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admin | Category: Ed Treatment San Antonio | 05.09.2015
For men who can't take oral medications for erectile dysfunction, FDA-approved penile injections are the next best thing, boasting an 85 percent success rate.
The main support for the use of arginine in erectile dysfunction comes from a small double-blind trial in which 50 men with erectile dysfunction received either 5 g of L-arginine or placebo daily for 6 weeks. In a pilot study of 16 patients with erectile dysfunction, acupuncture seemed to improve the quality of erections and restore sexual activity in 39 percent of participants who received the treatment twice a week for four weeks. If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call 1-(646) 663-5211.
Side effect of treatment for other medical problems such as depression, high blood pressure and a number of other conditions; recreational drugs.
Neurological problems such as multiple sclerosis, Parkinson’s disease and many others. Side effect of treatment for other medical problems such as depression, high blood pressure and a number of other conditions and recreational drugs. Men with abnormal thyroid hormone levels due to abnormal thyroid gland function can develop erectile dysfunction.  Erectile dysfunction most often occurs in association with hypothyroidism. Highly experienced, board-certified urologists at New York Urology Specialists possess special expertise in evaluating men with erectile dysfunction.
Yet when we carefully evaluate men with erectile dysfunction we often find that they may have cardiac disease, and other signs of peripheral vascular disease. Severe and chronic stress is known to be an important cause of erectile dysfunction in younger men as well as in older men.  Relationship problems can cause significant stress and contribute to erectile dysfunction. Many commonly used medications can have erectile dysfunction as one of their side effects.  Some of these medications are life-saving such as commonly used blood pressure medications, heart medications and antidepressant medications. Fortunately, our highly experienced physicians at New York Urology Specialists are able to help most men with medication-induced erectile dysfunction.
We see patients from all parts of New York City (Manhattan, Brooklyn, Queens, Bronx, Staten Island), Long Island, Westchester and New Jersey as well as other parts in the USA, Canada, South America and the Caribbean and other international patients. Erectile dysfunction (ED), which is sometimes referred to as impotence, is the inability to achieve or maintain an erection. There are many factors that can interfere with a male's ability to obtain or maintain an erection.
One common cause of erectile problems is poor blood circulation in the body, particularly in the penis. For some males, erectile dysfunction is actually caused by physiological problems rather than psychological ones. Sildenafil, also known as Viagra, has been the latest trend in the treatment of erectile dysfunction. Presently, there are three FDA-approved drugs on the market to help males with erectile difficulties: Viagra, Levitra, and Cialis.
Viagra and Levitra are effective for four hours, but require sexual excitation and genital stimulation, so a male who engages in any type of continued sexual activity is likely to achieve a firm erection and experience sexual climax. There are numerous external mechanical aids that are approved by the FDA to aid in erectile dysfunction.
In cases of complete erectile dysfunction, in which tissue damage or other physiological problems prevent other solutions (such as Viagra) from being effective, penile implants may be the method of choice. Intracavernosal injection, or ICI, is best used when the cause of erectile dysfunction is neurological (result of brain damage). The site is maintained by students from the University of California, Santa Barbara who have studied advanced topics in human sexuality. Erectile dysfunction, which is also referred to as ED, is a condition that makes it difficult for a man to get or keep an erection. Erectile dysfunction is easily treated in most cases.The first thing that a doctor will want to do is address the underlying cause of the erectile dysfunction. If a man has a psychological condition that is causing his erectile dysfunction, he may be referred to a counselor.
Erectile dysfunction (ED), male impotence, may be due to a vitamin D deficiency, according to a recent study.
A vitamin D deficiency was present in 35 percent of the men with erectile dysfunction, compared to 29 percent without. The researchers suggest that men with low vitamin D levels have a 32 percent higher risk of developing erectile dysfunction compared to men without the deficiency. Although the findings are observational and do not prove cause and effect, additional research is required to better understand the association and determine the exact link. It’s estimated that 40 percent of men over the age of 40 and 70 percent of those over 70 have erectile dysfunction.
Aside from the observational association between low vitamin D and erectile dysfunction, there are other reasons – both physical and psychological – that can increase the risk of erectile dysfunction.
For these reasons, it’s a good idea to employ lifestyle changes in order to treat erectile dysfunction. Below is the recommended dietary intake of vitamin D, as suggested by the National Institutes of Health (NIH). Vitamin D is known as the “sunshine vitamin” because we get it from the sun; therefore, if you live in a place where the amount of sunlight is shortened or you don’t get out often to enjoy the sun, your vitamin D intake could be limited. Erectile dysfunction doesn’t solely affect sexual ability; new research suggests it can be a marker of undiagnosed diabetes in middle-aged men. On any matter relating to your health or well-being, please check with an appropriate health professional. To use this treatment, the drug alprostadil is injected directly into the penis to trigger an automatic erection. Men in the treated group experienced improvement in sexual performance than in the placebo group.


