Your primary care physician is a good place to start. At some point, you might be referred to a urologist – a doctor who specializes in conditions involving the urinary tract and the male reproductive system. When Prostate Cancer Spreads Erectile dysfunction is the "canary in the coal mine" for men's health. It can be an early warning system for diabetes and heart disease. For many of the diseases which affect the blood vessels and nerves in men, the first signs he might have won't be chest pains or the need to drink lots of water in the case of diabetes, it will come years before with the onset of erectile problems. Exercise Rao DS, Donatucci CF: Vasculogenic impotence. Arterial and venous surgery. Urol Clin North Am 2001;28:309-319. Five common causes of erectile dysfunction Levitra Side Effects Research & Practice Home Boys and Puberty Lipid disorders Hospitals, surgery and procedures Ko DT, Hebert PR, Coffey CS, Sedrakyan A, Curtis JP, Krumholz HM. Beta-blocker therapy and symptoms of depression, fatigue, and sexual dysfunction. JAMA. 2002; 288(3): 351-7. Prevalence and Association With Age Jump up ^ Montague DK, Jarow JP, Broderick GA, Dmochowski RR, Heaton JP, Lue TF, Milbank AJ, Nehra A, Sharlip ID (July 2005). "Chapter 1: The management of erectile dysfunction: an AUA update". J. Urol. 174 (1): 230–39. doi:10.1097/01.ju.0000164463.19239.19. PMID 15947645. The Spruce depression Become a Volunteer In one study, 9.6% reported ‘occasional’ erectile dysfunction, 8.9% reported erectile dysfunction occurring ‘often’, and 18.6% reported erectile dysfunction occurring ‘all the time’. Of these, only 11.6% had received treatment.In another study, only 14.1% of men reported that they had received treatment, despite experiencing erectile dysfunction for longer than 12 months. Survivor Stories Most Australian teenagers don't practise safe sex... Dyslipidemia Advance Directives Emergency, crisis and support services Herbal supplements. not being physically active Surgery is a last resort and will only be used in the most extreme cases. Recovery time varies, but success rates are high. Order a free copy Straining your belt could put your penis at risk, too. Men with a waist circumference of 39 inches or greater are more than twice as likely to have erectile dysfunction as those with waists below 35 inches. Symptoms include: Take the Impotence (ED) Quiz The most common medical conditions associated with erectile dysfunction are conditions that impair arterial flow to the erectile tissues or disrupt the neuronal circuitry. Patients with diabetes mellitus have high rates of erectile dysfunction as a result of vascular disease and autonomic dysfunction.2 Impotence Australia. The FDA recommends that men follow general precautions before taking a medication for ED. Men who are taking medications that contain nitrates, such as nitroglycerin, should NOT use these medications. Taking nitrates with one of these medications can lower blood pressure too much. In addition, men who take tadalafil or vardenfil should use alpha blockers with care and only as instructed by their physician, as they could result in hypotension (abnormally low blood pressure). Experts recommend that men have a complete medical history and physical examination to determine the cause of ED. Men should tell their doctor about all the medications they are taking, including over-the-counter medications. ability, adequacy, capability, capacity, competence, competency, potency; BEFORE YOU GO Deyo RA, Smith DH, Johnson ES, Tillotson CJ, Donovan M, Yang X, et al. Prescription opioids for back pain and use of medications for erectile dysfunction. Spine (Phila Pa 1976). 2013 May 15. 38(11):909-15. [Medline]. [Full Text]. What Can I Eat Florida Health Finder Does Arousal Change as We Age? Tips to Better Manage Your Migraine Deliver toDallas 75201‌ This information isn’t a substitute for professional medical advice, diagnosis, or treatment. You should never rely upon this article for specific medical advice. If you have any questions or concerns, please talk to your doctor. H2-antagonists – used for stomach ulcers Nerve signals from the brain or spinal cord do not reach the penis Address Drug Dependency Infographics Alzheimer’s disease YOU MAY ALSO LIKE Fat and Fats - What do you know about fat? 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. Men who have diabetes are two to three times more likely to develop ED than men who do not have diabetes. Read more about diabetes and sexual and urologic problems. Normal sex needs the mind and body working together. Emotional or relationship problems can cause or worsen ED. Psoriasis Prostate cancer diagnosis Lifestyle choices that contribute to heart disease and vascular problems also increase the chances of ED. Smoking, being overweight, and being inactive can contribute to ED. Experts believe that psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause 10 to 20 percent of ED cases. Jump up ^ Hidden Risks of Erectile Dysfunction "Treatments" Sold Online, United States Food and Drug Administration, February 21, 2009 Thompson IM, Tangen CM, Goodman PJ, Probstfield JL, Moinpour CM, Coltman CA. Erectile dysfunction and subsequent cardiovascular disease. JAMA. 2005; 294(23): 2996-3002. Patient & Visitor Guides Propecia men taking high doses of ketoconazole (Nizoral) should not take more than 2.5 mg of vardenafil in a 24-hour period; Erectile dysfunction (ED) or impotence means you can’t get an erection. It can also mean you are dissatisfied with the size or hardness of erections, or how long erections last. Erectile Dysfunction and Cardiovascular Disease Radiation therapy to the pelvis for cancers such as prostate cancer can affect the blood vessels to the penis. Sign in to your Account-> Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA. 1999 Feb 10. 281(6):537-44. [Medline]. 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