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Sexual/Erectile Dysfunction (ED) What Can Cause ED Diagnosis and Treatment. If you’re feeling frustrated because of sexual problems, we can help. Erectile dysfunction (ED) means that a man can’t get and hold an erection during sex. If it happens just sometimes – less than one in five times-- this is normal and usually doesn’t require treatment.

Think of it as just an “off day.” If it’s an ongoing problem, you want to talk it over with your urologist at John Muir Health.

There may be an underlying physical problem that needs to be treated before you can get your sexual function back to where you want it to be.

ED can happen at any age, but is more likely to occur in older men.

According to the Massachusetts Male Aging Study, severe ED increases from 5 percent in men 40 years of age to 15 percent in men 70 years and older.

There is usually a physical problem behind erectile dysfunction.

That why it’s important to talk it over with your doctor.

What Can Cause Erectile Dysfunction (ED) ED is not a natural part of aging.

In most cases, it is caused by a physical problem, which can include: Cardiovascular disease, such as clogged blood vessels or hardening of the arteries.

The main artery in the penis is only 1 millimeter in size.

If blood cannot flow freely through this vessel, then ED can occur.

Cardiovascular risks like high cholesterol, obesity, and high blood pressure Diabetes Nervous system diseases like multiple sclerosis and Parkinson’s Low testosterone.

ED can also be caused by lifestyle choices that put your health at risk, such as drinking too much alcohol, use of narcotics, and smoking – or by behavioral conditions like anxiety and stress. Sometimes medications can cause ED, but this not common.

If you are taking a new medication and begin having erection problems, talk to your doctor; your medication or the dose you take may need to be changed. Making some lifestyle changes on your own can help you get erectile dysfunction under control. Avoid smoking and the use of alcohol and narcotics Get regular exercise to help reduce stress, lose weight, and increase blood flow Talk the problem over with your partner – often it helps to get it out into the open and see what the two of you can do to relieve stress Learn relaxation techniques through the practice of yoga or mediation to help reduce stress.

Biofeedback therapy, a technique that trains you to control certain physiological processes by giving you immediate feedback, can also be very effective in reducing stress. Erectile dysfunction is a very treatable condition, and most men see improvements over time. Your doctor can diagnose what is causing your erectile dysfunction by getting a history of your health and doing a physical exam. Because there can be many different causes, additional tests might be recommended, such as a blood profile, urine tests, or a cardiovascular evaluation.

Your treatment plan might be as simple as making some lifestyle changes, like avoiding alcohol. In many cases, there is an underlying physical problem causing the condition – such as a clogged blood vessel that keeps your penis from getting the blood it needs for erection.

Whatever the cause, erectile dysfunction is a very personal condition.

At John Muir Health, your treatment plan will be as individual as you are. For many men we treat at John Muir Health, medication alone can be effective in treating erectile dysfunction.

Medication: In about 75-80% of cases we treat, medication can help most men. They can be dangerous if you have heart disease and are taking a medicine that contains nitrates, like nitroglycerin. You and your doctor can determine if medication is right for you. Options to aid a sustained erection: Vacuum erection device: a hollow tube that you place over your penis and pump to create a vacuum that pulls blood into your penis Injection therapy: self-injection of medication into

penis

Semi-rigid implants keep your penis firm, but able to bend.

It helps to have a urologist from John Muir Health who knows your health history and can help you get the treatment that’s right for you more quickly.

For more information, call our Nurse Navigator at 925-947-3322. Advanced Centre For Erectile Dysfunction (Impotence) at Fortis Hospital Bangalore. All you need to know about Erectile Dysfunction (Impotence) Erectile dysfunction (ED) is a common phenomenon among men most of which is related to stress. Also known as impotence, erectile dysfunction basically can be defined as the inability for a man to get a penile erection or maintain a firm erection enough during a sexual intercourse.

ED as seen in most cases have an adverse effect on sexual relationships and requires an experts medical help to correct it.

Erectile dysfunction signs & symptoms might include persistent: Trouble getting & maintaining an erection Reduced libido or the desire to have sex.

Other sexual disorders related to ED include: Premature & Delayed ejaculation,incapacity to achieve an orgasm known as anorgasmia. ED diagnosis includes a routine physical exam & revision of medical history related to a patient’s sexual health by the doctor.

Referring to the physical exam & tests the doctor will recommend a suitable treatment for the patient.

Additional tests may be recommended if the patient suffers from a health condition or if there any other underlying condition that the doctor may suspect.

Examination of the patient’s penis and testicles to check sildenafil teva sensation in the nerves. Blood tests to check for various health conditions including low testerone levels . An analysis of the urine similar to blood tests to check for for various health conditions. Detection of supply of blood to the penis is done through Ultrasound.

An NPT test uses a device which needs to be worn by the patient while asleep.

The device evaluates The quality of nocturnal erections is evaluated by the device which further helps the doctors to recommend the appropriate treatment Psychological exam.

A screening to check for signs of any possible psychological factor causing erectile dysfunction. After the patient has gone through physical examination, additional tests & a check on medical history – The result of the diagnosis will determine the underlying cause of ED for the patient based on which the doctor will be able to suggest the best treatment .

