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Erectile dysfunction (ED) occurs when a man has consistent and repeated problems sustaining an erection. There are several forms of male sexual dysfunction, including poor libido and problems with ejaculation. Surgery, including treatments for prostate cancer, bladder cancer, or BPH can sometimes damage nerves and blood vessels near the penis.
ED may be a side effect of medication, including certain blood pressure drugs, antidepressants, and tranquilizers. To diagnose ED, your doctor will ask you questions about your symptoms and medical history.
While pills for ED are convenient, some men sustain stronger erections by injecting medication directly into the penis.
If ED is caused by a blockage in an artery leading to the penis, surgery can often restore blood flow.
One of the problems men face after discovering possible erectile dysfunction is finding a doctor that they can trust to discuss their issues with. Contact Erectile Doctor at 888-801-0366 for more information on erectile dysfunction and how to communicate your concerns to your health care professional. Erectile dysfunction (ED) is being dealt with by primary care physicians, and your first approach should be to see your primary care physician, who can properly diagnose and evaluate potential erectile dysfunction. The neurotransmitters which are released in the penis cause another chemical to be made called cyclic guanosine monophosphate (cGMP). Reduced blood flow to the penis. Like in other parts of the body, the arteries which take blood to the penis can become narrowed. Diseases which affect the nerves going to the penis. For example, multiple sclerosis, a stroke, etc. Injury to the nerves going to the penis. For example, spinal injury, following surgery to nearby structures, fractured pelvis, radiotherapy to the genital area, etc. Cycling. ERECTILE DYSFUNCTION OR IMPOTENCE after long distance cycling is thought to be common. Hormone causes are rare. For example, a lack of a hormone called testosterone which is made in the testes.
In most cases due to physical causes (apart from injury or after surgery) the ERECTILE DYSFUNCTION OR IMPOTENCE tends to develop slowly. Various mental health conditions may cause you to develop ERECTILE DYSFUNCTION OR IMPOTENCE. Typically, the ERECTILE DYSFUNCTION OR IMPOTENCE develops quite suddenly if it is a symptom of a mental health problem. As a rule, a psychological cause is more likely for the ERECTILE DYSFUNCTION OR IMPOTENCE than a physical cause if there are times when you can get a good erection, even though most of the time you cannot. Although ERECTILE DYSFUNCTION OR IMPOTENCE can be caused by various conditions, about 7 in 10 cases are due to narrowing of the small arteries in the penis. ERECTILE DYSFUNCTION OR IMPOTENCE caused by narrowed arteries commonly develops several years before any symptoms or problems develop due to narrowing of the coronary arteries (these are the arteries that are present in the heart musculature). Depending on your symptoms, likely cause of the ERECTILE DYSFUNCTION OR IMPOTENCE, age, etc, your doctor may suggest that you have some tests. A Sexual Medicine physician is trained to assess and treat the problem of Erectile Dysfunction or Impotence and its complexities. Apomorphine works by increasing the level of certain chemicals in the brain which are involved in sending messages down nerves to the penis when you are sexually aroused.
So, even if the nerves or blood vessels going to your penis are not working so well, a tablet can cause the blood flow to increase in your penis, and cause an erection. The pelvic floor muscles are a group of muscles that wrap around the underside of the bladder and rectum.
For example, one study found that after a course of pelvic floor exercises, about 4 in 10 men with ERECTILE DYSFUNCTION OR IMPOTENCE had regained normal erectile function, just over 3 in 10 had improved, but there was no improvement in just under 3 in 10 men.
You can place a small pellet into the end of the urethra (the tube which passes urine and opens at the end of the penis). For example, treating depression, anxiety, changing medication, cutting back on drinking lots of alcohol, or treating certain rare hormone conditions may cure the associated ERECTILE DYSFUNCTION OR IMPOTENCE. As mentioned above, ERECTILE DYSFUNCTION OR IMPOTENCE is often a marker that heart disease or other cardiovascular diseases may soon develop.
Your relationship with your doctor is one of the most important relationships you will ever have.
