Ambrosi, B., Bara, R., Travaglini, P., et al (1977) Study of the effects of bromocriptine on sexual impotence. Clinical Endocrinology, 7, 417–421.CrossRefGoogle ScholarPubMed
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Certain medications can alter testicular function, including diuretics (water pills), some seizure medications, long-acting oral opiate pain medications, antipsychotic medications, and oral steroids.
5. Lee M, Sharifi R. Chapter 99: Erectile Dysfunction. Pharmacotherapy: A Pathophysiologic Approach, 11e. McGraw Hill; 2020. Accessed March 31, 2022. https://accesspharmacy.mhmedical.com/content.aspx?bookid=2577§ionid=230460622
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Your doctor will do a physical exam and ask you questions about your symptoms. He or she may do a blood or urine test. Your doctor may consider other tests to rule out other conditions.
Your GP will take a detailed sexual history to determine why your erections are failing and under what circumstances you are having sexual difficulties. You will also be asked about lifestyle factors (e.g. your job, work pressures, smoking habits, exercise, diet, alcohol intake and drug consumption). It is also normal to ask about your sex drive (libido), whether you still get night-time or early-morning erections and whether your partner is also concerned about your difficulties and whether or not your relationship is being affected.
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Malleable implants are a pair of bendable rods placed inside the penis. You manually move your penis, and therefore rods, into a position suitable for sex. Such implants do not affect penis size.
Erosion of the prosthesis, whereby it presses through the corporal tissue into the urethra, may occur. Symptoms and signs may include pain, blood in the urine, discharge, abnormal urine stream, and malfunction. If the prosthesis erodes into the urethra, a physician must remove it. If the other cylinder remains intact, it can be left in place. A physician leaves a catheter in place to allow the urethra to heal.
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Padma-Nathan, H. & Goldstein, I. (1988) Arterial reconstruction. In Contemporary Management of Impotence and Infertility (eds Tanagho, E. A., Lue, T. F. & McClure, R. D.). Baltimore: Williams & Wilkins.Google Scholar
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11. Levitra (Vardenafil) [Prescribing Information]. Research Triangle Park, NC: GlaxoSmithKline; November 2018.
Trazodone. This is an antidepressant. It’s still uncertain whether it works for ED. It’s not recommended.
Erectile dysfunction or ED (also known as impotence) is when a man cannot achieve or sustain an erection for sexual intercourse. This can be: a total inability, inconsistent ability, or a tendency to sustain only brief erections.
If you're a younger man who can't get it up, it may be an early indicator that you have heart disease, for example. Plaque buildup in the small blood vessels in your penis can block blood flow there before they do so in your wider coronary arteries, causing a heart attack. ED is, essentially, a penile heart attack.
Partners should try and talk about the condition with the sufferer, as this can help alleviate some anxiety and let him know that you are ready to confront the condition as a partnership, rather than alone. As much open communication as possible can be key.
Infection is a concern after placement of a prosthesis and is a reported complication in 8%-20% of men undergoing placement of a penile prosthesis. If a prosthesis becomes infected (redness, pain, swelling of the penis, and sometimes purulent drainage are signs of infection), the prosthesis must be removed. Depending on the timing and severity of the infection and your surgeon's preference, the area can be irrigated extensively with antibiotic solutions and a new prosthesis placed at the same time or removal of the infected prosthesis and an attempt to place a new prosthesis made at a later time when the infection is cleared.
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Berendsen, H. H. G. & Gower, A. J. (1986) Opiate: androgen interactions in drug-induced yawning and penile erections in the rat. Neuroendocrinology, 42, 185–190.CrossRefGoogle ScholarPubMed
Men with a known hypersensitivity to alprostadil should not use intraurethral prostaglandin E1.
Kiely, E. A., Ignotus, P. & Williams, G. (1987a) Penile function following intracavernosal injection of vasoactive agents or saline. British Journal of Urology, 59, 473–476.CrossRefGoogle ScholarPubMed
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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.
Exercise has a considerable role to play while treating ED. In this blog post, we look at how movement can help you get your mojo back. And we explore specific exercises that may eliminate sexual dysfunction before you ever have to pluck up the courage to chat to your physician.
A separate study of men ages 25-45 examined the effect of taking both L-arginine and pycnogenol together for ED treatment. Pycnogenol is the name for certain chemicals taken from a French pine tree. Men were given L-arginine for one month; nothing happened in the study.
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Erectile dysfunction (ED) is when a man cannot get or keep an erection. The condition prevents the man from having sex or finishing sex. This condition used to be called impotence. ED can occur at any age, but it is more common in men older than 75 years of age.
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Yes, penile pumps (also known as ED pumps) are over-the-counter devices that work to treat erectile dysfunction (ED), similar to Viagra.
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If the erection does not subside within half an hour, contact our on call physician and/or go to the nearest Emergency Department.ic cancer in a population of men presenting for erectile dysfunction. Lap Davinci Prostatectomy, Laparoscopic Urologic Surgery, Vasectomy, Laser Prostate Surgery.
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The data collectors were given 1 day of training on the purpose of the study and the data collection procedures. A pretest was carried out on 5 sildenafil users that came to two randomly selected pharmacies in the town. Based on the results, modifications (removal of questions that were not feasible in the current setup and/or re-writing of the wordings in simpler forms) were applied to the questionnaire and those participants in the pretest were excluded from the final study. The collected data were checked for completeness and consistency each day before entering into the software for analysis.
