This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.
The severity of ED has been correlated with the extent of CVD. Banks et al reported that the risk of future CV events increased progressively according to ED severity.28 This was shown in both men with and without known CVD at baseline and after controlling for confounders. Solomon and colleagues found an inverse correlation between international index of erectile function (IIEF) scores and plaque burden seen on coronary angiography.29 In addition, Yaman et al demonstrated a significant correlation between ED severity on IIEF questionnaires and coronary artery calcification.30 .
If there seems to be a psychological cause contributing to your erectile dysfunction, the doctor may ask the patient questions to help determine stressors, events, and relationship issues that may be causing your erectile troubles. It may be helpful to have your sexual partner involved in this assessment.
Do NOT take these medications if you are on nitroglycerin, taking medications with nitrates, or even have nitroglycerin at home. Ask your doctor if you have any questions about this.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999494/ Pelvic Floor Awareness for Psychosexual Therapy. (2020).
If you have symptoms like needing to pee more often, you may also need to have an examination of your prostate. Treatment for erection problems depends on the cause
WHOOPI SUGGESTS GOD SUPPORTS ABORTION, CLASHES WITH PRO-LIFE HASSELBECK: HE GAVE US 'FREEDOM OF CHOICE'
https://jamanetwork.com/journals/jama/fullarticle/2576613 Erectile Dysfunction. (2017).
Men with mild to moderate kidney or liver disease will need to use lower doses of the PDE5 inhibitors. None of the PDE5 inhibitors are recommended for men with severe kidney disease, those on dialysis, and those with severe liver disease.
Poor sleep patterns can be a contributing factor for erectile dysfunction, Mucher says. One review published in the journal Brain Research emphasized the intricate relationship between the level of sex hormones like testosterone, sexual function, and sleep, noting that testosterone levels increase with improved sleep, and lower levels are associated with sexual dysfunction. Hormone secretion is controlled by the body’s internal clock, and sleep patterns likely help the body determine when to release certain hormones.
DHEA (dehydroepiandrosterone) is a hormone that our body’s adrenal glands typically produce. Production of DHEA naturally drops as we age, but DHEA is a precursor to the sex hormones testosterone and estrogen.
Erectile dysfunction for some cases can be attributed to health conditions present in the patient. These health conditions are: High level of cholesterol in the system. Atherosclerosis, which is the clogging of the blood vessels, thereby, impeding flow. Disease in the heart. Obesity. Presence of high blood pressure. Diabetes. Series of sclerosis. Parkinson’s disease. A metabolic syndrome involving high levels of insulin, spiked blood pressure, and excess body fat. Peyronie’s disease. Low testosterone. Previous surgeries around the pelvic region. Sleeping disorders. Psychological Cause
Medication therapy is effective, especially in older men. Additional treatment may include self-injected medication, vacuum erection devices, or urethral suppositories. Surgical interventions include vascular reconstruction for improved penile blood flow. Penile implants are considered for some cases.
Asian red ginseng: This product has also been picked up from our ancestors. This plant was a favorite of the Chinese emperor way back in 3500 BC. The emperor called Shen-Nung said that he had a feeling of sexually pleasurable feeling after taking the medicine.
Another brand name of sildenafil, called Revatio, is used to treat pulmonary arterial hypertension (high blood pressure in the lungs) and improve exercise ability in men and women with this condition.
A vacuum device (VED) is an external device (not a drug) that goes over the penis. When pumped, it pulls blood into the penis then a special ring is placed over the base of the penis to keep it erect.
ED that’s caused by psychological factors, hormone issues, or injuries to the penis can usually be effectively treated.