Learn All About Erectile Dysfunction, Treatment, Procedure, Cost, Recovery And Question & Answer. Find Out What is The Side Effects of ED Treatments Only at Lybrate A few physical conditions can render intense mental distress as well, and one such condition is Erectile Dysfunction in men. A majority of the men facing the problem feel uncomfortable disclosing the problem of erectile dysfunction. Affecting more than 30 million men worldwide, ED or erectile dysfunction continues to damage their sexual life.
Hard made easy. Find out what you can do to improve your erections. Experiencing erection problems? Whether you’re 25 or 60+ years old, you’re certainly not alone. About 20 million American men are affected by ,. Interestingly, while ED is often thought of as a condition that affects middle aged and older men, . Luckily, a range of treatments are available to treat the effects of ED and help you develop and without any problems. The three most popular erectile dysfunction treatments on the market are , vardenafil (Levitra) and tadalafil (Cialis).
There are also some less common ED drugs out there, such as avanafil. However, since these treatments are newer and aren’t as widely used or prescribed as the "big three," they aren’t on our list. All three erectile dysfunction treatments provide the same key benefit -- better blood flow to the penis and fewer difficulties developing an erection.
However, they also have some differences, ranging from shorter or longer half lives to slightly different side effect profiles. Below, we’ve compared sildenafil, vardenafil and tadalafil to give you a better understanding of the most popular ED treatments available today. Sildenafil (Viagra) , is one of the most common and widely used erectile dysfunction treatments available today. Originally developed as a treatment for high blood pressure, sildenafil was approved as an ED drug in the late 1990s.
From its introduction until 2007, Viagra was by far the most widely used erectile dysfunction drug on the market, . While sildenafil isn’t quite as dominant as it once was, it’s still by far the most popular treatment for ED. Sildenafil works by increasing blood flow to the spongy tissue of the penis, making it easier to achieve an erection. It usually works within 30 to 60 minutes of consumption and lasts for three to five hours, depending on the person.
The potential side effects of sildenafil are the same as most other ED drugs -- headaches, nasal obstruction, flushed skin and heartburn. Most of the time, the side effects from sildenafil stop in three to five hours as the drug stops being effective as an ED treatment. Sildenafil can also potentially lead to more serious side effects, particularly in people with heart conditions or those who take other prescription medication.
Because of this, it’s important to talk to an experienced, qualified doctor before using sildenafil. Sildenafil comes in a variety of doses, ranging from 20mg to 100mg. Higher doses are typically used to treat more serious cases of erectile dysfunction for people that don’t respond to the 20 or 50mg tablets.
All in all, sildenafil is popular for a reason -- it works. For most men, sildenafil makes it easier to develop and maintain an erection and acts as a reliable, safe treatment for erectile dysfunction. Tadalafil (Cialis) Developed in the 1990s and approved by the FDA in 2003, tadalafil is a longer-lasting ED drug that provides similar effects to sildenafil.
Tadalafil is better known by the brand name Cialis. With a 17.5 hour half life, tadalafil remains active for up to 36 hours after it's taken, making it the longest acting of the erectile dysfunction drugs available today. To put this in perspective, a typical lasts for about three to five hours, meaning you’d need to take multiple doses over a long period to get the same results as a single dose of tadalafil. Tadalafil also starts working slightly faster than other ED medications.
Compared to sildenafil, which can take up to an hour to start working, tadalafil usually becomes effective in about 30 minutes. The side effects of tadalafil are similar to sildenafil, with headache, stuffy nose, heartburn and facial flushing the most common.
Tadalafil can also cause muscle aches and back pain, which are usually a result of the drug’s vasodilation effect. For most people, the biggest advantage of tadalafil over sildenafil is its longer half life. A single dose of tadalafil usually lasts for most of a weekend, eliminating the need to take the pill directly before sexual activity. Compared to sildenafil, the typical dosages of tadalafil are lower. The normal starting dose is 10mg taken before sexual activity, with doses of 20mg and 5mg also used depending on the way people respond to treatment.
Vardenafil (Levitra) Vardenafil is another ED drug that works similarly to sildenafil and tadalafil. Like tadalafil, it was introduced in the early 2000s as an alternative to sildenafil with a slightly longer half life, making it a longer lasting ED treatment. The most common brand name for vardenafil is Levitra. Like sildenafil and tadalafil, vardenafil is available as a prescription medication in most countries.
Compared to sildenafil, which lasts for three to five hours, vardenafil usually lasts for five to eight hours, after which it remains active in the body but doesn’t provide as strong an effect . A normal dose of vardenafil takes action in about one hour. On a per-milligram basis, vardenafil is significantly stronger than sildenafil and is usually used at a lower dose.
The normal starting dose of vardenafil is 10mg, with tablets available in 2.5, 5, 10 and 20mg dosages. The side effects of vardenafil are similar to other ED medications.
