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Simply defined erectile dysfunction (ED) is the inability to acquire or maintain an erection of sufficient rigidity or duration for sexual intercourse. You see, the penis is like a hydraulic lift.  Blood enters and pools in sponge-like areas of the penis called the corpora cavernosa and corpus spongiosum.
Vascular Problems: If the blood vessels that supply blood needed to fill the penis during an erection become blocked or damaged, less blood fills the penis. Neural Problems: Erections can come directly from the brain just by thinking about a beautiful woman or from touch as a reflex that doesn’t even require the brain. Hormonal Problems: Low testosterone is the most common hormonal cause of erectile dysfunction. There are many other, less common, causes of erectile dysfunction that should be evaluated by your doctor if you are having problems getting or maintaining on erection.
Erectile Dysfunction Medications Erectile Dysfunction Medications We’ve all seen those little blue pills, and they work.
Male Sexual Problems and Urinary Problems Introduction Male Sexual Problems and Urinary Problems Introduction Genitourinary (reproductive and urinary) problems increase in prevalence with aging.
Your use of this website constitutes acknowledgement and acceptance of our Terms & Conditions. Sexual dysfunction in men (also called as erectile dysfunction) is a condition that is characterized by the inability of an individual to either get an erection at all or hold an erection properly (long enough) during sexual intercourse.
The condition is usually prevalent in aged individuals although it is not completely restricted to age alone. Many individuals tend to ignore the initial symptoms of sexual dysfunction as trivial disorders that would disappear on their own. Sexual dysfunction in men can be caused by a variety of physical and psychological reasons. There are several treatment options available for erectile dysfunction. These include physical treatment options from pills, pumps and surgeries etc.
Before opting for any form of treatment for erectile dysfunction, the doctor would opt for a few tests to find out the underlying reason for the condition. These include routine physical examinations, psychological tests (that deal with previous sexual experiences and the individual’s state of mind), lab tests (to check for other diseases that could possibly be causing the dysfunction), color phase ultrasonography tests (to measure the flow of blood to the penile organ) and nocturnal penile tumescence tests (also called as erection self tests which check whether the problem stems from physical or psychological sources). Note: Even though these pills would effectively treat erectile dysfunction in men, they could cause some temporary side effects like nasal blocks, headaches, blurred vision and indigestion etc.
Also called as ‘Cock Rings’, constriction rings are small bands that are usually slipped on near the base of the penile organ after getting an erection. Usually available over the counter at a majority of drug stores, the penile vacuum pumps would help treat erectile dysfunction during sexual intercourse.
In case the oral medications do not seem to have any impact on the condition, the doctor would recommend injections that would be administered either at the side or the base of the penile organ.
And while these injections are usually administered by a doctor, with time the individual can learn to administer them himself at home. Of late, more and more individuals are opting for penile implants to treat conditions like erectile dysfunction. Surgery is usually considered as the last resort for individuals who don’t benefit from any or all of the treatment methods mentioned above. SW-3603 Doppler Male erectile Dysfunction Diagnostic equipment, View doppler male erectile dysfunction equipment, Sanwe Product Details from Jiangsu Sanwe Medical Science And Technology Co., Ltd.
It is imperative to keep in mind that occasional episodes of erectile difficulty are physiological even in young healthy males. According to the latest estimates reported by National Kidney and Urologic Diseases (2), more than 30 million Americans are currently living with moderate to severe ED that warrants pharmacological or surgical management. Erection is a product of optimal hormonal, nervous and vascular symphony that allows maximum engorgement of penile sinuses and vessels with blood. Relaxation of penile tissues (especially corpora cavernosa) in response to sexual thoughts or stimuli. Physiologically, the erection ends after ejaculation (or contraction of penile tissue) that allows the release of accumulated blood from the cavernous sinuses. As discussed above, any disease condition that affects the health of blood vessels can aggravate the risk of ED. A lot of individuals are under the impression that erectile dysfunction is always a complication of long term systemic health issues, which is not true. Unemployment: Stress and emotional pressure can greatly affect a man’s capacity to get sexually stimulated.
