However, insufficient evidence exists to prove either acupuncture or maca have a positive impact on ED. Psychological factors are a common cause of ED, including:. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. Some men stay sexually functional into their 80s. Firstly, a doctor will ensure that the individual is receiving the correct treatments for any other health conditions they may have. All rights reserved. These pellets contain medication that causes blood I have to treat impotence flow into the penis and make it firm. Advertising revenue supports our not-for-profit mission.
Ten spot adult. How Erections Work
Your penis might feel cold to the touch. Research has found that some natural options can improve ED symptoms. This can either be hand operated or battery powered. The foods you eat can have a direct impact on erectile dysfunction, Dr. Increasing your level of activity might also further reduce your risk. Tell your doctor if you are breast-feeding a baby. People with yo disorders and those who are using other hae for ED should not take alprostadil. With a impohence, your doctor could recommend a number of steps that would likely improve both your heart health and your ED. Lifestyle changes that could help improve your sexual function include exercising and losing weight. Other drugs may interact with sildenafil, including prescription and over-the-counter medicines, vitamins, and I have to treat impotence products.
Erectile dysfunction ED is the inability to get or keep an erection firm enough to have sexual intercourse.
- Impotence is a very common condition and can occur at any age.
- Erectile dysfunction ED , or impotence, is a major challenge for many men today regardless of their age — young, middle-aged, or old.
The Public Education Council improves the quality of resources the Foundation provides. The Council serves to develop, review and oversee the educational materials and programs the Foundation provides.
Charitable Gift Planning is a powerful way to ensure your legacy in advancing urologic research and education to improve patients' lives. We provide free patient education materials on urologic health to patients, caregivers, community organizations, healthcare providers, students and the general public, pending availability. Although prostate cancer treatment can be lifesaving, it can also take a toll on the body.
This can result in a disruption to normal urinary, bowel and sexual function. Whether you have surgery, radiation or hormone therapy, you are likely to have side effects. You can get on track for good urologic health with better eating habits and small changes to your lifestyle.
Read our Living Healthy section to find healthy recipes and fitness tips to manage and prevent urologic conditions. At the Urology Care Foundation, we support research aimed at helping the millions of men, women and children who struggle with urologic cancer and disease. It affects as many as 30 million men. Though it's not rare for a man to have some problems with erections from time to time, ED that is progressive or happens routinely with sex is not normal, and it should be treated.
Finding the cause s of your ED will help treat the problem and help with your overall well-being. As a rule, what's good for your heart health is good for your sex health. During sexual arousal, nerves release chemicals that increase blood flow into the penis. Blood flows into two erection chambers in the penis, made of spongy muscle tissue the corpus cavernosum. The corpus cavernosum chambers are not hollow.
During erection, the spongy tissues relax and trap blood. The blood pressure in the chambers makes the penis firm, causing an erection. When a man has an orgasm, a second set of nerve signals reach the penis and cause the muscular tissues in the penis to contract and blood is released back into a man's circulation and the erection comes down.
When you are not sexually aroused, the penis is soft and limp. Men may notice that the size of the penis varies with warmth, cold or worry; this is normal and reflects the balance of blood coming into and leaving the penis. With Erectile Dysfunction ED , it is hard to get or keep an erection that is firm enough for sex. When ED becomes a routine and bothersome problem, your primary care provider or a Urologist can help.
ED may be a major warning sign of cardiovascular disease indicating blockages are building in a man's vascular system. Some studies have shown men with ED are at significant risk of getting a heart attack, stroke or circulatory problems in the legs. ED also causes:. If ED is affecting a man's well-being or his relationships, it should be treated. Treatment aims to fix or enhance erectile function, help circulatory health and help the quality of a man's life.
Some men stay sexually functional into their 80s. Finding and treating the reason for ED is a vital first step. Normal sex needs the mind and body working together. Emotional or relationship problems can cause or worsen ED. Diagnosing ED starts with your health care provider asking questions about your heart and vascular health and your erection problem.