The most commonly reported side effects include facial flush, headaches, stuffy nose and heartburn. Like other ED drugs, it’s also linked to more serious side effects in people with pre-existing heart conditions. Because of this, it’s important to talk to a doctor before considering vardenafil or any other ED treatment. Which ED Treatment is Best For You? All three of the ED treatments listed above -- sildenafil, tadalafil and vardenafil -- are widely used and scientifically proven to treat ED.
The main differences between each drug are the amount of time it takes to become effective and the total amount of time it lasts in the body. Ultimately, the best ED drug for you depends on your needs. If you’re interested in treating ED but don’t know which drug is the best choice, you should speak to an experienced ED doctor to learn more about the potential benefits and side effects of each treatment option. This article was reviewed by Ho Anh, MD. IMPORTANT SAFETY INFORMATION Do not take Sildenafil (sildenafil citrate) if you: • take any medicines called nitrates, often prescribed for chest pain, or guanylate cyclase stimulators like Adempas (riociguat) for pulmonary hypertension.
Your blood pressure could drop to an unsafe level • are allergic to sildenafil, as contained in Sildenafil and REVATIO, or any of the ingredients in Sildenafil Discuss your health with your doctor to ensure that you are healthy enough for sex.
If you experience chest pain, dizziness, orâ€¨nausea during sex, seek immediate medical help Sildenafil can cause serious side effects. Rarely reported side effects include: • an erection that will not go away (priapism).Â If you have an erection that lasts more than 4 hours, get medical help right away.â€¨If it is not treated right away, priapism can permanently damage your penis • sudden vision loss in one or both eyes.Â Sudden vision loss in one or both eyes can be a sign of a serious eye problem calledâ€¨non-arteritic anterior ischemic optic neuropathy (NAION).
Stop taking Sildenafil and call your healthcare provider right away if youâ€¨have any sudden vision loss • sudden hearing decrease or hearing loss.Â Some people may also have ringing in their ears (tinnitus) or dizziness. If you haveâ€¨these symptoms, stop taking Sildenafil and contact a doctor right away Before you take Sildenafil, tell your healthcare provider if you: • have or have had heart problems such as a heart attack,â€¨irregular heartbeat, angina, chest pain, narrowing of the aortic valve, or heart failure • have had heart surgery within the last 6 months • have pulmonary hypertension • have had a stroke • have low blood pressure, or high blood pressure thatâ€¨is not controlled • have a deformed penis shape • have had an erection that lasted for more than 4 hours • have problems with your blood cells such as sickle cellâ€¨anemia, multiple myeloma, or leukemia • have retinitis pigmentosa, a rare genetic (runs in families)â€¨eye disease • have ever had severe vision loss, including an eye problemâ€¨called NAION • have bleeding problems • have or have had stomach ulcers • have liver problems • have kidney problems or are having kidney dialysis have any other medical conditions Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins,â€¨and herbal supplements.
Sildenafil may affect the way other medicines work, and other medicines may affect the way Sildenafil works, causing side effects.â€¨Especially tell your healthcare provider if you take any of the following: • medicines called nitrates • medicines called guanylate cyclase stimulators such as Adempas (riociguat) • medicines called alpha-blockers such as Hytrin (terazosinâ€¨HCl), Flomax (tamsulosin HCl), Cardura (doxazosinâ€¨mesylate), Minipress (prazosin HCl), Uroxatral (alfuzosin HCl),â€¨ Jalyn (dutasteride and tamsulosin HCl), or Rapaflo (silodosin).â€¨Alpha-blockers are sometimes prescribed for prostateâ€¨problems or high blood pressure.
In some patients, the useâ€¨of Sildenafil with alpha-blockers can lead to a drop in blood pressure or to fainting • medicines called HIV protease inhibitors, such as ritonavir (Norvir), indinavir sulfate (Crixivan), saquinavir (Fortovase or Invirase), or atazanavir sulfate (Reyataz) • some types of oral antifungal medicines, such asâ€¨ ketoconazole (Nizoral) and itraconazole (Sporanox) • some types of antibiotics, such as clarithromycin (Biaxin),â€¨telithromycin (Ketek), or erythromycin • other medicines that treat high blood pressure • other medicines or treatments for ED • Sildenafil contains sildenafil, which is the same medicine foundâ€¨in another drug called REVATIO.
REVATIO is used to treat aâ€¨rare disease called pulmonary arterial hypertension (PAH).â€¨ Sildenafil should not be used with REVATIO or with other PAHâ€¨treatments containing sildenafil or any other PDE5 inhibitorsâ€¨(such as Adcirca ) Sildenafil does not protect against sexually transmitted diseases, including HIV.
The most common side effects of Sildenafil:Â headache; flushing; upset stomach; abnormal vision, such as changes in color visionâ€¨(such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash.