The first step in finding a primary care doctor is to determine what type of doctor you need. General practitionersa€”doctors who treat a wide range of medical problems in people of all ages.
Family practitionersa€”similar to general practitioners, these doctors have additional training to care for all family members, young and old. Internistsa€”doctors who focus on the care of adults, and who may specialize in one particular area, such as cardiology or rheumatology. Pediatriciansa€”doctors who specialize in the care of newborns, infants, children, and adolescents.
If you have health insurance or belong to a managed health plan, check to see if it maintains a list of preferred (or a€?in-networka€?) health care providers. Family, friends, neighbors, and co-workers are yet another good source for recommendations. Whatever methods you use to search for a new doctor, be sure to jot down a list of names so you have several options to choose from if your first choice is not accepting new patients.
We created this blog to provide a fun and friendly place where you can find the facts you need to make better decisions about your health care and health insurance coverage.
Integrity and respect are our policies We encourage you to post questions, comments, and concerns.
Protect your health and finances with dependable coverage for individuals, families, Medicare beneficiaries, businesses, and more. A doctors might find it more important to treat high blood pressure than to address erectile dysfunction. In some cases, using lisinopril may actually cure sexual problems that were previously caused by high blood pressure.
The connection between use of lisinopril and erectile dysfunction is not entirely understood. For one thing, most men who use lisinopril are approaching or are in their middle aged years and are more likely to suffer from erectile dysfunction anyway. Using lisinopril and erectile dysfunction are also connected because this medication treats a major cause of sexual problems.
In this way, lisinopril and erectile dysfunction may be linked because use of this medication could actually cure sexual problems caused by high blood pressure. I went from 20 to 40 along with 12.5 hydrochlorothiazide and with Cialis can maintain an erection, but sometimes have doubled dose of Cialis. My husband takes lisinopril for high blood pressure and he is convinced that the medication is causing erectile dysfunction.
Male sexual arousal is a complex process that involves hormones, emotions, nerves, muscles, and blood vessels. Viagra, Levitra, Cialis, Staxyn, and Stendra are oral ED medications typically taken about an hour before sexual activity. Site users seeking medical advice about their specific situation should consult with their own physician. Would you like to view your HealthSavvy Programs now, or stay on this page and continue reading this article? In order for us to best serve you and provide you with the best information, can you please tell us if you currently have health insurance? In order for us to create your customized HealthSavvy programs, we need a little more information about the health topic(s) that you are interested in. The information on this site is not a substitute for diagnosis or treatment from a licensed medical practitioner. According to the Massachusetts Male Aging Study, about 40% of men experience some degree of ED at age 40 compared with 70% of men at age 70. This causes the penis to expand and stiffen, much like a balloon as it is filled with water. Smoking, excessive drinking, and drug abuse may damage the blood vessels and reduce blood flow to the penis. In some cases, the nerve damage is permanent, and the patient will require treatment to achieve an erection. Men should talk with their doctor if they suspect a prescription or over-the-counter drug may be causing erectile problems. The doctor will conduct a complete physical exam to uncover signs such as poor circulation or nerve trouble.

Measuring testosterone levels can determine whether there is a hormonal imbalance, which is often linked to decreased desire. A 2010 study suggests ED is a strong predictor of heart attack, stroke, and death from cardiovascular disease.
Giving up smoking, losing weight, and exercising more often can help by improving blood flow. Drugs approved for this purpose work by widening the blood vessels, causing the penis to become engorged with blood. Good candidates are typically younger men whose blockage stems from an injury to the crotch or pelvis. A therapist can teach the man and his partner techniques to reduce performance anxiety and improve intimacy. In terms of looking for the right specialist, one of the purposes of the online portal that we’ve created is that it lists all the physicians that are all over the country that are US-licensed physicians and can provide useful resources and clinical consultation with a brick and mortar facility. For example, you may not get an erection so easily if you are tired, stressed, distracted, or have drunk too much alcohol. But, as you remain sexually aroused whilst having sex, your brain keeps sending nerve messages to the penis which makes more cGMP to maintain the erection. If the ERECTILE DYSFUNCTION OR IMPOTENCE is due to a physical cause, you are likely to still have a normal sex drive (libido). It is probably due to pressure on the nerves going to the penis from sitting on the saddle for long periods.
