Go What Are the Risk Factors Contributing to Impotence? Can These Be Utilized in Preventing Development of Impotence? Angiography (in patients who are potential candidates for vascular surgery) Alexis E. Te, M.D. Physical causes of impotence are thought to be more common than psychological causes. However, as stated before, they often coexist. The inability to achieve an adequate erection can cause psychologic troubles, which then make it even more difficult to achieve an erection the next time. 2017 Benefit Guide Our fast, convenient service is extremely straight forward and you don't need to visit a doctor to use it. Fundraising Events Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA. 1999 Feb 10. 281(6):537-44. [Medline]. Video Distribution Derby CA, Araujo AB, Johannes CB, Feldman HA, McKinlay JB. Measurement of erectile dysfunction in population-based studies: the use of a single question self-assessment in the Massachusetts Male Aging Study. Int J Impot Res. 2000 Aug. 12(4):197-204. [Medline]. Prostaglandins (alprostadil): Alprostadil can be injected into the penis or inserted as a pellet through the urethra. It causes an erection without sexual stimulation that usually lasts about 60 minutes. The danger with this method is that too high a dose can cause priapism, an erection that won't go away. This condition requires immediate medical attention as it can cause serious bruising, bleeding, pain and permanent penile damage. Once the doctor is sure of the right dose, the man can self-inject at home. Diagnostic Tests 4 people found this helpful (Still worried you’re falling limp in the bedroom? The Men’s Health Guide to Erectile Dysfunction will take you through what’s causing your ED and help you get back to getting busy.) Young people with intellectual disabilities have the same range of sexual feelings and desires as young people without disabilities... Time to immunise - free vaccines for men who have sex with men Psychological Causes of Erectile Dysfunction Email Address John C. Beck, M.D. a person who guides or advises another fr The appropriate evaluation of all men with erectile dysfunction should include a medical and detailed sexual history (including practices and techniques), a physical examination, a psycho-social evaluation, and basic laboratory studies. When available, a multidisciplinary approach to this evaluation may be desirable. In selected patients, further physiologic or invasive studies may be indicated. A sensitive sexual history, including expectations and motivations, should be obtained from the patient (and sexual partner whenever possible) in an interview conducted by an interested physician or another specially trained professional. A written patient questionnaire may be helpful but is not a substitute for the interview. The sexual history is needed to accurately define the patient's specific complaint and to distinguish between true erectile dysfunction, changes in sexual desire, and orgasmic or ejaculatory disturbances. The patient should be asked specifically about perceptions of his erectile dysfunction, including the nature of onset, frequency, quality, and duration of erections; the presence of nocturnal or morning erections; and his ability to achieve sexual satisfaction. Psychosocial factors related to erectile dysfunction should be probed, including specific situational circumstances, performance anxiety, the nature of sexual relationships, details of current sexual techniques, expectations, motivation for treatment, and the presence of specific discord in the patient's relationship with his sexual partner. The sexual partner's own expectations and perceptions should also be sought since they may have important bearing on diagnosis and treatment recommendations. Pelvic radiation Sources: Smoking and Pregnancy Down Syndrome 3 / 11 Sep. 28, 2016 — One in six women in the U.S. takes antidepressants to improve her well-being, but what is she to do when the medication that is meant to help disrupts another area of her ... read more Mental status findings suggestive of depression, psychosis or anxiety disorder Radium suppositories and other wonders of the Industrial Age Medical Therapy Visual Guide to ED If you are on a blood thinner, you must be careful. After injection, patients should pressure to the site to minimize bleeding. National Institute of Child Health and Human Development Severe kidney failure requiring dialysis Remember that even if you decide to go for another option like erectile dysfunction medication or devices like implants, penis pumps, or penis rings, these can be used long-term as well. Although it’s possible to take medication long-term, a doctor will need to check they are still right for you each time you need more. Low testosterone levels: Testosterone (the primary sex hormone in men) is not only necessary for sex drive (libido) but also is necessary to maintain nitric oxide levels in the penis. Therefore, men with hypogonadism (low testosterone with symptoms) can have low sex drive and erectile dysfunction. Skin Care Surgery: If neither drugs nor the vacuum pump works, your doctor may suggest surgery. With surgery, the doctor can place a device in your penis that will cause enough hardness for intercourse. In a few cases, infections may develop after the operation, and the doctor may have to remove the device. Another operation that may help you is rebuilding the blood vessels in the penis to increase blood flow into the penis or decrease blood flow out of the penis. These procedures can help you to get and maintain an erection. Healthy Beauty Treatment & Care Slideshow Working Out When You're Over 50 Background Dean R, Lue T. Physiology of penile erection and pathophysiology of erectile dysfunction. Urol Clin North Am. 2005; 32(4): 379-v. Jump up ^ Reepmeyer JC, Woodruff JT, d'Avignon DA (2007). "Structure elucidation of a novel analogue of sildenafil detected as an adulterant in an herbal dietary supplement". Journal of Pharmaceutical and Biomedical Analysis. 43 (5): 1615–21. doi:10.1016/j.jpba.2006.11.037. PMID 17207601. Add to my Reading List For Lawyers Stop Diabetes at School Although many view ED as "just" a sexual health problem, ED is often associated with other co-morbid conditions including cardiovascular disease, hypertension, diabetes, prostate diseases and depression, many of which have a number of the same vascular risk factors. Study has even proven that ED is a strong indicator of premature mortality, and precursors to cardiovascular events such as heart attacks and strokes. Fully restoring sexual health with treatment of a medical condition (such as high blood pressure with diet and/or exercise or by controlling diabetes or other chronic diseases) may not be possible. Identification and treatment of these conditions may prevent the progression of ED and affect the success of various ED therapies. Nutritional states, including malnutrition and zinc deficiency, may be associated with erectile dysfunction, and dietary changes may prove a sufficient treatment. Masturbation and excessive masturbation are not felt to cause ED, however, if one notes weak erections with masturbation, this may be a sign of ED. Some men who masturbate frequently may have troubles with achieving the same degree of stimulation from their partner, but this is not ED. Click here to visit our Symptom Checker. Diabetes Food Hub Hormone replacement therapy  Haven’t we all? To combat this, he recommended soothing heated lotions (checks out), a mechanical air pump placed on the penis (suuure), self-flagellating the dick until it “smarts” (um…), and burning the genitals with a smooth iron (*faints*). Hollick later recommended cannabis, but also then proposed that female impotence was caused by ladies having vaginas that were too small, so. What are symptoms of low testosterone (low T)? Take this quiz to learn more about causes of low testosterone and how to treat it. International Drugs Did you find what you were looking for? 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