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Associate Professor of Urology, Director of Newport Beach Urology, Director of Men's Health, Chief, Division of Men's Health and Reconstructive Urology
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.
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.
These natural remedies for impotence are not only effective at boosting libido, but they also smell lovely. You can inhale these from the bottle, rub them on your abdomen or legs mixed with a carrier oil like coconut oil, or diffuse them in the air.
Yohimbe bark is an herbal supplement that’s used to improve erectile dysfunction, hormone imbalances and low libido. It’s known to increase blood flow to the penis by promoting the relaxation of the penile tissue and opening of the blood vessels. This helps a man to get and sustain an erection.
Erectile dysfunction can be treated at any age. Treatment depends on your overall health and the underlying cause of the problem.
The erectile dysfunction treatment you use largely depends on your lifestyle and preferences. Although all the erectile dysfunction tablets we offer encourage stronger erections, each ED treatment works in a slightly different way - giving you the freedom to find a treatment that suits you best. Sildenafil and Viagra Connect: if you have a more spontaneous sex life, sildenafil or Viagra Connect may be the best erectile dysfunction treatment options for you as these can be taken on an as-and-when basis. They both take around one hour to kick in and can last for up to four hours. Tadalafil: tadalafil takes about 30 minutes to kick in and lasts for up to 36 hours. This is ideal if you prefer having a more flexible ED treatment that allows you to experience harder erections for a longer period of time (for example, over the course of a weekend). Tadalafil Daily: if you don’t like planning when to take an ED treatment before sex, Tadalafil Daily keeps you topped up with a steady level of tadalafil in your system every day so you can get erections whenever you need them. It takes three to five days to take effect, but once it does its effects are continuous.
Since endothelial dysfunction, CVD and ED are closely associated in epidemiological studies, the question for clinicians is whether to recommend the man presenting with ED undergo a cardiovascular (CV) evaluation. Clearly, based on numerous studies, ED can be considered at least a ‘marker’ for possible further vascular disease or CVD.15 In their report, Vlachopoulos and coworkers make the point that the man presenting with ED, the clinician, is offered an opportunity to attempt to improve the health of the man by addressing lifestyle modification, and consider further vascular evaluation owing to the clear relationship between endothelial dysfunction, ED and CVD.19
11. Levitra (Vardenafil) [Prescribing Information]. Research Triangle Park, NC: GlaxoSmithKline; November 2018.
Not all men with erectile dysfunction want to be treated - it is a personal decision. For those who do, there are many options. The best-known treatment is medication. Viagra®, Levitra® and Cialis® all increase blood flow to the penis.
Checking the penis for sensitivity determines any nervous system origins. Inspection of penile appearance helps rule out Peyronie's disease. A blood pressure check rules out circulation problems by checking wrist and ankle pulse.
The patient considering prosthesis implantation, should be aware of the different types of prosthesis, risks of infection and erosion, mechanical failure and resulting re-operations, differences from the normal flaccid and erect penis including the possibility of penile shortening, and the potential reduction in the effectiveness of other therapies if the device is subsequently removed.
Smokers have been shown to have a higher risk of erectile dysfunction than men who have never smoked. Smoking hurts blood circulation and interferes with the flow of blood to the penis.
Several medications are not recommended for the treatment of erectile dysfunction. These include trazadone, yohimbine, and herbal therapies, as there is no evidence to support their safe use for the treatment of erectile dysfunction. It is important to note that testosterone therapy is not indicated for the treatment of erectile dysfunction in the patient with a normal serum testosterone level.
Depression can have many sexual side effects, including erectile dysfunction. Medications called selective serotonin reuptake inhibitors (SSRIs) that are used to treat depression can also affect sex drive, erectile function, and the ability to orgasm.