More than one treatment can be suggested by the doctor, who will ensure the benefits, risks of each treatment is communicated with the patient, of course the preference of the sildenafil teva patient & their partner will always be taken into consideration.He will explain the risks and benefits of each treatment and will consider your preferences while making suggestions.The treatment choices for ED include the following: Oral Medications. Medications are prescribed by the doctor based on the patient’s preference of treatment & his situation. Although the medicines may not have an immediate impact but eventually these oral medicines increase the effect on nitric oxide which helps the muscles in the penis to dilate. Which ultimately increases the supply of blood flow to the penis & helps in getting & maintaining an erection. Penile pumps are hollow battery operated tube devices which when placed over the penis, the pump sucks air inside the tube to create a vacuum which

pulls

Once a man achieves erection the tube can be removed and the erection sustains during the sexual intercourse. Bruising of the penis & restricted ejaculation

are

last

Inflatable or bendable rods are placed on either side of the penis, these rods allows the patient to have a control over his erection.

A fitness regime which includes activities to keep one fit & healthy plays a huge role in reducing the occurrence of ED.

However, exercise is have less benefit for men who have an existing chronic disease.

There are many reasons & factors affecting your sexual activity, psychological problems like stress, anxiety, and depression are few of them.

Going for sessions with a psychologist is considered extremely helpful in managing emotions & reducing stress. The sessions are not just limited to the man but it can also be attended by his partner which has shown to have a positive outcome in improving sexual wellbeing Lifestyle and home remedies. Lifestyle choices that men affected by ED can adopt are: Quitting Tobacco Working on their BMI to maintain a fit & healthy weight Adopting a fitness regime which include daily physical activities & exercises.

Get treatment for alcohol or drug problems Work through relationship issues if any. There are various factors which cause erectile dysfunction irrespective of what the cause is be it physical, psychological or a combination of both, this definitely puts a lot of pressure and adversely affects the relationship between partners Honest & open communication with the doctor is the first step a man can take towards taking action against ED.

GAINSWaveВ® is a safe, comfortable treatment for men to optimize sexual performance and to reverse the effects of Erectile Dysfunction (ED) due to poor blood flow. GAINSWave utilizes high frequency, low-intensity soundwaves to improve blood flow to the penis, remove micro-plaque, and stimulate the growth of new blood vessels.

Over 80% of Erectile Dysfunction (ED) issues are caused by poor blood flow.* GAINSWave has sildenafil 100 mg tablet coupon developed a protocol to treat ED and Peyronie’s disease as well as enhance sexual performance.

GAINSWave is based on a series of over 30 clinical studies showing a greater than 75% success rate in treating Erectile Dysfunction (ED).

The GAINSWave Medical Advisory Board has created the only provider network to use standardized protocols based on these studies, incorporate practitioner training, and implement quality assurance standards to ensure patient safety and optimum results. GAINSWave is aproven protocol for men that improve ssexual performance, treats ED and keeps the penis healthy. GAINSWave will benefit any man seeking to enhance his sexual pleasure and performance.

GAINSWave works by using high-frequency acoustic waves to open exiting blood vessels in the penis, stimulate the growth of new blood vessels, and eliminate micro-plaque. The result is increased blood flow in the penis resulting in stronger, harder, and more sustainable erections.

This therapy has been used in Europe for over 15 years with great success.

Depending on your goals anywhere from 6 - 12 treatments are recommended. We also have a preventative maintenance and performance package to maintain results and optimize performance. Enhances erections Improves sexual performance Increases sensation in the penis More spontaneous erections Better orgasms.

What are the advantages of GAINSWave over other ED medications and treatments? Is drug and surgery-free Is completely non-invasive, and has no known side effects Is a simple in-office procedure, with each treatment taking only 20- 30 minutes Provides long-lasting results with no downtime Only protocol that actually addresses the root cause of ED, poor blood flow. Numerous studies show this is the most effective ED treatment available.

Visit GAINSWave.com to see all of the clinical data. Please check with your certified GAINSWave provider on treatment packages and pricing.

Erectile Dysfunction: Symptoms, Causes & Treatment.

Unfortunately, many men are reluctant to

report

ED, or the inability to

maintain

A Johns Hopkins study revealed that over 18 million men in the U.S. over the age of 20 experience difficulties having and maintaining an erection. Signs & Symptoms: Erectile Dysfunction (ED), also known as impotence, is a type of male sexual dysfunction characterized by the inability to maintain an erection long enough and firm enough for sexual intercourse.

While most men will have occasional difficulty achieving a healthy erection during sexual intercourse, ED is only considered a possible medical explanation for these symptoms if erection difficulties have been affecting a man for an extended period of time.

When blood flow to the two chambers of the penis, known as the corpora cavernosa, are blocked or restricted for any reason, this can result in ED.

Erectile Dysfunction Causes: Men worldwide suffer from erectile dysfunction due to physical, psychological or emotional reasons.

Many of which are seeking a natural, ED solution with long-term results. 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: Poor circulation.

