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No matter what erectile dysfunction treatment or treatments (whether herbal remedies or not) a man ultimately decides upon, experts say it's important to eat healthily and to avoid smoking and heavy drinking. Moreover, adequate exercise, stress reduction, and sleep can improve erection problems in many. In addition, says Lamm, "A loving, receptive, and responsive partner is a home run. After all, this is still a couple's issue." SLIDESHOW Erectile Dysfunction (ED) Causes and Treatment See Slideshow Chen, J. BJU International 83 (1999): 269-273. "Erectile Dysfunction." National Kidney and Urologic Disease Information Clearinghouse. Shabsigh, Ridwan, et al. "A Multicenter, Double-blind, Placebo-controlled Trial to Assess The Efficacy of Sildenafil Citrate in Men With Unrecognized Erectile Dysfunction." Urology 76.2 Aug. 2010: 373-379. Stanislov, R. Journal of Sex & Marital Therapy 29 (2003): 207-213. Tamler, Ronal. Men's Health Program, Mount Sinai Medical Center, New York City.

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What causes ED? There are many causes of impotence both medical and psychological. Often, age is a predominant factor in erectile dysfunction; however, your chronological age is not solely responsible for ED’s development. Men over the age of 40 typically experience ED as the result of inadequate blood flow to the penis, most often due to the narrowing of blood vessels. This can arise due to many causes including:
National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC): "Erectile Dysfunction." .

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Algorithm for evaluating and managing the patient with ED. CV, cardiovascular; CVD, cardiovascular disease; ED, erectile dysfunction.
These drugs work in response to sexual stimulation and must be taken at least half an hour to two hours before sexual activity. Drawbacks include a loss of spontaneity and cost. In addition, high-fat meals can delay the onset of action. A vacuum erection device Urethral suppositories Penile injections

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With self-injection, a medication is injected directly into the penis to increase blood flow. It is very effective (about 75 percent to 85 percent) and works whether the nerve that controls erections is intact or not. It can be more costly than oral therapies and results in scarring in 5 percent to 30 percent of users (depending on the drug used). To ensure proper dosing, the first dose is generally administered in the doctor’s office.
Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider. Wake Forest Baptist Health, Medical Center Boulevard, Winston-Salem, NC 27157. All Rights Reserved. Request an Appointment HomeHealth Information and ToolsMyHealth VideosFind HealthcareAbout MyHealth.Alberta.caHealthier Together MyHealth.Alberta.ca

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It is more likely that you’ll develop ED as you get older, but aging itself does not cause erectile dysfunction. Many factors can cause erectile dysfunction, including those that affect your endocrine, vascular and nervous systems.

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Men presenting with ED should have consideration for a cardiovascular work-up as significant numbers of these men have occult or asymptomatic heart or vascular disease.

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    Defined by an inability to develop and maintain an erection firm enough for sexual relations, erectile dysfunction (ED) affects approximately one in four men during their lifetime. According to research scientists, up to 75 percent of ED cases occur due to medical causes. When functioning normally, neurotransmitters initiate an erection by relaying signals from the brain to the vascular system. The resulting increased blood flow and pressure to the penis allows tube and elastic like tissue within the penis to expand, achieving erection. Blood flow reduction to the penis Scarring of the penile tissues does not allow for a normal erection- Peyronie's disease Nerve damage (may occur directly to the penis or to areas leading to it) Hormonal or metabolic disorders such as diabetes Psychological conditions (mainly seen with ED in males under the age of 40) Vein leakage, also known as a venous leak Trauma, injury, or surgical procedures to the spinal cord or pelvic area Vascular disorders or disease such as high blood pressure Neurologic related conditions such as multiple sclerosis or Parkinson's disease High levels of cholesterol Heart disease Occurrence and/or treatment for enlarged prostate or prostate cancer Obesity Sleep-related disorders Tobacco use Diseases such as alcoholism and other substance abuse disorders Psychological related issues

    This involves a device that utilizes a battery as an external source worn on the thigh to analyze the quality of the nocturnal erection. This device is said to be portable and data is recorded for further examination.
    Men in their 40s with erectile dysfunction (ED) compared with men without a history of ED have an increased risk of developing cardiovascular disease (CVD) in 5 years.

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    Treatment options for ED have evolved considerably over the past decade to encompass psychological counseling; oral, topical, intraurethral, and intracavernosal vasoactive therapy; oral therapies with other or unknown mechanisms; hormone replacement; vacuum constriction devices; and surgery, including vascular bypass procedures and penile implants. The goal of treatment is to restore satisfactory erections with minimal adverse effects. Men have demonstrated a strong preference for oral treatments even if they have low efficacy.

    Hypertension (high blood pressure) is associated with ED and is seen more commonly among aging men. In addition, medications prescribed for hypertension, such as beta blockers and thiazide diuretics, have been shown to have detrimental effects on erectile function.
    Horny goat weed. Horny goat weed (Epimedium) and related herbs have purportedly been treatments for sexual dysfunction for years. Italian researchers found that the main compound in horny goat weed, called icariin, acted in a similar way as drugs like sildenafil.