Your provider may also give you a physical exam, order lab tests or refer you to a Urologist. Your doctor will ask you questions about your health history and lifestyle.
It is of great value to share facts about drugs you take, or if you smoke or how much alcohol you drink. Knowing about your history of ED will help your health provider learn if your problems are because of your desire for sex, erection function, ejaculation, or orgasm climax. Some of these questions may seem private or even embarrassing. However, be assured that your doctor is a professional and your honest answers will help find the cause and best treatment for you.
Your health care provider may ask you questions about depression or anxiety. He or she may ask about problems in your relationship with a partner. Some health care providers may also ask if they may talk to your sex partner. A physical exam checks your total health.
Examination focusing on your genitals penis and testicles is often done to check for ED. Based on your age and risk factors, the exam may also focus on your heart and blood system: heart, peripheral pulses and blood pressure.
Based on your age and family history your doctor may do a rectal exam to check the prostate. These tests are not painful. Your health care provider may order blood tests and collect a urine sample to look for health problems that cause ED. Questionnaires are often used by health experts to rate your ability to initiate and keep erections, gauge your satisfaction with sex and help identify any problems with orgasm. For some men with ED, specialized testing may be needed to guide treatment or re-assess you after a treatment fails.
The treatment for ED starts with taking care of your heart and vascular health. You may be asked to change certain food habits, stop smoking, increase workouts or stop using drugs or alcohol. You may be offered alternatives to the drugs you take.
Never stop or change prescription drugs without first talking to your health care provider. Your health care provider may also suggest treating emotional problems. These could stem from relationship conflicts, life's stressors, depression or anxiety from past problems with ED performance anxiety. The treatments below are available to treat ED directly. Non-invasive treatments are often tried first. Still, it helps to ask your health care provider about side effects that could result from each option:.
Drugs known as PDE type-5 inhibitors increase penile blood flow. These are the only oral agents approved in the U. The drugs require normal nerve function to the penis. PDE5 inhibitors improve on normal erectile responses helping blood flow into the penis. Use these drugs as directed. About 7 out of 10 men do well and have better erections. Response rates are lower for Diabetics and cancer patients. Always speak with your health care provider before using a PDE5 inhibitor to learn how it might affect your health.
In those rare cases where a low sex drive and low blood levels of Testosterone are at fault for ED, Testosterone Therapy may fix normal erections or help when combined with ED drugs PDE type 5 inhibitors. An elastic ring is then slipped onto the base of the penis. This holds the blood in the penis and keeps it hard for up to 30 minutes. With proper training, 75 out of men can get a working erection using a vacuum erection device.
If oral drugs don't work, the drug Alprostadil is approved for use in men with ED. This drug comes in two forms, based on how it is to be used: intracavernosal injection called "ICI" or through the urethra called "IU therapy". Alprostadil is injected into the side of penis with a very fine needle. It's of great value to have the first shot in the doctor's office before doing this on your own. Self-injection lessons should be given in your doctor's office by an experienced professional.
This combination therapy called "bimix or trimix" is stronger than alprostadil alone and has become standard treatment for ED. The amount of each drug used can be changed based on the severity of your ED, by an experienced health professional. You will be trained by your health professional on how to inject, how much to inject and how to safely raise the drug's dosage if necessary.
ICI therapy often produces a reliable erection, which comes down after minutes or with climax. Since the ICI erection is not regulated by your penile nerves, you should not be surprised if the erection lasts after orgasm. Men who have penile erections lasting longer than two to four hours should seek Emergency Room care. Priapism is a prolonged erection, lasting longer than four hours.
It is very painful. Failure to undo priapism will lead to permanent penile damage and untreatable ED. For IU therapy, a tiny medicated pellet of the drug, Alprostadil, is placed in the urethra the tube that carries urine out of your body. Using the drug this way means you don't have to give yourself a shot, unfortunately it may not work as well as ICI.
If an erection lasts for over four hours, it will need medical attention to make it go down. The main surgical treatment of ED involves insertion of a penile implant also called penile prostheses. Although placement of a penile implant is a surgery which carries risks, they have the highest rates of success and satisfaction among ED treatment options. Penile implants are devices that are placed fully inside your body. They make a stiff penis that lets you have normal sex.