H2 INDICATION Sildenafil (sildenafil citrate) is prescription medicine used to treat erectile dysfunction (ED). Sildenafil is not for women or children. The views expressed in this article intend to highlight alternative studies and induce conversation. They are the views of the author and do not necessarily represent the views of hims, and are for informational purposes only, even if and to the extent that this article features the advice of physicians and medical practitioners.
This article is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice. *all photos are models and not actual patients. If you are interested in a prescription product, Hims will assist in setting up a visit for you with an independent physician who will evaluate whether or not you are an appropriate candidate for the prescription product and if appropriate, may write you a prescription for the product which you can fill at the pharmacy of your choice.
best dating with erectile dysfunction treatment in kolkata - Erectile Dysfunction: Erection Problems, Treatment, Surgery, and Complications
Synonym: impotence (no longer used, as it implies failure) Erectile dysfunction (ED) used to be called impotence. It is the inability to attain and maintain an erection sufficient for satisfactory sexual performance.
Although a benign disorder, it can have a significant impact on the quality of life of sufferers, partners and families. It is important also to consider the physical and psychosocial health of the person who has the condition. [, ]Patients should be properly assessed and investigated before embarking on treatment. Epidemiology  • The incidence and prevalence is high worldwide.
• The first large-scale community study - the Massachusetts Male Ageing Study - showed that 52% of men (aged 40-70 years) were affected at some time (mild 17%; moderate 25%; severe 10%). • A Cologne study reported that ED was the most prevalent of the male sexual dysfunctions (prevalence age 30-80 years) at 19.2% as compared to 31% for all types of male sexual dysfunction. This study equates to about 26 new cases annually per 1,000 men.
Whichever study, country or methodology is used, this is clearly a significant condition likely to present regularly to a GP, on average between 1 and 4 times per month. Significant media interest has led more men to seek help for ED.
• There is in all studies a steep age-related increase. The Cologne study found that of men aged 30-80 years, the prevalence rose from 2.3% at age 30 to 53.4% at age 80.
• Only about 10-20% of patients with ED are believed to have a solely psychogenic cause but psychogenic factors are often present in those who are diagnosed as having a physical cause. Risk factors for erectile dysfunction ED shares risk factors with cardiovascular disease (CVD). Screening for CVD is a cost-effective method of secondary prevention for CVD in men presenting with ED. The following are all associated with both CVD and ED: • Lack of exercise • Obesity • Smoking • Hypercholesterolaemia • Hypertension  • Metabolic syndrome • Diabetes mellitus  Aetiology It is important that underlying diseases and causative conditions do not go undetected.
There are many different causes, including many drugs: Organic Vascular factors • CVD. • Atherosclerosis (approximately 50% of cases). • Hypertension. • Diabetes mellitus. • Hyperlipidaemia. • Smoking. • Surgery or radiotherapy to the pelvis or retroperitoneum - eg, radical prostatectomy (25-75% of these men have ED).
• Trauma. Neurological Central causes • Parkinson's disease, stroke. • Multiple sclerosis (MS). • Tumours. • Traumatic brain injury (causing hypothalamic-pituitary deficiency). • Cerebrovascular disease. • Intervertebral disc disease. • Spinal cord disease or injury. Peripheral causes • Polyneuropathy. • Peripheral neuropathy. • Diabetes mellitus. • Alcoholism. • Uraemia. • Surgery (for example, of pelvis or retroperitoneum).
Hormonal • Hypogonadism. • Hyperprolactinaemia. • Thyroid disease.  • Cushing's disease. Anatomical • Peyronie's disease. • Micropenis and other penile anomalies. Drugs • Antihypertensives. • Beta-blockers. • Diuretics. • Antidepressants: both tricyclics and selective serotonin reuptake inhibitors (SSRIs). • Antipsychotics: phenothiazines, risperidone.
• Hormonal agents: cyproterone acetate, luteinising hormone-releasing hormone analogues - those used in the treatment of prostate cancer. • Anticonvulsants: phenytoin, carbamazepine. • Antihistamines. • Recreational drugs. • H 2 antagonists cimetidine and ranitidine. Psychogenic causes Psychosexual factors • General (disorders of sexual intimacy, lack of arousability). • Situational (partner, performance or stress).
• One study found that maintaining a regular frequency of intercourse can reduce the risk of ED for males aged 30-75 years.  Psychiatric illness • Generalised anxiety states.
• Depression.  • Psychosis. • Alcoholism (the relationship with alcohol is not straightforward). A Chinese study suggested an additive association with smoking.
It reported that drinking three or more standard alcoholic drinks per week might reduce sexual satisfaction and impair erectile function in current smokers and might have less effect in those who had never smoked.
