“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.
Doctors have not tested the PDE5 inhibitors in patients with retinitis pigmentosa, an eye condition that affects the retina and can cause blindness, and so caution is recommended if you have this health condition. .
Losing weight, eating better, getting more active, drinking less alcohol and getting better sleep can all help reverse problems that contribute to impotence, according to a new study published recently in the Journal of Sexual Medicine.
There are many possible causes for ED, which is why it’s important to talk to your doctor about it. Some risk factors include: Cardiovascular disease Complications after bladder or prostate surgery or radiation Diabetes (people with diabetes are up to three times more likely to develop ED) Drug or alcohol abuse High blood pressure Injury to the bladder, pelvis, penis, prostate or spinal cord Kidney disease Multiple sclerosis Obesity Peyronie’s disease (a buildup of scar tissue that causes the penis to curve) Prostate cancer Psychological conditions, such as depression or anxiety Side effects of certain medications Diagnosis of erectile dysfunction
ED may be a side effect of medication, including certain blood pressure drugs and antidepressants. Talk to your doctor if you think a prescription or over-the-counter drug may be causing erectile problems. But never stop taking any medicine before you discuss it with your doctor.
Lifestyle changes are one of the most effective treatments. Weight loss, increased physical activity, cutting out smoking, getting enough sleep and reducing alcohol can all have a big effect on erectile dysfunction. If you have obstructive sleep apnoea, make sure you are using your CPAP machine.
Erectile dysfunction is a type of sexual dysfunction that’s characterized by the inability to develop or sustain a penile erection. Normally, an erection occurs when blood vessels in the penis relax and open up, allowing blood to rush through and fill the area. The blood is then trapped because of the added pressure, which causes an erection. An erection is reversed when the muscles in the penis begin to contract, which stops the inflow of blood and pressure.
This problem affects men of all ages, but as men get older, there is a greater chance of developing erection problems. Population studies show that nearly 20% of men over age 20 and about 50% of men over the age of 50 have ED. The primary cause of ED is poor circulation to the penis. Just as poor circulation to the heart may result in a heart attack, so too in ED, the penis often suffers from lack of adequate circulation which results in poor erections. Age High Blood Pressure Diabetes Smoking High cholesterol Cardiovascular disease such as previous heart attacks or strokes
It’s clearly an alien conspiracy to depopulate the earth of humans before they take over…. 😉 I contracted Covid in Feb. 2020, began experiencing ED problems — no libido. I received the Pfizer jabs in spring 2021: after the first shot, began feeling tingling and shooting pains in the area of the pericardial sac, and in the penis. Then developed Peyronie’s disease and intercourse became impossible even though libido had returned. [Vitamins C and E, coupled with an antioxidant (anthocyanimids from bilberries), seems to be helping restore function, but very slowly.]
Picture of penile vacuum pump. A vacuum device can be used to produce an erection. Elements of the device include the cylinder, a pump to create a vacuum, and a constriction ring to be placed at the base of the penis after an erection has been obtained in order to maintain the erection.
Alcohol, especially excessive or frequent drinking, can cause or worsen erectile dysfunction. Alcohol can cause decreased blood volume and cause damage to the nervous system, which is responsible for causing an erection. Reducing alcohol intake or completing stopping drinking alcohol may decrease the symptoms of erectile dysfunction. Other foods that may improve the symptoms of erectile dysfunction include pistachios, watermelon, shellfish, and tomatoes.
Penile prosthesis is the primary form of surgical therapy and is reserved for those men who fail, are intolerant of, or have contraindications to other forms of therapy. Currently, there are several different types of penile prostheses. The simplest is the malleable penile prosthesis, and the most complex is the three-piece inflatable penile prosthesis.
Research published in the Journal of Sexual Medicine examined data relating to erectile dysfunction and dietary factors. Researchers found that a dietary pattern that’s high in fruit, vegetables, fish, nuts and whole grains, and low in red and processed meat, is more common in men who aren’t affected by erectile dysfunction. These dietary choices, which fall within the guidelines of the Mediterranean diet, are associated with lower all-cause and disease-specific survival, according to researchers. And in clinical trials, following the Mediterranean diet was more effective in improving erectile dysfunction or restoring erectile function in people with metabolic syndrome or obesity. (21)
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• Repeated feelings of doubt and failure or negative communication that reinforce the erection problems