Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for intercourse.Having erection difficulty from time to time is not always a cause for concern. If erectile dysfunction is a continuing issue, but it can lead to anxiety, affect your self-confidence and bring about relationship issues. Problems getting or maintaining an erection may also be an indicator of an underlying health condition that requires treatment and a risk factor for heart disease.If you are worried about erectile dysfunction, speak with your doctor -- even if you are embarrassed.
Sometimes, treating an underlying condition is sufficient to reverse erectile dysfunction. In other cases, drugs or other direct treatments may be needed.Erectile dysfunction care at Mayo Clinic Symptoms of Erectile dysfunction symptoms may include persistent: Trouble getting an erection, Trouble maintaining an erection, Reduced sexual desire, When to see a doctor.
A family doctor is an excellent place to begin when you have erectile issues. See your doctor if:You have concerns about your erections or you are experiencing other sexual problems like premature or delayed ejaculation.
You have diabetes, heart disease or another known health condition that might be linked to erectile dysfunction. You have other symptoms along with erectile dysfunction Causes. Male sexual stimulation is a complicated process that includes the brain, hormones, emotions, nerves, muscles and blood vessels.
Erectile dysfunction may result from a problem with any of them. Likewise, stress and mental health issues can worsen or cause erectile dysfunction.Sometimes a combination of physical and mental problems causes erectile dysfunction. As an example, a minor bodily condition that slows your sexual reaction might lead to anxiety about keeping an erection. The resulting anxiety can cause or worsen erectile dysfunction.Physical causes of erectile dysfunction.
Oftentimes, erectile dysfunction is caused by something physical. Frequent causes include:Heart disease. Clogged blood vessels (atherosclerosis)High cholesterol. High blood pressure Diabetes Obesity Metabolic syndrome -- a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol Parkinson's disease Multiple sclerosis Certain prescription medicines Tobacco use Peyronie's disease -- growth of scar tissue in the penis.
Alcoholism and other forms of substance abuse Sleep disorders Treatments for prostate cancer or enlarged prostate Surgeries or injuries that affect the pelvic region or spinal cord Psychological causes of erectile dysfunction The brain plays an integral role in triggering the collection of physical events that lead to an erection, beginning with feelings of sexual excitement. A variety of things trigger or worsen erectile dysfunction and can interfere with sexual feelings.
These include:Depression, anxiety or other mental health conditions Anxiety Connection problems due to stress, poor communication or other issues Risk factorsAs you get older, erections may take more time to develop and may not be as business. You may need more direct contact to your penis to get and maintain an erection.Various risk factors can lead to erectile dysfunction, including:Medical conditions, especially diabetes or heart ailments Tobacco use, which restricts blood flow to arteries and veins, can -- over time -- trigger chronic health conditions that lead to erectile dysfunction.
Being obese, especially if you're obese. Certain medical treatments, like prostate surgery or radiation therapy for cancer Injuries, especially if they harm the nerves or arteries that control erections Medicines, such as antidepressants, antihistamines and drugs to treat high blood pressure, prostate or pain ailments Emotional conditions, like stress, anxiety or depression Drug and alcohol use, especially if you're a long-term drug user or heavy drinker Complications Complications Caused by erectile dysfunction may include:An unsatisfactory sex life Stress or anxiety Embarrassment or low self-esteem Relationship problems.
The inability to get your partner pregnant Prevention. The best way to stop erectile dysfunction is to make healthy lifestyle choices and to manage any current health conditions. For example:Work with your doctor to handle diabetes, cardiovascular disease or other chronic health conditions. See your doctor for regular checkups and medical screening tests. Quit smoking, limit or avoid alcohol, and do not use illegal drugs. Exercise regularly. Take action to decrease stress.
Get help for stress, depression or other mental health issues. How do I treat erectile dysfunction?You may work with a health care professional to treat an underlying cause of your erectile dysfunction (ED). Selecting an ED treatment is a personal choice. However, you might also benefit from speaking with your spouse about which treatment is ideal for you as a couple.Lifestyle changes.
Your healthcare professional may recommend that you make lifestyle changes to help reduce or enhance ED. You can. You can seek help from a health professional if you have problems making these changes by yourself.Go to counseling Talk to your doctor about going to a counselor if emotional or psychological issues are impacting your ED. A counselor can teach you how you can decrease your anxiety or anxiety associated with sex. Your counselor may recommend that you bring your spouse to counsellng sessions to learn how to support you.
