Mostmales experience at least one episode of being unable to achieve an erection when desired. In extreme cases, they may be unable ever to have or sustain an erection. Erectile dysfunction (ED) is very common, affecting an estimated 30 million men in America.
The best treatment may depend on the person. Some find that traditional treatments, such as surgery or medication, do not work. These men may have success using a penis pump, which draws blood into the penis and induces an erection.
These help with achieving or maintaining erections but do not address the underlying cause of ED. For example, sildenafil (Viagra) increases blood flow to the penis, which can provide short-term relief from ED. It may help people with conditions such as diabetes and atherosclerosis to get erections.
Primary treatments address the issue that is causing ED. When clogged arteries are responsible, taking medication or exercising more frequently can improve cardiovascular health. This may eliminate ED or reduce the frequency of episodes.
The cause of ED may be psychological, and the condition itself may lead to anxiety. Psychological treatments can reduce anxiety, increase self-confidence, and improve relationships with sexual partners.
While the cause of ED may be physical, the condition can still have psychological effects. It may lead to self-consciousness or anxiety, which can make it more difficult to get an erection. A treatment plan may, therefore, include both physical and psychological methods.
The pelvic floor muscles help men to urinate and ejaculate. Strengthening these muscles may also improve erectile function. A comprehensive 2010 review found that pelvic floor exercises may help men with diabetes to get and maintain erections.
Individual counseling can aid in uncovering the cause of the problem. A psychologist or psychiatrist can help an individual to manage their anxiety and resolve issues, which can eliminate ED and prevent it from returning.
A 2018 review found that ginseng preparations significantly improved symptoms of ED in the population studied. Preparations of maritime pine extract, Pinus pinaster, and maca, Lepidium meyenii, also showed promising results, but more research is needed.
Penis pumps can draw blood into the penis and induce an erection in most men, including those with severe nerve damage. When there is severe nerve or blood vessel damage, using a ring can help to keep blood in the penis.
If other strategies are ineffective, or when there is an anatomical cause of ED, a doctor may recommend surgery. The procedure involves implanting a device that enables immediate erections. Surgery is effective in most cases, and the rate of complications is less than 5 percent.
Early intervention can often detect a serious medical condition, and determining the cause of ED early may increase the likelihood of reversing it. Speak with a doctor about the best course of treatment.
I'm Dr. Matthew Ziegelmann, a urologist at Mayo Clinic. In this video, we'll cover the basics of erectile dysfunction. What is it? Who gets it? The symptoms, diagnosis, and the treatments. Whether you're looking for answers for yourself or for someone you love, we're here to give you the best information available. Erectile dysfunction, also known as impotence, is defined by difficulty getting and keeping an erection. It can be an embarrassing thing to talk about. It's been reported that more than half of men between the ages of 40 and 70 experience some form of ED. So take comfort in knowing that you are not alone. Experiencing difficulty with erections from time to time is usually no cause for concern. But ongoing issues can cause stress, it can affect self-confidence, and it can contribute to relationship problems. Sometimes it may indicate an underlying condition. The bottom line is that if you experience ED, you should talk about it with your doctor, even if you're embarrassed, because we have a number of ways that we can effectively treat erectile dysfunction. ED can be caused by physical or psychological issues. Sexual arousal is a complicated process. It involves your brain, your hormones, your nerves, your muscles, and your blood vessels. A hiccup in any of these can cause a problem.
The fact is that erectile dysfunction affects men of all ages. However, as you get older, your risk can increase. This is not only because erections take longer to develop, but also that other contributing factors may come into play. Physical issues like heart disease, high cholesterol, high blood pressure, diabetes, obesity, and smoking can all cause erectile dysfunction. On the other hand, depression, anxieties, stress, relationship problems, and other mental health concerns can also interfere with sexual feelings. And this can cause or worsen your erectile problems. Often, it's a bit of both. So it's important to understand one's physical and psychological state to know the underlying cause of one's erectile dysfunction.
Unlike a lot of medical conditions, the symptoms of erectile dysfunction are rather straightforward. If you have persistent trouble getting or keeping an erection, you might have erectile dysfunction. If you're dealing with any of these symptoms, a family doctor or an internist is usually a good place to start.
Usually, the hardest part of diagnosing erectile dysfunction is overcoming that embarrassment that comes with talking about your ED. But once you talk to your doctor, you'll find that it's common, and a diagnosis can happen quickly. For many people, a physical exam and answering some basic questions about your medical history is all that is needed. If you have chronic health conditions or your doctor suspects an underlying condition might be involved, you could need further tests or a consultation with a specialist such as me.
Millions of men are able to successfully treat their erectile dysfunction. Oral prescription medications are one popular route. Taking medications does not automatically produce an erection. These tablets amplify the effects of nitric oxide. This is a chemical that your body produces that relaxes muscles in the penis. Sexual stimulation releases this chemical and these medications enhance its effect, allowing for an erection. Other less common, but effective, medications for ED include self-injections or urethral suppositories. If medications aren't effective, your doctor may recommend a vacuum penis pump. This device uses a hollow tube to create a vacuum that pulls blood into your penis. Penile implants are another option and involve surgically placing a device that allows the penis to achieve an erection. If your ED is impacting your mental health or your relationship, your doctor may also recommend that you and your partner visit a psychologist or a sexual therapist. What your treatment ultimately looks like depends on the cause and severity of your erectile dysfunction, as well as any underlying health condition that may be present. Your doctor will be able to work with you to find the right solution.
Erectile dysfunction can be an uncomfortable topic to discuss with your doctor, with your partner and with your friends. But don't assume that you're alone. Involve your partner, and communicate openly and honestly about your condition. Try to remember that it's very common. And more importantly, it's very treatable. If you'd like to learn more about erectile dysfunction, here are some other related videos. Or you can visit
mayoclinic.org. We wish you well.
The penis contains two cylinder-shaped, spongelike structures called the corpora cavernosa. During sexual arousal, nerve impulses increase blood flow to both cylinders. This sudden influx of blood causes an erection by expanding, straightening and stiffening the penis.
Having erection trouble from time to time isn't necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can cause stress, affect your self-confidence and contribute to relationship problems. Problems getting or keeping an erection can also be a sign of an underlying health condition that needs treatment and a risk factor for heart disease.
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Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction.
Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction.
The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include:
Ann Pietrangelo is freelance writer and health reporter with bylines on a variety of consumer health publications and leading health information websites. Through her books No More Secs! Living, Laughing & Loving Despite Multiple Sclerosis and Catch That Look: Living, Laughing & Loving Despite Triple-Negative Breast Cancer, she shares her experiences in the hope that others will feel less alone in their health struggles. Learn more at her website.
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