So, you may have intermittent or partial ERECTILE DYSFUNCTION OR IMPOTENCE for a while, which may gradually get worse. We should all aim to do some moderate physical activity on most days of the week for at least 30 minutes. If you have diabetes, good control of the blood sugar level and blood pressure can help to minimise the impact of diabetes on the blood vessels. He is likely to discuss the problem, go over any medication you may be taking, and do a physical examination.
This is more likely if you have a low sex drive (libido) in addition to ERECTILE DYSFUNCTION OR IMPOTENCE. They do this by affecting the chemicals involved in dilating (widening) the blood vessels when you are sexually aroused (described above). Tablets can treat ERECTILE DYSFUNCTION OR IMPOTENCE caused by various underlying conditions. There is a good chance that a medicine will work (about an 8 in 10 chance of it working well).
One of these muscles (the bulbocavernosus muscle) also partly wraps around the base of the penis.
The most sophisticated (expensive) type can be inflated with an inbuilt pump to cause an erection.
Therefore, you should review your lifestyle to see if any changes can be made to minimise the risk of developing these problems. Also, your doctor may prescribe a statin drug if your risk of developing cardiovascular disease is high. These are most useful if certain psychological problems are the cause of, or the result of, ERECTILE DYSFUNCTION OR IMPOTENCE.
Thata€™s because your doctor is your own personal good-health experta€”the person you trust to treat you when youa€™re sick, provide preventive care to keep you healthy, remind you of important screenings and immunizations, and refer you to specialists if you need them. Preferred providers are health care professionals who have partnered with your insurance plan to deliver services at reduced rates. These profiles can tell you about a doctora€™s education, work history, office location, and more.
Co-workers are especially helpful because they have the same health insurance and access to providers that you do. You can check on a doctora€™s skills and experience using the Doctorfinder feature of the AMAa€™s website, which provides information about a doctora€™s training, specialties, and whether or not the doctor is board certified.
To maintain their certification, doctors must enroll in continuing education courses and pass periodic exams. Come back next Tuesday for Part 2 of this article, when wea€™ll conclude with two more important steps: interviewing prospects and evaluating your first visit.
Because we want this blog to be a fun and friendly place, we reserve the right to edit, delete, move, or mark as spam any and all comments. Studies have been conducted and show a possible link, but the results are considered inconclusive. Since this medication is used to treat high blood pressure, a major contributor to sexual dysfunction, it is also possible that men afflicted with sexual problems have them due to hypertension. In the majority of cases it is also more important to treat the underlying high blood pressure than to worry about sexual performance, at least during the initial stages of treatment. High blood pressure, also known as hypertension, can prevent proper sexual performance because it inhibits blood flow into the penis. I read lisinopril could cause ED and finally asked doctor if I could stop taking and see if it helped. But I already had this problem before I started taking lisinopril so I know that it's not related. I'm sure the doctor is right about the connection between lisinopril and erectile dysfunction. ED can result from a problem with any of these, and can become worse with stress and mental health issues. A physical examination can help determine the cause of a man's ED and rule out things like problems with the nervous system. For example, some men can regain their sexual function by lifestyle changes alone, such as quitting smoking, losing weight, and increasing physical activity. They work by releasing a chemical to relax the muscles of the penis and allow an increase in blood flow that leads to an erection. Popular alternatives include lifestyle changes, such as more exercise, losing weight, reducing alcohol consumption, and quitting smoking. If you are experiencing a serious medical condition call your local emergency services or your doctor. According to the Massachusetts Male Aging Study on sexual dysfunction, the problem can first emerge in a man as early as 40. And the percentage of complete ED increases from 5% to 15% as age increases from 40 to 70 years. Experts say stress, depression, poor self-esteem, and performance anxiety can short-circuit the process that leads to an erection.
