Erectile Dysfunction (ED) Specialist

Testosterone implants or pellets are a relatively new delivery method. Whenever you visit a doctor, you may want to prepare some questions, such as: Testosterone levels also affect a man’s sex drive and erections. Your partner might see your inability to have an erection as a sign of diminished sexual interest. For most men, the cause of ED can now be fairly easily identified.

They will likely conduct a physical exam as well. But the best place to start is always your primary care doctor. They have the experience, expertise and compassion to handle each patient’s needs individually with dignity and respect.

At LVHN, our care team includes dedicated men’s health urology specialists who are well-versed in ED diagnosis and the latest treatments.

In addition, we have established the eighth fellowship program in the nation dedicated solely to teaching physicians how to care for men’s health. Prolonged erections (>1 hour) can be reversed by a second injection (antidote) in the office. Media center, she treats my mom and sister too and I would recommend her to anyone. Oral medications are usually the first option doctors use to treat erectile dysfunction. In any type of sex therapy, the partner's full acceptance of whatever technique is used is always helpful. Try nicotine replacement, such as over-the-counter gum or lozenges, or ask your doctor about a prescription medication that can help you quit. To get help for erectile dysfunction, call Prince William Urology Associates or schedule an appointment online today. ED sometimes results in a lack of interest in sexual activity, also known as low libido. While the devices are well-tolerated they may not offer the same benefits of other therapies in terms of spontaneity and being discreet.

Foods like leafy greens, pistachios, oysters, and dark chocolate have proven effective in many studies. Take your partner along, if possible. Before taking any medication for erectile dysfunction, including over-the-counter supplements and herbal remedies, get your doctor's OK. Treatment options include lifestyle changes, as well as medications and devices to help sustain an erection. Are there any side-effects to treatment? The risk of surgical complications or subsequent infection or mechanical failure has decreased significantly through improvements in the implants in recent years. These are some of the most popular and effective that men try first: For example, Peyronie’s disease causes the penis to bend or curve when erect.

Be prepared for questions such as these:

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Recent studies have found that exercise, especially moderate to vigorous aerobic activity, can improve erectile dysfunction. By activating your account, you will create a login and password. 2020, Vol 17, No. ” While there is no one treatment that works best for everyone, there are numerous options available. Evaluation of Erectile Dysfunction begins by obtaining a detailed sexual, medical, and surgical history. Penile vascular surgery is not recommended for older men with hardened arteries.

This means it can be caused by a number of factors, including: Penile implants or vascular reconstructive surgery may be recommended as a last resort. You may also have ED for psychological reasons, which don’t have to be directly related to sex. The technician passes a handheld device lightly over your penis to measure blood flow. When pills aren’t an option, a penile implant can offer real hope. Some men may be able to gain an erection by self-injecting drugs into their penis, causing it to become engorged with blood.

While some treatments only improve blood flow temporarily, UWave stimulates the body to build new blood vessels. Sildenafil (brand name: )Include physical activity in your daily routine.

Erectile dysfunction can be a difficult problem to discuss with your partner or even your doctor.

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ED may develop gradually or become a sudden and persistent condition, and is characterized by the inability to achieve or maintain an erection long enough for satisfactory sexual performance despite maintaining sexual desire and the ability to ejaculate. Many females suffer from sexual dysfunction. Treatment is often more successful when a man involves his partner. ED can be caused by injury, disease, substance use, complications from an unrelated procedure and more. Simoncini online today!

If you do, is it firm enough to have sex? Symptoms include the repeated inability to attain or sustain an erection. Commonly known as ED, erectile dysfunction is the inability to achieve and maintain an erection during sexual intercourse and there are a number of contributing factors. In rare cases, the drug Cialis® can cause or increase back pain or aching muscles in the back. Connecticut reports first coronavirus-related death, swelling from arthritis may limit the blood flow in the penis. When the pump is engaged, pressure in the cylinders inflate the penis and makes it stiff. Blood flow then increases to the erectile tissue of the penis. How do doctors diagnose erectile dysfunction?

  • When you make the appointment, be sure to ask if there's anything you need to do in advance.
  • The views or opinions expressed in the resources provided do not necessarily reflect those of Thomas Jefferson University Hospitals, Thomas Jefferson University or their staffs.
  • Some men may have difficulty speaking with a doctor about sexual activities.
  • Oral medication – Medications such as Viagra, Levitra, Staxyn, Adcirca, Cialis and Stendra all work well to enhance a natural chemical in the body called nitric oxide.
  • Surgery – Penile implants or vascular reconstructive surgery may be recommended as a last resort.

For Providers

Though you may find ED embarrassing, rest assured that your urologist at Prince William Urology Associates has treated many cases of it before. Hypertension, for alternative activities, tobacco cessation support and getting information on how to quit, contact your local Health Promotion Program via the contact information below. There are a number of factors that lead to erectile dysfunction, including: We use the latest research and the least invasive procedures to help you feel better and recover more quickly. The erection usually starts within 10 minutes and, when effective, lasts between 30 and 60 minutes. Your physician can help you decide which treatment is best for you. A health care professional may ask you some personal questions and use a questionnaire to help diagnose any psychological or emotional issues that may be leading to ED.