These silicone rods give the man's penis the firmness needed for sexual penetration. The implant can be bent downward for peeing or upward for sex. Tubing joins these cylinders to a pump placed inside the scrotum between the testicles. When the pump is engaged, pressure in the cylinders inflate the penis and makes it stiff. Inflatable implants make a normal looking erection and are natural feeling for your partner. Your surgeon may suggest a lubricant for your partner.
Ginsenosides are one element present in Panax ginseng extract that have action at the cellular level to improve erection. Atherosclerosis , a condition that causes the blood vessels to become clogged, can cause impotence. Standard ED treatments include prescription medications , vacuum pumps , implants, and surgery, but many men prefer natural options. Depending on the cause and severity of your erectile dysfunction and any underlying health conditions, you might have various treatment options. Other drugs may interact with sildenafil, including prescription and over-the-counter medicines, vitamins, and herbal products.
I have to treat impotence. Exercise Is an Active Erectile Dysfunction Treatment
Erectile Dysfunction - Urology Care Foundation
Impotence is when a man has difficulty getting or keeping an erection. Impotence is also known as erectile dysfunction, or E. Many younger men may experience difficulty with erections, and as many as two-thirds of men will develop impotence at some point in their life. Recent studies are also changing our understanding about why men develop impotence. These drugs offer men a variety of ways to improve erectile function. This guide is intended to help you understand what treatments are available for impotence, and to help you figure out which treatment may work best for you.
Keep in mind that men with impotence deserve an evaluation by a health care professional. Our goal is to provide useful information while you are awaiting further evaluation, or that adds to what you may have already learned at your visit with a doctor. Remember that this guide is not intended to substitute for the advice of your doctor.
This treatment guide is intended to help men who are having difficulty getting or maintaining an erection. I am having difficulty getting or keeping an erection. I have a different sexual problem. Since this guide is about treatment for men who are having difficulty getting or keeping an erection, it may not have the information that you need.
Many healthy men can develop problems with erections. However, impotence can sometimes be a sign of a serious underlying medical condition, such as diabetes, heart disease, or a hormone imbalance. Any man who develops new impotence deserves a medical evaluation before starting treatment. Not all men with impotence need to take a drug to fix their problem. For example, some men develop impotence as side effect from a medication that they are taking for a different medical condition.
Stopping that medication may improve their symptoms. Men who develop impotence mainly for psychological reasons may still respond to drug treatment of their impotence.
However, counseling may be a better long term fix for their problem. Men who develop difficulty getting or keeping an erection may respond to one of several different medical treatments.
Drugs in this family include sildenafil Viagra , tadalafil Cialis and vardenafil Levitra. Yes, I have tried one of these drugs. Some men have never tried a PDE5 drug because they have never discussed their condition with their health care provider.
However, other men have not tried a PDE5 drug because their doctor is concerned about serious side effects. For example, some men who take certain heart medications cannot take PDE5 drugs due to safety concerns. Has a doctor ever told you that you cannot or should not take a drug like Viagra, Levitra or Cialis? Yes, I was told not to use one of these drugs.
You may be a good candidate to try a PDE5 drug. However, some men can take PDE5 drugs because of underlying medical problems, or because of possible severe drug reactions. The following questions may help to determine of PDE5 drugs are right for you. Let's start by finding out if you have heart disease. Many doctors worry that PDE5 drugs are not safe in some men with heart disease, particularly if the heart disease is severe or poorly controlled.
Also, some men with heart disease take medications that can cause severe reactions when mixed with PDE5 drugs. Heart disease can take many forms. For the purpose of this Decision Guide, you should consider that you have heart disease if you have ever experienced or been told that you have the following. Yes, I have been diagnosed with heart disease. PDE5 drugs can cause life-threatening reactions when mixed with certain other types of drugs. The best known reaction is when PDE5 drugs are mixed with nitroglycerin or other drugs in the nitrate family such as isosorbide.