As you focus on relieving your nervousness or stress, a physician can concentrate on treating the physical causes of ED.How do doctors treat erectile dysfunction?Change your medications If a medication you need for a different health condition is causing ED, your physician may suggest a different dose or alternative medication. Never stop taking a medication without speaking with your physician first.
Read about which medications make it more probable you'll develop ED.Prescribe medications you take by mouthA Physician may prescribe you an oral medication, or medicine you take by mouth, such as among the following, to help you get and maintain an erection:sildenafil (Viagra)vardenafil (Levitra, Staxyn)tadalafil (Cialis)avanafil (Stendra)All these medications work by relaxing smooth muscles and increasing blood circulation in the penis during sexual stimulation.
You shouldn't take any of these medications to treat ED if you are taking nitrates to treat a heart condition. Nitrates widen and relax your blood vessels. The combination may result in a sudden drop in blood pressure, which might allow you to become faint or dizzy, or collapse, resulting in possible injuries.
Also speak with your healthcare professional if you're taking alpha-blockers to deal with prostate enlargement. The mixture of alpha-blockers and ED medicines also could lead to a sudden drop in blood pressure.A healthcare professional can prescribe testosterone when you have low levels of the hormone in your blood. Although taking testosterone can help your ED, it is often unhelpful if your ED is due to circulatory or nerve issues. Taking testosterone can also lead to unwanted effects, including a high red blood cell count and problems urinating. Testosterone treatment also hasn't been demonstrated to help ED related to age-related or late-onset hypogonadism.
Do not take testosterone treatment that has not been prescribed by your physician. Testosterone therapy can affect how your other medicines work and can result in serious side effects.Prescribe injectable medications and suppositories. Many guys get stronger erections by injecting a medication called alprostadil to the penis, causing it to become full of blood. Cosmetic medications can improve your reaction to sexual stimulation, but they don't trigger an automatic erection such as injectable medications do.Rather than injecting a medication, some guys insert a suppository of alprostadil into the urethra.
A suppository is a good bit of medicine that you fit in your body where it melts. A healthcare professional will prescribe a prefilled applicator that you fit the pellet about an inch in your urethra. An erection will begin within 8 to 10 minutes and may last 30 to 60 minutes.Discuss alternative medications Some guys say particular alternative medicines taken by mouth can help them get and keep an erection. But, not all"natural" medications or nutritional supplements are safe. Combinations of certain prescribed and other drugs could cause major health issues.
To help ensure coordinated and secure care, talk about your use of alternative medications, including use of vitamin and mineral supplements, using a medical care professional. Additionally, never order a medication online without speaking with your physician.How will side effects of erectile dysfunction medications affect me?ED medicines that you take by mouth, through an injection, or as a pellet in the urethra can have side effects, such as a lasting erection called priapism.
Call a health care professional immediately if an erection lasts 4 hours or more.A few of men have hearing or vision loss after taking oral ED medicines. Call your health care professional immediately if you develop these issues.Prescribe a vacuum apparatus A vacuum device causes an erection by pulling blood to the penis. The device has three components:A plastic tube, which you place around your manhood a pump, which draws air out of the tube, creating a vacuuman elastic ring, which you move from the end of the tube into the bottom of your penis as you remove the tube.
The elastic ring keeps the erection during intercourse by preventing blood from flowing back into the human body. The elastic ring can stay in place up to thirty minutes. Remove the ring then time to restore normal circulation and to reduce skin irritation.You may realize that using a vacuum device requires some alteration or practice. Using the apparatus may make your penis feel cold or numb and have a purple shade. You might also have bruising on your manhood.
However, the lumps are often painless and disappear in a couple of days. Vacuum apparatus may weaken orgasm however, typically, the devices don't affect the pleasure of orgasm, or orgasm.Recommend Surgery. Surgery should be a last resort. Talk to your physician about whether surgery is perfect for you. A urologist performs surgery at a surgical center or hospital to Implant a device to make the penis erect, reconstruct arteries to boost blood circulation to the penis Implanted devices.
Implanted devices, called prostheses, can help many men with ED have an erection. A urologist generally places implants. Both types of devices are Inflatable implants, making your penis longer and wider with a pump at the scrotum malleable implants, which are sticks that allow you to manually adjust the position of your manhood You generally can leave the hospital the day of or day following the operation.
You need to be able to use the implant to 6 weeks following the surgery.As soon as you have either augmentation, you need to use the device to obtain an erection. Possible problems with implants include breaking and disease.Artery reconstruction. Surgery to repair arteries can reverse ED due to blockages that prevent blood flow into the penis. Men younger than 30 are the best candidates for this sort of surgery.
Bluechew is the best prescription treatment for E.D. Check out the following resources for more info.