This area between the anus and scrotum contains arteries and nerves vital to sexual arousal. And your physician will look for abnormalities of the genital area that could cause problems with erections. Blood cell counts, cholesterol levels, and liver function tests can reveal medical conditions that may account for ED. The researchers say all men diagnosed with ED should be evaluated for cardiovascular disease. If you suspect a medication could be contributing to ED, talk to your doctor about adjusting your dosage or switching to another option. When an erection is desired, the man uses a pump to fill the cylinders with pressurized fluid. Asian ginseng and ginkgo biloba (seen here) are popular, but there isn't a lot of good research on their effectiveness. An investigation discovered the pills often contain prescription drugs not listed on the label, including the active ingredient in Viagra.
You can also access our physician directory to find a specialist in your area to treat your potential erectile dysfunction.
Premature ejaculators first experience their dysfunction in their teenage years.Some theorists believe that it is a learned response by young guys who engage in rushed sex acts in order to avoid being caught. For most men it is only temporary, and an erection occurs most times when you are sexually aroused. Stimulation of the penis can also cause local nerve endings to release neurotransmitter chemicals. When the level of cGMP falls, the blood flow to the penis returns to normal, and the penis gradually returns to the non-erect state.
Choose the number that best describes the most frequent condition of your penis during the sexual activity over the last 4 weeks (1 month).
But if is 1,2 or 3, then you need to consult a sexual medicine specialist for further evaluation.
In some cases, ERECTILE DYSFUNCTION OR IMPOTENCE causes poor self esteem, anxiety, and even depression. This is why some of the tests listed below may be advised if you develop ERECTILE DYSFUNCTION OR IMPOTENCE.

In this situation a blood test to check the level of testosterone or prolactin may be advised.
There are now four different tablets licensed in the UK to treat ERECTILE DYSFUNCTION OR IMPOTENCE. This is involved with preventing blood escaping during an erection, (as well as being active during ejaculation, and when emptying the urethra of urine when finishing at the toilet). Those found least likely to improve were those with other significant problems such as heart disease, diabetes, or those who drank a lot of alcohol.
The medicine is quickly absorbed into the penis to cause an erection, usually within 10-15 minutes. For example, stop smoking if you are a smoker, take regular exercise, eat a healthy diet, etc. How to control excessive masturbation?My condom broke while doing sex with my girl friend, will she become pregnant?Am i infected with Herpis. Youa€™ll want to choose a doctor that participates in your plan (look in the plana€™s handbook or on its website) unless you can afford to pay extra. Keep in mind that although board certification is a good indicator of a doctora€™s knowledge, it is not imperative and many people receive quality care from doctors who are not board certified. The two are connected in some ways, however, since lisinopril is used to treat high blood pressure, which is a major cause of erectile dysfunction. The number of men who reported erectile dysfunction after beginning treatment was very small, so it has been hard for researchers to know if the medication or other factors were the cause.
For men who do experience a problem, additional medications may be prescribed to enhance sexual performance. It helped immediately, within a couple days of stopping.I am not sure what changed, as I had been taking the medication for a couple years, but everything went back to normal when I stopped. Apparently, if lisinopril does affect sexual function, it will only do so for a temporary period.
In it, we go over five of the most common questions people have about ED, with helpful answers on causes, diagnosis, treatment, and more.
However, if you are experiencing more frequent and longer-lasting problems, it is a good idea to visit your healthcare provider.
A number of medications, such as Viagra, Levitra, Staxyn, or Cialis, are also available and may be an appropriate choice in certain cases.
Counseling can be an effective method for dealing with the emotional effects of ED, particularly if the ED is mostly psychological. If you choose this option, it cannot be undone, and you'll need to choose at least new topic to continue using your HealthSavvy programs. Other conditions that may cause ED include cardiovascular disease, atherosclerosis (hardening of the arteries), kidney disease, and multiple sclerosis.
These factors can also make the problem worse in men whose ED stems from something physical.
Cyclists who ride for many hours each week may benefit from seats designed to protect the perineum.
This does not mean every man with ED will develop heart disease, or that every man with heart disease has ED, but patients should be aware of the link. They're generally taken 30-60 minutes before sexual activity and should not be used more than once a day.
