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In the past, ED was thought to be due to psychological problems. It is now known that for most men ED is caused by physical problems. These are most often related to the blood supply of the penis.
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This information is for adult males with cancer. If you are a transgender person, please talk to your cancer care team about any needs that are not addressed here.
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More than two drinks a day is considered a risk factor for ED. Alcohol can lower testosterone levels, decrease flowing blood to the penis, and cause nerve and hormonal imbalances. Low testosterone from alcohol or drug abuse can also affect your libido and performance, potentially leading to further psychological ED complications.
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A healthy diet also helps to maintain a healthy body weight, which is important because men who have a 42-inch waist are 50 percent more likely to have ED than men with a 32-inch waist. Also, obesity increases the risk for vascular disease and diabetes, two factors that contribute to ED.
Men can have several types of issues including poor sex drive and problems with ejaculation. But ED refers specifically to trouble getting or keeping an erection. You might have a healthy sex drive, but a body that won’t respond. Most of the time there is a physical basis for the problem.
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Dr Thomas Hope, lead researcher and a biology professor at Northwestern, told the New York Times that 'the signal in the penis was off the radar.'
How well does the company deliver their core services or products to the customer? Is the quality of the product or service high enough that we would recommend it to loved ones without hesitation? The prescription medications in this guide are highly regulated, so their quality is extremely high. That said, we found BlueChew to offer the highest quality and most user-friendly product. Their chewable tablets are both convenient and effective.
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"Pelvic floor exercises and biofeedback are an effective treatment for men with erectile dysfunction" – The British Journal of General Practice.
ED is more than a quality of life issue; numerous studies have indicated that men with ED are at increased risk of developing cardiovascular disease and even dying form cardiac disease.
Many herbal products such as horny goat weed, ginkgo, yohimbe and ginseng claim to improve sexual function. There is no sound evidence that these herbal products work well for erectile dysfunction. They have not been well studied or tested. Since some erectile dysfunction is related to psychological problems, herbal products may help with anxiety, which may indirectly help sexual function.
Tablets for erectile dysfunction are called phosphodiesterase-5 (PDE5) inhibitors such as sildenafil (Viagra, Silvasta, Vedafil), tadalafil (Cialis) and vardenafil (Levitra). These medicines usually enable an erection by relaxing the blood vessels in your penis, but only when you are stimulated or aroused. They are all similarly effective. Read more about PDE5 inhibitors and frequently asked questions about their use.
Several medications can interfere with the chemical processing of PDE5i medications by the liver. These can include ketoconazole (an antifungal medication known by the brand name Nizoral), erythromycin (an antibiotic), and cimetidine (also known as Tagamet, for reducing stomach acid). A lower dose of PDE5i medications should be used if one is taking any of these medications.
Surgery provides the only true cure, but men typically want to explore other, less invasive options first.
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Based on the severity of the ED issue, your doctor will suggest treatments from least to most invasive. Something as simple as making healthy lifestyle changes (such as quitting smoking, reducing alcohol consumption, and losing weight) may help to solve the issue.
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Rare side effects of all PDE5 inhibitors include a sudden loss of vision in one or both eyes (nonarteritic anterior ischemic optic neuropathy [NAION]) and sudden loss of hearing. Patients have reported these rare side effects with all of the PDE5 inhibitors. Seek immediate medical care if you develop loss of vision or hearing.
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Researchers suggest that because erectile dysfunction is a symptom of a psychological or physiological condition, physicians should work to diagnose the underlying cause of the issue instead of focusing on finding a temporary treatment. Knowing the causes of erectile dysfunction can help you to understand what might be hindering your ability to achieve and maintain an erection. There are also natural remedies for impotence that will help to balance your hormones, increase your libido, improve your blood flow and improve health conditions that are associated with ED. (4)
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As explained above, weight loss can help to improve the symptoms of erectile dysfunction and a man’s diet can play a big part in that. However, as well as consuming fewer calories, there are also specific foods and food groups that may help with erectile dysfunction.
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Normal erections are dependent upon complex interactions between the vascular, hormonal, neurologic, and physiological systems. A disruption within any of these systems can compromise a man’s ability to achieve an erection.
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Symptoms of erectile dysfunction include erections that are too soft for sexual intercourse, erections that last only briefly, and an inability to achieve erections. Men who cannot have or maintain an erection at least 75% of the time that they attempt sex are considered to have erectile dysfunction.
