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Your urologist can prescribe certain medications to aid in erectile functionality. In patients who do not respond to oral medication, intracavernosal injection therapy (medications injected directly into the penis) vacuum devices or intra-urethral therapy, (medicated tablets inserted into the urethra of the penis) can be used to get and maintain an erection.

In patients who do not respond to non-surgical treatments at all, surgery may be used to insert a flexible or inflatable apparatus into the penis to manually produce erections. Erectile dysfunction (ED) means that you cannot get and/or maintain an erection. In some cases the penis becomes partly erect but not hard enough to have sex properly.

In other cases, there is no swelling or fullness of the penis at all. Both can have a significant effect on your sex life.

ED is usually treatable, most commonly by a tablet taken before sex.

You may also receive lifestyle advice and treatments to minimise your risk of heart disease.

Other treatments for erectile dysfunction Treatment for erectile dysfunction on the NHS What should I do if I develop persistent erectile dysfunction?

Most men have occasional times when they have problems achieving an erection. For example, you may not get an erection so easily if you are tired, stressed, distracted, or have drunk too much alcohol.

For most men it is only

temporary

Coronavirus: what are asymptomatic and mild COVID-19? What are the differences between colds, flu and COVID-19?

Coronavirus: what are moderate, severe and critical COVID-19? Are any coronavirus home remedies safe or effective? COVID-19: how to tell hay fever and coronavirus apart. However, some men have persistent, or recurring problems with sexual function.

It can occur at any age but becomes more common with

increasing

About half of men between the ages of 40 and 70 have ED.

There are several causes which tend to be grouped into those that are mainly physical and those that are mainly due to mental health issues. Book a consultation with a local pharmacist today via Patient Access and discuss treatment options.

About 8 in 10 cases of ED are due to a physical cause.

Causes of ED include: Reduced blood flow to the penis .

This is, by far, the most common cause of ED in men over the age of 40. Like in other parts of the body, the arteries which take blood to the penis can become narrowed. The blood flow may then not be enough to cause an erection. Risk factors can increase your chance of narrowing of the arteries.

These include getting older, high blood pressure, high cholesterol and smoking. For example, multiple sclerosis, a stroke, Parkinson's disease, etc. For example, a lack of a hormone called testosterone which is made in the testicles (testes).

However, one cause of a lack of testosterone that is worth highlighting is a previous head injury. A head injury can sometimes affect the function of the pituitary gland in the brain.

The pituitary gland makes a hormone that stimulates the testicle to make testosterone.

So, although it may not at first seem connected, a previous head injury can in fact lead to ED. Other symptoms of a low testosterone level include a reduced sex drive (libido) and changes in mood.

For example, spinal injury, following surgery to nearby structures, fractured pelvis, radiotherapy to the genital area, etc. The most common are some antidepressants; beta-blockers such as propranolol, atenolol, etc; some 'water tablets' (diuretics); cimetidine.

Many other less commonly used tablets sometimes cause ED. ED after long-distance cycling is thought to be common. It is probably due to pressure on the nerves going to the penis, from sitting on the saddle for long periods.

This may affect the function generic viagra 150 mg pills of the nerve after the ride. Excessive outflow of blood from the penis through the veins (venous leak) .

This is rare but can be caused by various conditions of the penis. In most cases due to physical causes (apart from injury or after surgery), the ED tends to develop slowly.

So, you may have intermittent or partial ED for a while, which may gradually become worse.

If the ED is due to a physical cause, you are likely still to have a normal sex drive apart from if the cause is due to a hormonal problem.

In some cases, ED causes poor self-esteem, anxiety and even depression.

For instance, many men have occasional times when they cannot get, or maintain, an erection. If you have one episode where you can't have sexual intercourse as a result, you may get anxious that it will happen again. This anxiety can be enough to stop you getting an erection next time, leading to more anxiety. Various mental health conditions may cause you to develop ED.

They include: Stress - for example, due to a difficult work or home situation. Typically, the ED develops quite suddenly if it is a symptom of a mental health problem.

The ED may resolve when your mental state improves - for example, if your anxiety or depression eases.

However, some people become even more anxious or depressed when they develop ED. They do not realise it is a reaction to their mental health problem. This can make matters worse and lead to a vicious circle of worsening anxiety and persisting ED.

As a rule, a psychological cause for the ED is more likely than a physical cause if there are times when you can get a good erection, even though most of the time you cannot.

(For example, if you can get an erection by masturbating, or wake up in the morning with an erection.) What you need to know before you take erectile dysfunction medication. You can now buy erectile dysfunction (ED) medication over the counter at pharmacies.

Erectile Dysfunction (ED) Urology Associates provides various treatment options for erectile dysfunction (ED).

Our urology team will help treat your ED safely and effectively.

About ED: Erectile dysfunction (ED), also known as impotence , is the most common sexual problem amongst men. ED is defined as the inability to achieve or sustain an erection for sexual intercourse.

At least 25% generic viagra 150 mg pills of men over the age of 50 are diagnosed with ED. Roughly 8-10% of men between 20-30 years old suffer from ED. 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.

