Some antidepressant medications cause erectile failure. There are several determinants that contribute to erectile dysfunction. How common is erectile dysfunction?

Injury or a venous leak in the penis may also cause ED. The most sophisticated (expensive) type can be inflated with an inbuilt pump to cause an erection. Several health conditions—and prescription and over-the-counter medications—can cause erectile dysfunction. Many experts believe that atrophy, a partial or complete wasting away of tissue, and fibrosis, the growth of excess tissue, of the smooth muscle tissue in the body of the penis (cavernous smooth muscle) triggers problems with being able to maintain a firm erection. Elderly men are especially sensitive to the effects of these medical treatments, which may increase their chance of having side effects. Contraction of the trabecular smooth muscle reopens the venous channels, allowing the blood to be expelled and thereby resulting in flaccidity.

Hormones are chemicals produced by the body.

You should also reduce alcohol intake and avoid smoking and illicit drug use. If you’ve been diagnosed with ED related to performance anxiety, you may be able to have full erections when masturbating or when sleeping, but unable to maintain an erection during intercourse. Always speak to your GP before using any complementary therapies. The contrast agent provides for enhanced information regarding blood supply and vascular anomalies. This causes increased blood flow, following which an erection usually develops within 15 minutes. This may improve energy, mood, and increase sexual interest in older men who have low testosterone. More than 90 percent of all ED can be traced to a physical (organic) cause.

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  • Sometimes, the culprit is another health issue.
  • ICI Alprostadil may be used as a mixture with two other drugs to treat ED.
  • Medications are commonly used to treat ED.
  • Speaking openly to your doctor about your erectile dysfunction will ensure you’re recommended the best treatment options, be it taking medication, or making lifestyle changes like meditating, reducing alcohol intake, or losing weight.
  • Hormone-induced ED.

Erectile Dysfunction

Recent technological advancements in the field of urology have made procedures such as penile implants and vascular reconstructive surgeries possible. As a rule, a psychological cause for the ED is more likely than a physical cause if there are times when you can get a good erection, even though most of the time you cannot. Cardiovascular disease refers to diseases affecting the heart and blood vessels. Who should not use oral phosphodiesterase type 5 (pde5) inhibitors? Do you drink alcohol, smoke, or use any recreational drugs? The most common causes of ED are health problems that affect blood vessels and blood flow in the penis. Men come with their own built-in health gauge:

  • High levels of blood sugar often damage small blood vessels and nerves throughout the body, which can impair nerve impulses and blood flow necessary for erection.
  • Feeling embarrassed about ED may prevent many men from getting the medical attention they need.
  • Often, as a last resort if other treatments have failed, the most common procedure is prosthetic implants which involves the insertion of artificial rods into the penis.
  • Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm.


Even young men can struggle to get an erection after a hard night of partying. This just scratches the surface when it comes to all of the details regarding erectile dysfunction. If you have been having ED for more than two months, you should see a doctor to find the cause. Men with urinary symptoms have been shown to have a higher rate of erectile problems as men without them. Recreational drugs, drinking alcohol, and smoking may damage the nerves and blood supply needed for normal erection. The endocrine system is responsible for regulating the body’s natural hormone production. But, the occasional mishap is not considered as a cause for alarm. Because of this complexity, there are different types and causes of ED, both emotional and physical.

The easiest and most important thing a person can do to boost their sex drive is to get their head on straight. When simple honest communication fails to bring couples closer, professional counseling may be needed. The effects of these latter drugs are longer lasting (up to 36 h). A pump then sucks out the air from the container to create a vacuum.

  • Testosterone and DHT may act at the genomic level to stimulate production of NOS.
  • It is possible for a man's stress and anxiety to interfere with nerve impulses from his brain when he attempts sexual intercourse.

