You're likely to start by seeing your family doctor. Depending on your particular health concerns, you might go directly to a specialist — such as a doctor who specializes in male genital problems (urologist) or a doctor who specializes in the hormonal systems (endocrinologist). Because appointments can be brief and there's often a lot of ground to cover, it's a good idea to be well prepared. Here's some information to help you get ready and know what to expect from your doctor. Ed tests: what to expect at the doctor with so many possible causes for ed, your doctor has a number of tests they can use to figure out the best treatment for you. Ed treatment overview erectile dysfunction can be treated at any age. Treatment depends on your overall health and the underlying cause of the problem. What to ask your doctor about ed it can be embarrassing to discuss sexual matters with your doctor. Yet a doctor’s appointment is neccessary if you want to get treatment for ed. Here’s how to prepare for your doctor visit. Ed vacuum devices a vacuum constriction device (vcd) is an external pump with a band on it that a man with erectile
Erectile dysfunction is a common concern among aging males. Not only does ed affect quality of life, but it is also linked to cardiovascular disease, hypertension, diabetes, and overall health. Currently, there are three categories of ed treatments. Oral medications such as phosphodiesterase type-5 (pde-5) inhibitors (sildenafil, vardenafil, tadalafil, and avanafil) have comparable efficacy. Intracavernosal injections (alprostadil, phentolamine, papaverine, and/or atropine) or intraurethral suppositories (alprostadil) are alternatives in patients who are non-responders to oral medications or have side effects. Penile implants are the most invasive treatment but provide durable results and the highest satisfaction rates of all of treatments. Also see: tissue sealing sheets may improve post-rp function. If you have any medical questions or concerns, please talk to your healthcare provider. The articles on health guide are underpinned by peer-reviewed research and information drawn from medical societies and governmental agencies. However, they are not a substitute for professional medical advice, diagnosis, or treatment. By and large, over-the-counter “ male enhancement” products are the 21st-century version of snake oil. But in some studies, some natural treatments for erectile dysfunction (ed) have shown promise. Although more research is needed, some (potential) natural treatments for erectile dysfunction include ginseng, horny
Male enhancement pills are natural dietary supplements that can help men with a variety of performance issues in the bedroom. The best male enhancement pills can help you perform at your best with improved libido, enhanced sexual stamina, increased confidence, and better overall sexual performance. These supplements may also help with symptoms of erectile dysfunction without the need for prescription medication. But with so many male enhancement pills sold in stores and online to choose from, picking the right sexual pills for men can be intimidating. To help you decide, we’ve reviewed the top male enhancement pills on the market. A large variety of herbs, vitamins, minerals, and supplements are marketed as home remedies and treatments for ed. Many of these substances have been used for centuries as treatments for impotence or natural options for enhancing sexual performance. Like with many other home remedies, the scientific evidence behind most of these products is mixed. Some might have benefits for treating erectile dysfunction, while others have little to no real evidence to back up the claims made about them. We’ve listed the most popular herbs, minerals, supplements, and vitamins for treating erectile dysfunction below, along with the available
The wide range of prevalence rates noted among the studies can be attributed to a number of factors . First, prevalence rates are affected by the sensitivity and specificity of methods used to assess ed. 1 in addition, a number of these studies used medical record review to identify patients with ed, as opposed to anonymous patient reports. It has been shown in other disease states that patients tend to underreport ed when questioned directly by their providers. 3 therefor e, the use of validated questionnaires that are either self-administered in an anonymous, neutral setting or administered by an objective third-party interviewer are preferred. Centers for disease control and prevention. National diabetes fact sheet: national estimates and general infor mation on diabetes in the united states. Atlanta, ga: us dept of health and human services, centers for disease control and prevention; 1997. Nih consensus development panel on impotence. Impotence. Jama. 1993;270:83-90. Google scholar feldman ha, goldstein i, hatzichristou dg, krane rj, mckinlay jb. Impotence and its medical and psychosocial correlates: results of the massachusetts male aging study. J urol. 1994;151:54-61. Google scholar saenz de tejada i, goldstein i. Diabetic penile neuropathy. Urol clin north am. 1988;15:17-22. Google scholar braunstein gd. Impotence in diabetic men. Mt sinai j med. 1987;54:236-240. Google scholar mcculloch dk, campbell iw, wu fc, prescott rj,
Authors: b. Robert bamshad, md, chief resident, urology, loma linda university medical center, and steven c. Stewart, md, associate professor of surgery, division of urology, loma linda university medical center, loma linda, ca. Peer reviewer: robert d. Mcclure, md, department of urology, virginia mason medical center, seattle, wa. Editor's note-with the release of viagra, treatment of impotence has captured the attention of a nation. From scientific literature to the target of jokes by jay leno, viagra has been catapulted into the headlines. Male patients, who heretofore have never brought up the subject, are mentioning to their physicians their plight of impotence and asking if viagra is the answer. Thirty per cent of cases of erectile dysfunction (ed)/male impotence are resistant to oral treatment. Half of these cases are due to blood drainage from the corpora cavernosa occurring too soon, due to cavernovenous leakage (cvl). The aim of this study was to report on an innovative treatment scheme combining pre- and post-operative haemodynamic assessment, venous embolisation, and open surgery for drug resistant ed caused by cvl. Read original article here erectile dysfunction is defined as the persistent inability to attain and / or maintain an erection sufficient for
