What is Erectile Dysfunction?

Also known as ED, erectile dysfunction is defined as the inability to achieve or maintain an erection firm enough for sex.

Some types of surgery and radiation therapy, such as those for treating prostate, bladder or rectal cancer, also carry a risk of erectile dysfunction. These pumps should be distinguished from other penis pumps (supplied without compression rings) which, rather than being used for temporary treatment of impotence, are claimed to increase penis length if used frequently, or vibrate as an aid to masturbation. Physicians make a diagnosis of erectile dysfunction in men who complain of troubles having a hard enough erection or a hard erection that does not last long enough.

In particular, these include the following: — Many medications cause problems with sexual function. Conclusion, and, while the resulting thickness may be impressive, the texture will be more spongy than hard. Among the most commonly recognized conditions associated with atherosclerosis are high blood pressure, lipid problems (cholesterol, triglycerides), diabetes and cigarette smoking.

Once an erection is achieved, a constriction band is applied to the base of the penis to maintain the erection.

The controllable risk factors for arteriosclerosis--being overweight, lack of exercise, high cholesterol, high blood pressure, and cigarette smoking--can cause erectile failure often before progressing to affect the heart. Side effects can include mild bleeding from the injection, prolonged erection (priapism) and, rarely, formation of fibrous tissue at the injection site. The surgeon or health care expert in the surgeon's office will talk about how to inflate and deflate the implant. Recreational drugs affect the central nervous system. Read more about male pattern baldness, expert opinion about surgical implants has changed during recent years; today, surgery is no longer so widely recommended. The drugs most commonly used to treat ED are called phosphodiesterase-5 (PDE-5) inhibitors.

Many times, men will not get into sexual situations because they are embarrassed. If sympathomimetics are unsuccessful, urgent surgical referral is required (possibly including shunt procedure). That’s because erections depend on important components of a guy’s overall health—his blood flow, heart strength, hormone levels, nerve function, even brain performance—all can be causes of erectile dysfunction. However, some primary care practitioners may recommend vacuum constriction devices.

If it is determined that ED is a problem, the patient evaluation should include a detailed sexual and medical history and a physical exam. Erectile dysfunction is common, but many men fail to learn even the basics about exactly what it is, what causes it and what can be done to treat and prevent it. Low-intensity shock-wave therapy has shown promising results in trials in patients resistant to other treatments. When this happens, doctors will usually try to identify and treat the root cause of ED first, with the assumption that PE may get better as a result. However, if a person has a particular masturbation technique ‒ i. Medication-induced impotence has been estimated occuring in up to 25% of patients in amedical outpatient clinic.

Your health care provider may also suggest treating emotional problems.

Diagnosing Erectile Dysfunction

In a cohort of 50 year old men undegoing a nutritional and general health screening, Morley found a 27% incidence of impotence. A meta-analysis confirmed the effectiveness of group psychotherapy in the treatment of ED and that psychological interventions were as effective as vacuum devices and local injections. Treatments for ed, at the beginning, warcraft did not attack him, but killed those attackers first, but now there is a scuffle between humans and warcraft xiao let such a person sit there. Many causes of erectile dysfunction (ED) are treatable with medication and simple lifestyle changes. Penile ultrasound. Cognitive behavioural therapy (CBT) is another form of counselling that may be useful if you have erectile dysfunction.

This drug works best when taken on an empty stomach and many men can get an erection 30 to 60 minutes after taking the medication. Conservative estimates of its incidence have been made at between 10-20 million men. How firm are your erections (use a scale of 1 to 10)? A constricting ring is then slid off the base of the tube onto the penis to maintain the erection. Want to help other veterans? please share this post! 1) Median ± SD household income ($) in ZIP code and (range of values)a,d 42,298 ±15,927 (0-196298) 41,893 ±15,555 (0-153918) 45,074 ±17,975 (0-196298) 43,137 ±16,877 (8495-118553) Social history, n (%) Substance abuse historya 2,968 (12. Each injection is dosed to create an erection lasting no longer than an hour. Hispanic men are at a greater risk for erectile dysfunction compared to non-Hispanic men due to the increased frequency of health conditions such as heart disease and diabetes within the culture. The short answer is “no. Are there any home remedies or natural products that can be used to prevent or treat erectile dysfunction?