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Top Search Terms for Erectile Dysfunction Erectile Dysfunction (ED) Causes Treatments for ED ED Vacuums Medications for ED Natural Remedies for ED Symptoms of ED ED and Depression ED Self-Test Preventing ED ED Diagnosis Low Testosterone and ED COVID-19 and ED The location you tried did not return a result. Please enter a valid 5-digit Zip Code.
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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Aerobic, Pilates & Kegel Erectile Dysfunction Exercises: How They Work?HomeMens HealthAerobic, Pilates & Kegel Erectile Dysfunction Exercises: How They Work?
Prostaglandin E1 (intraurethral alprostadil or MUSE) can be inserted in a pellet (suppository) form into the urethra to attain erections. It is available in four dosage strengths: 125 mcg, 250 mcg, 500 mcg, and 1,000 mcg. Most individuals need 500 mcg to 1,000 mcg for a satisfactory response.
There are a variety of other options to treat erectile dysfunction including medication, surgical options, injections, or vacuum devices:
Almost any disease or condition can affect erectile function by altering the nervous, vascular, or hormonal systems.
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Blood levels of testosterone, prolactin, FSH (follicle-stimulating hormone), LH (luteinising hormone) and thyroid hormones will normally be measured.
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There are different types of treatment ED including medication such as the popular Viagra pill. However, pills do not work for everyone and will normally cure the effects of ED and not the underlying cause of ED. Experts are continuously encouraging ED patients to explore natural treatments for the condition.
Let’s take a look at the two most recommended exercises that ED patients can try for improved erectile function or even complete cure of ED:
Vacuum constriction devices, or penis pumps, may be useful in the treatment of erectile dysfunction (impotence). A penis pump is an acrylic cylinder with a pump that can be attached to the end of the penis. The pump then creates a vacuum to help the penis become erect, while a constriction ring maintains the erection.
Exercise has a considerable role to play while treating ED. In this blog post, we look at how movement can help you get your mojo back. And we explore specific exercises that may eliminate sexual dysfunction before you ever have to pluck up the courage to chat to your physician.
Published on January 25, 2022
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Blood in the semen (haematospermia) Blood in the urine (haematuria) Erectile dysfunction (impotence) Fertility problems Incontinence of urine Kidney stones Male menopause (androgen deficiency in the ageing male) Premature ejaculation Prostate symptoms (bladder outlet obstruction) Raised PSA Testicle missing Testicular lump Tight foreskin (phimosis) Urinary infection (adult) Urinary infection (child)
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This inability to perform sexually often creates significant intimacy problems if someone is in a relationship. One study found that erection challenges can cause diminished sexual desire for both partners and sometimes can end your sex life altogether. Sexual dissatisfaction informs and exacerbates other tensions within a relationship and ultimately puts couples at greater risk of conflict and strife.
Wright, J., Pbrreault, R. & Mathieu, M. (1977) The treatment of sexual dysfunction – a review. Archives of General Psychiatry, 34, 881–890.CrossRefGoogle ScholarPubMed
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Gee, W. F., McRoberts, J. W., Raney, J. O., et al (1974) The impotent patient: surgical treatment with penile prosthesis and psychiatric evaluation. Journal of Urology, 111, 41–43.CrossRefGoogle ScholarPubMed
Lift the now-straightened leg as high as you can without moving your spine and hips.
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Kegels exercises can be helpful in maintaining the blood flow and strengthen the muscles of the pelvic- region thus enabling a normal erection.
Some men should not take PDE5 inhibitors. They can cause hypotension (abnormally low blood pressure that can lead to fainting and even shock) when given to patients who are taking nitrates (medications taken for heart disease). Therefore, patients taking nitrates daily should not take any of the PDE5 inhibitors. Nitrates relieve angina (chest pain due to the insufficient blood supply to the heart muscle because of narrowing of the coronary arteries); these include nitroglycerine tablets, patches, ointments, sprays, and pastes, as well as isosorbide dinitrate and isosorbide mononitrate. Other nitrates such as amyl nitrate and butyl nitrate also are in some recreational drugs called "poppers."
At one time, it was thought that ED only affected older men but it is much more common among younger men than previously believed.
Spedra is recognised as being the fastest acting oral medication for ED. Doses are 50mg, 100mg or 200mg tablets. The 100mg strength is the recommended starting does which should be tried four times before an increase to the 200mg dose is advised. The maximum dose should be tested on eight occasions before it is confirmed as being ineffective for an individual. Spedra can be taken as little as 15 minutes before sexual intercourse.
Other natural or herbal remedies such as DHEA, L-arginine, ginseng, and Yohimbe are supplements that have been used but have not been proven safe and effective according to some researchers. Before using such compounds, individuals should consult their doctor. According to some experts, acupuncture does not effectively treat erectile dysfunction.
Reynolds, B. S. (1977) Psychological treatment models and outcome results for erectile dysfunction: a critical review. Psychological Bulletin, 84, 1218–1238.CrossRefGoogle ScholarPubMed
Our physicians are experienced in treating the complete range of urologic conditions and diseases, from kidney stones and sexual dysfunction to prostate cancer, incontinence and infertility. Male Urology > Erectile Dysfunction Erectile dysfunction is a challenging and embarrassing problem for men.
Yes. In addition to other health benefits, regular exercise can help men with their erections.
The U.S. FDA (Food and Drug Administration) has a list of 29 OTC products that claim to treat erectile dysfunction. Patients should avoid these because many contain harmful ingredients.
1. https://www.researchgate.net/publication/230237786_Male_Erectile_Dysfunction_Its_Prevalence_in_Western_Australia_and_Associated_Sociodemographic_Factors