A meta-analysis showed a protective effect of alcohol at some levels of consumption).  Presentation History • Sexual history. Validated questionnaires to assess sexual function and the effects of treatment are available - for example, the International Index of Erectile Function (IIEF).
The following should be covered: • Current and past sexual relationships. • Current emotional status. • Erectile symptoms: onset and duration. • Previous advice or treatments. • Quality of erections (erotic and morning erections). • Arousal, ejaculation and orgasmic difficulties. • Medical and past medical history: • This may include detail of any relevant conditions (see the causes of erectile dysfunction, above).
• Medication should be listed. History suggesting psychogenic causes  • Sudden onset. • Early collapse of erection. • Self-stimulated or waking erections. • Premature ejaculation or inability to ejaculate.
• Problems or changes in a relationship. • Major life events. • Psychological problems. History suggesting organic causes  • Gradual onset. • Normal ejaculation. • Normal libido (except hypogonadal men). • Risk factor in medical history (cardiovascular, endocrine or neurological). • Operations, radiotherapy, or trauma to the pelvis or scrotum.
• A current drug recognised as associated with ED. • Smoking, high alcohol consumption, use of recreational or bodybuilding drugs Physical examination  The examination should be focused and performed on all patients: • Genitourinary examination (it is necessary to detect, for example, Peyronie's disease, gonadal anomalies, retractile foreskin). • Attention to any endocrine (including testicular size and secondary sexual characteristics), neurological or vascular causes as appropriate, especially if indicated by the history.
• Pulse (including peripheral pulses) and blood pressure if recent readings are not available. Because ED shares risk factors with CVD, a full cardiovascular assessment should be performed. • Rectal examination in patients over the age of 50 years. Investigations  Investigations will be directed by the history and clinical findings. • The European Association of Urology and the British Society of Sexual Medicine suggest: • Fasting glucose or HbA1c and lipid profile for all patients (if not assessed in the previous 12 months).
• Morning sample of total testosterone (free testosterone if available, as it is more reliable in detection of hypogonadism). • Further tests (for example, PSA) only in selected patients. • Addition of follicle-stimulating hormone (FSH), luteinising hormone (LH), and prolactin when low testosterone is detected. • Other specific investigations may be indicated and are appropriately arranged by urologists.
Indications for referral for these further tests are given below. Further tests include: • Nocturnal penile tumescence and rigidity studies. • Vascular studies: • Duplex ultrasound cavernous arteries.
• Intracavernous vasoactive drug injection. • Dynamic infusion cavernosography. • Arteriography (internal pudendal). • Neurological studies. • Endocrinology work-up. • Specialist psychodiagnostic evaluation. Indications for referral  The following should be referred for further assessment or specific diagnostic tests: • Endocrine abnormality.
• Referral for underlying organic disease as appropriate - eg, cardiovascular or neurological. • Young patients who have had pelvic or perineal trauma. • Penile disorders or deformities requiring possible surgical correction. • Complex cases (whether psychiatric, cardiovascular, psychosexual or endocrine). • If a patient of partner requests referral or special tests.
Management • The main aim of management is to diagnose and treat the cause of ED when possible. • Associated modifiable or reversible factors (lifestyle, drug-related factors) should be considered as well as specific therapies. • Most often it cannot be cured but, where appropriate, curative therapies should be offered.
 • Treatments will be selected, therefore, according to efficacy, safety, invasiveness, cost and patient preference. • With increasing longevity, the treatment of ED in the elderly has assumed greater importance. Hypogonadism should be treated with testosterone replacement, regardless of age.  • A flow chart or algorithm can be used to assist treatment plans.
 Lifestyle Data from basic science and clinical studies have identified a link between the occurrence of ED and a number of lifestyle factors, such as smoking, obesity, alcohol consumption and lack of physical activity. Cycling for more than three hours per week has been identified as an independent risk factor for ED.
Large-scale trials are needed to assess the place of lifestyle modification in the management of ED.  Treating the cause The following are regarded as curable causes for ED, which can be treated: • Hormonal causes: • Testicular failure - treat with testosterone.
• Pituitary or hypothalamic causes - treat the underlying causes; for example, pituitary tumours causing hyperprolactinaemia. • Post-traumatic arteriogenic ED in young patients: • Surgery following pelvic or perineal trauma has a 60-70% success rate.  • This requires proper diagnostic work-up (including duplex ultrasound and arteriography). • Psychosexual causes: • Management includes the management of any specific underlying psychological problem. • Psychosexual therapy: • See separate article.
• A meta-analysis confirmed the effectiveness of group psychotherapy in the treatment of ED and that psychological interventions were as effective as vacuum devices and local injections.  • Psychological therapy is most effective when appropriately targeted.  • Drug treatments (eg, the phosphodiesterase type-5 inhibitors sildenafil, tadalafil, vardenafil and avanfil) may be effective and sometimes need only be used short-term. First-line therapy for ED  Oral agents Phosphodiesterase inhibitors (sildenafil, tadalafil, vardenafil and avanafil) improve the relaxation of smooth muscle.