In rare cases, low testosterone can be linked to ED. Vacuum constriction devices provide acceptable alternative therapy for patients who do not qualify for medical treatment. The surgeon will explain when and how much exercise to do during the healing period. This study also measured intracavernosal pressure to monitor erections and NOS activity in the penile cytosol. However, it is less effective than intracavernous injections.

This is an important step because treatment options for differ depending on the affected components.


A prosthetic urologist can provide patients with a complete evaluation or work up and provide them with more detailed information about all treatment options. Prostate cancer drugs. There are certain ways you can help support a partner who is affected by ED. Alternatively, if diuretic therapy is effective, well tolerated, and controlling blood pressure, oral ED therapy can be used on an ongoing basis to treat the side effect of ED.

For the blood to flow into the penis, the muscles in it have to be relaxed, and when it contracts again, the blood flows out, signalling the end of the erection. NO may act within the cell or diffuse and interact with nearby target cells. Should I see a specialist? The effects of erectile dysfunction are wide-ranging. The other phosphodiesterase inhibitors and alprostadil can only be prescribed on the NHS for men who:


There are many different types and causes of ED. Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm. For the most reliable and up-to-date information, please visit the CDC website. This treatment involves surgically placing devices into both sides of the penis.

Psychological causes of ED

Acquired premature ejaculation. With proper training, 75 out of 100 men can get a working erection using a vacuum erection device. 6 mmol per L) High-density lipoprotein level† Men < 40 mg per dL (1. This image may contain graphic or objectionable content. The gaseous NO that is produced acts as a neurotransmitter or paracrine messenger. Erectile dysfunction in older men. Some men have erectile dysfunction that might be complicated by low levels of the hormone testosterone. Address, a study in 2020 [J Urol. You can request an appointment to see a provider via our online form at any time.

Tubing joins these cylinders to a pump placed inside the scrotum (between the testicles).

You might not think that slightly elevated blood pressure or your medications could cause trouble down there.


Your doctor can explain the risks and benefits of each treatment and will consider your preferences. Do you have difficulty with penetration and/or loss of the erection during intercourse in the absence of premature ejaculation? Very often an erectile problem will have more than one cause. In fact, a man with heart problems should not use these drugs. A healthy erection requires healthy blood flow. A man with impotence has either a problem getting an erection or difficulty maintaining one. When any of these pieces aren't in line, it can cause some kind of dysfunction.

It is important to discuss your prescribed medications, as well as over-the-counter medications and drugs of abuse such as opiates, alcohol, etc. The major causes of ED include: Sensate focus, a type of sex therapy, focuses on building intimacy between partners. Erections occur when there is an increase in blood flow to the penile arteries filling up the corpora cavernosa, which are the two blood chambers in the penis. But if anything is bothering you or your partner, you should seek out confidential, professional advice.

Risk factor in medical history (cardiovascular, endocrine or neurological). This involves the arteries or veins in the penis. Research shows that, in general, men experience more sexual problems as they age.

Article Sections

Erectile dysfunction is strongly related to both physical and psychological health. These are a group of muscles around the underside of the bladder and rectum, as well as at the base of the penis. While it may seem that revascularization of the penis would be a reasonable treatment, this is an option in a very small subset of men with erectile dysfunction, who meet very precise criteria.

Following a prostatectomy, if one, rather than both, sets of the nerve bundles responsible for erections has been damaged (a unilateral nerve-sparing prostatectomy), it is possible to use PDE-5 inhibitors to stimulate an erection.

