Worrying about your ability to get an erection can make it difficult to get one. This is called performance anxiety and can be overcome with education and treatment. This is often done. However, only combine treatments after talking with your health care provider about this. Erections can last too long with drug therapy, which is dangerous.
Ask your doctor for proper instructions. Never stop or change a prescription medication without first talking with your health care provider. Many drugs can cause ED, but some cannot be changed because the drug's benefits are too important for you. If you feel sure that a specific drug has caused the ED problem, ask your health care provider if you can change drugs.
If you must stay on the drug that is causing the problem, there are ED treatments that can help. This web site has been optimized for user experience and security, therefore Internet Explorer IE is not a recommended browser. Thank you. What is Erectile Dysfunction? ED is defined as trouble getting or keeping an erection that's firm enough for sex.
ED can happen: Most often when blood flow in the penis is limited or nerves are harmed With stress or emotional reasons As an early warning of a more serious illness, like: atherosclerosis hardening or blocked arteries , heart disease, high blood pressure or high blood sugar from Diabetes Finding the cause s of your ED will help treat the problem and help with your overall well-being.
How Erections Work. See More See Less During sexual arousal, nerves release chemicals that increase blood flow into the penis. ED also causes: Low self-esteem Depression Distress for the man and his partner If ED is affecting a man's well-being or his relationships, it should be treated. Updated June ED can result from health problems, emotional issues, or from both. Some known risk factors are: Being over age 50 Having high blood sugar Diabetes Having high blood pressure Having cardiovascular disease Having high cholesterol Smoking Using drugs or drinking too much alcohol Being obese Lacking exercise Even though ED becomes more common as men age, growing old is not always going to cause ED.
See More See Less Physical Causes of ED ED happens when: There is not enough blood flows into the penis Many health issues can reduce blood flow into the penis, such as hardened arteries, heart disease, high blood sugar Diabetes and smoking.
The penis cannot trap blood during an erection If blood does not stay in the penis, a man cannot keep an erection. This issue can happen at any age. Nerve signals from the brain or spinal cord do not reach the penis Certain diseases, injury or surgery in the pelvic area can harm nerves to the penis. Diabetes can cause small vessel disease or nerve damage to the penis Cancer treatments near the pelvis can affect the penis' functionality Surgery and or radiation for cancers in the lower abdomen or pelvis can cause ED.
Treating prostate, colon-rectal or bladder cancer often leaves men with ED. Cancer survivors should see a Urologist for sexual health concerns.
Drugs used to treat other health problems can negatively impact erections Patients should talk about drug side effects with their primary care doctors. Emotional Causes of ED Normal sex needs the mind and body working together. Some emotional issues that can cause ED are: Depression Anxiety Relationship conflicts Stress at home or work Stress from social, cultural or religious conflicts Worry about sex performance Updated June Finding the cause of your ED will help direct your treatment options.
Questions about your health: What prescription drugs, over-the-counter drugs or supplements do you take? Do you use recreational drugs? Do you smoke? How much alcohol do you drink? Have you had surgery or radiation therapy in the pelvic area? Do you have any urinary problems? Do you have other health problems treated or untreated? Questions About ED Knowing about your history of ED will help your health provider learn if your problems are because of your desire for sex, erection function, ejaculation, or orgasm climax.
Questions about your ED symptoms: How long have you had these symptoms? Did they start slowly or all at once? Do you wake up in the morning or during the night with an erection? If you do have erections, how firm are they? Is penetration difficult? Do your erections change at different times, like when going in a partner, during stimulation by mouth, or with masturbation?
Do you have problems with sex drive or arousal? Do you have problems with ejaculation or orgasm climax? How is this problem changing the way you enjoy sex? Do you have painful with erections, feel a lump or bump in the penis or have penile curvature?
These are signs of Peyronie's Disease which can be treated but calls for an expert in urology to assess and manage. Questions About Stress and Emotional Health Your health care provider may ask you questions about depression or anxiety. Are you often under a lot of stress, or has something recently upset you? Do you have any anxiety, depression or other mental health issues?
Are you taking any drugs for your mental health? How satisfied are you with your sex life? Has there been any changes lately? How is your relationship with your partner? Physical Exam A physical exam checks your total health. Lab Tests Your health care provider may order blood tests and collect a urine sample to look for health problems that cause ED. Other Tests Questionnaires are often used by health experts to rate your ability to initiate and keep erections, gauge your satisfaction with sex and help identify any problems with orgasm.
Advanced Erectile Function Tests For some men with ED, specialized testing may be needed to guide treatment or re-assess you after a treatment fails. Blood work to check Testosterone and other male hormones Blood work to measure blood sugar Diabetes Ultrasonography penile Doppler to check blood flow A shot into the penis with a vascular stimulant to cause an erection Pelvic x-rays like arteriography, MRI or CT scanning are rarely needed to check ED unless there is history of trauma or cancer Nocturnal penile tumescence NPT , an overnight test to check for sleep erection Updated June Still, it helps to ask your health care provider about side effects that could result from each option: Oral drugs or pills known as phosphodiesterase type-5 inhibitors are most often prescribed in the U.