Efficacy of the drug is dependent on release of nitric oxide from the nerve terminals of the cavernosal nerve Use of high-dose sildenafil after radical prostatectomy (RP) has been suggested to be associated with preservation of smooth muscle within the corpora cavernosa and daily use results in a greater return of spontaneous normal erectile function after RP compared to placebo in patients who were fully potent before surgery.
Sildenafil, tadalafil, vardenafil and avanafil are contra-indicated in patients receiving nitrates (because of possible severe hypotension, which may lead to acute myocardial infarction, stroke and even death). • Phosphodiesterase inhibitors are also contra-indicated in patients in whom vasodilation or sexual activity are inadvisable, and where there is previous history of non-arteritic anterior ischaemic optic neuropathy, hypotension (avoid if systolic blood pressure is below 90 mm Hg and there is recent stroke, unstable angina or myocardial infarction).
• There are no meta-analyses to compare the four preparations, so choice will depend on personal preference of the patient and frequency of intercourse: • Sildenafil: • Improves erectile function and is generally well tolerated. • Efficacy is reduced after fatty meals. • 50 mg is the recommended starting dose (change according to response). • Adverse events are rare and the drop-out rate similar to placebo. • Tadalafil: • Has a longer half-life - therefore, potentially, a longer action and therefore greater spontaneity (effective after 30 minutes, with peak efficacy at two hours and lasting up to 36 hours).
• Start at 10 mg (change according to response). • Adverse events and drop-outs similar to above. • Better results in subgroups which are difficult to treat. • Vardenafil: • Effective after 30 minutes. • Useful in subgroups which are difficult to treat. • Its effect is reduced by a fatty meal but it has less interaction with food. A rapidly absorbed orodispersible preparation has now been made available which is more rapdily absorbed.
• Avanafil: • Effective after 30 minutes. • High selection for phosphodiesterase inhibition minimises the risk of side-effects. • Effect may be delayed when administered with food but can be taken with or without food. Increasing numbers of products are available via the internet.
They are all unlicensed and many have adverse effects. They include yohimbine, maca, horny goatweed and gingko biloba.  Vacuum devices  • An external cylinder is fitted over the penis to allow air to be pumped out, resulting in engorgement of penis with blood. • Studies suggest that whilst two thirds of patients are unable to achieve ejaculation, 74% are able to achieve orgasm.
• They work best when there is a motivated, interested and understanding partner. They may be the treatment of choice in well-informed older patients and in those with comorbidities precluding use of drugs or invasive methods. • Adverse events include pain, petechiae, bruising and numbness. Second-line therapy for ED  Intraurethral alprostadil (prostaglandin E1)  • This is inserted as a medicated pellet called MUSE速 into the urethral meatus and produces an erection after about 15 minutes.
• Barrier contraception must be used if the partner is pregnant. • 30-65.9% of patients achieve erections sufficient for intercourse. • However, it is less effective than intracavernous injections. • The most common side-effect is mild penile pain (29-41% of patients).
Topical alprostadil (prostaglandin E1)  • A cream is licensed for topical use. • It should be applied 5-30 minutes before intercourse. • It is administered using a plunger which delivers the cream to the tip of the penis and surrounding skin.
Intracavernosal alprostadil (prostaglandin E1) • Injections of alprostadil are given into the corpora cavernosa to produce an erection. It is licensed in the UK for a maximum dose of 40 micrograms. The duration of erection depends on the dose. • Efficacy rates for intracavernous alprostadil of >70% in the general population have been reported and it is often effective for those men who do not respond to oral drug treatment.
• Penile pain (50% of patients) is usually mild but a significant number of men stop using this method because of this side-effect. • If priapism occurs with alprostadil: • The patient should be referred urgently to hospital.
• Patients are advised to seek medical advice if the erection has lasted longer than four hours. • Treatment should not be delayed for more than six hours. Initial treatment is by aspiration of blood from the corpus cavernosum. • If this is unsuccessful, cautious intracavernosal injection of a sympathomimetic (eg, phenylephrine or adrenaline (epinephrine) may be required).
• If sympathomimetics are unsuccessful, urgent surgical referral is required (possibly including shunt procedure).
Third-line therapy for ED  Penile prosthesis • Semi-rigid, malleable or inflatable devices surgically inserted to produce an erect state. Most patients prefer the three-piece inflatable penile prosthesis which includes a separate reservoir placed in the abdominal cavity. • Prostheses should be considered in patients whose ED has an organic cause and who are unwilling to consider, fail to respond to, or are unable to continue with medical treatment or external devices.