Nitrates are usually used for heart disease, but some men take one of these drugs for other reasons. Keep in mind that PDE5 drugs should not be used by men who take nitrate drugs at all, even if you use a nitrate drug only on rare occasions. PDE5 drugs can also interact with drugs called alpha blockers. These drugs are usually used to treat an enlarged prostate gland, or high blood pressure.
Yes, I take an alpha blocker drug. This is because PDE5 drugs can cause a sudden drop in your blood pressure. Yes, I have high blood pressure that is not well controlled. These drugs are very popular because they are effective, easy to use, and cause few side effects.
Your health care provider will probably want to perform a medical evaluation before prescribing any treatment for impotence. You may or may not be able to take a PDE5 drug. This will need to be decided by your doctor. If your doctor decides that you cannot or should not use a PDE5 drug, you may still be able to use another type of treatment for impotence.
Click here to continue. In order to use a PDE5 drug, your blood pressure should be under excellent control. Yes, I want to continue to use this decision guide. In order to use a PDE5 drug, you may need to stop taking all alpha blocker drugs. However, do not stop taking your alpha blocker without first talking to your health care provider. If your doctor decides that you cannot or should not stop taking an alpha blocker drug, you may not be able to use a PDE5 drug.
However, you may still be able to use another type of treatment for impotence. Yes, I want to continue to use this Decision Guide. In order to use a PDE5 drug, you must stop taking all nitrate drugs. Do not stop taking nitrate drugs without first talking to your health care provider. If your doctor decides that you cannot or should not stop taking nitrate drugs, you should not use any PDE5 drug. Even with heart disease, it's safe for some men to take a PDE5 drug.
However, you should have a thorough medical evaluation by your health care provider before you try taking any of these drugs. If your doctor decides that you cannot take a PDE5 drug, you may still be able to use another type of treatment for impotence. Some men cannot take PDE5 drugs because of underlying medical problems, or because of possible severe drug reactions. No, I had little or no response. PDE5 drugs are effective, but in some men they may cause bothersome side effects.
Common side effects include. However, some men will experience the same side effects with each of the PDE5 drugs.
These side effects are not necessarily dangerous, and some men choose to continue using a PDE5 drugs despite the unpleasant side effects. However, be sure to discuss any side effects with your health care provider. If you find the side effects of a PDE5 drug to be very bothersome, you may wish to try an alternative treatment for impotence.
PDE5 drugs are very useful, but they do not work in all men. PDE5 drugs maybe less likely to work in men who. Some men find that these drugs are less effective if they are tired or cold. Some men find that one of the PDE5 drugs helps with their erections, but doesn't work perfectly. In this situation, it's usually worth trying a different PDE5 drug before switching to another type of treatment.
It takes 30 to 60 minutes to work, and lasts four to six hours. Some men who do not respond to Viagra will respond to Levitra, and vice versa. Cialis' long action means that it can be taken less frequently and also that it does not need to be taken within several hours of sexual activity. In general, men who have a good response to a one of these drugs do not need to try other treatments for impotence. PDE5 drugs such as Viagra, Levitra and Cialis are very useful treatments for impotence, but some men cannot use these drugs, other men don't have a good response, and other men develop bothersome side effects.
Fortunately, other treatments for impotence are available, including. This part of the Decision Guide will help to figure out if one of these alternative treatments makes sense for you. Injections require a man to use a tiny needle to inject drugs directly into the shaft of the penis. These drugs cause blood to flow into the penis and make it firm. Many men are squeamish about using needles on this delicate part of their anatomy, even though the injections are easier and less painful than they may seem.
I would be willing to try injections. No, I am not interested in trying injections. Another available treatment to improve the firmness of erections is the insertion of a small pellet into the opening of the penis. The pellet, called a suppository, contains medication that enhances blood flow. Yes, I have tried suppositories. No, I have not tried suppositories. Talk to your doctor. Injections are available by prescription only. Some doctors make their own proprietary mix of medications.
Your doctor should give you clear instructions about how to use this type of treatment.