Smoking (How to Quit Smoking)

Bearing this in mind, it’s important to discuss your lifestyle and preferences with your doctor when establishing which prescription option will work best for you. Penile implants are a type of surgery that may be considered. All treatment options have risks. If your GP feels this type of exercise could be beneficial, then you may want to discuss it with a physiotherapist to learn it correctly. If you’re experiencing ED, it’s a good idea to talk with a healthcare provider.

Medication (tablets Taken By Mouth)

This tool does not provide medical advice. Erectile dysfunction is sometimes an early warning sign of more serious problems like hypertension, diabetes, and cholesterol. Obesity also plays a role in hormone imbalances, another contributor to erectile dysfunction in men. Specialized sexual therapy is also an option at any time during the treatment for erectile dysfunction.

Basically, you put your penis into a plastic container.

These are the only oral agents approved in the U. While no one should stop taking blood pressure medicine without speaking to their doctor, making lifestyle changes, such as maintaining a healthy diet and getting more exercise may help lower your blood pressure so you don't need the drugs, Kramer said. Side effects of vacuum pumps include pain or bruising, although these occur in less than a third of men. Men who have a problem with their sexual performance may be reluctant to talk with their doctor, seeing it can be an embarrassing issue. Cognitive-behavioral therapy (CBT) is a popular method because it helps address negative patterns of thought that can contribute to performance anxiety. It is very painful. Your brain sends a signal through your nerves and hormones, to your blood vessels and muscles before an erection can even happen.

Whatever the case, the key is not to get all twisted up about it. Keep reading to learn about treatment options. This can happen with diseases of the nervous system (eg, multiple sclerosis, Parkinson disease) or with surgery (eg, for prostate cancer).

Remember, occasional erectile dysfunction is not uncommon, but if it’s persistent, erectile dysfunction can be the sign of a more serious health issue, and so you should visit your doctor.

  • (4 nmol/L) who failed monotherapy.
  • Factors that mediate contraction in the penis include noradrenaline, endothelin-1, neuropeptide Y, prostanoids, angiotensin II, and others not yet identified.
  • Another cause of erection trouble may be venous leak.

Diagnosing Erectile Dysfunction

Performance anxiety can cause or contribute to ED. Diabetes is one of the most common endocrine disorders affecting ED. The pump moves a saline solution into the cylinders to cause an erection. ED can also be associated with bicycling due to both neurological and vascular problems due to compression. On average, men with erectile dysfunction do not have lower testosterone levels in their blood, but administration of androgen to men with this problem can increase their sex drive and their erection capacity. Injection therapy can treat many men who do not respond to pills. 6 And as men with diabetes get older, ED problems become even more common. If you do not find that PDE-5 inhibitors are effective it may be because:

Although 70% of men over the age of 70 are still sexually active, erectile dysfunction does get more likely as you get older.

In addition to there being no evidence in favor of non-prescription alternatives for ED, the FDA has warned of hidden risks of “treatments” sold online. You are taught how to inject a medicine into the base of the penis. Therefore, ED may be a sign of heart disease or other serious health problems. Laboratory evaluations will assess total and bioavailable testosterone, luteinizing hormone (LH) and follicle stimulating hormone (FSH). But if it interferes with having sex more than 50 percent of the time, then there’s an underlying physical or psychological issue that needs treatment, according to doctors at the Cleveland Clinic. ED does not have to be a part of getting older. Sex drive killers, testosterone directs the body to make or enhance male characteristics, such as increased muscle mass, facial hair growth, and deepening of the voice, and is an important part of male development during puberty. If you’re ready to stop living in embarrassment about your sexual function, become an advocate for yourself and your own health and talk to your doctor. Anti-seizure medications.

That might include erections that don’t last as long as you want or aren’t as firm as you’d like. Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis. Over time, that can damage and narrow the arteries, decreasing blood flow throughout the body. Psychosocial examination. The FDA has issued consumer warnings and alerts. Some natural remedies have proven to be effective in reducing impotence, but should not be taken without a doctor’s approval. Men who are overweight, smokers, alcoholics, or substance abusers are more likely to experience ED. Lifelong premature ejaculation.

