ED is common and has a significant impact on men and their partners. The first step is acknowledging that ED is affecting you and that it bothers you. If so, then it is time to get help. Often your primary care health provider can start the evaluation of your ED to determine if there are any potential reversible causes. It is important to be evaluated if you have ED as ED is often caused by medical conditions, which if not recognized and treated, could cause you harm. Did you know that the ED is a strong predictor of underlying cardiovascular disease? If you have underlying cardiovascular disease, your primary health care provider or a specialist (if needed) needs to make sure it is safe for you to participate in sexual activity. Sexual Function and Related History Erectile dysfunction can cause embarrassment. Journal Contact Featured Centers Northwest Healthcare Traveller's Diarrhoea > What is erectile dysfunction (ED)? Related:10 Health Issues You Need to Worry About In Your 20s The key to a healthy erection: good circulation and blood flow. Some men experience impotence when they have too much to drink. Enter your comments below (optional) Nanotechnology LAST UPDATED: 23 Aug 2018 In men of all ages, erectile failure may diminish willingness to initiate sexual relationships because of fear of inadequate sexual performance or rejection. Because males, especially older males, are particularly sensitive to the social support of intimate relationships, withdrawal from these relationships because of such fears may have a negative effect on their overall health. Vacuum constriction devices may be effective at generating and maintaining erections in many patients with erectile dysfunction and these appear to have a low incidence of side effects. As with intracavernosal injection therapy, there is a significant rate of patient dropout with these devices, and the reasons for this phenomenon are unclear. The devices are difficult for some patients to use, and this is especially so in those with impaired manual dexterity. Also, these devices may impair ejaculation, which can then cause some discomfort. Patients and their partners sometimes are bothered by the lack of spontaneity in sexual relations that may occur with this procedure. The patient is sometimes also bothered by the general discomfort that can occur while using these devices. Partner involvement in training with these devices may be important for successful outcome, especially in regard to establishing a mutually satisfying level of sexual activity. Men with ED without hypogonadism (a low testosterone level and symptoms related to this) should not use testosterone therapy. Prevalence of ED found in men under 40 in a variety of studies looking at men within different age ranges Medscape Reference ADD/ADHD The penis contains three cylinders, the two corpora cavernosa, which are on the top of the penis (see figure 1 below). These two cylinders are involved in erections. The third cylinder contains the urethra, the tube that the urine and ejaculate passes through, runs along the underside of the penis. The corpus spongiosum surrounds the urethra. Spongy tissue that has muscles, fibrous tissues, veins, and arteries within it makes up the corpora cavernosa. The inside of the corpora cavernosa is like a sponge, with potential spaces that can fill with blood and distend (known as sinusoids). A layer of tissue that is like Saran Wrap, called the tunica albuginea, surrounds the corpora. Veins located just under the tunica albuginea drain blood out of the penis. If testosterone levels are found to be low, erectile dysfunction should initially be treated with testosterone replacement therapy. Did you know that certain medical condition may be responsible for ED? Some causes of impotence are medically treatable and... Male Virgins Can Still Acquire HPV, Study Finds May 18, 2017 — A new study showed that the sexual response of men, whose female partners had been treated with the "bonding hormone" oxytocin or a placebo, was enhanced – even to the extent of improving ... read more Organic impotence. This involves the arteries or veins in the penis. It is the most common cause of ED, especially in older men. It can be related to hardening of the arteries throughout the body. Injury or a venous leak in the penis may also cause ED. Intracavernosal injections (papaverine, phentolamine, and PGE1 [Trimix], Bimix, and alprostadil injection [Caverject, Edex]) Michel T, Feron O. Nitric oxide synthases: which, where, how, and why?. J Clin Invest. 1997 Nov 1. 100(9):2146-52. [Medline]. [Full Text]. Although you are more likely to develop ED as you age, aging does not cause ED. ED can be treated at any age. Lugg JA, Rajfer J, González-Cadavid NF. Dihydrotestosterone is the active androgen in the maintenance of nitric oxide-mediated penile erection in the rat. Endocrinology. 1995 Apr. 136(4):1495-501. [Medline]. Taking certain medications can affect blood flow, which can lead to ED. A person should never stop taking a medicine without their doctor’s permission, even if it’s known to cause impotence. Find a Doctor Dr. Niket Sonpal is the Associate Program Director of the Internal Medicine Residency at Brookdale Hospital Medical Center in Brooklyn and an Associate Professor at Touro College of Osteopathic Medicine. He’s a practicing Gastroenterologist and Hepatologist with a focus on Men’s and Women’s Health, and a regular contributor to Women’s health, Shape and Prevention Magazine. Medications: Many common medicines produce erectile dysfunction as a side effect. Medicines that can cause erectile dysfunction include many used to treat high blood pressure, antihistamines, antidepressants, tranquilizers, and appetite suppressants. Examples of common medicines that can cause erectile dysfunction include propranolol (Inderal) or other beta-blockers, hydrochlorothiazide, digoxin (Lanoxin), amitriptyline (Elavil), famotidine (Pepcid), cimetidine (Tagamet), metoclopramide (Reglan), naproxen, indomethacin (Indocin), lithium (Eskalith, Lithobid), verapamil (Calan, Verelan, Isoptin), phenytoin (Dilantin), gemfibrozil (Lopid), amphetamine/dextroamphetamine (Adderall), and phentermine. Prostate cancer medications that lower testosterone levels such as leuprolide (Lupron) may affect erectile function. Some chemotherapies such as cyclophosphamide (Cytoxan) may affect erectile function. The availability of phosphodiesterase-5 (PDE5) inhibitors—sildenafil, vardenafil, tadalafil, and avanafil—has fundamentally altered the medical management of ED. In addition, direct-to-consumer marketing of these agents over the last 15 years has increased the general public’s awareness of ED as a medical condition with underlying causes and effective treatments. EveryDay Male® Testosterone and Energy Booster for Better Male Performance. Is there something I can do other than take medicine to help? Care During Chemotherapy and Beyond See, Play and Learn Erectile dysfunction-Virginia Loudoun Sterling 20165 VA Erectile dysfunction-Virginia Loudoun Sterling 20166 VA Erectile dysfunction-Virginia Loudoun Sterling 20167 VA
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