First line treatment will be medication with a phosphodiesterase inhibitor such as sildenafil (Viagra), tadalafil (Cialis) or avanafil (Spedra). These drugs only work when used together with sexual stimulation and will have no effect on your sex drive. There is no evidence that these drugs are dangerous if you have underlying heart disease. However, they should not be used if you are taking nitrates (e.g. GTN, isosorbide) for angina
Dr Gautam Banga, consultant and andrologist at the Sunrise Hospital New Delhi previously told indianexpress.com that in India, ED is a taboo because people don’t see it as a medical disorder but as sexual incompetence. “It does not happen because the man is not interested in or is incapable of having sex, but there are medical reasons like diabetes, high cholesterol, high blood pressure and ischemic heart disease (IHD), depression etc., that leads to ED,” he said. .
You can also try this activation exercise sitting or standing with your arms at your sides and your feet spread hip-width apart.
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Inadequate production of testosterone is not a common cause of erectile dysfunction. But, when ED does occur due to decreased testosterone production, testosterone replacement therapy may improve the problem.
While ED is not life threatening, the condition may result in withdrawal from sexual intimacy, reduced quality of life, decreased working productivity, and increased healthcare utilization. Patterns of care may shift away from surgical and device therapies provided by urologists and toward pharmacologic treatments and/or multidisciplinary approaches. With men increasingly seeking to preserve sexual function and quality of life as they age, the treatment of ED will take on even greater importance in the years to come.
Problems with the veins that drain the penis can also contribute to erectile dysfunction. If the veins are not adequately compressed, blood can drain out of the penis while blood is coming into the penis and this prevents a fully rigid erection and maintaining an erection. Venous problems can occur as a result of conditions that affect the tissue that the veins are compressed against, the tunica albuginea. Such conditions include Peyronie's disease (a condition of the penis associated with scarring [plaques] in the tunica albuginea that may be associated with penile curvature, pain with erections, and ED), older age, diabetes mellitus, and penile trauma (penile fracture).
There are also case reports associating the use of Sildenafil with recurrent epistaxis. The number of similar cases might increase due to the diffusion of PDE-5 inhibitor overuse in recreational settings (15, 16). Case reports of type A and B aortic dissection have also been reported with sildenafil abuse (17). In some cases, patients may experience vomiting, diarrhea, and abdominal pain shortly after the ingestion of sildenafil and may be found to have aortic dissection upon admission to a hospital (18).
The vacuum device is placed over the penis and draws blood into the sponge-like chambers of tissue that make up a majority of the penis. While effective, this option is dependent on body build and can be painful.
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Lal, S., Ackman, D., Thavundayil, J. N., et al (1984) Effect of apomorphine, a dopamine receptor agonist, on penile tumescence in normal subjects. Neuro-Psychopharmacological and Biological Psychiatry, 8, 695–699.CrossRefGoogle ScholarPubMed
Call your doctor right away if you take one of these medications and have a prolonged erection that lasts 4 hours or longer. This condition may cause permanent impotence if not treated.
yes, it is possible to erectile dysfunction. The first and major step is to follow an active lifestyle with healthy eating habits. Keeping obesity and cardiovascular problems is very important to avoid frequent episodes of erectile dysfunction.
Partners of ED sufferers can also play an important role in leading them towards the treatment which they need - be it medicinal, physical or psychological. The partner can be a stable presence throughout the treatment programme itself. Following the treatment process, the partner can continue their supporting role, particularly in cases where sexual anxiety continues - this can play a crucial role in recovery over the long term.
You can inject an ED medicine called it alprostadil into your penis to help it fill with blood and quickly cause an erection. It's sometimes used in combination with other drugs. You may also insert alprostadil into your urethra (the small hole in your penis where urine comes out) as a suppository. That's a solid form of the medicine that gets dissolved by your body heat.
Managing other health conditions and making the necessary lifestyle changes are important to help overcome erectile dysfunction. That’s why our team at the Male Infertility & Sexual Health Program at UH uses a specialized, team-based approach to deliver expert and highly individual ED care.
Research has found that doing Kegel exercises twice a day can help a man build a strong pelvic floor. The benefits of a strong pelvic floor include maintaining longer and more rigid erections.