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©1996-2022 MedicineNet, Inc. All rights reserved. Terms of Use. MedicineNet does not provide medical advice, diagnosis or treatment. See additional information. Billing & Insurance MyChart Search Menu Request an Appointment Refer a Patient Request an Appointment Refer a Patient What Is Erectile Dysfunction? Quick Links + Erectile Dysfunction (ED) Injections: Trimix Penile Implant Vacuum Erection Device (VED) Shockwave Therapy for ED

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At Yale Medicine, we take a multidisciplinary approach to determine the underlying causes of your erectile dysfunction, and we understand the relationship between erectile dysfunction and other health issues. We regularly collaborate with colleagues across different areas of medicine to help patients who we treat.
Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider. Wake Forest Baptist Health, Medical Center Boulevard, Winston-Salem, NC 27157. All Rights Reserved. Request an Appointment .

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Every case is individual, so in order to find out what causes problems with your sexual vigor, you need to schedule a meeting with a doctor.
Survey says more then 50 percent with erectile dysfunction problems during partnered sex don’t have a problem when watching porn.  

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The medicine causes blood vessels to expand, increasing blood flow in the body and to the penis, thus helping patients to get an erection. Invasive surgeries that involve rods and balloons are also available to patients suffering from ED. While these treatments often come with potential side effects, discomfort and a financial burden, some ED patients may see success with them.
The good news is that there’s a cure for ED. Depending on the underlying cause of the problem, your doctor can opt for one of these treatment options;

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BlueChew’s shipments are completely discreet; no one would ever be able to guess what’s inside of the package. We want you to know in advance that you might see “Hims” or “Roman” in a return address field on their shipments, but since these companies offer so many products from shampoo to vitamins, you don’t really have to worry about that revealing anything specific about your purchase. BlueChew Review: Everything you need to know before you buy By: Tim Barclay, PhD

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    ED is the term used to describe the condition of being unable to get or keep an erection long enough to engage in satisfying sexual activity. So, it encompasses a few circumstances: You can get an erection but can’t maintain it for a long enough period of time. You can get semi-erect but not fully firm. An erection just won’t happen at all. Erections sometimes happen but sometimes won’t.

    But you might be wondering where or what the pelvic floor muscles are. They extend from the tailbone to the pubic bone, and they're easy enough to find; just pay attention the next time you urinate.
    Steege, J. F., Stout, A. L. & Carsen, C. C. (1986) Patient satisfaction in Scot and Small carrion penile implant recipients: a study of 52 patients. Archives of Sexual Behaviour, 15, 393–399.CrossRefGoogle Scholar

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    Erectile dysfunction (ED) is one of the most common conditions affecting middle-aged and older men. Nearly every primary care physician, internist and geriatrician will be called upon to manage this condition or to make referrals to urologists, endocrinologists and cardiologists who will assist in the treatment of ED. This article will briefly discuss the diagnosis and management of ED. In addition, emerging concepts in ED management will be discussed, such as the use of testosterone to treat ED, the role of the endothelium in men with ED and treating the partner of the man with ED. Finally, future potential therapies for ED will be discussed.

    While the ED experience might feel overwhelming, know that there are medically backed treatment options available for erectile dysfunction.
    Besides PDE5 inhibitors and among second-line therapies are VCDs which are clear plastic chambers placed over the penis, tightened against the lower abdomen with a mechanism to create a vacuum inside the chamber. This directs blood into the penis. If an adequate erection occurs inside the chamber, the patient slips a small constriction band off the end of the VCD and onto the base of the penis. An erection beyond 30 min is not recommended. These devices can be a bit cumbersome, but are very safe.40

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    Keep your thighs, buttocks, and abdominal muscles relaxed as you squeeze the pelvic floor for a count of three.

    For some, entering into a sexual experience with a new partner or having sexual intercourse too soon after masturbating can negatively affect erectile function.
    For patients who have health conditions like obesity, hypertension, heart disease, or vascular disease, engaging in regular aerobic exercise is one of the best ways to encourage blood flow, improve weight loss, and help enhance sexual performance.

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    In one study, researchers enrolled 28 men in an intervention group that engaged in pelvic exercises regularly.

    The patient can inject medications directly into the corpora cavernosa to help attain and maintain erections. Medications such as papaverine hydrochloride, phentolamine, and prostaglandin E1 (alprostadil) can be used alone or in combinations to attain erections. All of these medications are vasodilators and work by increasing blood flow into the penis. Prostaglandin E1 (Caverject, Edex) is easier to obtain; however, it is associated with penile pain in some individuals. The use of combinations of two or three of these medications can decrease the risk of having penile pain.
    Do NOT take these medications if you are on nitroglycerin, taking medications with nitrates, or even have nitroglycerin at home. Ask your doctor if you have any questions about this.

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This is a common exercise especially among women. Research has shown that it’s also great for men who want to exercise their pelvic muscle for improved blood flow which helps in holding an erection.

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In prescribing sildenafil, a doctor considers the age, general health status, and other medication(s) the patient is taking. The usual starting dose for most men is 50 mg, however, the doctor may increase or decrease the dose depending on side effects and effectiveness. The maximum recommended dose is 100 mg every 24 hours. However, many men will need 100 mg of sildenafil for optimal effectiveness, and some doctors are recommending 100 mg as the starting dose. What are the side effects of sildenafil (Viagra) that may be different from some of the other PDE5 inhibitors?

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DiabetesDiabetes is a known risk factor for ED, and its prevalence in patients with diabetes is estimated to be greater than 50%. When compared to a healthy control group, men with diabetes were found to be 3.5 times more likely to have ED than those without diabetes.21 While PDE5Is have proven to be highly efficacious in the treatment of ED, men with diabetes tend to have a poorer response with this drug class compared with those without, although some of the evidence is mixed. Because the release of NO is mediated by neuronal and endothelial NO synthase, it is postulated that neuropathy and endothelial disease (commonly diagnosed in patients with diabetes) diminish the effects of PDE5Is.22

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