Marital Discord or Conflicts With the Partner: Negative relationships and unnecessary conflicts affects your emotional status negatively. Self-Esteem: Individual must feel good about his appearance to be able to perform well in the bed. A healthy adult male requires physical as well as mental energy to achieve and maintain normal erection.  Healthcare providers believe that a healthy lifestyle can play a vital role in maintaining normal sexual relations. Mild to moderate cases of erectile dysfunction responds fairly well to oral over-the-counter agents like phosphodiesterase inhibitors (Viagra or sildenafil or similar agents).

Most cases of Ed due to systemic dysfunction are hard to manage with pharmacological regimens alone and may require the use of assistive devices or penile pumps. If the cause of erectile dysfunction is a pharmacological or anti-psychotic drug, dose modification is usually helpful.
To conclude, poorly addressed erectile issues can significantly affect the quality of life and may compromise the integrity of relationships. Same day appointments Monday – Saturday. Just text 949-954-8185 with name and time of visit or call 714-558-8033. By asking questions about VIAGRA (sildenafil citrate) and ED, you can help make the most out of your VIAGRA Talk. But an equally important reason for talking with your doctor about ED is that it can be related to more serious health conditions such as high blood pressure,atherosclerosis, or diabetes. If there is a psychological cause of ED, the doctor can help you find a professional to address psychological issues. Our physicians, and medical staff work together with you to assure you of the best outcomes. Without sexual stimulation to trigger the release of nitric oxide, the erection process will not be able to occur. The Doctors at Steady Care Medical take as much time as necessary to assess your needs and provide you with medical advice with recommended treatment. Abnormal thyroid hormone levels and high prolactin levels are other possible hormonal causes of erectile dysfunction. In fact, Viagra, Levitra, and Cialis all work just about equally as well, with Cialis lasting the longest.
In certain cases, physical or emotional disturbances can cause a young man to get erectile dysfunction as well.
Even though erectile dysfunction is not a cause for immediate concern, it can signify a deeper and more serious underlying health condition that would need immediate treatment. The more common ones include physical conditions like hypertension, atherosclerosis and high cholesterol levels that affect the blood flow to the penile organ during sexual intercourse, physical injuries to the spinal cord and pelvis, conditions like Alzheimer’s and multiple sclerosis that have an impact on the central nervous system, conditions like diabetes, hypothyroidism, hyperthyroidism and hypogonadism.
The results of a few or all these tests would help the doctor choose the best form of treatment for the condition.
When taken orally, these medications can help increase the blood flow to the penile organ by relaxing the muscles of the organ. It is also considered imperative to not use these medications in conjunction with nitrates (like nitroglycerine) as doing so could lead to harmful side effects like low blood pressure levels, heart palpitation and even heart attacks etc. The rings can be a bit uncomfortable to wear and would need to be removed within 30 minutes of using them.
The process involves using the pump to pump out excess air from the tube (and the penile organ). The procedure would involve using a tiny needle to inject a drug or suppository directly into the urethra.
In certain cases, medications like alpha blocker phenatolamine and vasodilator papaverine etc. However, the doses would need to be carefully measured and adhered to in order to avoid unnecessary side effects. When implanted in the penile organ, they can be manually manipulated to take up a flaccid or erect position. The cylinders are implanted into the individual erection chambers in the penis while the pump is implanted into the scrotum. In this case, the individual would need to undergo a vascular surgery that would aim to restore normal blood flow and function to the penile organ. It can also cause temporary (but bothersome) side effects like infections, bleeding and reactions to pain control medications etc. If you require further details regarding the transaction data, please contact the supplier directly.
The prevalence of ED in general population is 5 to 15%; however, with advancing age, the risk of ED increases significantly (up to 47% in males over 75 years of age). However, any pathology or disease condition that promotes premature contraction of cavernous tissues or loss of blood pooling can present as erectile dysfunction or other sexual disorders.
