Erection problems can affect men at any age, but are more common as you get older. Physical causes are more common in older men. Emotional causes are more common in younger men.
In sum, ED is a troubling condition that may be a sign of serious underlying health problems. It is appropriate to discuss ED with your physician. A variety of management options exist; men and their partners may decide which if any of these are appropriate for their specific circumstances. .
L-arginine opens or widens the blood vessels to improve the blood flow to the penis and hence improve erectile dysfunction. But, there are some side effects associated with this like nausea, cramps, and diarrhea.
It’s not an expensive procedure. This therapy cost around $80 to $300 per session of treatment.
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May have attributed this to inflammation as an immune response to the virus, which is the cause of many 'long Covid' symptoms - often placed under the umbrella of MIS-C.
When sexually stimulated/aroused, the nerves supplying the penis release a chemical, nitric oxide (NO). Nitric oxide is important because it stimulates the production of a chemical called cyclic guanosine monophosphate (cGMP). cGMP causes the muscle in arteries of the penis to relax and increase blood flow into the penis. NO is broken down in the body by phosphodiesterase enzymes. PDE5 inhibitors thus prevent the breakdown of NO and thus promote increased blood flow into the penis.
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When the aforementioned strategies prove insufficient to address ED symptoms, medical therapies are warranted. The simplest treatments include use of a class of oral medications known as phosphodiesterase type 5 inhibitors (PDE5I, e.g. sildenafil, tadalafil, vardenafil, and avanafil). These drugs enhance the effects of nitric oxide, a natural molecule within the body that relaxes the smooth muscle of the penis, to enable increased blood to flow and result in erection. These medications are generally very safe and reliable. Men who use nitrates (found in certain heart medications and in some recreational drugs) should not use PDE5I. Optimal use of PDE5I requires advice on timing and proper use of these drugs for maximal effect.
Red ginseng is considered the “herbal Viagra” and is great in improving erections and increases a man’s libido. The red ginseng is got from steaming the ginseng root and then drying it. The ginseng root is the most effective part of the plant and can be taken as a supplement too. For maximum efficiency, take ginseng in dosages between 600 to 1,000mg three times a day. You’ll see your ED start to reduce.
As with surgery, the older you are, the more likely it is you will have problems with erections. And men with heart or blood vessel disease, diabetes, or who have smoked heavily seem to be at greater risk for erection problems. This is because their arteries may already be damaged before radiation treatment. Doctors are looking at whether early penile rehabilitation could help after radiation therapy, too. (Penile rehabilitation is discussed above, in the surgery section.)
In 2013, Pfizer settled with Teva Pharmaceuticals to allow the company to market a generic version of Viagra. The pharmacologically active ingredient in Viagra is sildenafil. Teva agreed to pay Pfizer royalties for its product until its patent expired in 2020.
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ED that’s caused by psychological factors, hormone issues, or injuries to the penis can usually be effectively treated.
American Urological Association website. What is erectile dysfunction? www.urologyhealth.org/urologic-conditions/erectile-dysfunction(ed). Updated June 2018. Accessed October 15, 2019.
• Medications, most commonly blood pressure medications (especially beta-blockers or thizides), anti-depressants (such as SSRI), anti-androgens, and a variety of other medications