Low-intensity shock-wave therapy has shown promising results in trials in patients resistant to other treatments.  NHS or private prescription? In England, Scotland and Wales, sildenafil can be prescribed on the NHS for any man with ED.
In Northern Ireland, it is on the Red List, which means that responsibility for prescribing should remain with a hospital specialist. The other phosphodiesterase inhibitors and alprostadil can only be prescribed on the NHS for men who: • Have diabetes, MS, Parkinson's disease, poliomyelitis, prostate cancer, severe pelvic injury, single-gene neurological disease, spina bifida, or spinal cord injury.
• Are receiving dialysis for chronic kidney disease. • Have had radical pelvic surgery, prostatectomy, or a kidney transplant. • Treatment should also be available from specialist services (under local agreement) when the condition is causing severe distress. The criteria for severe distress include: • Significant disruption to normal social and occupational activities. • A marked effect on mood, behaviour, social and environmental awareness. • A marked effect on interpersonal relationships.
If the patient does not fit these criteria, a private prescription can be issued. • ; The treatment of erectile dysfunction in patients with neurogenic disease. Transl Androl Urol. 2016 Feb5(1):88-101. doi: 10.3978/j.issn.2223-4683.2016.01.07.
• ; European Association of Urology (2015) • ; Erectile dysfunction. BMJ. 2014 Jan 27348:g129. doi: 10.1136/bmj.g129. • ; Stem cell therapy for erectile dysfunction: a critical review. Stem Cells Dev. 2012 Feb 1021(3):343-51. doi: 10.1089/scd.2011.0303. Epub 2011 Sep 7. • ; European Association of Urology (2015) • ; Perceptions and opinions of men and women on a man's sexual confidence and its relationship to ED: results of the European Sexual Confidence Survey. Int J Impot Res. 2012 Nov-Dec24(6):234-41.
doi: 10.1038/ijir.2012.23. Epub 2012 Jun 21. • ; Diagnosis and Treatment of Erectile Dysfunction for Reduction of Cardiovascular Risk. J Urol. 2013 Jan 9. pii: S0022-5347(13)00009-8. doi: 10.1016/j.juro.2012.12.107. • ; Erectile dysfunction and hypertension: impact on cardiovascular risk and treatment. Int J Hypertens. 20122012:627278. doi: 10.1155/2012/627278. Epub 2012 May 9. • ; Erectile dysfunction as an initial presentation of diabetes discovered by taking sexual history.
BMJ Case Rep. 2012 May 82012. pii: bcr1220115289. doi: 10.1136/bcr.12.2011.5289. • ; Hyperthyroidism and erectile dysfunction: a population-based case-control study. Int J Impot Res. 2012 Nov-Dec24(6):242-6. doi: 10.1038/ijir.2012.24. Epub 2012 Jun 21. • ; Impact of frequency of intercourse on erectile dysfunction: a cross-sectional study in Wuhan, China. J Huazhong Univ Sci Technolog Med Sci. 2012 Jun32(3):396-9. doi: 10.1007/s11596-012-0068-9.
Epub 2012 Jun 9. • ; Erectile dysfunction and depression: screening and treatment. Urol Clin North Am. 2011 May38(2):125-39. doi: 10.1016/j.ucl.2011.03.004. • ; The effect of alcohol drinking on erectile dysfunction in Chinese men. Int J Impot Res. 2010 Jul-Aug22(4):272-8. doi: 10.1038/ijir.2010.15. Epub 2010 Jun 17. • ; Lifestyle modifications and erectile dysfunction: what can be expected? Asian J Androl. 2015 Jan-Feb17(1):5-10. doi: 10.4103/1008-682X.137687.
• ; Evaluation of young men with organic erectile dysfunction. Asian J Androl. 2015 Jan-Feb17(1):11-6. doi: 10.4103/1008-682X.139253. • ; Erectile dysfunction in aging male. Acta Biomed. 201081 Suppl 1:89-94. • ; Effects of aerobic exercise in the management of erectile dysfunction: a meta analysis study on randomized controlled trials.
Ethiop J Health Sci. 2011 Nov21(3):195-201. • ; The effectiveness of psychological interventions for the treatment of erectile dysfunction: systematic review and meta-analysis, including comparisons to sildenafil treatment, intracavernosal injection, and vacuum devices.
J Sex Med. 2008 Nov5(11):2562-74. doi: 10.1111/j.1743-6109.2008.00872.x. Epub 2008 Jun 17. • ; Psychotherapy research: do we know what works for whom?
Br J Psychiatry. 2010 Aug197(2):83-5. doi: 10.1192/bjp.bp.110.079657. • ; Sexual enhancement products for sale online: raising awareness of the psychoactive effects of yohimbine, maca, horny goat weed, and Ginkgo biloba.