Non-invasive Treatments For Erectile Dysfunction

Certain medications may make it difficult for you to get or keep an erection, like antidepressants, antihistamines or blood pressure medications. Many men who do not respond to oral PDE5 inhibitors can be ‘rescued' with ICI. This article is about marketing, "Yeah… so, more coffee? Psychiatric illnesses such as depression can also cause erectile dysfunction. Neurological problems such as Multiple Sclerosis, Stroke or Parkinson’s disease.

Instead, it can also cause back pain and muscle aches. Smoking and high BMI (body mass index) are also important cardiovascular risk factors - it’s a very good idea to stop smoking and keep a healthier diet and exercise routine too. Treatment options can include the following: GoodRx is not available outside of the United States.

Aside from age, the following 5 factors can increase a man’s odds of developing ED. Other causes may include diabetes. Some men are too embarrassed to tell their doctors about their symptoms. Testosterone levels hit their highest level in adolescence and early adulthood, and most men have some decrease in their testosterone levels around age 40. If a patient has a systemic, skin, or urinary tract infection, this surgery should be postponed until all infections are treated. If you are trying to access this site from the United States and believe you have received this message in error, please reach out to [email protected] Over the long term, moderate alcohol consumption doesn’t increase your risk of ED (Wang, 2020), but chronic heavy drinking can damage the liver, heart, and nerves and reduce testosterone—all of which can lead to ED and sexual performance issues. The specified medical conditions are:

Physical Examinations And Tests

It also plays a key role in sexual dysfunction (eg, low libido, poor erection quality, ejaculatory or orgasmic dysfunction, reduced spontaneous erections, or reduced sexual activity). Also, your doctor may prescribe a statin medicine to lower your blood cholesterol level if your risk of developing cardiovascular disease is high. Despite these statistics, the overall incidence of erectile dysfunction is both under-recognized and under-reported. Viagra does not directly cause penile erection, but affects the response to sexual stimulation. There are several different ways that erectile dysfunction can be treated.

That’s why we call ED your body’s “check engine light. This is uncommon. These include getting older, high blood pressure, high cholesterol and smoking. Diabetes can affect blood vessels and nerves. Recent studies are also changing our notion about why men develop impotence. A problem in the nervous system. Having periodontitis chronically inflamed and infected gums may increase your risk of erectile dysfunction, according to a study published in June in the Journal of Sexual Medicine. With 30 million Americans currently suffering from erectile dysfunction, a number estimated to rise to 320 million worldwide by 2025, it's important to be active in your health care.

Erectile dysfunction in younger men.

Causes Of Erection Problems

Although some people have trouble talking to medical professionals about erectile dysfunction, it’s important to be open with your doctor and remember that he or she is there to help. Men who are overweight, habitual smokers, alcoholics, or substance abusers are more prone to experiencing erectile dysfunction. Heart disease, atherosclerosis, high cholesterol and high blood pressure can all impact the amount of blood flowing to the penis. Having erection trouble from time to time isn't necessarily a cause for concern. You take a dose before you plan to have sex. Diabetes contributes to ED by damaging your nerves and blood vessels. The next step prescribed by a urologist specializing in erectile dysfunction may be to consider using a vacuum pump or injection therapy to treat the erectile dysfunction. When you become aroused, your brain sends chemical messages to the blood vessels in the penis, causing them to dilate or open, allowing blood to flow into the penis.

A single dose of alprostadil for urethral application is around $10. This causes blood to be drawn into the penis and cause an erection. Normally, when a man becomes sexually aroused, blood vessels, muscles, nerves, and hormones work together to create an erection. Nocturnal penile tumescence (NPT) It is normal for a man to have five to six erections during sleep, especially during rapid eye movement (REM). Many patients report significant pain with an erection, which typically lasts for six to twelve months. It's possible that someone with it also experiences problems with blood flow in other parts of the body such as the penis, as well," said Dr. Pathophysiology of ed in hypertensive patients, there is a complex relationship among arterial hypertension and erectile dysfunction that is explained by the multifactorial pathophysiological process that take place in both conditions (Figure 1). "Remember that the most important sex organ (for men and women) is the brain. Relationship problems causing stress can lead to struggling in the bedroom.

