erectile dysfunction How much do you know about ED? Pharmacologic Therapy Please be aware that we do not give advice on your individual medical condition, if you want advice please see your treating physician. Mental Health & Addiction Treatment Imaging Health A-Z These drugs do have some serious side effects, so talk about this option with your doctor, making sure that he or she knows your entire medical history and all other medications and supplements that you take. Apply Now Know what to expect if you do not take the medicine or have the test or procedure. Like what you read? Give Rick Paulas a round of applause. Rogers JH, Goldstein I, Kandzari DE, Köhler TS, Stinis CT, Wagner PJ, et al. Zotarolimus-eluting peripheral stents for the treatment of erectile dysfunction in subjects with suboptimal response to phosphodiesterase-5 inhibitors. J Am Coll Cardiol. 2012 Dec 25. 60(25):2618-27. [Medline]. Use of certain medications that can impact blood flow or libido. This includes antihypertensive and psychotropic medications. I The Medical System – Bulk Billing & Medicare the state of being unable to produce offspring; in a woman it is an inability to conceive; in a man it is an inability to impregnate Hormonal Health Type of Exercise Affects Hormones Go Medications to Treat Cardiovascular Risk Factors Do Not Impact Erectile Function Rizvi K, Hampson JP, Harvey JN. Do lipid-lowering drugs cause erectile dysfunction? A systematic review. Fam Pract. 2002 Feb. 19(1):95-8. [Medline]. A lot goes into achieving an erection. When you're turned on, nerves fire in your brain. Blood then flows into your penis. If all goes well, you’re ready for sex. Peyronie's disease is a condition associated with ED. Peyronie's disease is thought to result from minor repetitive trauma to the penis that leads to scarring of the tunica albuginea. It is often associated with a palpable scar in the penis, plaque. The scarring can cause the penis to curve in the direction of the scar, along with painful erections and erectile dysfunction. Some treatments for Peyronie's disease (excision of the plaque and placement of new tissue in its place, grafting) may cause ED also. Blood essentially gets “trapped” inside the penis. This leads to it becoming erect. In order for this to all happen properly, and for the man to maintain his erection, there has to be no problem starting with the thought in the brain, the message sent to the blood vessels and penis, and blood flow. ED (Erectile Dysfunction) is defined as the inability to attain and/or maintain penile erection sufficient for satisfactory sexual performance. ED is more common than many people realise. ED is said to affect one in five Malaysian men and is listed as one of the most common sexual health problems in Malaysia. Naturally, ED is considered to be affecting men of advancing age. In fact, some studies revealed ED is affecting 69.5% of Malaysian men above 40 years of age, but it's an issue men find very difficult to discuss, regardless of age. As the saying goes, the best measure of a man's character is the company he keeps. But what about his health? According to Steven Lamm, MD, the best measure of that is his erect penis. Erectile dysfunction (ED) can occur for many reasons. Sometimes it is as simple as the side effect of a particular medication. But for roughly 75% of men, the cause is more complex. ED may result from vascular disease, neurological disease, diabetes, or prostate-related treatments or surgeries. Privacy Policy | Legal and Copyright Information | State Charity Registration Disclosures F. Terry Hambrecht, M.D. MEMBER STORIES Alprostadil - The Fallback Erection Medication Causes of ED: Lifestyle Diplomacy & Defence Q In sessions with a trained therapist, for example, you can learn techniques to decrease anxiety and stress that you may associate with sex. Couples counseling with your loved one to resolve your relationship problems also may be a key to invigorating your sex life. Radio Back to List The association between low testosterone and ED is not entirely clear. Although these 2 processes certainly overlap in some instances, they are distinct entities. Some 2-21% of men have both hypogonadism and ED; however, it is unclear to what degree treating the former will improve erectile function. [17] About 35-40% of men with low testosterone see an improvement in their erections with testosterone replacement; however, almost 65% of these men see no improvement. [15] Impotence, or erectile dysfunction (ED), is the inability for a man to sustain an erection long enough for normal, satisfying sexual intercourse.  To understand the underlying causes of impotence, it helps to know the basics about how an erection develops, along with potential problems that get in the way. Erections begin in the brain with a thought related to sexual desire. Then a chemical message travels from the brain to the penis. Blood flow to the penis increases as blood vessels leading to the reproductive system relax and allow for increased circulation. Gregory Broderick, M.D. The Work We Fund Health Benefits of Sex Visit our Erectile Dysfunction / Premature Ejaculation category page for the latest news on this subject, or sign up to our newsletter to receive the latest updates on Erectile Dysfunction / Premature Ejaculation. Diseases and Conditions A-Z Cigarette smoking has been shown to be an independent risk factor. In studies evaluating more than 6000 men, the risk of developing ED increased by a factor of 1.5. The Medical System – Bulk Billing & Medicare Diseases and Conditions A-Z Follow Us Cancer and cancer treatment Romeo JH, Seftel AD, Madhun ZT, Aron DC. Sexual function in men with diabetes type 2: association with glycemic control. J Urol. 2000 Mar. 163(3):788-91. [Medline]. Postdoctoral Fellowships New on Parenthub Erectile dysfunction: Neurotrophins to recover erectile function Endocrine Disrupting Chemicals (EDCs) ga.src = ('https:' == document.location.protocol ? 