The information in our articles is NOT intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.
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Erectile Dysfunction (or impotence) is the inability to get or keep an erection long enough to have sex. It’s very common in men, especially as you get older. According to research from the Irish Heart Foundation, almost 20% of men in their 50s suffer from ED, climbing to 38% of men in their 60s, and 57% of men over 70.
Often, erectile dysfunction can be a symptom of a heart condition, diabetes, or high blood pressure. To address this, Yale Medicine established the Male Reproductive Health/Sexual Medicine Program, a collaboration between the specialties of cardiovascular medicine and urology.
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Implants may cause infection. If you have a urinary tract infection, skin infection, or systemic (body-wide) infection, you shouldn’t get one.
Call your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis.
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The read-only self-assessment questionnaire (SAQ) can be found after the CME section in each edition of Clinical Medicine. RCP members and fellows (using their login details for the main RCP website) are able to access the full SAQ with answers and are awarded 2 CPD points upon successful (8/10) completion from: https://cme.rcplondon.ac.uk About Menu Toggle What is GAINSWave ? What to Expect? How it Works? Comparing Treatments FAQs Medical Advisory Board Expected Results Menu Toggle Erectile Dysfunction Treatment Peyronie’s Disease Treatment Sexual Enhancement Clinical Research Testimonials Am I a Candidate? Testimonials Resources Menu Toggle Men’s Health Guide Provider Resources Magazine Press Become a Provider Find A Provider About Menu Toggle What is GAINSWave ? What to Expect? How it Works? Comparing Treatments FAQs Medical Advisory Board Expected Results Menu Toggle Erectile Dysfunction Treatment Peyronie’s Disease Treatment Sexual Enhancement Clinical Research Testimonials Am I a Candidate? Testimonials Resources Menu Toggle Men’s Health Guide Provider Resources Magazine Press Become a Provider Find A Provider
In the Health Professionals Study, smoking increased the risk of developing ED by 50%.25 In the Massachusetts Male Aging Study, men who smoked at baseline increased their risk of developing moderate or total ED to 24%, compared with 14% of non-smokers (p=0.01).26 When considering overall vascular health, advice and support to enable individuals to stop smoking are essential lifestyle interventions.
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Beginning in the 1990’s, researchers discovered that using therapeutic, ultrasound wave technology encourages angiogenesis, or the formation of new blood vessels, when searching for treatments for CAD and heart diseases.
A wealth of research has gone into finding effective treatments for male sexual health issues. Evidence-based methods of treatment for both erectile dysfunction and premature ejaculation are widely available and can even be purchased online.
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999494/ Pelvic Floor Awareness for Psychosexual Therapy. (2020).
GAINSWave provides patients with a means to achieve a full recovery from their symptoms, through a safe and modern ED treatment.
The read-only self-assessment questionnaire (SAQ) can be found after the CME section in each edition of Clinical Medicine. RCP members and fellows (using their login details for the main RCP website) are able to access the full SAQ with answers and are awarded 2 CPD points upon successful (8/10) completion from: https://cme.rcplondon.ac.uk About Menu Toggle What is GAINSWave ? What to Expect? How it Works? Comparing Treatments FAQs Medical Advisory Board Expected Results Menu Toggle Erectile Dysfunction Treatment Peyronie’s Disease Treatment Sexual Enhancement Clinical Research Testimonials Am I a Candidate? Testimonials Resources Menu Toggle Men’s Health Guide Provider Resources Magazine Press Become a Provider Find A Provider About Menu Toggle What is GAINSWave ? What to Expect? How it Works? Comparing Treatments FAQs Medical Advisory Board Expected Results Menu Toggle Erectile Dysfunction Treatment Peyronie’s Disease Treatment Sexual Enhancement Clinical Research Testimonials Am I a Candidate? Testimonials Resources Menu Toggle Men’s Health Guide Provider Resources Magazine Press Become a Provider Find A Provider
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Management of EDOptimal management of ED involves shared decision-making between the patient, his partner, and the treating clinician.6 Underlying disease states and risk factors should be identified and treated or minimized.5 Contributing medications should be discontinued, or the dose should be reduced.5 A variety of nonpharmacologic and pharmacologic treatment options may be considered for ED treatment. Generally, oral medications are trialed first, and more invasive options are reserved for those who fail to respond to initial therapy.5,6
You could also try a medicine called alprostadil (only available with a prescription). This is a man-made hormone that helps to stimulate blood flow to the penis.
