Having erection problems? What is erectile dysfunction (ED)? Learn about erectile dysfunction causes and treatments such as drugs (pills), pumps, and more.
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Several treatment options are available to help ED. Sometimes, resolving underlying medical conditions will also improve your ED symptoms.
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About 75% of patients see success and report harder, stronger, and more sustainable erections.
While ED is not life threatening, the condition may result in withdrawal from sexual intimacy, reduced quality of life, decreased working productivity, and increased healthcare utilization. Patterns of care may shift away from surgical and device therapies provided by urologists and toward pharmacologic treatments and/or multidisciplinary approaches. With men increasingly seeking to preserve sexual function and quality of life as they age, the treatment of ED will take on even greater importance in the years to come.
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In a 2014 pilot study, 31 men between the ages of 20 and 55 years old, who were newly diagnosed with erectile dysfunction, received either tadalafil (a medication used to treat impotence) for a five-month period or tadalafil and an eight-week stress management program. Both groups showed statistical significant improvement, but researchers found that the men practicing stress management showed a significant reduction in perceived stress scores and lower daily cortisol levels compared to the men who only received medication. (19)
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Picture of vasodilator injection into penis. A vasodilator such as prostaglandin E1 can be injected. If the blood vessels are capable of dilating, a strong erection should develop within five minutes.
Erectile dysfunction or ED is the inability to get or keep an erection, preventing a man from having or finishing sexual intercourse. While many men experience erectile dysfunction occasionally because of stress, fatigue, alcohol, or emotional issues, some men have recurring episodes of ED that occur 25% of the time. Unable to get an erection at any time Able to get an erection sometimes but not every time they want to have sex Able to get an erection, but it does not last long enough to complete intercourse Diabetes, especially uncontrolled type 2 diabetes High blood pressure Atherosclerosis (hardening of the walls of the arteries) Chronic kidney disease (CKD) Fatigue Drug abuse Excessive alcohol or tobacco consumption Certain medications (such as antidepressants, blood pressure medications, sedatives, appetite suppressants, or medications to treat prostate cancer) Injury to the brain or spinal cord Psychological issues, such as anxiety, stress, or depression, or relationship problems Radiation therapy to the testicles or pelvic region Hypogonadism (reduced levels of the male hormone testosterone) Multiple sclerosis Stroke Parkinson’s disease Obesity Surgeries on the bladder or prostate Lack of physical activity
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Sildenafil treats erectile dysfunction of either physical or psychological cause. It is effective in treating erectile dysfunction in men with coronary artery disease, diabetes mellitus, hypertension, depression, coronary artery bypass grafting (CABG), and men who are taking antidepressants and several classes of antihypertensives.
Tadalafil from our top choice, BlueChew, is considerably more affordable than the brands like Cialis that rely on it as their active ingredient. You save money by buying tadalafil from BlueChew compared to buying Cialis from any source. Additionally, the chewable format of BlueChew’s tadalafil allows it to take effect slightly faster than standard pills because some of the medication begins entering your bloodstream from your mouth as you chew.
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DepressionAnxietyOther mental health disordersStressFeeling self-conscious or nervous about sexRelationship problems
In most cases, the inability to have an erection can be a result of an underlying medical condition that requires urgent medical attention. Consultation is given by the doctor to proffer possible solutions to the condition.
GAINSWave® therapy is done in-office in under a half-hour. There is no need to suffer from the shame and dissatisfaction associated with ED. For more information, contact a GAINSWave® therapy provider today. Adrian Gonzalez is the Social Media and PR Specialist at Vitality Connect. In 2012, the Miami, FL native graduated from the University of Miami with a bachelors, double majoring in Communications and Creative Writing. Since 2012, Adrian has managed the social media accounts and created marketing campaigns for hundreds of brands, including the Discovery Channel and Allstate. In addition, he’s sparked the birth of campaigns with influencers like Dr. Emily Morse of Sex with Emily, Dr. Mark Hyman and many more. What is GAINSWave? What to expect? How it works? Comparing treatments Frequently asked questions Medical advisory board Clinical research Find a provider near you → New York Texas Florida California Colorado Arizona Washington See all locations → Men’s Health Guide GW Magazine As Seen On For Providers Provider Resources For Affiliates For Press Partnership Facebook Instagram Twitter Youtube Linkedin Tiktok
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Almost 400 years ago, English physician Thomas Sydenham wrote that “a man is as old as his arteries.” I can relate. As a practicing cardiologist of more than 30 years, my practice is dedicated to helping arteries stay young. This effort now includes GAINSWave shock wave therapy for repairing the root cause of erectile dysfunction in many men: aging arteries ...