22 The results indicated that both carnitine and testosterone improve erectile function; however, while testosterone significantly increased prostate volume, carnitine did not. The problem seems to be particularly pronounced in NYC due to a number of overlapping factors including stress, prevailing anxiety and large number of men with medical problems who take multiple medications that can affect libido and erectile function. This often sets a vicious circle that worsens erections.  Anxiety about ability to perform in bed can often lead to erectile dysfunction through the same biological mechanisms as other sources of stress. We have also treated college students and graduate students in high stress environments including law schools and medical schools.  Likewise, we commonly see otherwise healthy men, titans of industry, in their 50’s, 60’s and 70’s experiencing the same problems due to the overwhelming stress and burdens of their positions.
The penis becomes erect when blood flows into the cavernous and spongy tissue that runs the length of the penis.
If a male is experiencing considerable pressure at work, facing relationship difficulties, or undergoing myriad other hardships, he may have difficulty obtaining an erection.
Is your partner aware of your situation, and is there a way you can communicate with him or her to reduce performance anxiety?
If a male were raised in a strict religious family, he might have learned to believe that sex is a sin, and therefore may feel ashamed at the thought of engaging in any type of sexual activity, including masturbation.
In these cases, men should see a doctor who can help diagnose the problem that is affecting their ability to obtain and maintain an erection.
Realize that masturbation is perfectly healthy and normal and is actually a great way to learn more about yourself and your sexuality. This drug increases levels of nitric oxide by suppressing the body’s breakdown of cGMP (cyclic guanosine monophosphate), which regulates blood flow in the penis. These drugs do not work on their own, they simply stimulate the release of nitric oxide, a neurotransmitter that widens blood vessels to allow more blood flow into the penis. The surgery needed to insert these implants is usually performed on males between the ages of 40 and 70 years because they will be rendered impotent and suffer irreversible tissue damage as a result of the surgery. The drugs injected into the penis are called vasoactive drugs, which facilitate erection by relaxing the smooth muscle tissues in the penis. The drug that is derived from the chemicals in the Yohimbine tree increases penile firmness enough to help with milder forms of erectile dysfunction.
This method is often called MUSE, which stands for medicated urethral system for erection; it is easy, fast, and produces erections after about 15 minutes by dilating blood vessels in the penis. Although Viagra has become quite popular, it has a reputation for reducing spontaneity and has potentially serious side effects for people with heart problems. Please use newer version of your browser or visit Internet Explorer 6 countdown page for more information.
High blood pressure, obesity, heart disease, diabetes, and high cholesterol are some of the physical causes of this condition. For example, if a man has high blood pressure, his doctor will prescribe a medication to treat that condition. A counselor can help a man overcome the anxiety, stress, and depression that is causing his impotence. To achieve their findings, researchers analyzed data from over 3,400 American men over the age of 20. Even when other risk factors for erectile dysfunction were taken into account, the association still remained. Forty percent of Americans also have a vitamin D deficiency, according to the Centers for Disease Control and Prevention (CDC). Published in the Annals of Family Medicine research shows that men suffering with erectile dysfunction should also undergo testing for diabetes.
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You then place a rubber ring around the base of your penis in order to keep the blood in place, allowing you to maintain an erection for around 30 minutes.
Primary erectile dysfunction occurs when a male has never been able to obtain an erection during sexual activity; in other words, his struggle with ED has been a lifelong experience. Males between the ages of 55 and 59 are over 14% more likely to have erectile problems than males 18-24 years old. Any of several circulatory problems can limit the speed at which blood can flow into the penis, and increased circulatory problems can create increased erectile problems. Drugs like Viagra have become a very popular remedy for erectile problems, but theyshould only be used if psychological difficulties have been ruled out by a doctor. Some side effects of Sildenafil include lightheadedness, dizziness, facial flushing, nasal congestion, indigestion, and (very rarely) a bluish tint in one's vision.
Cialis is effective for 36 hours, which gives couples a much longer "window of opportunity" to engage in sex. The basic principle of vacuum constriction devices (sometimes referred to as “penis pumps”) is that a vacuum chamber is placed over the penis; a pump provides suction in the chamber, inducing an erection, while a rubber band is placed at the base of the penis to trap the blood in the penis.
This tissue damage will reduce the use of other treatments, such as any oral medication or external vacuum constricting devices.