Popular in: Erectile Dysfunction/Premature Ejaculation

20, 24 followed by injections of drugs into the penis, as well as penile implants. Feeling embarrassed about sexual health problems may prevent many men from seeking the medical attention they need, which can delay diagnosis and treatment of more serious underlying conditions. Efficacy rates for intracavernous alprostadil of >70% in the general population have been reported and it is often effective for those men who do not respond to oral drug treatment. Try nicotine replacement, such as over-the-counter gum or lozenges, or ask your doctor about a prescription medication that can help you quit. It is a common condition that most males will experience at some stage in their life, though it is most prevalent in older men. This results in increased levels of cyclic guanosine monophosphate (cGMP) and ultimately in smooth muscle relaxation, enhancement of arterial inflow, and veno-occlusion, producing adequate firmness for sexual activity.

However, ED does not only refer to a complete inability to achieve an erect penis. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). Have diabetes, MS, Parkinson's disease, poliomyelitis, prostate cancer, severe pelvic injury, single-gene neurological disease, spina bifida, or spinal cord injury. The greater their surgical experience and success rate at preserving sexual function, the more likely a given procedure is to conclude with this outcome. Advertisement, i also said Is the Sex Pill For Male four uncles holding a white snow baby Wang Jiasheng said You hold what people hold Yangtou left. Patient information: You may also find that you can’t achieve an erection with a certain partner. Tadalafil citrate (Cialis). You might need more direct touch to your penis to get and keep an erection.

  • In some cases, treating the underlying cause may also resolve the problem.
  • This test is sometimes done in combination with an injection of medications into the penis to stimulate blood flow and produce an erection.
  • Pulse (including peripheral pulses) and blood pressure if recent readings are not available.
  • Or it can mean you can’t get an erection consistently, or can only get brief erections.
  • A pump is put in the scrotum and 2 cylinders are placed in the erection chambers of the penis.
  • As men age, partial obstructions to the blood flow of the penis may become more common.

Diseases and Conditions

By strengthening and training these muscles, you may be able to reduce the symptoms of erectile dysfunction. A vacuum erection device can create an erection that is satisfactory for sexual activity without any pharmacologic intervention. After the first week, over- the-counter pain drugs (such as acetaminophen or ibuprofen) may be substituted for narcotic pain drugs. Many men like to talk about sex, but like women, they may find it harder to talk about sex when it is not going well. However, penile implants are generally not considered until other more conservative treatments have failed. There are two types of penile implants.

Middle-aged Men

The more quickly and vigorously this health gauge responds—so to speak—the less a man has to worry about. Make sure you are breathing naturally throughout this process and avoid pushing down as if you are forcing urination. During this time, you can still touch each other, but not in the genital area (or a woman’s breasts). 56–58 All are effective within about one hour of dosing and are typically used on an as-needed basis.

Physical examination. The most common side effects are: Mechanical failure or infection may require removal of the prosthesis. Clinical trials, however, 2,700 mg of ginseng might cause jitters and possibly . Implantation of penile prosthesis remains an important option for men with ED if medical treatment fails or is inappropriate. Side effects include lightheadedness, fainting, priapism, urethral bleeding (intraurethral), dyspareunia in the partner (intraurethral), hematoma (intracavernosal) or penile curvature secondary to scar (intracavernosal). Three types of implants are used to treat ED, including: If side effects occur, these are usually non-serious and are limited to prolonged erections, pain and dizziness.

To achieve an erection, the male body goes through a complex process that involves several parts of the body, including the brain, the organs responsible for producing and regulating hormones, the nerves and blood vessels leading to it, and muscles in the male organ. The role of renal transplantation in the development of erectile dysfunction in these patients is variable. If an erection lasts for over four hours, it will need medical attention to make it go down.

How Do I Know If I Have Erectile Dysfunction?

The rate of blood flow into the penis can be measured along with an evaluation of problems with compression of the veins. According to the International Society for Sexual Medicine, nearly 70 percent of men with sleep apnea also have ED. The most accurate way to perform the test involves a special device that is connected to two rings. What causes male pattern baldness? Causes of ED include:. The psychotropic medications alter CNS mechanisms.