Biomed Res Int. 20142014:841798. doi: 10.1155/2014/841798. Epub 2014 Jun 15. • ; Intracavernosal therapy and vacuum devices to treat erectile dysfunction. Arch Esp Urol. 2010 Oct63(8):717-25. • ; Intraurethral alprostadil for erectile dysfunction: a review of the literature. Drugs. 2012 Dec 372(17):2243-54. doi: 10.2165/11641380-000000000-00000. • ; Clinical efficacy and safety of Vitaros(c)/Virirec(c) (Alprostadil cream) for the treatment of erectile dysfunction. Urologia.
2015 Apr-Jun82(2):84-92. doi: 10.5301/uro.5000116. Epub 2015 Mar 3. • ; Low intensity extracorporeal shockwave therapy for erectile dysfunction: a study in an Indian population. Can J Urol. 2015 Feb22(1):7614-22. The information on this page is written and peer reviewed by qualified clinicians. Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Patient Platform Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy.
Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our .
How to Treat Erectile Dysfunction Erectile dysfunction treatments can be administered to men of any age. The type of remedy suggested will depend upon the affected person’s general health as well as the cause of the disorder. During the last decade, medical professionals have developed a number of new erectile dysfunction treatments. Today, treatment options include natural techniques along with modern medicine alternatives.
Keep in mind that approximately 30 million American men experience erectile dysfunction. Furthermore, seven out of 10 incidents occur because of a potentially dangerous medical condition such as diabetes, kidney disease or vascular disease. Medications, psychological troubles or a surgical injury can also cause a man to need erectile dysfunction treatment.
Once a doctor has determined the condition’s cause, the ailment can be treated naturally. Natural Ways to Treat Erectile Dysfunction In most cases, the first erectile dysfunction treatment suggestion is to make lifestyle modifications. For instance, doctors may advise sufferers to exercise, maintain a healthy weight and stop smoking. Limiting the intake of alcohol is another erectile dysfunction treatment option.
Pelvic exercises are a natural erectile dysfunction treatment. Deliberate pelvic movements are referred to as kegel exercises, and when men complete a set of them consistently, the exercise may encourage urinary continence as well as sexual health. Kegel exercises make the bulbocavernosus muscle stronger, which aids the flow of blood to the penis.
The erectile dysfunction treatment action also helps ejaculation. Suggested erectile dysfunction treatments also include walking. Men should try to walk 2 miles a day to maintain a healthy weight. According to studies, men whose waists measure 42 inches are more likely to need erectile dysfunction treatments than men who have 32-inch waists. Walking will help maintain the heart and arteries to keep blood flowing easily throughout the body.
In some cases, men who require erectile dysfunction treatment can follow a healthy diet to ease the condition. The diet should consist of whole grains, vegetables and fruits. Men who need erectile dysfunction treatments should review their alcohol intake. Drinking has a depressive effect on people, and this aspect can affect a man’s sexual health.
Smoking can also cause impotence, as nicotine is known to decrease blood flow to the genitals. For smokers, an effective erectile dysfunction treatment is to kick the habit. Several herbal remedies have also shown promise as erectile dysfunction treatments. Men with the disorder who are also taking other prescribed medications should check with their doctors because some herbs can interact negatively with certain prescriptions. DHEA is a natural erectile dysfunction treatment. The substance is a hormone that the body’s adrenal glands naturally develop, but science professionals use soy and wild yam to make the hormone synthetically.
Once a man ingests DHEA, his body will convert it to testosterone, which is imperative to sexual activity. According to the Massachusetts Male Aging Study, many men who were diagnosed with erectile dysfunction also had decreased DHEA levels.
Erectile dysfunction treatments also include taking certain amino acids. Specifically, L-arginine may treat the condition. The substance makes nitric oxide. The amino acid causes the blood vessels to relax, and this attribute supports a successful erection.
If a man has sexual dysfunction because of cardiovascular problems, then he should check with his doctor before taking L-arginine. The substance can interact negatively with some prescribed medications. Acupuncture is an alternate erectile dysfunction treatment option for those who want to avoid taking any kind of substance. Researchers have studied acupuncture’s effectiveness as an erectile dysfunction treatment.
The results were mixed, but the treatment did improve sexual functionality in 39 percent of those who participated. A few years later, another study reported that just 21 percent of the test’s participants benefited from acupuncture. Pomegranate juice is a simple erectile dysfunction treatment. This healthy beverage can lower blood pressure and help men suffering from erectile dysfunction.
A small study reported positive results, but health professionals are requesting more tests to verify its effectiveness. Since the juice provides a number of health benefits, impotent men may consider trying it. Erectile Dysfunction Treatment Options Other erectile dysfunction treatment options include testosterone replacement and erection generating injections.