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 sildenafil teva 100mg tablets an erection before advancing to a complete inability to obtain one. The production of testosterone and other hormones naturally decreases with age, and this can disrupt erections. Also, in rare instances, kidney failure and liver disease may throw off the balance of hormones necessary for proper erection and intercourse.

In most cases, testosterone replacement therapy can bring levels of the hormone back to normal.

Engaging in an active lifestyle can help with weight management, stress, anxiety, and depression – all of which help with other conditions and decrease the risk of developing ED.

The accumulation of fat in the body can cause a drop in active testosterone levels.

In addition, being overweight can cause cardiovascular problems that are known to contribute to ED. 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.

The hardening of the arteries associated with smoking tobacco can reduce flowing blood to the penis.

Smoking also results in oxidative stress – another risk factor for erectile dysfunction.

Fortunately, quitting smoking has shown to relieve much of the ED risks associated with the habit.

The pressure applied to the pelvic floor during these activities can result in nerve and vascular damage that may inhibit erections. A German study found that 69% of men involved in a sleep apnea study also suffered from ED.

Disruptions to breathing during sleep affect oxygen levels in the blood, which can cause problems generating an erection.

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.

A recent study published in the Journal of Sexual Medicine reported that men with severe periodontal disease were three times more likely to have consistent difficulties having an erection.

While this may be a case of correlation rather than causation, poor dental health has long been associated with vascular disease, which is known to contribute to ED.

This condition is characterized by the bending or curvature of the penis, or narrowing of the penile shaft.

Scarring related to Peyronie’s disease can cause circulation problems in the penis. Cholesterol can cause damage to blood vessel linings in all parts of the body – including the penis. Blockages caused by elevated cholesterol levels or plaques that restrict flowing blood can prevent erectile tissue from filling with blood. A healthy diet and lifestyle, including regular exercise, can help control these levels and the risk of developing ED.

In addition, doctors may prescribe pharmaceuticals to lower cholesterol in the blood. Metabolic syndrome (MetS) MetS is a combination of maladies that can cause ED. The five hallmarks of MetS are: hypertension, elevated fasting glucose levels, elevated triglycerides, central obesity, and reduced high density lipoprotein levels of cholesterol.

MetS causes inflammation and hormonal imbalances that can lead to ED.

Treatment for MetS can include lifestyle changes, testosterone replacement, pharmaceuticals, and bariatric surgery – such as gastric bypass. In addition, some prescriptions for the condition can cause ED.

However, there’s evidence that suggests that once adequate blood pressure control is regained – even for those on medication – ED becomes less likely.

Hyperglycemia can have a negative impact on several aspects of erectile function. Complications and changes associated with diabetes can compromise macrovascular and microvascular structures, the nervous system, and blood vessel linings. One study indicated that intensive glycemic control might decrease the chances of ED in diabetic men.

In response, a number of erectile dysfunction treatments have been developed, with varying efficacy and side effects. ED Medications: Among the most popular treatment options for erectile dysfunction are pharmaceuticals. Drugs such as Viagra (Sildenafil), Levitra (Vardenafil), and Cialis (Tadalafil) are popular and boast an 80% success rate. These drugs are classified as phosphodiesterase-5 inhibitors (PDE-5) – which enable an erection, temporarily, but are not the best for maintaining an erection over time.

Prescriptions are heavily relied upon, having to be taken 15 minutes to 36 hours before sexual activity is initiated – not only reducing the spontaneity of one’s sex life but oftentimes fostering dependence.

This route typically isn’t recommended for men taking nitrate drugs or alpha-blockers, and all medications, including over-the-counter herbs and supplements, should be shared with your doctor to prevent negative interactions.

The commonly reported potential side effects of phosphodiesterase-5 inhibitors include headache, flushing, runny nose, stomach pain, back pain, indigestion, vision changes, and dizziness.

Treatment options for erectile dysfunction don’t have to be so much work. GAINSWave Treats the Root Cause of ED: GAINSWave®, the clinically proven, non-invasive therapy, was specifically developed for men seeking an erectile dysfunction treatment that would improve their sexual performance. The pulsating waves of GAINSWave improves blood flow to the penis by dissolving plaque build-up and stimulating the growth of new blood vessels. The improvement results in stronger, harder, and more sustainable erections. The pulsating waves also trigger a healing

response

With this alternative ED treatment, there are no expensive prescriptions to remember to take or refill, and no penile implants or surgery. There are none of the harmful side effects with this ED treatment as with oral drugs.

GAINSWave therapy is effective and safe for men who cannot take oral ED medicine, such as those with heart disease,

diabetes

Board-certified Scottsdale, AZ plastic surgeon works with men to help them overcome erectile dysfunction (known as ED).

Men who experience ED, which is the inability to achieve or maintain an erection, can experience stress and feel embarrassed by a situation they cannot usually control. This is a common condition and there are solutions.

If you suffer from erectile dysfunction, A nonsurgical treatment is offered at our Scottsdale office that may help you by stimulating blood circulation to help achieve and maintain an erection.

Safe and effective to use for most men, this treatment uses sound waves to stimulate blood circulation, while at the same time encourages the growth of new blood vessels in the genitals.