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.
However, if these steps do not help and you've had an erection for more than 4 hours, go to A&E, as this is an emergency. Why won’t my erection go down? .
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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.
Almost every man will experience erection problems from time to time. Usually, ED isn’t a reason to worry, unless the sexual difficulty becomes an ongoing issue. Sometimes erectile dysfunction is an indication of an underlying medical condition that you shouldn’t ignore, like diabetes or heart disease. Also, ED can lower a man’s confidence and self-esteem and lead to stress and relationship problems, which are good reasons to get an evaluation at the earliest signs of erectile dysfunction.
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Most ageing men manage to get erections, but to do so requires more stimulation. It is up to each man to decide whether his erection is adequate. You can consider (with your partner) how important sexual intercourse is to your relationship. There are other aspects to intimacy and not all couples require an active sex life to have a fulfilling relationship.
A small percentage of erectile dysfunction cases are related to surgery for prostate cancer. After the operation to remove the prostate, 15 percent to 60 percent of men can have erectile dysfunction, even when newer “nerve sparing” surgery is performed. Often, this side effect is temporary, and improvement can be seen up to one year after surgery.
Before we get into the causes of ED, its important to understand how an erection comes to be: During sexual arousal man’s brain and nerves signal the blood vessels to deliver more blood to the penisFollowing that, blood fills the spongy parts of the penis, which is called the corpus cavernosumThe blood flow into the corpus cavernosum is what causes the erection of the penis
The type of prescription medication that’s most commonly used in the treatment of erectile dysfunction is phosphodiesterase type 5 inhibitors (including sildenafil, vardenafil and tadalafil). They are used to relax and open the penile tissue, allowing for blood to enter the penis and cause an erection. Intracavernous (base of the penis) injections of vasoactive agents, such as prostaglandin E1, are also used for ED. (32)
Men with a rare heart condition known as long QT syndrome should not take vardenafil since this may lead to abnormal heart rhythms. The QT interval is the time it takes for the heart's muscle to recover after it has contracted and is measured on an electrocardiogram (EKG). In addition, vardenafil is not recommended for men taking medications that can affect the QT interval such as quinidine, procainamide, amiodarone, and sotalol.
Erectile dysfunction is a challenge for many men today which is regardless of their age-old, young or middle-aged. Erectile dysfunction can be caused by various factors like emotional, health condition or relationship problems, smoking, drugs, medications or alcohol. Erectile dysfunction treatment options can include surgery and medication, there are also other erectile dysfunction remedies which might help. Men having erectile dysfunction can experience all these symptoms, reduced sexual desire, difficulty in getting an erection, not able to keep an erection. One common reason that many younger men visit the doctor is to get the erectile dysfunction medication.
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Urethral suppositories (MUSE) have the same ingredient as ED injections (alprostadil) only they are in pellet form. You will insert the pellet into your urethra (urinary channel), where it will dissolve.