In a time like now, when economy is ever falling and job market is uncertain, men are at a much higher risk of developing depression which may affect their performance in bed. Poor self-esteem or poor image of the self affects the sexual performance and may lead to erectile dysfunction due to anxiety, stress and emotional pressure. Alternatively, you can always ask your healthcare professional to choose other therapeutic or pharmacological options for the management of symptoms. It is therefore highly recommended to speak to your primary care provider for early assessment and prompt management of systemic or mental health issues that are contributing to ED. It helps your doctor get the information he needs to find out if you have ED and to decide if VIAGRA is right for you. There could be any number of reasons for it, ranging from fatigue, stress, or even side effects of a new medication.

Unfortunately, some men are reluctant or embarrassed to discuss sexual matters with their doctor. Once an underlying condition is identified, treating it may also resolve the problem with erections.
During your initial visit our doctors will speak with you and evaluate you, and your medical history and other relevant information. The most effective and most thorough evaluations, diagnosis, counseling and treatment planning for psychiatric disorders are done by licensed physicians or psychiatrists with special medical training. Read on to understand what erectile dysfunction is, what causes erectile dysfunction, why good diet and exercise improve your sexual function, and what treatments are available. Anything that prevents blood from getting into or staying in the penis can cause erectile dysfunction. However, before you go ask your doctor for another medication, try to quit smoking, get some exercise, eat better, and treat your diabetes, high blood pressure, depression, and other medical issues. As such, the condition is said to be serious if the symptoms persist for more than 3 months.
The specific option chosen for the treatment would depend on the prognosis and the severity of the condition. An increase in blood flow to the organ would thus stimulate an erection and enable the individual to hold it for longer periods.
The constriction band would then prevent the blood from flowing out rapidly, thereby prolonging the erection for a comparatively longer period.
In certain cases, they can cause pain or numbness in the genital area, following which they need to be removed immediately. The medication would have a direct effect on the penile organ and help treat erectile dysfunction effectively.
During sexual intercourse, the pump would feed a saline solution to the cylinders in the erection chambers, thereby inflating them.
Research and clinical data indicates that excessive physical exertion, mental pressure, excitement or nervousness can significantly affect sexual performance and may lead to transient ED, but most cases resolve with lifestyle modification and nutritional changes.
Ideal antidepressants that are least likely associated with sexual dysfunction are nefazodone, bupropion, mirtazapine and reboxetine. ED may also be the result of prostate surgery or other treatments, such asradiation therapy for cancer.
But as long as it’s temporary and only happens occasionally, an erection problem is not generally a cause for concern. In nearly 75% of cases of erectile dysfunction there is a physical reason for the erection problem. As a result, they miss an opportunity to get the help that could resolve their problem with ED, or even worse, miss the opportunity to discover and address a potentially serious health issue that may be causing ED. If we believe we are not able to help with your situation effectively, we have a list of experienced referral clinics and psychiatrists. Ultimately, you can rest assured that your needs will be taken care of one way or another. Since we are all in this together, we are fully committed to helping you and teaching you effective strategies that can last a lifetime. S Care does not take insurance which means that it deals and works directly with Patients and NOT with Insurance companies. Also, psychiatric problems that affect the brain, like depression, can cause erectile dysfunction. Common pills that are usually prescribed for this purpose include Levitra, Viagra, Sildenafil and Cialis etc.
Following this, the tube is detached from the penile organ and a constriction ring is slipped over the base of the organ to prolong the erection. Some men, however, especially as they get older, experience a more frequent and longer lasting problem with erection known as erectile dysfunction or ED. If you are a man experiencing ED, here is information to help you talk about erectile dysfunction with your doctor. Next, we will work with you to customize a treatment plan together that is specifically tailored to your needs.
At SCMC if the Doctors do not treat you, you pay nothing (applies only to non-opiate patients) which means our consultations are risk free.
If the standard medications for erectile dysfunction aren’t working, there are other treatments available, including direct penile injections and penile implants.
Mechanisms of penile erection and basis for pharmacological treatment of erectile dysfunction. Medications which act upon the nervous system, like antidepressants, are also notorious for reducing libido. Respecting your privacy and keeping your medical records secure and intact is always our concern, and will always be upheld and observed in serving you.

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