identified. Diabetes can also cause heart disease and other circulatory problems. These drugs intensify the effects of nitric oxide, a natural chemical the body produces that relaxes penis muscles and increases blood flow, allowing for an erection in response to sexual stimulation.

Psychological treatments Share on Pinterest Psychological treatments may help to reduce anxiety and increase self-confidence. Depression in children and teens, if you are taking nitrates for your heart, you SHOULD NOT take any PDE5 inhibitors. Make lifestyle changes. With so much of a man’s self-image inextricably bound to physical and sexual virility, the impotence itself can be much easier to deal with than the emotional ‘collateral damage’. If you have symptoms like needing to pee more often, your doctor may also need to examine your prostate. There are many options available, and while none of them are perfect, some may be a better fit for you than others. It could be an early warning sign of other potential health problems.

The following gives a brief summary of treatment options.

So, even if the nerves or blood vessels going to your penis are not working so well, a tablet can cause the blood flow to increase in your penis and cause an erection. Almost all adult men have trouble getting or keeping an erection at one time or another. Most men assume that erections are necessary for sex. Finding and then stopping medicines that may be causing the problem. Viagra (active ingredient – sildenafil) - probably the best known and the oldest PDE-5 medication. After taking tadalafil, the effects will last for up to 36 hours. In rare cases, the drug Viagra ® can cause blue-green shading to vision that lasts for a short time. Evaluation of patient with erectile dysfunction, a pump is put in the scrotum and two cylinders are placed within the erection chambers of the penis. You have an erection that lasts longer than 3 hours.

A doctor should be consulted about possible solutions.

Causes of Erectile Dysfunction

It is important to note that even when ED cannot be cured, the right treatment can reduce or eliminate symptoms. The three are chemically very similar, and all have proven very effective. If oral medications are not effective or appropriate, there are other treatment options for ED. Scars from the surgery are small; most people won't notice that a man had an inflatable penile implant. Neuropathy to either system can cause ED. Sexual intercourse is usually safe for men with heart problems. A man’s testosterone level is key to sex drive and erections.

You can work with a health care professional to treat an underlying cause of your erectile dysfunction (ED). Since fulfilling sexual activity is an important part of an intimate relationship, ED can cause feelings of anger, embarrassment, anxiety or depression. Diabetes, high blood pressure, cholesterol, clots, and atherosclerosis (hardening of the arteries) can all interfere with this process. The most sophisticated (expensive) type can be inflated with an inbuilt pump to cause an erection. Your health care provider will ask about all your symptoms and give you a physical exam. Other causes of testosterone deficiency include injury or infection to the testicles, chemotherapy or radiation treatment for cancer, genetic abnormalities, hemochromatosis (too much iron), pituitary gland dysfunction, medications including prostate drugs and steroids, AIDS, stress, and alcoholism. If you are taking medication that can cause erectile dysfunction, there may be an alternative. As testosterone levels drop, men notice sex drive and erectile function decline.

Mental health conditions like depression or anxiety can negatively impact your libido, making it more difficult for you to become aroused. It's not necessarily going to be a long-term problem. Men with diabetes risk damaging the arteries and nerve endings serving the penis if their diabetes is out of control. Parkinson’s disease. This causes increased blood flow, following which an erection usually develops within 15 minutes. Take nitroglycerin or a long-acting nitrate to treat chest pain. But don’t worry, our team of highly qualified clinicians with their wealth of experience working in the NHS, in GP surgeries and hospitals, are here to help.

Is ED permanent?

It may take longer to notice the effects if the tablet is taken with food, so it's best to take it on an empty stomach. Psychological treatments can reduce anxiety, increase self-confidence, and improve relationships with sexual partners. And excess fat interferes with several hormones that may be part of the problem as well. Follow your doctor’s instructions.

Situational psychological problems: Depression (which also has a physical component). Drugs.com health center, sexual health and an active sex life are integral parts of your health and wellness. So if you get anxious and adrenaline is released, that’s been known to cause your erection to go away,” Rosoff warns. Other substances or drugs that can cause or lead to ED include these recreational and frequently abused drugs: If a person has a large meal, such as a steak dinner, the fatty food may absorb some of the medication and reduce its efficiency, except for Cialis, which stays in the body for a long time, Samadi said. However, some men will need to buy one.

The most common side effects of Viagra are dyspepsia (indigestion), nasal congestion, flushing, headaches, and transient visual disturbance. If stress, anxiety and worries are not dealt with appropriately, erectile dysfunction would certainly not stop on its own and could potentially add more stress above everything else! Evaluation and management of erectile dysfunction.

  • In AJ Wein et al.
  • Obesity and metabolic syndrome can cause changes in blood pressure, body composition and cholesterol, which may lead to ED.
  • Initial use may produce some soreness.
  • The influx has made it difficult for doctors to determine if ED is on the rise or if more men are seeking out help because it is less stigmatized.
  • This technique creates a path for blood to flow to the penis that bypasses the area of blockage.

Ways to reverse ED

“The strongest anti-erection agent is adrenaline. 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). They usually start to work in 15 to 45 minutes. Cut down on smoking, alcohol, and illegal drug use. Anyone who suspects that ED is associated with a medication should tell a doctor. So remember that although erectile dysfunction can be very worrying for some men, it can potentially be resolved by making some lifestyle changes. Treatments for erectile dysfunction, and when this happens, the question of choosing the proper ED pills arises. • Medications:

Are You Circumcised?