Side effects for these types of treatments consist of breast enlargement, acne and pain in the penis as well as increased urination and scarring. To restore testosterone levels, doctors may recommend a hormone injection, pellet injection, skin patch or gel. Hormone injections are usually done every two weeks while a pellet injection is required every four to six months. When skin patches or gels are the selected erectile dysfunction treatment method, the sufferer will massage them into the skin.
Suppositories are an alternate erectile dysfunction treatment for men who are afraid of needles and wish to avoid an injection. If a suppository is used, it will be inserted into the sufferer’s urethra to promote an erection.
The erectile dysfunction treatment option is not as effective as an injection. Furthermore, once the body absorbs the suppository, the substance’s potency decreases. If a sufferer requires erectile dysfunction treatment but doesn’t want a drug based cure, then he can choose to take care of the condition with blood vessel surgery, a penis pump or a penile implant. When the erectile dysfunction treatment includes a pump or vacuum, the man will use it just before participating in intercourse to fill the penis with blood.
The device is affordable and dependable. Vacuums are also safe to use and do not require the sufferer to undergo surgery. A pump features a plastic cylinder that a man will set over his penis. Different sized tension rings and a small hand pump are other parts of the vacuum device. Once the air is pumped out, blood will be pulled into the penis, which causes the erection. The man will then use the tension ring to keep the blood in place and sustain the erection.
This erectile dysfunction treatment technique may result in bruising. If an afflicted man chooses his erectile dysfunction treatment in the form of an implant, then a doctor will insert the device into the penis surgically.
Men who have implants will inflate them prior to intercourse. In most cases, a doctor will recommend an implant for men who have tried other erectile dysfunction treatments without success.
The remedy is best for prostate cancer patients. The only time that blood vessel surgery is a recommended erectile dysfunction treatment is when the afflicted individual has leaking vessels that are the cause of the condition. The risks involved with these erectile dysfunction treatment options are the ones that can arise from any surgery such as bleeding or an infection.
When men experience low sex drive combined with erectile dysfunction, they may suffer from diminished testosterone levels. A recommended erectile dysfunction treatment option for the two conditions is hormone replacement therapy used in conjunction with another erectile dysfunction treatment.
With the restoration of serum testosterone levels, erectile dysfunction sufferers are likely to experience a return of their libido and a general feeling of well being. If a man feels stressed, anxious or depressed, he may need erectile dysfunction treatment. These negative sensations can have a harmful impact on a person’s libido. Meditation, yoga or controlled breathing may restore normal sexual functions and desires.
Sexual counseling is an important erectile dysfunction treatment element because the emotional aspects of the ailment are likely to affect the patient negatively. In some situations, relationship issues may be the cause of the disorder. When this is the case, the erectile dysfunction treatment recommendation is to talk to a professional counselor along with a spouse or partner to eliminate relationship resentments and decrease contention.
Male Enhancement Pills Often, erectile dysfunction treatment involves prescribed medications. Men who have suffered from a stroke, unmanaged diabetes or low blood pressure should not take erectile dysfunction treatment medications.
Erectile dysfunction treatment medications include phosphodiesterase inhibitors. Research has verified the effectiveness of this type of medication. The erectile dysfunction treatment substance will not enhance erections in men who are healthy nor will they increase a man’s desire for sexual activity.
Erectile dysfunction treatment medications are generally prescribed in 10 milligram and 20 milligram doses. Men who are taking an alpha-blocker should not take the erectile dysfunction treatment medication because it can cause a dangerous drop in their blood pressure.
Different types of erectile dysfunction treatment medications provide different results. For instance, one version delivers results for a longer time frame than other kinds of erectile dysfunction treatment drugs.
Another one works more rapidly than the others. In fact, men can take one medication 24 to 36 hours prior to participating in sexual activity. Also, the drug can work in as little as 30 minutes, but for most men, these kinds of erectile dysfunction treatments take a bit longer to cause an erection.
Most erectile dysfunction treatment drugs will not go into effect without the sufferer experiencing sexual stimulation. Phosphodiesterase inhibitors can also cause mild side effects like headaches, facial flushing and nasal congestion.
Indigestion, lower back pain and visual problems are additional side effects of these particular erectile dysfunction treatment drugs. Men may need an erectile dysfunction treatment at any time. Causes of the condition include emotional issues and fatigue along with relationship problems or alcohol consumption. Keep in mind that if the ailment continues for longer than several weeks or months, then a doctor will likely diagnose the problem as true erectile dysfunction and treatment will be required.
Men who maintain a healthy weight and exercise may be able to take advantage of the best erectile dysfunction treatment, which is prevention. Disclaimer : Any and all information, images and written material included on ErectileDysfunction.com, which will hereafter be referred to as “Content” is to be used only for informational and educational purposes. Content is not intended to diagnose or treat any medical ailments or problems, and in no case should it ever take the place of proper and immediate medical attention.
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