Living a healthy life plays an important role in preventing erectile dysfunction. Therefore, maintaining a healthy lifestyle and managing an existing defect properly can help to an extent. Few ways of preventing erectile dysfunction are: Exercising regularly. Abstinence from smoking and drinking excessively. Avoiding the usage of illegal drugs. In cases of underlying conditions, following prescriptions and close monitoring of the condition is paramount for prevention of the erectile dysfunction. Visiting the clinic for regular checkups and tests is advisable. Stress-reducing processes should be performed.
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Future treatments for erectile dysfunction focus on providing medications that are more effective, work rapidly, and have fewer, if any, side effects than currently available treatments.
Many men are unhappy with their ability to get or maintain an erection, but only 5% of these men seek help. This is because most men, in general, are unwilling to discuss their sex life, even when it is going well.
National Center for Complementary and Alternative Medicine: "Aromatherapy May Make Good Scents, But Does It Work?" "Ginkgo," "Asian Ginseng." Erectile Dysfunction Guide Overview Symptoms & Risk Factors Testing &Treatment Living & Managing
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Preference for Viagra isn’t just a sugar-pill thing, either; there are differences in dosage to consider. Viagra commonly comes in 25mg, 50mg, and 100mg doses, with a typical dose of 50mg prescribed at the outset for men under 65. Sildenafil, meanwhile, comes in a broader range of options, including 20, 30, 35, 60, 80, and 100 mg. So, it’s the same active ingredient (sildenafil), which acts in the same way in the male body. But you may experience different levels of efficacy and side effects depending on the dosage.
As with any treatment option, it’s important to speak with your healthcare provider before trying one of these OTC pills. Claim to provide fast-acting results (within 30-40 minutes)Are advertised as alternatives to prescription medicationsCome in single servingsAre sold through unsolicited messages or emailsHave labels written primarily in another languageHave warnings and directions that mimic FDA-approved products Is OTC ED Treatment Right for You?
Psychological therapies are important as ED can be both the cause and a consequence of a variety of mental health problems. Sex therapies such as sensate focus are available on the NHS.
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Stop any tobacco or illegal drug use.Cut back on alcohol.Lower stress.Eat a healthy diet.Exercise regularly.Lose weight if you're overweight or obese. Lower your cholesterol and blood pressure levels.
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4. Yafi FA, Jenkins L, Albersen M, et al. Erectile dysfunction. Nature Reviews Disease Primers 2016 2:1. 2016;2(1):1-20.
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Erectile dysfunction (ED, or impotence) is a condition that causes men to be unable to acquire or maintain an erection.
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Feelings of inadequacy or failure may complicate ED symptoms. ED may result in an inability to maintain an erection sometimes, but not every time. Other signs are the ability to get an erection but unable to maintain it to complete sexual relations, or an inability to attain an erection at all.
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While some studies back up acupuncture’s claim to work for ED, the evidence is rather scant.
https://pubmed.ncbi.nlm.nih.gov/8254833/ Modifying Risk Factors in the Management of Erectile Dysfunction: A Review. (2016).
Vasculogenic ED, or ED caused by decreased blood flow, is thought to be the main contributor to ED in most men and should prompt age related ED treatment concerns for physicians. Main contributors to vasculogenic ED include: Aging Blood medications Stress Anxiety Depression Trauma Obesity Lack of mobility Diabetes Smoking Drug or alcohol use Erectile Dysfunction Treatment Options in Oakdale, MN
Considered to be natural aphrodisiacs, these plant-derived oils have been shown to naturally increase the libido of both men and women for hundreds of years. They may even be able to improve your mood and outlook on life thanks to the calming but uplifting effect they have on the mind.
https://www.ouh.nhs.uk/patiena-guide/leaflets/files/29164Ppelvic.pdf Penile Blood Change After Oral Medication of Korean Red Ginseng in Erectile Dysfunction Patients. (2003).
As with any treatment option, it’s important to speak with your healthcare provider before trying one of these OTC pills. Claim to provide fast-acting results (within 30-40 minutes)Are advertised as alternatives to prescription medicationsCome in single servingsAre sold through unsolicited messages or emailsHave labels written primarily in another languageHave warnings and directions that mimic FDA-approved products Is OTC ED Treatment Right for You?
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You have a pelvic floor too! Exercising the muscles you use to hold in urine or gas can sometimes help you control erections and ejaculations. Squeeze them a few times a day, in quick bursts and long ones, for 10 seconds or so. Don’t hold your breath while you’re doing it. Those are different muscles.
17. Muse (Alprostadil) [Prescribing Information]. Somerset, NJ: Meda Pharmaceuticals Inc; April 2018.
Inman BA, Sauver JL, Jacobson DJ, et al. A population-based, longitudinal study of erectile dysfunction and future coronary artery disease. Mayo Clin Proc 2009; 84: 108–13.
