Feature Stories Bites and Infestations Stress Quiz: Test Your Emotional IQ My Ex-Girlfriend Broke My Dick Oral medication is often the first choice for treating erectile dysfunction (ED). WATCH DR. STEVEN LAMM EXPLAIN › Diseases and Conditions The patient and partner must be well informed about all therapeutic options including their effectiveness, possible complications, and costs. As a general rule, the least invasive or dangerous procedures should be tried first. Psychotherapy and behavioral treatments and sexual counseling alone or in conjunction with other treatments may be used in all patients with erectile dysfunction who are willing to use this form of treatment. In patients in whom psychogenic erectile dysfunction is suspected, sexual counseling should be offered first. Invasive therapy should not be the primary treatment of choice. If history, physical, and screening endocrine evaluations are normal and nonpsychogenic erectile dysfunction is suspected, either vacuum devices or intracavernosal injection therapy can be offered after discussion with the patient and his partner. These latter two therapies may also be useful when combined with psychotherapy in those with psychogenic erectile dysfunction in whom psychotherapy alone has failed. Since further diagnostic testing does not reliably establish specific diagnoses or predict outcomes of therapy, vacuum devices or intracavernosal injections often are applied to a broad spectrum of etiologies of male erectile dysfunction. According to a study in the American Journal of Medicine, 85 percent of men ages 20 to 39 say they “always” or “almost always” can get and maintain an erection good enough for sex. That means 15 percent of men have difficulty with their erections at least occasionally during sex. Video Research Triangle Institute Low levels of HDL (high-density lipoprotein) Manage Cookies We take precautions that other online providers don't, Diabetes and ED R.AGE Cystocele (Prolapsed Bladder) Cosmopolitan Hershey, Pennsylvania The brain. The body. The bedroom. How much do you know about sex, love, and the human body? Cryopreserving Ladybird Beetle Ovaries Log In The risks of sexual activity for patients with cardiovascular disease, specifically, the relationship between ED and the presence of cardiovascular disease, and the prevalence of pathophysiological factors of ED and cardiovascular disease. Close All SubjectsAll Subjects NIH: National Institute of Diabetes and Digestive and Kidney Diseases Get updatesGet updates Erectile dysfunction predicts CVD events Format: Abstract Erectile dysfunction is a problem for millions of men, but there are many approaches that can help. Start with these 10. 10 Foods to Boost Men’s Health Doctors and Medical Staff Homeopathy Urology Program Division of Kidney, Urologic, and Hematologic Diseases Donald Trump Print Subscription Male sexual dysfunction (erectile dysfunction; impotence) Reviewed on 9/11/2017 Erectile dysfunction myth: You’re out of options if Viagra doesn’t work for you Men's Health Resources Chlamydia Treatment (For partners) Internalize the problem. This is a medical problem your partner is dealing with. ED is does not mean your partner is cheating or no longer finds you attractive. Focus on helping your partner and encouraging him to seek medical help. Erectile dysfunction is a common problem. It is important that men who experience erectile dysfunction discuss it with their doctor, because the condition can have a negative impact on relationships and self esteem; serious underlying causes need to be excluded; and effective treatment is available. Lewis RW. Venous surgery for impotence. Urol Clin North Am. 1988; 15(1): 115-21. G Yucel S, Baskin LS. Identification of communicating branches among the dorsal, perineal and cavernous nerves of the penis. J Urol. 2003 Jul. 170(1):153-8. [Medline]. Generic Malarone For authors and referees Buvat J, Lemaire A. Endocrine screening in 1,022 men with erectile dysfunction: Clinical significance and cost-effective strategy. J Urol. 1997; 158(5): 1764-7. Physical causes Improve blood pressure take the tour International Journal of Impotence Research 30, 129–140 Lopushnyan NA, Chitaley K. Genetics of erectile dysfunction. J Urol. 2012 Nov. 188(5):1676-83. [Medline]. Smoking Cessation Earth & Climate × Visit a travel clinic > © 2018 Copyright Endocrine Society. All rights reserved. Belt and Road Initiative Protect Your Erection: 11 Tips By Mayo Clinic Staff TADALAFIL (CIALIS) Mind & Brain Call Your California Privacy Rights Burchardt M, Burchardt T, Anastasiadis AG, Buttyan R, de la Taille A, Shabsigh A, et al. Application of angiogenic factors for therapy of erectile dysfunction: protein and DNA transfer of VEGF 165 into the rat penis. Urology. 2005 Sep. 66(3):665-70. [Medline]. Suria Books Albert Einstein College of Medicine Download more patient guides Healthy Lifestyle Arterial revascularization procedures have a very limited role (e.g., in congenital or traumatic vascular abnormality) and probably should be restricted to the clinical investigation setting in medical centers with experienced personnel. All patients who are considered for vascular surgical therapy need to have appropriate preoperative evaluation, which may include dynamic infusion pharmaco-cavernosometry and cavernosography (DICC), duplex ultrasonography, and possibly arteriography. The indications for and interpretations of these diagnostic procedures are incompletely standardized; therefore, difficulties persist with using these techniques to predict and assess the success of surgical therapy, and further investigation to clarify their value and role in this regard is indicated. smoking and other tobacco use Pay attention to your vascular health. High blood pressure, high blood sugar, high cholesterol, and high triglycerides can all damage arteries in the heart (causing heart attack), in the brain (causing stroke), and leading to the penis (causing ED). An expanding waistline also contributes. Check with your doctor to find out whether your vascular system — and thus your heart, brain, and penis — is in good shape or needs a tune-up through lifestyle changes and, if necessary, medications. 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