If your erection problems have a medical cause, your doctor can explain the treatment options, the techniques needed to make them work and their suitability for your needs based on your overall health.
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Ultimately, what works best for you — and what dosage you take — depends on what the consulting physician determines is suitable. They’ll base this determination on your medical background and how you tolerate the medication when you begin using it. You’ll also have some say in the dosage you use to start.
Interesting, but since the alleged virus has never been scientifically isolated, purified and demonstrated to cause pathology in a blind placebo trial, of limited value. Assuming the COVID virus does exist, it would be interesting to know the mechanism involved, and whether the spike protein is the catalyst for these genital problems. If so, then it might be worth doing some parallel research on individuals who have been injected with mRNA therapy, which turns the body into a spike protein factory. I would bet such a study would be much more difficult to obtain funding for than the preliminary research, yet to be peer reviewed, headlined here.
Both experts agree that there are many indirect causes of sexual dysfunction and low sex drive. The best bet is to prevent or treat the underlying disease, they 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.
Schover LR. Sexual healing in patients with prostate cancer on hormone therapy. ASCO Education Book. 2015;e562-566.
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Certain street drugs such as "poppers" also can cause serious problems if taken with PDE5i medications. These poppers are often types of nitrates and can cause severe drops in blood pressure. Ecstasy is another street drug that may increase sexual desire but interferes with performance. This has prompted some men to combine ecstasy with PDE5i medications. This mixture (a combination sometimes called "sextasy") can improve erection ability but also causes severe headache and priapism. (Priapism is an abnormally prolonged erection that becomes extremely painful and may result in permanent damage to the erection mechanism.) There are also potentially dangerous effects to your heart from mixing PDE5i medications with various other street drugs.
Because erectile dysfunction is strongly linked to cardiovascular disease, researchers suggest that men with ED should always be screened for cardiovascular disease. Studies show that there’s a two- to five-year interval between the development of erectile dysfunction symptoms and the onset of cardiovascular problems. ED is also a risk factor for peripheral arterial disease and stroke.
Men with a known hypersensitivity to alprostadil should not use intraurethral prostaglandin E1.
There seem to be no end to the “authoritative” explanations and “guaranteed” easy treatments for erectile dysfunction (ED). Since the so-called Viagra revolution, conventional wisdom holds that the problem can be fixed simply by taking a pill. The truth of the matter is, though, that ED is often a complex condition affected by physical, psychological, and relationship issues—and it’s a problem shared by both a man and his partner. This book is the first ever to address this common problem using a comprehensive biological, psychological, and social approach. It offers a proven-effective program for regaining erectile function, building strong and intimate relationships, and having great sex. •Find out which medicines and medical treatments really work, and how to integrate them into your sexual relationship •Understand and change the important personal and relationship features of your ED •Learn how to integrate medical, psychological, relationship, and lovemaking skills for great sex
Ultrasound with Doppler imaging (ultrasound plus evaluation of blood flow in the arteries and veins) can provide additional information about blood flow of the penis and may help in the evaluation of patients prior to surgical intervention. This study is typically performed after the injection of a chemical that causes the arteries to open up, a vasodilator (prostaglandin E1), into the corpora cavernosa in order to cause dilation of blood vessels and promote blood flow into the penis. The rate of blood flow into the penis can be measured along with an evaluation of problems with compression of the veins.
What causes ED? There are many causes of impotence both medical and psychological. Often, age is a predominant factor in erectile dysfunction; however, your chronological age is not solely responsible for ED’s development. Men over the age of 40 typically experience ED as the result of inadequate blood flow to the penis, most often due to the narrowing of blood vessels. This can arise due to many causes including:
Additionally, surgeries or procedures that target the spinal cord or pelvic area can lead to ED. Radiation therapy to the testicles can also cause impotence.
Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain a hard enough erection for satisfactory completion of sexual activity. Erectile dysfunction is different from other health conditions that interfere with male sexual function, such as lack of sexual desire (decreased libido) and problems with ejaculation release of the fluid from the penis (ejaculatory dysfunction) and orgasm/climax (orgasmic dysfunction), and penile curvature (Peyronie's disease), although these problems may also be present. ED affects about 50% of men age 40 and over. This article focuses on the evaluation and treatment of erectile dysfunction.