Risk Factors of ED: Comorbid Conditions: One of the strongest predictors of ED in men revolves around comorbid conditions.

These conditions include, but are not limited to: obesity, cardiovascular disease, diabetes, high blood pressure, high cholesterol , and neurological conditions. 70-80% of ED is related to poor arterial blood flow to the penis which all these comorbid conditions above may contribute to in some degree.

Anatomical variances/Psychosocial factors: Sometimes, variances in anatomy can impair a functional erection.

Many younger men presenting with ED may have abnormal selling viagra online venous outflow from the penis, resulting in loss of erection during sexual activity. Psychosocial factors including depression or anxiety can also cause ED and seems especially more prominent in younger men.

Lifestyle choices: Additionally, there are strong associations between certain lifestyle choices and ED.

Smoking and a sedentary life style increases ED prevalence dramatically.

Luckily, lifestyle modifications can dramatically decrease a man’s chances of developing ED or progressing their existing symptoms.

Sufficient exercise has been shown to decrease ED occurence.

In fact, a well-supported study demonstrated that weight loss and increased activity can actually reverse ED in obese men without the help of medications. Sexual Activity: The amount of sexual activity also appears to impact ED prevalence rates. In one study, men having decreased sexual intercourse (average of less than once per week) had twice the rates of ED compared to men having more frequent sexual intercourse (at least once a week).

Sleep Apnea/RLS: Interestingly, sleep apnea appears to be a risk factor for ED. Treatment with CPAP (continuous positive airway pressure) may improve ED symptoms.

Although not fully investigated, restless leg syndrome (RLS) appears also to increase the rates of ED in men.

It is still unclear how treatment for RLS impacts ED. Medications: Certain medications may increase ED rates in men.

It is estimated that medications may be at least partially responsible for 25% of ED cases in men. Some of the most common medications that can cause ED include: antidepressants, sympathetic blockers (clonidine, methyldopa), certain diuretics (water pills), ketoconazole, H2 antagonists (cimetidine, ranitidine), anticholinergics.

A variety of other medications are also associated with ED. Alcohol, cocaine, marijuana, and other drugs also can exacerbate ED symptoms.

Biking/Endocrine/Low Testosterone: Excessive bicycling, endocrine disorders, and low testosterone are also risk factors for ED. Bicycling places pressure on the perineal nerves, which in excessive amounts, can cause numbness of the penis and impotence. Others: Other potential causes of ED include systemic sclerosis (scleroderma), Peyronie’s disease (excessive curvature of the penis), past trauma to the penis or pelvis, past surgeries, and prostate cancer treatment. To summarize, there are many different factors that can cause or contribute to ED. Some of the strongest contributors, such as comorbid conditions, can be modified and controlled with lifestyle changes.

Most common however, ED causes are multifactorial and complex.

Our urology team is here to work with you to resolve your ED and improve your sexual function.

How We Diagnose ED: As described above, there are many risk factors and causes for ED.

Therefore, our team investigates the potential causes for each patient thoroughly and independently to ensure the best possible outcome.

Our work up for ED may include: Medical and sexual history Physical exam Psychological assessment Basic labs. Treatment Options: Treatment options may vary depending on the presumed cause of your ED. Our team will work with and may suggest the following treatments: Oral medications, such as Viagra, Cialis, or Levitra Vacuum devices Penile self-injection therapy Lifestyle modifications Surgical procedures. Erectile dysfunction (also known as impotence, or ED) is the inability to get and keep an erection firm enough for sex. A practical approach to treating ED —similar to the strategy for most medical issues — starts with a medical history, physical examination and basic lab tests.

More extensive order real viagra testing may be suggested depending on the individual.

If the evaluation indicates that the ED is psychological or emotional in origin, referral to a qualified psychologist, psychiatrist or sexual counselor will be the next step. If the lab results indicate low testosterone, additional hormone tests will be done to determine the precise cause of the low testosterone, then a treatment aimed at normalizing the levels will be suggested. If testing shows undiagnosed or poorly controlled diabetes or a risky lipid and cholesterol profile, a referral to another medical professional will be necessary.

Although ED treatment is tailored to the individual patient, there are four general paths of treatment for ED: 1. A healthy lifestyle can “reverse” ED naturally, as opposed to “managing” it. Since ED can often be considered a “chronic disease,” healthy lifestyle choices can reverse it, prevent it from getting worse, or even prevent it altogether.

Since sexual function is based on many body parts working together, this approach is to nurture every cell, tissue and organ in the body.The goal is to achieve a healthy weight, adopt a healthy diet, exercise regularly, get enough good quality sleep, stop using tobacco, consume alcohol in moderation, and reduce stress.

Aside from general cardio and strength exercises, specific pelvic floor muscle exercises (“man-Kegels”) are beneficial to improve the strength, power and endurance of the penile “rigidity” muscles.

If a healthy lifestyle can be adopted, sexual function will often improve dramatically, as well as overall health improvements.

Since many medications have side effects that negatively impact sexual function, a bonus of lifestyle improvement is potentially needing lower dosages or perhaps eliminating medications (blood pressure, cholesterol, diabetes), which can result in further improving sexual function.