Some of the common ways that can help you to prevent ed include: keep a close tab on disorders, particularly diabetes or heart problems, as these can increase your risk of ed. Limit tobacco consumption as it can impact your sex life as well as your ability to get an erection. Overweight/obesity is a common risk factor for ed, so make sure you lose weight to improve your physical as well as sexual health. If you are on drugs such as antidepressants and antihistamines, talk to your doctor to change the medications or ways you can minimize the effect of these drugs on your sexual activity. Erectile dysfunction² is the inability to obtain and maintain an erection for successful sexual intercourse and conception. The penis has two major muscles. Centrally, you have the corpus spongiosum. Laterally, you have two corpora cavernosa which contain the erectile tissue. An erection can be caused by more than just physical touch. Erections can also be driven by emotions, including sexual or arousing thoughts. When an erection is caused by physical touch, this is called the reflex response through activation of the parasympathetic nervous system (pns). ³ when emotions cause it,
Advanced search the present study aims to evaluate the diagnostic value of four-dimensional ct angiography (4d-cta) in the diagnosis of arterial erectile dysfunction (ed) using 320-detector row dynamic volume ct. Arterial ed patients attributed to arterial insufficiency were enrolled. To induce penile erection, an intracavernous injection (ici) of corpus cavernosum with a vasoactive drug was administered. Patients were assigned into the erection hardness score (ehs) 1/2 group or ehs 3/4 group. Color duplex doppler ultrasound (cddu) was used to analyze blood flow spectrum. Each patient was examined using 4d-cta. Receiver operating characteristic (roc) curve was plotted to evaluate the diagnostic value of 4d-cta in arterial ed. The intracavernous injection test is an office test that involves a physician-administered intracavernous injection of a vasoactive drug such as alprostadil followed by assessment of penile rigidity after 10 minutes. 37 the development of a rigid erection within 10 minutes that lasts for 30 minutes suggests psychogenic ed. 38 however, the use of intracavernous injection as a diagnostic test is limited as a positive result can also be found in patients with mild vascular disease. 28 the main use of this test is in the assessment of penile deformities to aid surgical
Erectile dysfunction is defined as the inability to achieve and maintain an erection sufficient for satisfactory sexual intercourse. It is estimated to affect 20 to 30 million men in the us. It may result from impairment of one or more factors: psychological, neurologic, hormonal, arterial, and venous. More recently it has become clear that, in many cases, erection dysfunction can be a "silent marker" for the later development of cardiovascular disease. The penile erection penile erection is a neurovascular event subject to psychological and hormonal modulation. Upon sexual stimulation, nerve impulses release neurotransmitters from the cavernous nerve terminals and relaxing factors from the endothelial cells in the penis resulting in (a) relaxation of smooth muscle in the arteries and arterioles supplying the erectile tissue. Erectile dysfunction (ed) is the inability to achieve and/or maintain an erection sufficient to permit satisfactory sexual intercourse [ 1 ]. Ed is nowadays a common condition affecting approximately 5–20% of adult men; ed has a considerable effect on the quality of life not only of the patients themselves, but also of their spouses/family [ 2 – 4 ]. This editorial discusses ed as a manifestation/warning sign of clinically silent cardiovascular disease. It does
Erectile dysfunction (ed) can occur from arterial insufficiency, bicycle riding or pelvic or perineal trauma if the artery to the penis is partially to totally blocked, leading to inadequate perfusion pressures being delivered to the erection chamber during sexual stimulation. The complaints of a man who has ed from artery blockage are slow-filling of the erection chambers, longer time to achieve erection, lack of spontaneity of erection, less rigid erection and difficulty maintaining the erection. While ed is much more common in men 50 years or older , men with ed as young as teenagers can have the same artery blockage. Organic ed involves abnormalities the penile arteries, veins, or both and is the most common cause of ed, especially in older men. When the problem is arterial, it is usually caused by arteriosclerosis, or hardening of the arteries, although trauma to the arteries may be the cause. 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. Many experts believe that atrophy, a partial or complete wasting away of tissue, and fibrosis, the growth of excess tissue, of the smooth
For this cross-sectional observational study, 751 patients with cad, who were subjected to rehabilitative treatment, were recruited in 5 centers of cardiac rehabilitation. The characteristics of the study group are presented in table 1. All patients gave their written and voluntary consent for participation in the conducted study by completing a questionnaire. Respondents answered questions themselves, but they could explain any doubts with an interviewer. They were assured full confidentiality and were not influenced by any third party. The questionnaire included closed-ended questions. Collected data were coded, in turn providing all respondents with complete protection of their data. The survey comprised questions on basic demographics; family history of cad (in case of doubts—verified by medical records or by phone interview), including past myocardial infarction; percutaneous coronary interventions (pci); and the implantation of coronary artery bypass grafts (cabg). Get Social With Us Arterial insufficiency in the lower limbs (lower limb ischemia, leg ischemia) is a chronic obstructive disease in the aorta below the outlet of the renal arteries, iliac artery, and the arteries in the lower limbs probably caused by atherosclerosis. It is estimated that at least 4% of all people above the age of 65 have