Sexual dysfunction is more common as men age. According to the Massachusetts Male Aging Study, about 40% of men experience some degree of inability to have or maintain an erection at age 40 compared with 70% of men at age 70. And the percentage of men with erectile dysfunction increases from 5% to 15% as age increases from 40 to 70 years. erectile dysfunction can be treated at any age.
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Some men report an improvement in ED symptoms after having acupuncture. This ancient form of medicine involves using tiny needles to stimulate certain points on the body. While study results are mixed on whether acupuncture really works for ED, the therapy is considered safe and may help you feel better overall.
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These results do not necessarily mean that depression and ED cause each other directly.
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Stress, both in and out of the bedroom, can make it difficult for a man to achieve an erection. Depression, anxiety, and the medications to treat them may also contribute to impotence.
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Geo Espinosa, ND, director, Integrative Urological Center, NYU Langone Medical Center.
Response is dose related and usually occurs within 10–15 min, and does not require stimulation. The intraurethral preparation, medicated urethral suppository for erection (MUSE), consists of a tiny pellet of drug inserted into the urethral meatus. Response is also dose related, and onset similar to the cavernosal preparations.
Exercise and maintain a healthy weight.Stop smoking.Avoid alcohol and substance abuse.Keep diabetes under control.
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Early detection is easier to treat and more likely to be cured, but PSA testing isn’t always accurate and…
“A timely and practical book about male sexual function by two highly respected clinicians, this text is of exceptional value because it combines information about biological and psychological treatment in one brief, easily readable text. I would recommend that all men with erectile problems read this book.” —R. T. Segraves, MD, Ph.D., professor of psychiatry at Case Western School of Medicine and editor of the Journal of Sex and Marital Therapy Barry McCarthy, PhD, is a clinical psychologist with a subspecialty in marriage and sex therapy practicing at the Washington Psychological Center in Washington DC. He is professor of psychology at American University where he teaches an undergraduate human sexual behavior course. Barry, with his wife Emily, has written seven well-respected books, the most recent being Sexual Awareness: Couple Sexuality for the Twenty-First Century and Rekindling Desire: A Step By Step Program to Help Low-Sex and No-Sex Marriages.
Talk to your provider if your erection problems have to do with a fear of heart problems. Sexual intercourse is usually safe for men with heart problems.
There's an excellent chance that your erections can be restored through one of the increasingly wide range of treatments now available but the psychological scars may take longer, and be more difficult, to heal.
The most common cause of ED is a lack of flowing blood to erectile tissue. Plaque and damaged vessels can restrict circulation enough to disrupt function. Typically, symptoms begin with difficulty maintaining an erection before advancing to a complete inability to obtain one.
Also known as “methi,” fenugreek comes from the Fabaceae plant family. In one double-blind, placebo-controlled clinical trial of 60 men, fenugreek yielded significant increases in “sexual arousal and orgasm domains,” among other benefits, while experiencing no adverse events. “Further human clinical trials certainly seem worthwhile,” the authors note, “before recommending it for men.”
You get an erection when blood fills two chambers known as the corpora cavernosa. This causes your penis to expand and stiffen, much like a balloon as it is filled with water. Impulses from the brain and genital nerves start the process. Anything that blocks these impulses or restricts blood flow to the penis can cause ED.
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Dr. Honig is an internationally recognized speaker on issues related to sexual health and conducts research into experimental treatments of erectile dysfunction. Our researchers are studying the links between erectile dysfunction and cardiovascular disease.
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Often men with erectile dysfunction are able to improve sexual function by making a few lifestyle changes. Stopping smoking, losing weight, and exercising regularly can help by improving blood flow. If you suspect a medication could be contributing to erectile dysfunction, talk to your doctor about it.
Being overweight can be a reason for ED as excess fat messes with your hormones and increases the risk of heart diseases and diabetes, two major causes of ED. If obesity is affecting your performance, then shedding a few kgs can help you improve ED.
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The link between chronic disease and ED is most striking for diabetes. Men with diabetes are two to three times more likely to have erectile dysfunction. And it could start 10 to 15 years earlier. But blood sugar control can lower this risk. Any condition that affects the way blood flows through your body could lead to ED. This includes cardiovascular disease, atherosclerosis (hardening of the arteries), kidney disease, and multiple sclerosis.
Ginseng benefits sexual dysfunction because of its ability to affect the central nervous system, allowing the brain to send the necessary signals that initiate an erection. Red ginseng may also help to relax the penile tissue, allowing blood to rush to the area.
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