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    Many factors can contribute to sexual dysfunction in older men, including physical and psychological conditions, comorbidities and the medications used to treat them. Aspects of an ageing man’s lifestyle and behaviour and androgen deficiency, most often decreasing testosterone levels, may affect sexual function as well. A study of men between the ages of 30 and 79 years showed that 24% had testosterone levels below 300 ng/dL and 5.6% had symptomatic androgen deficiency.2

    Certain over-the-counter (OTC) supplements may help with erectile dysfunction, such as: L-arginine in combination with pycnogenol Has been shown in studies to improve sexual function in men with ED Korean red ginseng (also called panax ginseng) Studies have shown improvements in erections Yohimbe Some studies have shown it to be slightly more effective than placebo for ED Carnitine (propionyl-L-carnitine) May improve erectile dysfunction Also used to enhance the effectiveness of sildenafil (Viagra) Dehydroepiandrosterone (DHEA) Declines in DHEA are associated with increased incidence of ED DHEA supplements are often promoted to improve sexual health, though more study is needed
    GAINSWave™, the latest ED treatment breakthrough, produces healthier, fuller, and more sustained erections for men with and without erectile dysfunction using this proven method.

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    GAINSWave is a new, cutting edge advancement in erectile dysfunction treatment. As more and more men are experiencing impotence, ED specialists at GAINSWave have addressed the key cause of ED: decreased blood flow and atherosclerosis (hardening of the arteries). GAINSWave provides quick and effective treatment options to accommodate all lifestyles and patients, and provides a safe erectile dysfunction solution. Call your local ED health doctor if you experience any of the symptoms of erectile dysfunction.

    If you prefer that we not receive this small commission, we recommend that you go to the company’s website directly (without clicking on our links). This will ensure we are not compensated in any way. The choice is always 100% up to you.
    About Us Careers Contact Us Giving Pricing myBeaumontChart Login Find a Doctor Treatments & Services Locations Patients & Families Find a Doctor Treatments & Services Locations Patients & Families About Us Careers Contact Us Giving MyBeaumontChart Login Pricing Home Treatments Treating Sexual Dysfunction in Men and Women Treating Sexual Dysfunction in Men and Women If you have sexual dysfunction, there is help. Treatments are available to help you with both physical and psychological causes . Sexual dysfunction is normally treated by correcting or addressing the underlying problem or problems that are causing the dysfunction. If the cause is physical, the treatment will likely be medication or mechanical aids. If it is psychological, counseling, therapy, behavior modification and education may work. Some people with sexual dysfunction may have both physical and psychological causes, and in that case, both will need to be treated. If you have a medical condition that is causing your dysfunction, your doctor will work with you to correct that problem. A common cause is hormonal imbalance. Both men and women can have hormone therapy to help them restore proper sexual function. There are also drugs, like Viagra (generic name sildenafil), that can help increase blood flow to the penis. If your dysfunction is related to a medication you're taking, your doctor may be able to prescribe a different medication that won't interfere with your sexual activity. Men who have difficulty getting or maintaining an erection may have success with special vacuum devices, or penis pumps. Penile implants are an option for some men, especially those who have lost sensation due to spinal injury. Women who have vaginismus can sometimes be treated with special dilators that can help relax the muscles in the vagina. Both psychotherapy and sex therapy can help with the psychological causes of sexual dysfunction. Counselors can help people work through fear, stress, anxiety, past trauma, body image issues, and other issues that can keep people from a fulfilling sex life. Sex therapists can help couples who are experiencing sexual problems as well. Sex therapists can help couples delve into problems in a way that most physicians aren't equipped to do. Both counselors and sex therapists may recommend education, practicing communication, and behavioral treatments that can address underlying issues and help individuals and couples find techniques that work for them. If you have signs or symptoms of any type of sexual dysfunction , talk to your doctor. There are treatments available that may be able to help. The Women's Urology Center at Beaumont treats female sexual dysfunction through a multidisciplinary approach. Call 248-898-0898 to make an appointment. Sexual dysfunction overview Causes of sexual dysfunction Preventing sexual dysfunction Signs & symptoms of sexual dysfunction Diagnosing sexual dysfunction Types of sexual dysfunction Related Pages Men's UrologyWomen's Urology Conditions & Topics Causes of Sexual Dysfunction in Men and WomenMale and Female Sexual DysfunctionSigns of Sexual Dysfunction in Men and WomenTypes of Sexual Dysfunction in Men and Women Treatments & Programs Diagnosing Sexual Dysfunction in Men and WomenPreventing Sexual Dysfunction in Men and Women Find a Urology Specialist Search

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Type 2 diabetes has been shown to interfere with erectile function, and male patients with diabetes tend to have an earlier onset of erectile dysfunction. Hyperglycemia (high blood sugar) stimulates the production of chemicals that can interfere with erectile physiology.

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18. Caverject (Alprostadil) [Prescribing Information]. New York, NY: Pfizer Inc; December 2017.

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These options target specific areas of the body linked to the affected part and ED and conduct relief and rejuvenating therapies on them, and with time, the condition can be corrected.

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