With long-term treatment options, the symptoms of ED can effectively be reversed for years in most men.
The hardening of the arteries associated with smoking tobacco can reduce flowing blood to the penis. Smoking also results in oxidative stress – another risk factor for erectile dysfunction. Fortunately, quitting smoking has shown to relieve much of the ED risks associated with the habit.
ED can be embarrassing to talk about. However, if it is affecting your relationship, you need to discuss it. Find tips for talking to your partner and getting successful treatment.
For an algorithm to facilitate evaluation and treatment of patients with ED, see figure 2.
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
Always talk to a Doctor if you suffer from Erectile Dysfunction for more than 3 weeks. It can be a sign of serious health problems. To speak to a doctor in confidence, use our discreet online GP here.
Surgery is an option in some cases of erectile dysfunction. Most surgery cases are performed for one of three reasons: to implant a device to initiate erections; to reconstruct arteries and increase penis blood flow; to block off veins that allow blood to leak from the penile tissues.
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Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
This herb has been shown to have anti-inflammatory benefits, improve lung function, and also increase healthy blood flow throughout the body. Yohimbe root extract is extracted from the bark of the African yohimbe tree. There have been multiple studies that have shown that its positive effects to blood flow and ability to dilate blood vessels prove its positive effects on sexual performance with use of this supplement.
The causes of erectile dysfunction are many, including physical problems like diabetes, heart disease, obesity, high blood pressure, high cholesterol, and even sleep disorders. Medication taken for health conditions can result in erectile dysfunction, as can alcohol and smoking.
Drugs & Vitamins Drugs A-Z Generic Drugs A-Z Drugs by Classification Drugs Comparison (Drug Vs. Drug) Vitamins & Supplements Drug Interaction Checker Pill Identifier Tools & Resources Diseases & Conditions Medical Dictionary Medical Editor: Charles Patrick Davis, MD, PhD
If you are taking a medicine and are worried about its effects, don't stop taking it suddenly. Instead discuss this with your doctor or pharmacist. There might be a different medicine you can take that is less likely to cause sexual problems. Read more about medicines and sexual problems. existing values or attitudes towards sex stress, guilt, depression or fatigue performance-related anxiety about your performance during sex traumatic past experiences including sexual abuse poor body image relationship problems (possible anger, power or control issues with your partner) problems with intimacy and communication intercourse less than once per week (twice the risk of developing erectile dysfunction).
Excessive alcohol intake increases cardiovascular risk, but there is little evidence of increased ED risk other than the acute effect of binge drinking. Men with a very high alcohol intake are, however, unlikely to participate in studies of risk association and reduction, so the data are inconclusive at present.
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Wave therapy is a non-invasive procedure that has been shown to improve certain types of erectile dysfunction. However, not all wave therapy machines are equal. Urologist Dr. John Smith explains how the use of waves can ...
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If the issue you’re facing is mild or you don’t like the idea of taking medication, you might want to start by trying natural techniques for treating your sexual health.
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Though erections may seem straightforward, the science behind them is complicated. At a basic level, erections happen thanks to a balance of blood flow into and out of the penis. When vascular, hormonal, nerve, or other physical or psychological changes disrupt blood flow, it’s harder to get and keep erections.
Consultation with the doctor will help you determine whether you can safely take ED medications.
Our doctors, including Dr. Honig, are leaders in the field and stand at the forefront of research in men's health issues.
Can be taken with or without food but must be allowed to dissolve on the tongue without chewing.
15. Tsertsvadze A, Fink HA, Yazdi F, et al. Oral phosphodiesterase-5 inhibitors and hormonal treatments for erectile dysfunction: a systematic review and meta-analysis. November 3, 2009. Annals of Internal Medicine. www.acpjournals.org/doi/10.7326/0003-4819-151-9-200911030-00150. Accessed May 6, 2022.
Meanwhile, PDE-5 (phosphodiesterase-5) is a chemical that the body releases to signal that it’s time for the erection to end. PDE-5 inhibitors slow the activity of PDE-5, allowing the NO activity to continue, bringing forth an erection.
Tadalafil is the generic version of Cialis. It can cause the same side effects, including headache, indigestion, back pain, nasal congestion, flushing, muscle aches, and pain in the arms or legs.
Problems in your relationship with your sexual partner can also cause erectile dysfunction. Improving your relationship may help your sex life. If you decide to seek therapy, it will probably be most effective if your sex partner is included.
Natural Erectile Dysfunction Remedy, with no need for drugs regularly, that may have some very serious side effects, and headaches.
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Do you know about all the serious issues with Viagra, Cialis, and all their generic substitutes? Learn how men are able to regain full function without pills, shots, or surgery and go back to being intimate the natural way.