Many younger men may experience difficulty with erections, and as many as two-thirds of men will develop impotence at some point in their lives.

Research indicates that ED is common, and it is suggested that approximately 40% of males experience symptoms compatible with ED, at least occasionally. However, they have been shown to be less effective for men with diabetes, and more advanced treatment options may be needed. Many hormonal conditions can be treated using injections of synthetic (man-made) hormones to restore normal hormone levels. Performance anxiety can also stem from worries about premature ejaculation, being with a new partner, or being unable to get a spouse pregnant. What are the Treatment Options? 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 impotence. Less commonly, psychological factors cause or contribute to ED, with factors ranging from treatable mental health illnesses to everyday emotional states that most people experience at some time. If you are interested in learning more about what causes erectile dysfunction, or you would like to be evaluated, contact Urology Austin to schedule an appointment with one of our urologists.

Low Testosterone and Obesity

This form of primary PE is psychogenic (as opposed to organic or physical) impotence. However, it is an option for the patient who cannot tolerate oral or injectable or intra-urethral treatments for erectile dysfunction. Secondary sex characteristics. In 1982, he received FDA approval to market the product as the ErecAid®. A head injury can sometimes affect the function of the pituitary gland in the brain. Discomfort, bruising and swelling after the surgery will last for a few weeks. Antiarrhythmics (medication for irregular heart action).

Sildenafil (brand name: )Performance anxiety. While these medications may treat a disease or condition, in doing so they can affect a man's hormones, nerves or blood circulation, resulting in ED or increasing the risk of ED. If you're concerned about erectile dysfunction, talk to your doctor — even if you're embarrassed. A vacuum erection device helps draw blood into the penis by applying negative pressure. You should also tell your physician: Also know what the side effects are.

As mentioned above, ED is often a marker that heart disease or other cardiovascular diseases may soon develop. It can also help your healthcare provider tell the difference between problems with erection, ejaculation, orgasm, or sexual desire. Use these drugs as directed. Erectile dysfunction (ED) means that you cannot get and/or maintain an erection. If your doctor suspects that an underlying condition might be involved, or you’ve communicated any existing chronic conditions, he or she may recommend further tests or a consultation with a specialist. It is normal for some men to encounter some difficulty achieving an erection occasionally, but if the problem is chronic or ongoing, it is classified as a disorder.


Certain medications can interfere with nerve impulses or blood flow to the penis. In the United States alone, ED affects approximately 30 million men. Most men will feel pain and will feel better with a narcotic pain-relief drug for one to two weeks. While these drugs may treat a condition, they can also affect hormones, nerves, or blood circulation, which can all increase the risk of erectile dysfunction. Treatments are varied, and depend on the underlying cause of the erectile dysfunction.

These are a group of muscles around the underside of the bladder and rectum, as well as at the base of the penis. You also will need to review all the medications you take. It is now known that, for most men, erectile dysfunction is caused by physical problems, usually related to the blood supply of the penis. A VED is a tube placed over the penis that draws blood into the penis to cause an erection. In addition, men should not take these medications if they have a history of heart attack or stroke, or if they have a bleeding disorder or stomach ulcers. Having learned a great deal more about erectile dysfunction including its risk factors and causes, you should be equipped to assess your own erectile function. It is the most common cause of ED, especially in older men.

By talking about the issues, you may be able to reduce any anxiety that you have and overcome your erectile dysfunction. This can help to identify or rule out possible underlying causes. Erectile dysfunction refers specifically to problems achieving or maintaining an erection.