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.
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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.
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;
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
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
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.
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.
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.
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?