Another option is a malleable implant, which bolsters erections with surgically implanted rods. Examples of “quickie” sex include sex in a movie theatre, inside a car, on the living room sofa, or while masturbating to internet porn while family members lurk nearby.Some cases of premature ejaculation are suspected to be genetic in origin. However, some people become even more anxious or depressed when they develop ERECTILE DYSFUNCTION OR IMPOTENCE.
For example, narrowing of the blood vessels in the heart (the coronary arteries) is a cause of angina and other heart problems. In time, these can become bigger and cause enough narrowing of one or more of the arteries to cause symptoms and problems.
Young smokers may not be aware that they have a much greater risk of developing ED by middle age compared to non-smokers. The conclusion of this study was that pelvic floor muscle exercises should be considered a treatment option for many people with ERECTILE DYSFUNCTION OR IMPOTENCE. If this option is considered appropriate to try, then ideally you should see a physiotherapist for advice on exactly how to do the correct exercises.
Visit the American Board of Medical Specialties website or call 1-800-776-2378 for more information. It can certainly be a side effect of medications but it could also be high blood pressure, diabetes, stress or some other cause.
I'm telling him not to think about it but he is clearly worried about this. Is anyone else experiencing this side effect with lisinopril? Although you may feel embarrassed or anxious about talking about erection problems, ED is a very treatable condition.
A number of laboratory tests, such as blood counts, a urinalysis, and measuring testosterone levels, can also be useful in making an ED diagnosis. Many men achieve stronger erections by injecting medication directly into the penis or inserting it into the urethra, causing the penis to become engorged with blood.
Vacuum pumps and nutritional supplements, such as (DHEA, L-arginine, yohimbe, and Panax ginseng) can also be tried. Plaque tends to build up inside the blood vessels preventing proper blood flow, and a lack of blood flow is the number one problem with erectile dysfunction.Dr.
Being overweight and getting too little exercise also contribute to ED.  Studies indicate that men who exercise regularly have a lower risk of ED. Cialis can be taken up to 36 hours before sexual activity and also comes in a lower, daily dose. An elastic band worn around the base of the penis maintains the erection during intercourse. You can also check out one of our many articles on finding a doctor for erectile dysfunction here. Earlier, it was thought that majority of these patients are suffering from psychological causes (like stress, anxiety, depression) and there was no specific organic cause found.
The occurance of the problem will be more if one is suffereing form other diseases like Diabetes, High BP, High Cholesterol etc. Because of the way they work, these medicines are called phosphodiesterase type 5 inhibitors (PDE5 inhibitors).
For example, you may not be able to take certain tablets for ERECTILE DYSFUNCTION OR IMPOTENCE if you have certain other medical conditions, or take certain other medicines. Studies suggest that strengthening the pelvic floor muscles in men can cure ERECTILE DYSFUNCTION OR IMPOTENCE in some cases. Knowing some good questions to ask your doctor can help alleviate some of the pressure of your visit. Some of the possible causes for ED include high blood pressure, atherosclerosis, diabetes, and certain medications.
In some cases, testosterone replacement therapy may be needed to increase testosterone levels.
With prompt and proper treatment, premature ejaculators can prolong their sexual stamina in the bedroom and experience satisfaction in their sex lives.Dr. At that time the patho-physiology (or functioning and its dysfuntioning) was not very clear to the treating doctors. For example, you should not take a PDE5 inhibitor if you take nitrate medicines (including GTN) which are often used to treat angina.
The plastic container is then taken off the penis and the penis remains erect until the rubber band is removed (which must be removed within 30 minutes). 25590-021-1205Wisconsin Physicians Service (WPS Health Insurance) is a Medicare-approved Part D sponsor. As far as I know, lisinopril is not known for affecting sexual performance as much as some other high blood pressure medications like atenolol. Randy Dellosa, popularly known as the "celebrity shrink," is a life coach, counselor, psychotherapist, clinical psychologist, psychiatrist,physician,osteopath, clinical massage therapist,acupuncturist, qigong teacher and energy healer. The latest research has brought the new knowledge and new hope for the sufferers of Erectile dysfunction or impotence.

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