Surgery, including treatments for prostate cancer, bladder cancer, or BPH, can sometimes damage nerves and blood vessels near your penis. If the nerve damage is permanent, you’ll need treatment to get an erection. But sometimes surgery causes temporary ED that gets better on its own after 6 to 18 months.
For people who cannot take medications, a vacuum device, or “penis pump,” can help maintain an erection. In extreme cases, surgery may be required.
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The author says at one point that men worry that the new model of male sexuality means that their sexuality has been made more female i.e. More slow-time, touch-feely. I can see why men might think this.
Imagine getting strong, consistent erections, and lasting longer in bed without having to resort to expensive pharmaceutical drugs or supplements that come with their own risks. All you have to do is take a few minutes every other day to perform some simple exercises that are easy to learn. What if all your sex-related problems could be solved by a simple workout that barely requires any physical exertion?
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Tadalafil (Cialis) is the third oral medicine approved by the U.S. FDA for the treatment of erectile dysfunction. Like sildenafil (Viagra) and vardenafil (Levitra), tadalafil inhibits PDE5 (as described earlier). Unlike the other PDE 5 inhibitors, patients should take tadalafil once daily and is approved for the treatment of BPH (benign enlargement of the prostate).
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Did you know that diabetes can contribute to erectile dysfunction and other men’s health conditions? Find out more about why treating your diabetes is important. Get more education on diabetes awareness.
An erection problem that does not go away can make you feel bad about yourself. It can also harm your relationship with your partner. ED may be a sign of health problems such as diabetes or heart disease. So if you have an erection problem, do not wait to seek help. When to Contact a Medical Professional
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If you think your medication might be causing ED, talk to your doctor, but don't discontinue using it on your own. Some medication must be tapered off under a doctor's supervision.
“This approach allows the sequential scanning of the same animal, which defines the progression of virus dissemination and time before the virus is purged from the body,” Hope said. “It also has the potential to increase our understanding of long COVID and the development of novel therapies targeting different long COVID comorbidities.”
When you’re living with erectile dysfunction (ED), you’ll consider doing just about anything to get your sex life back on track. Eating roots like ginseng -- fine. Drinking special juices like pomegranate -- tasty. Even becoming a human pin-cushion for a treatment like acupuncture -- bring it on.
The new study shows how the virus can cause pathology in the prostate, penis, testicles, and testicular vasculature (blood vessels), Hope said.
In some cases, ED can be a warning sign of a more serious disease. One study suggests it can predict heart attack, stroke, and even death from cardiovascular disease. If you’re diagnosed with ED, get checked for cardiovascular disease. This doesn’t mean every man with ED will develop heart disease, or that every man with heart disease has ED, but you should be aware of the link.
Similar to injections, we always give the first suppository in our office to make sure there are no problems and that you are comfortable doing this. Pros Cons No needle Mimics normal erection Discreet Gives best erection to glans (head of penis) Rare scarring or prolong erection (priapism) Pain in penis (30%) Expensive Less effective than injections (50%) Bleeding from urethra Hard to use if have tremor or poor vision or severe obesity Poor long-term satisfaction (less than 40%)
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A number of medical treatment options exist for erectile dysfunction include the following:
Learn More About Diagnosing Erectile Dysfunction: Tests and Screenings, Early Diagnosis, and Your Doctors
One study indicated that intensive glycemic control might decrease the chances of ED in diabetic men.
Picture of penile tourniquet. This is one of many types of constricting devices placed at the base of the penis to diminish blood outflow and improve the quality and duration of the erection. These may be used in conjunction with oral drugs, injection therapy, and with vacuum devices.
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It’s important to tell your doctor about all the drugs you take, including nonprescription ones, so they can determine if any of your meds could be responsible for your symptoms.
This research was funded by a “Notice of Special Interest” supplement for National Institute of Allergy and Infectious Diseases (of the National Institutes of Health) grant R37AI094595 for SARS-CoV-2 related studies. Vaccines Do Not Cause Erectile Dysfunction and Male Infertility – But COVID-19 Could Scientists Find Evidence That Novel Coronavirus Infects Cells in the Mouth – Saliva May Play Role in COVID Transmission Bad News – Coronavirus SARS-CoV-2 Infects Cells of the Intestine and Multiplies There Timing the Life of Antimatter Particles – Less Than 1/50,000,000 Second – May Lead to Better Cancer Treatment 18 Comments on "COVID Infects Penis, Testicles and Prostate – Causes Pain, Erectile Dysfunction, Reduced Sperm Count"
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To get an erection, your brain, nerves, hormones, and blood vessels all need to work together. If something gets in the way of these normal functions, it can lead to erection problems.
