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Erectile dysfunction (ED) is a condition wherein a man fails to keep an erection firm enough for sexual intercourse. Sexual arousal in men is a complex process that involves the hormones,A  brain, nerves, emotions, A blood vessels and muscles. Another condition, metabolic syndrome, that involves increased blood pressure,A  body fat around the waist, high insulin levels and high cholesterol may cause erectile dysfunction. Erectile dysfunction often shares common risk factors associated with cardiovascular disease, that includes obesity, lack of exercise, A hypercholesterolaemia, smoking. Erectile dysfunction (or impotence) is one of the most prevailing complaints in male sexual medicine. 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.
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A person with ED have a persistent inability to attain and maintain a sufficient erection so as to permit satisfactory sexual intercourse.
This problem might impart significant impact on the quality of life (QoL) of the person concerned, his partners and families as well. The brain plays a major part in setting off the series of physical outcomes that makes an erection, which starts with the onset of sexual excitement. Adjustment of these factors and in particular carrying out suitable weight loss exercise regime may help in reducing ED. Proper diagnosis of the underlying cause of the disease may be enough to treat and reverse erectile dysfunction. 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. Andrew Weil and Tieraona Low Dog that can help you meet healthgoals including better sleep, digestion, energy and focus. You should not use the information on this web site for diagnosing or treating a health problem or disease, or prescribing any medication or other treatment.
Erection trouble at times is A necessarily not a major A cause of concern, however, if the dysfunction is continued for a longer period then it may cause relationship problem, stress or may affect self-confidence.
Epidemiologic studies report that approximately 5a€“20% of men have moderate to severe erectile dysfunction. Any problem related to the above stated organs or conditions may result in erectile dysfunction.
Variation in incidences reported is probably due to differences in the methodology and the socioeconomic status and age of the populations studied.
Normal erections require a complex and delicate balance of many bodily functions, all finely tuned and working together - psychological, hormonal, neurological, vascular and general health factors.
As, for example, a minor physical trouble that might slow the sexual response makes a man A anxious about attaining and maintaining an erection. Any disruption or imbalance of one or more can compromise erection quality.Normal sexual intimacy is important for many couples to maintain a satisfying quality of life. This is especially true today, as our population ages and concerns over ED become more openly discussed in the media and at home. Men and women accept that sexual problems are more common and can be readily corrected.This article will review the most common health problems that can lead to ED. It is important to know that often ED is a first warning sign for many serious and potentially dangerous health problems. Not only can depression itself cause problems obtaining and maintaining an erection, depressed men often complain of a lack of interest in sex (libido). To make matters worse, many of the medications that treat depression can worsen erections or decrease libido even more.

Some of the newer anti-depression medications have fewer sexual side effects, so be sure to tell your doctor that sexual function is a concern for you. In fact, simply worrying about your erections (performance anxiety) is enough to lead to problems.Arteries and veins - A healthy blood supply to the penis is necessary for erections.
The small arteries that bring blood to the penis are often damaged by years of high blood pressure, high cholesterol, or diabetes. Abdominal or pelvic artery problems such as an abdominal aortic aneurysm or its surgical repair can also lead to difficulties obtaining an erection. Often the onset of ED is a warning sign of potentially dangerous blockage of the coronary arteries that can lead to heart attacks.
Unfortunately, many of the medications that treat high blood pressure can also cause erectile dysfunction as well.Nervous system - An intact and functioning nervous system is important for normal erections.
The nervous system includes the deep brain as well as the nerves that travel throughout the body, especially to the penis.
Injury to these nerves, such as after a stroke, surgery, injury, from a tumor or neurologic disorder such as MS, can interfere with erections. Structures deep within the brain control the body's nerves and hormones that are necessary for normal sexual drive and function.Hormones - A finely-tuned balance of hormones is required for normal erections.
This balance includes having normal levels of testosterone, low levels of estrogen (yes, men have some estrogen in their system), as well as normal thyroid levels.
Small non-cancerous pituitary gland growths can secrete high levels of prolactin, a hormone that causes ED and often breast enlargement. If you think that a medication you have been prescribed may be the culprit, talk to your doctor. The good news is that there are many alternative medications that may have fewer ED side effects.Your general health is crucial to normal sexual function.
Men with long-standing illnesses like chronic liver disease or kidney failure often have ED. Diabetic men commonly develop ED from damage to the small blood vessels and nerves in the pelvis. It is thought that when ill, the body conserves limited energy and so it reduces less vital functions, such as erections, that are not necessary to immediate survivalAge itself is not a cause of ED, but is often associated with health changes that result in ED.
The aging population has a higher rate of impotence from many problems seen more commonly in older men. This includes small blood vessel damage, high blood pressure, elevated cholesterol, diabetes, depression and sleep apnea.The bottom line - if you have erection problems, be sure you ask your doctor for a complete evaluation. It could be something easy to remedy, or it may be an early warning of something far more serious.
The good news, whatever the cause, safe and very effective treatments exist to restore your normal erections.More information on lifestyle recommendations and natural treatment for erectile dysfunction.

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