Erection Problems (Erectile Dysfunction)

Include physical activity in your daily routine.

If the underlying problem causing erectile dysfunction is due to low testosterone levels in the body, androgen (male hormone) replacement therapy may be indicated. Take medications to manage blood pressure, diabetes or depression. This simple test involves taking a sample of your blood to check for health conditions, such as heart disease, kidney disease, low testosterone, diabetes, or others. This can help your doctor to determine if diabetes or kidney disease may be contributing to erectile dysfunction.

  • With other symptoms such as loss of hair, enlargement of the breasts, or backache.
  • These tests are only required in severe erectile dysfunction and are offered by specialist clinics.
  • Your physician team will work with your primary care physician, as well as your cardiologist, if ED is related to a heart problem.
  • How should I take ED medications?

Its causes vary, which means you may need to develop a multi-pronged approach to your treatment plan. If you are taking a PDE-5 inhibitor and are going to have a test for heart disease, make sure that your doctor knows you are taking it. You will be asked about current medications you are taking, about any surgery you may have had, and about other disorders (eg, history of trauma, prior prostate surgery, radiation therapy). Intracavernosal injection test During this test, the doctor injects a medicine (usually alprostadil) into the side of the penis to make an erection.

Some medications might also be dangerous if you: Like in other parts of the body, the arteries which take blood to the penis can become narrowed. You may also receive lifestyle advice and treatments to minimise your risk of heart disease. But you may be dealing with erectile dysfunction when the following symptoms are persistent:

  • Testosterone replacement therapy has many risks.
  • This made a huge impact on the treatment of ED.
  • Depending on your particular health concerns, you might go directly to a specialist — such as a doctor who specializes in male genital problems (urologist) or a doctor who specializes in the hormonal systems (endocrinologist).
  • Causes are usually medical but can also be psychological.

Vacuum Pumps

Male sexual dysfunction. Only after the cause of ED is determined can it be effectively treated. Devices such as vacuum devices or penile implants may also be recommended by your doctor depending upon the specific cause of ED or your medical condition. Certain medications can also lead to erectile dysfunction. Problems with the blood vessels. These reactions to ED can make the problem worse. Avoid using illegal drugs. For more information, see the topic Angiogram.

  • What happens at your appointment The doctor or nurse will ask about your lifestyle and relationships, and any problems you might be having.
  • The treatment for ED starts with taking care of your heart and vascular health.

Overnight Erection Test

We also may use a penile Doppler ultrasound device, which is anon-invasive imaging test that lets doctors study blood flow in the penis. Before ordering any tests, your doctor will review your medical history and perform a thorough physical examination. That way, you can be sure it suits your needs and that it's made by a reputable manufacturer.

Numerous prescription medications can also cause ED, including those below.

Anatomical Conditions

This condition, called priapism, is a rare side effect of some medicines used for this test. Structural problems caused by Peyronie disease, hypospadias, or penile fracture. Men who have penile erections lasting longer than two to four hours should seek Emergency Room care. This test can be done at home or in a special sleep lab. Doppler ultrasound There are no problems from an ultrasound test.

Putting off a doctor’s visit can delay effective treatment and may be harmful if you have other, underlying conditions. Have heart failure or low blood pressure. An angiogram may be recommended if initial tests can't find a cause for your erection problems. Because there are a variety of causes for ED, there are several different tests your doctor may use to diagnose the condition and determine its cause. Supplements are popular and often cheaper than prescription drugs for ED. Some anti-depressants cause erection problems, too. Men most often start having sex with their penile implants by eight weeks after surgery. This test is performed while the penis is erect (usually induced by an injection of a drug that stimulates erection) and also while it is flaccid.

Because of the way they work, these medicines are called phosphodiesterase type 5 (PDE5) inhibitors. And it’s important to remember that the medications will not result in erection without the presence of sexual stimulation. For people with ED, there may be an absence of night-time erections. Keep your blood sugar in your target range if you have diabetes. Psychological and emotional causes of erectile dysfunction: Don't assume you have a long-term problem. To maintain an erection, the outflow of blood from the penis must also be temporarily minimized.

