Based on the severity of the ED issue, your doctor will suggest treatments from least to most invasive. Something as simple as making healthy lifestyle changes (such as quitting smoking, reducing alcohol consumption, and losing weight) may help to solve the issue.
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Certain feelings can interfere with normal sexual function, including feeling nervous about or self-conscious about sex, feeling stressed either at home or at work, or feeling troubled in your current sexual relationship. In these cases, treatment incorporating psychological counseling with you and your sexual partner may be successful. One episode of failure, regardless of cause, may propagate further psychological distress, leading to further erectile failure. 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. Althof, S.E., E.W. Corty, S.B. Levine, et al. "EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction." Urology 53.4 April 1999: 793-799. American Foundation for Urologic Disease. American Foundation for Urologic Disease. American Urological Association. "Erectile Dysfunction." 2011.
Appropriate treatment options should be applied in a step-wise fashion, balancing invasiveness and risk versus efficacy. If possible, the partner should be involved in the decision-making. The decision depends on the patient preferences and expectations as well as the experience and judgment of the physician. Oral phosphodiesterase type-5 inhibitors are first line therapy.
Researchers who took part in the Massachusetts Male Aging Study found that what you eat could reduce your chances of ED.
Samadi, who was not involved in the research, warned that a prescription is not as good as a fundamental lifestyle change. "Long-term, medication is not the answer unless you take care of the high blood pressure or high cholesterol or diabetes," he said. "Medication works well for those who cannot make the necessary changes, but drugs should not be the first line of treatment."
It is also worth noting that many medications used for the treatment of depression and other psychiatric disorders may cause erectile dysfunction or ejaculatory problems. Readers Comments 1 Share Your Story Advanced age Cardiovascular disease Hypertension Diabetes mellitus High cholesterol Cigarette smoking Recreational drug use Depression or other psychiatric disorders Pelvic surgery, including radical prostatectomy and colorectal surgery Pelvic radiation, such as for prostate cancer and some colorectal cancers Trauma to the pelvis (pelvic fracture), penis (penile fracture), and perineum SLIDESHOW Erectile Dysfunction (ED) Causes and Treatment See Slideshow
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There are many unproven herbals, dietary supplements, and natural remedies for ED. These include panax, propionyl-L-carnitine, L-citrulline, pomegranate, rhodiola rosea, golden root, Indian ginseng, zinc supplements, and ashwagandha.
It is important to keep in mind that even if you are dealing with ED, there are treatment options available to help you return to a satisfying sex life. If you would like to make an appointment, contact us at U of U Men's Health. mens health erectile dysfunction Please enable JavaScript to view the comments powered by Disqus. comments powered by Disqus For Patients
ED can cause strain on a couple. Many times, men won't get into sexual situations because they are embarrassed. In turn, their partner may feel rejected or inadequate. It's important to talk openly with your partner. Some couples may get treatment for ED together. Other men prefer to get treatment without their partner's knowledge. Not talking about it is the main barrier to getting treatment. The loss of erectile function can have a profound effect on a man. The good news is that ED can often be treated safely and effectively.
Espinosa says the herb generally boosts energy, and he recommends it more to balance out your whole body as opposed to targeting ED. It has been linked to low blood pressure.
Social ideas of how men and women are supposed to interact can also contribute to ED. These can include unrealistic expectations about love and sexuality, and inappropriate male and female role models.
If you want to avoid medications, devices, or surgery, there are other, more natural ways to help erectile dysfunction.
Treatment for ED is based on the cause of the problem. Some of the treatments that may be used include:
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Liver toxicity has generally been associated with oral forms of TRT, but does not appear to be a risk in injection or transdermal therapy.39 In patients with marked obstructive sleep apnoea or untreated severe congestive heart failure, these issues should be resolved before initiating TRT.37