Quitting smoking, eating a healthy diet, increasing exercise and reducing stress could improve erectile function. If you have one episode where you can't have sexual intercourse as a result, you may get anxious that it will happen again. This action allows blood to flow into the corpus cavernosum tissue, resulting in an erection after sexual stimulation. Featured topics, as a first step, you should speak to a doctor to establish why you are suffering from ED. Full terms and conditions can be found at VIAGRA. If you take preventative antibiotics, the rate of infection is around two or three in 100.

Can A Penis Pump (vacuum Device) Help Erectile Dysfunction?

Cigarette, drug and alcohol abuse often reduce erectile function as well. An expanding waistline also contributes. This method produces an erection after 5 to 10 minutes that lasts between 30 minutes and an hour. Question, counseling may also help. As the pressure builds, the blood becomes trapped in the corpora cavernosa, keeping the penis erect. This usually works better than medications taken by mouth.

There are three essential components of male sexual function:

Physical Causes of ED

This is often a sign of a psychological problem that may or may not have to do with that particular relationship. Are you taking any medicines, including over-the counter medicines and supplements? External vacuum therapy mechanisms are approximately 95 percent successful in causing and sustaining an erection. Conditions that affect the nervous system can cause ED. Does erectile dysfunction ever go away on its own, or is treatment always necessary? There are also treatments involving surgery. Couples who cannot talk to each other are likely to have problems with sexual intimacy. This condition requires immediate medical attention as it can cause serious bruising, bleeding, pain and permanent penile damage.

For more on diagnosing, treating, and learning how to overcome ED, read What to do about Erectile Dysfunction, a Special Health Report from Harvard Medical School.

You may also receive lifestyle advice and treatments to minimise your risk of heart disease. Bicycle seats put pressure on nerves and blood vessels in the pelvic region. Talking to your primary health practitioner is the best way to determine if you have a problem. The most common adverse side effects are pain and penile scarring (fibrosis). Fortunately, trouble in the bedroom doesn't necessarily mean you're dealing with erectile dysfunction. If conditions such as anxiety or depression are causing your erectile dysfunction, you may benefit from counselling (a talking therapy).

At the other end of the spectrum we have things a little more… attention grabbing. More than 80 percent of chronic alcoholics have chronic ED. There are three types of factors that contribute to ED:

These can include blood counts, urinalysis, lipid profile, and measurements of creatinine and liver enzymes.

Before treatment your GP may suggest some tests.

Risk Factors for Male Pattern Baldness

When speaking to a doctor, however, they are more likely to be truthful,” says clinical psychologist Daniel Sher. In some cases, however, the cause of ED is psychological, including depression, guilt, or anxiety. Certain lifestyle choices such as smoking and a lot of alcohol consumption (especially over a long period of time) can contribute. Side effects of vacuum pumps include pain or bruising, although these occur in less than a third of men. Talk to your health care provider about the best way to treat your erection problem. While erectile dysfunction is inevitably going to cause some anxiety, it's vital for sufferers to keep their relationship with their partner or spouse as regular as possible until a solution can be found.

Intracavernous Injection Test

Injected medicines. Lower stress in your life. Hormonal abnormalities, such as increased prolactin (a hormone produced by the anterior pituitary gland), steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones administered for prostate cancer may cause ED. Do you need prostate surgery?, a way of life or style of living. But you'll have to have a consultation with the pharmacist to make sure it's safe for you to take it.

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How common is Erectile Dysfunction? Mechanical ability is most affected by surgery or radiation therapy. Related articles, but, cGMP increases blood flow to the penis. In most cases, the side effects are linked to PDE5 inhibitor effects on other tissues in the body, meaning they are working to increase blood flow to your penis and at the same time impacting other vascular tissues in your body. Having the support of family and friends in times of need is important and even if they are not available, you can always see you doctor or talk to your pharmacist who is there to support.

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Erectile dysfunction is most often a sign of a circulatory problem. This can make sex a task instead of a pleasure. Ditch the itch: researchers find new drug to fight hives, one thing you can do more of (but not excessively) to improve things is exercise. Methods of alternative medicine are safest when used under the guidance of a doctor and in conjunction with other treatments. Heavy drinkers experience ED more often. This study is typically performed after the injection of a chemical that causes the arteries to open up, a vasodilator (prostaglandin E1), into the corpora cavernosa in order to cause dilation of blood vessels and promote blood flow into the penis.

Also, these changes may increase the odds that other treatments are effective.

Sildenafil (Viagra) was the first oral medicine approved to treat erectile dysfunction. The pituitary gland makes a hormone that stimulates the testicle to make testosterone. The gut-brain connection, the doctor can also determine whether your husband suffers from any underlying health problems like heart disease or diabetes that may be contributing to his symptoms. Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol Medicine to lower blood pressure, statins to lower cholesterol Hormone problems Hormone replacement (for example, testosterone) Side effects of prescribed medication Change to medicine after discussion with GP Medicine such as sildenafil (sold as Viagra) is also often used by doctors to treat erectile dysfunction. If you have generally good health and are suffering from erectile dysfunction, it is always worth a visit to the doctor to check that there is no underlying condition that may be causing it. Additionally, as men age, they may need more stimulation to get an erection and more time between erections. Make sure they're prescribed by a doctor or come from a UK pharmacy.