Penile vascular surgery is not recommended for older men with hardened arteries. Testosterone Therapy In those rare cases where a low sex drive and low blood levels of Testosterone are at fault for ED, Testosterone Therapy may fix normal erections or help when combined with ED drugs PDE type 5 inhibitors.
Vacuum Erection Device A vacuum erection device is a plastic tube that slips over the penis, making a seal with the skin of the body.
Diagram of a Erectile Dysfunction Vacuum Enlarge. After Treatment. Don't give up! More Information. If I worry about being able to get an erection, can I make a bad condition worse? Can I combine treatment options?
I was fine until I began taking this new drug, what should I do? What is ED? What causes ED? Learn more about the use of acupuncture in treating ED. Prostatic massage, a form of massage therapy, may be used for ED.
Prostatic massage is often used in combination with other treatments. During prostatic massage, a practitioner will massage the tissues in and around the groin to promote blood flow to your penis. You may need to undergo a massage several times a week.
The length of massage treatment depends on your symptoms. So far, there have only been limited studies on prostatic massage and its effectiveness. Get tips on finding a practitioner, and more, with the help of this short guide.
Multiple options exist for people looking for natural ways to treat their ED. Try one of the options above or even a combination of them. Remedies like acupuncture and massage can even be paired with Viagra and other traditional medications.
Find out more about the effect of lifestyle changes on ED. There are two types of procedures that may be used: implants and vascular surgery. A penile implant, also referred to as a prosthesis, can be placed in the penis. There are two different types. An inflatable implant allows you to use a pump to make your penis larger, while a malleable implant allows you to adjust the position of your penis manually.
Vascular surgery repairs arteries that may be blocked. This can help to restore adequate blood flow to the penis.
Younger men are typically better candidates for this type of procedure. Every surgery has its benefits and drawbacks. Be sure to discuss these with your doctor if you decide to undergo surgery for ED. ED and diabetes can occur together. In fact, the risk of developing ED is approximately 50 percent in men who have diabetes. But why is this? Diabetes affects how your body processes glucose. There are two major types of diabetes : type 1 diabetes and type 2 diabetes.
Having high amounts of sugar in your blood can lead to damage of the blood vessels and nerves. This damage can also affect the blood vessels and nerves located around the penis, leading to difficulties attaining or maintaining an erection. This can help to prevent damage that can lead to ED. Explore the connection between ED and type 2 diabetes. There are many risk factors that may increase your likelihood of developing ED. These risk factors are often related to blood flow and circulation. Other risk factors can include injuries.
One important risk factor for ED is increasing age. You may also notice that you may require more direct stimulation to get an erection. Around 30 million U.
The prevalence of ED increases with age. However, ED can also occur among younger men. One study found that 1 in 4 men seeking their first treatment for ED were under 40 years old. A stronger correlation between smoking , drug use, and ED was observed in these men when compared with older men. This suggests that lifestyle choices are an important factor for ED in younger men. In general, the healthier you are, the better your sexual function.
Learn more about aging and ED. In many cases, you can improve your ED symptoms. Many medications and treatments are available. Certain devices, such as vacuum pumps, can also help you temporarily manage your symptoms so that you can continue to engage in sexual intercourse. Your doctor will work closely with you to explain the benefits and risks associated with each type of treatment. That way, they can rule out underlying causes and begin a treatment plan. There are several steps you can take to help prevent ED.
Many of these steps involve making healthy lifestyle changes. You should also be sure to keep up with your regular checkups. Your doctor will monitor important clinical measurements, such as your blood pressure and cholesterol levels.
This can help with early identification and treatment of conditions that can potentially lead to ED. Find out more ways to prevent ED. Erectile dysfunction doesn't mean the end of your sex life. Try these lifestyle changes to reverse the symptoms of ED. Not happy with how hard your erections get? You're not alone. The key is figuring out whether you're dealing with a one-off occurrence or persistent….
Plenty of standard erectile dysfunction treatments exist, but many men prefer natural treatments. Here's a look at six options.
Viagra, Cialis, Levitra, and Stendra are oral medications for treating erectile dysfunction. Check out side-by-side comparisons of all four drugs. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction.
Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction. The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement.
A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include:. As you get older, erections might take longer to develop and might not be as firm. You might need more direct touch to your penis to get and keep an erection. The best way to prevent erectile dysfunction is to make healthy lifestyle choices and to manage any existing health conditions. For example:. Erectile dysfunction care at Mayo Clinic.
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Flaccid and erect penis The penis contains two cylindrical, spongelike structures corpora cavernosa. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references AskMayoExpert. Erectile dysfunction adult. Mayo Clinic; What is erectile dysfunction?
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