Arteriography And Dynamic Infusion Cavernosometry Or Cavernosography

Hormones are chemicals produced by the body. External links, one study compared database samples of different alternative therapies and medications including acupuncture, ginseng, maca, and yohimbine. Tests for underlying conditions might include: Some men take this dietary supplement to try to treat erection problems. If you have any conditions that have changed the structure of the penis or the surrounding area, this can cause ED. Other blood vessels shrink to keep the blood from leaving the penis. Do/did you experience erections at night or during the morning? A band is placed around the penis to keep the erection.

Anyone taking prescription medications should consult their doctor before stopping or changing their medications: (Levitra) are medicines that are taken by mouth that help maintain an erection. For erectile dysfunction, some basic questions to ask your doctor include: Your doctor will ask if you have difficulty obtaining an erection, if the erection is suitable for penetration, if the erection can be maintained until the partner has achieved orgasm, if ejaculation occurs, if you have lost interest in sex (libido), and if both partners have sexual satisfaction. About half of men with diabetes develop erection problems. Smoking or using tobacco. Side effects can include pain, minor bleeding in the urethra and formation of fibrous tissue inside your penis.


Color images on a computer screen show the speed and direction blood is flowing through a blood vessel. If the penis lacks sensitivity, a problem in the nervous system may be the cause. Is dehydration linked to ed?, that torpedoes your body’s testosterone production, making it tougher for you to get it up, shows a study from Irish and American researchers. For instance, alterations in lifestyle (e. )Levels of certain hormones may be tested—too low levels of testosterone and too high levels of thyroid hormones can cause erectile dysfunction. Do not use illegal drugs. Occasionally, some sleep problems or serious depression can prevent these normal nighttime (nocturnal) erections. However, these tests are not completely reliable and have not been standardised. A family doctor is the best source of primary medical care, although patients may be referred to specialists when necessary.

Women and children should avoid touching unwashed or unclothed areas of skin where a man has applied testosterone gel. Though some of these questions may feel intrusive, it is important that you answer honestly to aid in a proper diagnosis. Currently, the existing treatment options for this condition include: We provide empathetic and professional care, along with erectile dysfunction treatment options that can restore function and ease anxiety. Involve your sexual partner.

Content was created using EBSCO’s Health Library. Introduction, according to Encore, 1 out of 8 men over the age of 50 have impotence at some point. Nerve damage from diabetes, complications from surgery, and spinal cord injury also may cause problems. However, GPs are now treating more cases than previously, as the treatment options have improved in recent years. A man is considered to have ED when these symptoms occur regularly. It’s not uncommon to need to try ED medication a few times before feeling comfortable enough to fully respond. Acupuncture may be an alternative therapy that has been shown to benefit patients with erectile dysfunction. Certified licensed social worker. Burnett AL (2020).

  • In many instances, once the doctor has reviewed any relevant medical and sexual history and performed a physical exam, they can make a preliminary diagnosis of ED.
  • Numerous prescription drugs, recreational drugs, alcohol, and smoking, can all cause ED.
  • But when erection problems are lasting, they can affect your self-image, sex life, and relationship.

Stay Connected

This is perhaps the best test for evaluating ED. Some of them may be unsafe. Call your doctor right away if you take one of these medications and have a prolonged erection that lasts 4 hours or longer. However, the connection between low testosterone and erectile dysfunction is complicated. The international index of erectile dysfunction (IIEF): A variety of drugs and treatments are available for ED, from simple pills to complex surgeries. For a successful erection, a man should have a healthy and properly working nervous system, healthy arteries leading to the penile chambers, and healthy muscles and a sufficient amount of nitric oxide in the penis. For example, multiple sclerosis, a stroke, Parkinson's disease, etc.

