As already mentioned, taking certain medications, using tobacco, and drinking heavily can cause or contribute to problems with ED.
Male sexual dysfunction can be caused by physical or psychological problems. Common sexual problems in men include erectile dysfunction (impotence or ED), premature ejaculation, and loss of libido. Treatment for sexual dysfunction in men may involve medication, hormone therapy, psychological therapy, and the use of mechanical aids.
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Currently, there are no therapies that cure erectile dysfunction. However, a number of effective therapies are available that allow an individual to have an erection when desired. Depending on the cause of the erectile dysfunction, certain therapies may be more effective than others.
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What is the role of testosterone therapy in the treatment of erectile dysfunction?
Though they rely on the same primary mechanism to treat ED, research confirms that these different PDE-5 inhibitors tend to produce side effects to various degrees. For instance, a slightly higher percentage of people who take sildenafil (and Viagra) report unwanted vision changes, while a slightly higher percentage of tadalafil (and Cialis) users report muscle pain. All in all, most men barely notice any side effects.
This interconnection also means that dysfunction in any of those areas can lead to problems with erections.
Currently, penile implants are the closest thing to a natural erection that we can do through through treatment. Implants are clearly the winner for overall satisfaction rates with around 95 percent satisfaction (compared to 50 percent for pills, 40 percent for injections, and 20 percent for vacuum devices). *McCabe MP, et al. (2016) Incidence and prevalence of sexual dysfunction in women
It may be uncomfortable for you to discuss your sex life with a urologist or a sexologist, but it is the most effective way to deal with your concerns. Together with your doctor, you can identify what is important in your sex life and choose the best treatment option to have a satisfactory sex life. If you have a partner, it is important to include them in these consultations.
ED may be a side effect of medication, including certain blood pressure drugs and antidepressants. Talk to your doctor if you think a prescription or over-the-counter drug may be causing erectile problems. But never stop taking any medicine before you discuss it with your doctor.
Your doctor will ask you to describe the firmness and duration of your morning erections and sexually stimulated ones. The doctor will also ask if you have problems with arousal, ejaculation, and orgasm.
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Many conditions are closely related to ED and may contribute to symptoms, including the following:
These are not common tests for initial diagnosis of ED and are only necessary if your doctor needs additional information to assess your personal situation.
Premature ejaculation (ejaculating too soon)The inability to have an orgasm after sufficient stimulationDelayed ejaculation (when ejaculation takes too long)
In 1973, Dr Brantley Scott from Baylor College of Medicine reported on the implantable inflatable prosthesis that urologists still use today.5
Erectile dysfunction, or being unable to maintain an erection firm enough to have sexual intercourse, affects a majority of men between the ages of 40 and 70. Appointments Request an Appointment