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At Affirm Clinic in Edmonds, Washington, we strive to reverse the conditions that cause impotence. Our skilled urologists offer extracorporeal shockwave therapy for erectile dysfunction (ED) and Peyronie’s disease.
“At the time, men were paying around 15 dollars a pill. Now it’s more like 45 to 50 dollars a pill.” he explains. “It makes no sense that the price is three times what it was. They really ripped off the country by raising the prices.”
In addition, hormones and other substances determine how your nerves transmit ‘sexual signals’ and how blood vessels respond to the received signals. Arousing thoughts or nervous-system mechanisms such as touch reflexes are 2 ways you can get an erection.
Erectile dysfunction or malfunction involves the improper functioning of male reproductive organ as a result of which the male organ or penis is unable to secure erection during the performance of sexual act. Erection which is enabled by a spurt of blood flow into the penis is the combined interplay of hormonal and neurological stimulations. Owing to hormonal insufficiency, deficiency of potassium, diabetes, cardiac ailments and psychological factors; erectile dysfunction may occur. Erectile dysfunction leading to male impotency may well develop as side effect of drugs such as anti depressants.
Unstable angina (chest pain due to coronary artery disease that occurs at rest or with minimal physical exertion)Low blood pressure (a resting systolic blood pressure less than 90 mm Hg)Uncontrolled high blood pressure (greater than 170/110 mm Hg)Recent stroke or heart attack (within six months)Uncontrolled, potentially life-threatening abnormal heart rhythmsSevere liver diseaseSevere kidney failure requiring dialysisSevere heart failure or disease of the heart's valves, for example, aortic stenosis (hardening of the main artery in the body)Retinitis pigmentosa (a condition that affects the retina of the eye and can cause blindness)
Exercises or engaging in physical activities help with ED by improving blood vessel health, lowering stress, and raising testosterone levels.
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The dose of PDE5 inhibitor that you start with may vary with underlying medical conditions and medications that you are taking. Thus, it is important to review all medications (even over the counter medications) with your physician. Typically, one starts with a lower dose and increases as needed. Some medical conditions prevent going up to higher doses. You can review the drug prescribing information or consult with your doctor regarding the dose(s) that are appropriate for you.
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Erectile dysfunction can be a warning sign of serious underlying disease. Research has found that erectile dysfunction is a strong predictor of heart attack, stroke, and even death from cardiovascular disease. All men with erectile dysfunction should be evaluated for cardiovascular disease. Notably, this does not mean every man with erectile dysfunction will develop heart disease, or that every man with heart disease has erectile dysfunction; however, erectile dysfunction patients should be aware of the link.
In a 2014 pilot study, 31 men between the ages of 20 and 55 years old, who were newly diagnosed with erectile dysfunction, received either tadalafil (a medication used to treat impotence) for a five-month period or tadalafil and an eight-week stress management program. Both groups showed statistical significant improvement, but researchers found that the men practicing stress management showed a significant reduction in perceived stress scores and lower daily cortisol levels compared to the men who only received medication. (19)
These diseases include high blood pressure, diabetes, clogged arteries, heart and blood vessel disease, high cholesterol, and chronic kidney disease. Other possible causes include: Nerve injury: The penis, spinal cord, prostate, bladder or pelvis may have sustained a physical injury that needs to be treated. This includes a large group of men who have had surgery or radiation treatment for prostate cancer. Unhealthy lifestyle: This includes smoking, excessive alcohol use, obesity and not exercising. Mental health: Depression, stress and anxiety surrounding sexual failure can all lead to erectile dysfunction. Medications: Some medications, including antidepressants, can cause sexual side-effects. Hormones: A small number of erectile dysfunction cases result from low levels of the male hormone testosterone.
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In their extensive review, Bassil and coworkers summarise the benefits and risks, with benefits such as improvement of sexual function, bone density, muscle strength, cognition and overall improvement in quality of life. Among the risks that have been suggested include erythrocytosis, liver toxicity, worsening of sleep apnoea and cardiac function, possibly increasing symptoms of benign prostatic hyperplasia (BPH). They also note that although a possibility of stimulation of prostate cancer has been hypothesised, no scientific or clinical evidence exists to this possible risk.38
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Exercise is also a great way to manage stress, boost mental health and prevent obesity. Like eating a healthy diet, regular exercise is one of the natural remedies for impotence that will improve your overall health.
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If you think any medicine you are taking may be causing erection problems, talk with your provider. You may need to lower the dose or change to another drug. DO NOT change or stop taking any medicine without first talking to your provider.
Erectile dysfunction itself may be treated with both medical and non-medical treatments.
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Do you know about all the serious issues with Viagra and their generic substitutes? Check out how a lot of informed men are able to regain full function without pills, shots, or surgery and go back to being intimate the natural way.