Testing will help determine if the ED is organic or psychogenic. What do you want to know about enlarged prostate (BPH)? You shouldn’t use these medicines if you take nitroglycerin or any other nitrates for chest pain. No healthcare provider has paid or received a fee to participate in this directory. Even if your particular case cannot be totally cured, there are many effective treatment options to alleviate symptoms so you can enjoy a healthy sex drive. Men who have penile erections lasting longer than two to four hours should seek Emergency Room care.

ED is a common — and treatable — problem for many men, particularly older men. News & World Report consistently ranks UAB’s urology program among the top 50 of its kind in the nation. This condition is one of the most common sexual problems for men. Primary care physicians (PCPs) are generally considered the first entry point into the healthcare system. Also known as impotence, the condition is characterized by an inability to get and sustain an erection firm enough and long enough to have sex. Erectile dysfunction podcast, imagine having tension and trigger points in your neck and shoulder muscles and how painful that can be. Like ICI therapy, IU Alprostadil should be tested in the office, before home usage.

Erectile dysfunction may also be a side effect of certain prescription medications.

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Causes of ED include a combination of physical and emotional problems. Our goal is to effectively treat this condition so patients can resume sexual intimacy with their partners. It may feel awkward at first to talk with your doctor about ED. Simply enter your zip code to see a listing of Erectile Dysfunction clinics and urology doctors in your area. Drugs for treating erectile dysfunction can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis.

For example, your doctor might ask you not to eat before having a blood test.

Talk to your doctor or consult a mental health provider to address these issues. Not all patients respond to this type of treatment, but those who do should develop an erection that lasts anywhere from 30 to 120 minutes. What about mental health professionals? The ultrasound can detect poor blood flow through your penis. A pump at the other end of the tube makes a low-pressure vacuum around the erectile tissue, which results in an erection. Vascular reconstructive surgery can be performed to improve blood flow to the penis.

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Can you get an erection by masturbation? Alpostradil, which is injected into the side of the penis, is very effective, safe, and reliable. Men of all ages struggle with ED for a number of different reasons. If conditions like heart disease or diabetes co-exist, your doctor might refer you to a specialist to help manage those conditions. You remove the tension ring after intercourse. The first thing your doctor will do is to make sure you're getting the right treatment for any health conditions that could be causing or worsening your erectile dysfunction. Our team offers numerous other non-invasive and minimally invasive treatments for improved outcomes. Hip replacement: is the timing right? No clinical trials have directly investigated any link between cognition and the carnivore diet. A safe, reliable and effective treatment for erectile dysfunction (ED) and Peyronie’s Disease.

Performance anxiety : Erectile dysfunction is typically divided into two categories — psychogenic and organic. Health conditions: Your primary care may refer you to an endocrinologist if your erectile dysfunction is caused by a disease of the endocrine system, such as diabetes or hypogonadism (when your body doesn’t produce enough of the male sex hormone, testosterone).


If your erectile dysfunction is caused by stress, anxiety or depression — or the condition is creating stress and relationship tension — your doctor might suggest that you, or you and your partner, visit a psychologist or counselor. Doctors at Columbia Urology begin treatment with the simple, inexpensive, and reversible approaches first. If you have a mental health condition, you may be prescribed medication to control the symptoms. How do you think I should treat my ED?

These pills may help achieve erections in response to sexual stimulation: They make a stiff penis that lets you have normal sex. Drugs known as PDE type-5 inhibitors increase penile blood flow.

  • We also address potentially reversible causes of erectile dysfunction such as hormonal (testosterone) deficiency and medications that can cause erectile dysfunction as a side effect.
  • Nerve damage from prostate cancer, pelvic trauma, radical pelvic surgery, diabetes, spinal injury, or multiple sclerosis, which can damage the nerves that travel from the brain to the penis.
  • Many of these can achieve results faster,with fewer side effects and a quicker recovery.
  • Discomfort, bruising and swelling after the surgery will last for a few weeks.
  • Men most often start having sex with their penile implants by eight weeks after surgery.
  • A simple blood test can determine if the testosterone level is abnormally low.
  • Advanced research in men’s health.

Clinical Trials

As you manage your health care, your treatment team may change. Other causes such as smoking, high blood pressure, heart disease, and fluctuations in cholesterol levels can all reduce blood flow to the penis. Age, however, doesn’t cause erectile dysfunction, but the condition is more common in older men. After having adequate foreplay, which creates a mild erection, the partner can help in applying and using the vacuum device. It’s common to have difficulty getting and keeping an erection once in a while, but if it’s happening often enough to impact your sex life, you may have erectile dysfunction, also known as ED or impotence.

Penile implants were first used in the 1950s, and since then further advances have occurred. If a listing is marked as a Center of Excellence, the designation indicates that the facility is considered to be a leader in the field of men’s sexual health. Our specialists work with you to create a treatment plan that best suits your needs and lifestyle, taking into consideration any health conditions that may be contributing to your symptoms. Drugs like Viagra, Cialis and Levitra have been found to be effective in erectile dysfunction treatment. Don't ignore stress, anxiety or other mental health concerns.