Methadone "The Argument Against the Utilization of Arterial Studies in the Diagnosis of Impotence" Having erection problems? What is erectile dysfunction (ED)? Learn about erectile dysfunction causes and treatments such as drugs (pills), pumps, and more. Zika WebMD Feature Reviewed by Michael W. Smith, MD on January 01, 2005 Sexual history Men’s Health Other physical causes of erectile dysfunction include side effects from medications such as blood pressure drugs, antihistamines, antidepressants and diet drugs. Surgery for prostate cancer or testicular cancer can damage the nerves involved in an erection, along with injuries to the penis, spinal cord, prostate, bladder and pelvis.  Cycling less - studies show that men who cycle more than 3 hours a week are more likely to have erection problems. This is thought to be because the action of using a bike affects the blood flow to the area around your penis. Health & Medicine Does Viagra Make You Last Longer In Bed? There are many treatments for erectile dysfunction. These include: “These studies suggest the issue may be trivial in women, but not so for men, and could lead to sexual dysfunction. It is always worth consulting a physician about persistent erection problems, as it could be caused by a serious medical condition. Pain Control Individuals suffering from psychogenic ED may benefit from psychotherapy, treatment of the ED, or a combination of the two. Also, medications used to treat psychologic troubles may cause ED; however, it is best to consult with your physician prior to stopping any medications that you are taking. Health Policy While medications like sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) can treat ED, they cannot cure it. However, Dr. Khera says,“stress reduction, diet, exercise, and sleep—those are all the pillars of success.”  PREVIOUS Professor of Psychiatry Prostate Cancer Ultrasound Treatment as Effective as Surgery or Radiotherapy 3:21 Message Boards Organic ED involves abnormalities the penile arteries, veins, or both and is the most common cause of ED, especially in older men. When the problem is arterial, it is usually caused by arteriosclerosis, or hardening of the arteries, although trauma to the arteries may be the cause. The controllable risk factors for arteriosclerosis--being overweight, lack of exercise, high cholesterol, high blood pressure, and cigarette smoking--can cause erectile failure often before progressing to affect the heart.  Penile erection is managed by two mechanisms: the reflex erection, which is achieved by directly touching the penile shaft, and the psychogenic erection, which is achieved by erotic or emotional stimuli. The former uses the peripheral nerves and the lower parts of the spinal cord, whereas the latter uses the limbic system of the brain. In both cases, an intact neural system is required for a successful and complete erection. Stimulation of the penile shaft by the nervous system leads to the secretion of nitric oxide (NO), which causes the relaxation of smooth muscles of corpora cavernosa (the main erectile tissue of penis), and subsequently penile erection. Additionally, adequate levels of testosterone (produced by the testes) and an intact pituitary gland are required for the development of a healthy erectile system. As can be understood from the mechanisms of a normal erection, impotence may develop due to hormonal deficiency, disorders of the neural system, lack of adequate penile blood supply or psychological problems.[17] Spinal cord injury causes sexual dysfunction including ED. Restriction of blood flow can arise from impaired endothelial function due to the usual causes associated with coronary artery disease, but can also be caused by prolonged exposure to bright light. Alpha blockers Food & Fitness Secondary Sidebar Does riding a bicycle cause ED? Pennsylvania State University College of Medicine Pelvic surgeries, particularly for prostate cancer Cardiovascular Disease Prevention Yang C, Tang K, Wang B: Clinical value of serum 5-HT level in diagnosis and treatment of premature ejaculation. Urol Int 2013;90:214-218. Injuries or Surgery (to the Penis, Spinal Cord, Prostate, Bladder, and Pelvis) Article: Sexual Dysfunction: Behavioral, Medical, and Surgical Treatment. But even over the counter meds might be causing you to droop. One of the most surprising culprits? Your allergy or cold medicine. If a person is never able to get an erection, the cause of their impotence is most likely to be physical. Scleroderma (stiffening or hardening of the skin) Industry Kaiser Permanente Aging, liver and kidney problems, and concurrent use of certain medications (such as erythromycin [an antibiotic] and protease inhibitors for HIV) slows the metabolism (breakdown) of sildenafil. Slowed breakdown allows sildenafil to accumulate in the body and potentially may increase the risk of side effects. Therefore, in men over 65 years of age, in men with significant kidney and liver disease, and in men who also are taking medications called protease inhibitors, the doctor will initiate sildenafil at a lower dose (25 mg) to avoid accumulation of sildenafil in the body. A protease inhibitor ritonavir (Norvir) is especially potent in increasing the accumulation of sildenafil, thus men who are taking Norvir should not take sildenafil doses higher than 25 mg and at a frequency of no greater than once in 48 hours. Other medications that may affect the level of sildenafil include erythromycin and ketoconazole. Financial Assistance & Billing Resources Taskinen S, Hovatta O, Wikström S: Sexual development in patients treated for cryptorchidism. Scand J Urol Nephrol 1997;31:361-364. Interference by drugs, alcohol and medicines Stein J. Penile Shock Wave Therapy Helps Men With Severe Erectile Dysfunction. Medscape Medical News. Available at http://www.medscape.com/viewarticle/739414#vp_2. March 22, 2011; Accessed: September 25, 2016. avoiding smoking, drugs, or alcohol abuse [Guideline] Burnett AL, Nehra A, Breau RH, Culkin DJ, Faraday MM, et al. Erectile Dysfunction. American Urological Association. Available at https://www.auanet.org/guidelines/male-sexual-dysfunction-erectile-dysfunction-(2018). 2018; Accessed: July 18, 2018. Bent Penis (Mayo Foundation for Medical Education and Research) Also in Spanish The Urinary Tract & How It Works There are a number of options to treat ED, depending on the cause. And since ED can often be the first sign of an underlying medical condition, discovering and treating this may help resolve the issues with ED as well as improve overall health. The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina; it is now mostly replaced by more precise terms, such as erectile dysfunction (ED). The study of erectile dysfunction within medicine is covered by andrology, a sub-field within urology. Research indicates that erectile dysfunction is common, and it is suggested that approximately 40% of males with erectile dysfunction or impotence, at least occasionally.[35] The condition is also on occasion called phallic impotence.[36] Its antonym or opposite condition is priapism.[37][38] By Julie Marks Personal information is not protected. View all the latest top news in the environmental sciences, Treatment depends on the cause. Cancer: Overview Sexual problems Sex Health & STDs Message Board If you’re experiencing ED, tell your physician the medications you’re taking.  A frank discussion can lead to alternative medications or treatments, and a better discussion about ED. Just remember that you should never stop taking a prescription medication without the supervision of a doctor. Erectile dysfunction-Virginia Casanova 22017 VA Erectile dysfunction-Virginia Catharpin 22018 VA Erectile dysfunction-Virginia Catlett 22019 VA
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