'https://' : 'http://') + 'stats.g.doubleclick.net/dc.js'; not smoking Erectile dysfunction, also known as impotence, is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. Connect: , Wei Huang Cancer Care Patient Education Engineering This consensus development conference on male erectile dysfunction has provided an overview of current knowledge on the prevalence, etiology, pathophysiology, diagnosis, and management of this condition. The growing individual and societal awareness and open acknowledgment of the problem have led to increased interest and resultant explosion of knowledge in each of these areas. Research on this condition has produced many controversies, which also were expressed at this conference. Numerous questions were identified that may serve as foci for future research directions. These will depend on the development of precise agreement among investigators and clinicians in this field on the definition of what constitutes erectile dysfunction, and what factors in its multifaceted nature contribute to its expression. In addition, further investigation of these issues will require collaborative efforts of basic science investigators and clinicians from the spectrum of relevant disciplines and the rigorous application of appropriate research principles in designing studies to obtain further knowledge and to promote understanding of the various aspects of this condition. Paleo fail: meat-heavy low-carb diets can ‘shorten lifespan’ Healthy Kids Why separatist Andy Chan can’t be charged under current Hong Kong law Black Holes Inside Women's Health: Malnutrition Sources | Medically Reviewed on 08/01/2017 Reviewed by Minesh Khatri, MD on August 01, 2017 Surgery to correct blocked or leaking blood vessels used to be popular, but is not very effective for long term erectile function unless it is being done to correct traumatic vascular damage in young men. Financials & Annual Report Poor sleep patterns can lead to ED. There is a delicate balance – which must be maintained – between the levels of good sleep, and the production of important sex hormones like testosterone and sleep. Testosterone levels increase with good sleep, so make sure you get enough. Traditional Chinese Medicine Our Apps Impotence, also called erectile dysfunction (ED), can be a very frustrating problem. Some men are able to achieve an erection but are not able to maintain one. Others are not able to achieve one at all. Causes of impotence can be both physiological (affecting mostly the body and organs) or psychological (affecting the mind). Beyond addressing the head and heart issues that may be contributing to the problem, what else can be done? In the past, says Dr Yip, doctors would use a vacuum or penis pump, perform surgical operations for penile prosthesis or give penile injections of vasodilatation medicine to improve blood flow. Youtube Vitamin D: How Much is Enough? Erectile dysfunction: how porn, bike riding, alcohol and ill-health contribute to it, and six ways to maintain peak performance Music How Will Cancer Affect My Sex Life? (American Cancer Society) Also in Spanish An imbalance in your hormones, such as testosterone, prolactin, or thyroid, can cause erectile dysfunction. The following hormonal (or endocrine) conditions are commonly associated with erectile dysfunction: Chronic Fatigue Syndrome – What do you know about CFS? William R. Turner, M.D. Acute Leukemia: 50 Percent Cure Rate in Lab Mice Problems with the nerves and blood vessels can cause impotence. Conditions that can cause problems include: Top News For more information on erectile dysfunction, types, causes and treatments of erectile dysfunction, and tips for dealing with it, see Erectile Dysfunction. Define a balance between what specific information is needed by the medical and general public and what is available, and identify what treatments are available. Mechanical and surgical cures H2 What possible causes of impotence are there? Kloner RA, Mullin SH, Shook T, Matthews R, Mayeda G, Burstein S, et al. Erectile dysfunction in the cardiac patient: how common and should we treat?. J Urol. 2003 Aug. 170(2 Pt 2):S46-50; discussion S50. [Medline]. A history of health problems including heart disease, hypertension, diabetes, peripheral vascular disease, neurologic disease, stroke, or chronic liver or kidney disease. (4) The same study mentioned above found that “men with poor health demonstrated elevated risk for all categories of sexual dysfunction.” }); Spending more time outdoors to unwind "The Venous System in the Diagnosis of Erectile Impotence" Children's Vaccines Aversa A, Francomano D, Lenzi A. Does testosterone supplementation increase PDE5-inhibitor responses in difficult-to-treat erectile dysfunction patients?. Expert Opin Pharmacother. 2015 Apr. 16 (5):625-8. [Medline]. 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