Is erectile dysfunction just a part of old age? Press site Read now Erectile dysfunction (ED) or impotence means you can’t get an erection. It can also mean you are dissatisfied with the size or hardness of your erections, or how long your erections last.
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Visit our other Verywell sites: Options for treating erection issues may include: have a deformed penis shape
ED usually has something physical behind it, particularly in older men. But psychological factors can be a factor in many cases of ED. Experts say stress, depression, poor self-esteem, and performance anxiety can short-circuit the process that leads to an erection. These factors can also make the problem worse in men whose ED stems from something physical.
An understanding of penile anatomy is fundamental to management of ED.  The common penile artery, which derives from the internal pudendal artery, branches into the dorsal, bulbourethral, and cavernous arteries (see the image below).
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Smoking has a direct link to impotence. The nicotine in cigarettes causes blood vessels to constrict, reducing blood flow to the penis. This makes getting and sustaining an erection more difficult.
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Drugs: Sometimes, the doctor may inject a drug directly into the penis. This drug causes a large amount of blood to go into the tissues in the penis, resulting in an erection that lasts one to two hours. In a few cases, this treatment may lead to a long-lasting, painful erection.
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The history of impotence cures stretches as far back as the written record, and surely, some caveman somewhere huffed the gonads of a wooly mammoth in the hopes that sensation would return to his member. So, let’s take a tour of how we’d tried to make old guys hard again.
When to Seek Help More detail Lifestyle modifications to improve vascular function (eg, not smoking, maintaining ideal body weight, and engaging in regular exercise)
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The women in the relationships frequently have questions, doubts, resentments, insecurities, and a need for information, understanding, and reassurance. Too often the man alone is seen as the patient and his partner is - at best - barely acknowledged, and - at worst- merely tolerated or even discouraged.
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Prescription medicines taken by mouth are commonly used to treat ED. There are many different medicines available.
Men can take a group of drugs called PDE-5 (phosphodiesterase-5) inhibitors. There are a handful of oral medications that can be prescribed to people with erectile dysfunction. They include:
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Physiological (related to your body). Few men are willing to discuss problems of impotence even with their sexual partners. To reduce the perceived stigma and embarrassment of impotence and encourage more men to seek treatment, urologists now refer to the condition as erectile dysfunction.
University of Adelaide. "Erectile dysfunction can be reversed without medication." ScienceDaily. ScienceDaily, 28 March 2014. .
Talk with your doctor before trying supplements for ED. They can contain 10 or more ingredients and may complicate other health conditions. Asian ginseng and ginkgo biloba (seen here) are popular, but there isn't a lot of good research on their effectiveness. Some men find that taking a DHEA supplement improves their ability to have an erection. Unfortunately, the long-term safety of DHEA supplements is unknown. Most doctors do not recommend using it.
Hormonal disorders: A lack of testosterone (male sex hormone) can result from testicular failure, pituitary gland problems, or certain medications.
Sexuality and Kidney Disease Superfoods NBA Can apple cider vinegar treat erectile dysfunction? Apple cider vinegar is thought to have many health benefits, but can it help treat erectile dysfunction (ED)? ED can result from cardiovascular problems, diabetes, and other factors. Apple cider vinegar may help improve symptoms of conditions related to ED. Find out how it may help, and how to use it safely. Read now
Implantable penile prostheses are usually considered a last resort for treating impotence. They are implanted in the corpora cavernosa to make the penis rigid without the need for blood flow. The semirigid type of prosthesis consists of a pair of flexible silicone rods that can be bent up or down. This type of device has a low failure rate but, unfortunately, it causes the penis to always be erect, which can be difficult to conceal under clothing.
For Everyone Common psychological causes of impotence include: These words are enough to make any man nervous. It is a highly personal problem that many men find embarrassing or shameful to talk about.
Reducing stress levels - stress can cause blood pressure issues, but it can also interfere with the signal to get an erection that comes from your brain.
Slideshow Working Out When You're Over 50 To deal with your erection problems you can choose from: © 2018 Coloplast.
Gene Expression Omnibus (GEO) Database Click here to view references A little farther out on the horizon, an oral medication absorbed under the tongue is now undergoing early trials to determine an effective dose with minimal side effects. It may be a number of years before it becomes widely available, but you should ask your doctor to keep you up to date on progress.
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