Of the 90% of men who have an underlying physical cause, the main abnormalities found are: Cardiovascular disease in 40%; Diabetes in 33%; Hormone problems (e.g. high prolactin or low testosterone levels) & drugs (e.g. antihypertensives, antipsychotics, antidepressants, antihistamines, heroin, cocaine, methadone) in 11%; click here to watch a short video about testosterone deficiency from the NHS Health & Care Video Library. Neurological disorders in 10%; Pelvic surgery or trauma in 3-5%; and Anatomical abnormalities in 1-3% (e.g. tight foreskin, short penile frenulum, Peyronie's disease, inflammation, penile curvature). What treatments are available for this problem?
You will also be asked a detailed past medical and surgical history as you may have other medical conditions which may be contributing to your erectile dysfunction. It is important to tell your GP about other symptoms such as pain, premature ejaculation (uncontrolled ejaculation before or immediately after penetration) or symptoms of prostatic obstruction because they are often associated with erectile dsyfunction. .
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L-arginine supplementation is possibly unsafe for men with blood pressure problems or men who have had a heart attack, allergies, or asthma.
It can be embarrassing to discuss sexual matters with your doctor. Yet a doctor’s appointment is neccessary if you want to get treatment for ED. Here’s how to prepare for your doctor visit.
Believe it or not, all of these medications work by achieving the same effect. All of them are PDE-5 inhibitors, and they support or enhance the effects of nitric oxide in our bodies. Roman sildenafil 40 mg BlueChew sildenafil 30 mg BlueChew tadalafil 6 mg Hims Stendra 100 mg Hims Viagra 40 mg Lowest price $4/dose $2.65/dose $3.21/dose $29/dose $70/dose Free trial? How fast does it work? 40-60 minutes 20-60 minutes 30-60 minutes 15 minutes 40-60 minutes How long can it work? Up to 6 hours Up to 6 hours 18-36 hours Up to 6 hours Up to 6 hours Medication form Pill Chewable Chewable Pill Pill
Physicians make a diagnosis of erectile dysfunction in men who complain of trouble having a hard enough erection or a hard erection that does not last long enough. It is important as you talk with your doctor that you be candid in terms of when your troubles started, how bothersome your erectile dysfunction is, how severe it is, and discuss all your medical conditions along with all prescribed and nonprescribed medications that you are taking. Your doctor will ask several questions to determine if your symptoms are suggestive of erectile dysfunction and to assess its severity and possible causes. Your doctor will try to get information to answer the following questions:
If anxiety or stress is causing your ED, it may help to talk to a professional therapist.
Bullet point: The relationship between the risk factors for CVD and ED are intimately interwoven, one with the other. Clinicians need to factor this in when counselling the man with ED.
A total of 65 men had participated in the study. The mean age of the participants was 37 years (range 22–67). More than half (52.3%) of the study participants were married and 41.5% of the participants had completed secondary education (Grade 9–12). Regarding occupational status, about 24 (36.9%) of the respondents were employees, and 42 (64.6%) were Orthodox Christians by religion (Table 1).
All drugs have some side effects and these may vary according to the dosage used and the sensitivity of the individual to the substance. Prolonged Erection (Priapism) An erection lasting for more than 4 hours has occurred in some cases following penile injection. Sometimes this is due to people injecting themselves with excessive doses of the drug. Occasionally it can happen at the first injection because of the persons sensitivity to the drug. If this happens it may be necessary for a doctor to give an injection of a different drug to counteract this effect. If the counteracting drug is given within 5-6 hours of the original injection it will usually reverse the effect and no long term harm will result.
Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex, feeling stressed either at home or at work, or feeling troubled in your current sexual relationship. In these cases, treatment incorporating psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress, leading to further erectile failure. Los of desire or interest in sexual activity can be psychological or due to low testosterone levels.
Surgery in the pelvic area may injure the nerves and the arteries near the penis, resulting in ED. Also, surgical procedures on the brain and the spinal cord may cause erectile dysfunction. Those procedures often associated with ED include:
The pulsating waves also trigger a healing response that “wakes-up” dormant stem cells and growth factors in the penis for an overall rejuvenation of male erectile tissue.
When you get used to doing pelvic floor exercises, you can try holding each squeeze for a few seconds.
The first line treatment for ED is the PDE5 inhibitor medications Viagra, Sildenafil, Cialis, Tadalafil, Levitra and Spedra. They are all recognised as being effective in treating the condition in the majority of cases. Are sex counselling and surgery needed to treat erectile dysfunction (ED)?