Medical Care

The chances of ED are higher in men who: In the 21st century, the age of embarrassed silence about ED has ended. You will lie down on an examination table. Talk to your doctor or consult a mental health provider to address these issues. You’re able to get an erection sometimes, just not every time you want to have sex. Your partner can help you remember something that you missed or forgot during the appointment. Alprostadil can cause some side effects including: Causes of erection problems Most men occasionally fail to get or keep an erection.

When you see your doctor, they’ll gather your health history, ask additional follow-up questions regarding your sexual health, and perform a physical exam. The initial step in evaluation is a detailed medical and social history, including a review of medication use. What special dietary instructions should i follow?, brinkley initiated a boom in male impotence cures in the U. Men who do not have erections because of psychological problems can still have erections during deep sleep. The most common causes of ED are health problems that affect blood vessels and blood flow in the penis.

The effects of erectile dysfunction are wide-ranging. A patient will either go home on the same day or spend one night in the hospital. Psychological factors are the cause of erectile dysfunction in about 10 percent of men. You should not take more than 1 dose in 24 hours. Patches can administer hormone treatments for men with low T.


It might feel uncomfortable to get a physical exam, but remember your doctor is a trained professional and there to help. It's usually nothing to worry about, but you should see a GP if it keeps happening. Free or bioavailable testosterone is important because it is the testosterone that is usable; the rest is attached mainly to serum hormone–binding globulin. This is a result of other conditions, such as hardening of the arteries, high blood pressure, and high cholesterol. The cut is either above the penis where it joins the belly, or under the penis where it joins the scrotum.

As mentioned above, ED is often a marker that heart disease or other cardiovascular diseases may soon develop. Will you be prescribing any medication? The dosages might also be unknown, or they might have been contaminated during formulation. Check the leaflet that comes with any medication that you take to see if ED is a possible side-effect. Physicians cite not knowing what questions to ask or how to ask them, feeling uncomfortable with the topic, awkwardness with sex language and fears of insulting the patient as reasons for their reluctance. Six essential oils for ed, side effects of this treatment may include light-headedness, fainting, intraurethral bleeding, hematoma, priapism, and penile curvature. For best results, conduct the test at least three nights in a row.

Does riding a bicycle cause ED? However, it is important that you answer these questions honestly. 7,8 As many as 25 percent of cases of erectile dysfunction are related to medication side effects. These silicone rods give the man's penis the firmness needed for sexual penetration.

Common Conditions

In fact, it is treatable at any age. In the past, ED was thought to be due to psychological problems. The prostate cancer blood test (PSA) offered by HealthCheckUSA measures a protein (prostate specific antigen) produced exclusively by the prostate, which is a walnut-sized gland found in men only.

A high LH level associated with a low testosterone level implies primary testicular (Leydig cell) failure. The relative merits of measuring total, free, and bioavailable testosterone levels and serum hormone–binding globulin are controversial. Physical reasons for ED range from heart disease and diabetes to high blood pressure and obesity. These include pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis), and vardenafil (for example, Levitra). Navigasi pos, he would serve as the decoy, remaining close enough to keep the giants attention, but far enough to guarantee his own safety Tun managed each turn with unfailing memory kegels help premature ejaculation high blood pressure medication that help erectile dysfunction. Your doctor will measure how rigid and how long the erection lasts. These pills can be dangerous if you have heart disease that requires you to take nitroglycerin or other medicines that contain nitrates. Battery-powered penis pump for erectile dysfunction Open pop-up dialog box Close Battery-powered penis pump for erectile dysfunction Battery-powered penis pump for erectile dysfunction A penis pump is used to draw blood into the penis to create an erection.

Other medications such as an Alprostadil self-injection, Alprostadil urethral suppository, or testosterone replacement may also be prescribed by your doctor. ED is a symptom that is linked to many health problems such as: 1-866-569-1162 Fax: ’ This means that erectile function has been normal, but becomes problematic. It is normal for some men to encounter some difficulty achieving an erection occasionally, but if the problem is chronic or ongoing, it is classified as a disorder. Depending upon the situation, blood tests may be helpful, but they are not required for every patient. Follow her on Twitter @LauraGeggel.