The drug increases blood flow to the penis by indirectly increasing parasympathetic activity in the autonomic nervous system. Some side effects include hypotension (decreased or lowered blood pressure), priapism, urethral burning, syncope (a brief loss of consciousness associated with an inadequate flow of oxygenated blood to the brain), and penile pain. Alcohol use and substance abuse can also make a person more susceptible to developing this condition. Most doctors will also recommend a prescription that is specifically designed to treat erectile dysfunction. Additionally, men should also make sure that they take the time to communicate with their partners, so that they can prevent relationship problems.


Thirty percent of the men were found to have low vitamin D – below 20 nanograms per millimeter of blood.
Michos added, “Checking vitamin D levels may turn out to be a useful tool to gauge ED risk.
The statements herein have not been evaluated by the Foods and Drugs Administration or Health Canada. Secondary erectile dysfunction is more common and occurs when a male has had the ability to obtain an erection and engage in sexual activity in the past but no longer can. This does not mean that every man over the age of 55 experiences erectile disorders?in fact, some older males maintain erectile function well into their eighties. In sexual situations, he may be distracted by pressing life issues rather than being fully immersed in the joys of sex and all the great ways to make it optimally exciting.
Perhaps he had a negative sexual experience with a partner, which left him feeling embarrassed or ashamed. If the aforementioned techniques yield no positive results, it can be very helpful to interview several doctors and clinical psychologists who know of advanced therapies that can help alleviate your condition.
Learn more about the beauty of sex and how wonderful it can be in the context of a loving and honest relationship.
There are serious side effects when Sildenfil is combined with certain drugs, such as nitroglycerin, and other nitrates that are taken to treat heart disease. There is a high success rate with this form of treatment for males who cannot take oral medication and for males with diabetes, a spinal cord injury, or radical prostatectomy. The FDA has approved this drug, and it is available by prescription under such names as Yocon, Erex, and Yohimex. Males with partners who are (or may be) pregnant should not use this method, since it can travel through the placenta of a pregnant female and impact fetal development. The psychological causes of impotence may include things such as depression, stress, anxiety, and relationship problems. Obesity is a risk factor for this condition, so men who are overweight should try to lose at least 10 pounds. Sex, at any age, is not only beneficial for relationships but it can offer many health benefits. With increasing age comes potentially increased physiological and psychological problems, which can be related to erectile difficulties. These factors can prevent a male from experiencing the sexual stimulation required to produce a firm, long-lasting erection.
Any negative experiences one may have had in the past could have made sex more stressful or negative experience and thus may be causing erectile difficulties. Please remember that erectile problems are very common and they can be treated successfully in most instances.
Oftentimes, the best cure for a sexual difficulty is to openly communicate with one’s partner about what one is experiencing so that both people can solve the problem together.
Users of vacuum constriction devices may experience painful ejaculation due to the constriction of the rubber band.
One possible complication of this procedure is infection, which can cause penile erosion and reduced penile sensation. Some males find this treatment unnerving because it involves inserting a hypodermic needle into the corpora cavernosa of the penis. There are over-the-counter products containing Yohimbine, but a study conducted by the FDA concluded that the concentration of Yohimbine in these products is negligible and has little or no effect.
Another new and exciting treatment currently in development is called “gene therapy.” Still in its preliminary testing, gene therapy offers a treatment for erectile dysfunction that is quick, convenient, and has few side effects. Having erectile difficulties can be a very troublesome and frustrating experience for many males.
People who use alcohol, nicotine, cocaine, and other drugs that can impair sexual functioning are at risk of erectile problems. There are also herbal substances available that supposedly help with erectile difficulties, but they have not received government approval. Users also should to be patient while relying on these devices, since they can diminish spontaneity of sexual intercourse. Side effects include penile pain, priapism (a continuous, usually nonsexual erection), and fibrosis (the development of excess fibrous connective tissues in an organ). Researchers are hoping to have the treatment administered via injection only once or twice a year.
This new stress factor is called “performance anxiety.” Most males experience occasional erectile difficulties, and it is important to avoid feeling frustrated or stressed when issues do arise.
Sensate focus is a therapy technique that is commonly used to treat sexual problems such as female anorgasmia, erectile difficulty, and low sexual desire.
To help counteract this, males can integrate the device into foreplay and include their partner in the pumping action. Others hope to effectively create a cream that will produce the same results without the use of hypodermic needles. By reducing the feelings of performance anxiety, a man is more likely to overcome the erectile issues he may be experiencing.
In time, you will be able to override the negative thoughts that could be causing ED and become more confident and happy during your sexual experiences.
Males who use the device regularly usually find they can achieve an erection more quickly as they gain experience with the procedure.



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