Management of Erectile Dysfunction

Management of Erectile Dysfunction

Because male sexual arousal is a fairly complex process, it can sometimes be difficult to identify a specific cause. Harbin clinic cares, if you do not have an erection during either test, your ED is more likely due to a physical cause. A vacuum pump, penile implant, and surgery are options if other treatments are not effective. Systemic side effects include nausea, vomiting, dizziness, confusion, drowsiness, respiratory depression, bradycardia and hypotension [14].

Rather, you should discuss them with your doctor to determine whether a different dosage, an alternate medicine, or additional treatments will resolve the ED. Check with your doctor to see if it is safe for you to take one of these medicines with your other medicines. Your partner can help you remember something that you missed or forgot during the appointment. B27 and b34, if you are not feeding your body correctly, or not sleeping enough, or abusing it in other ways, your body may not be able to create enough energy to take care of itself properly either. 36 In some cases, education about medical and psychosocial etiologies of ED in conjunction with physician reassurance may prove adequate to restore normal male sexual function. Vacuum devices Vacuum erection devices are a mechanical way of producing an erection for men who do not want or cannot use drug treatments, or find they are not working.

You may be asked to change certain food habits, stop smoking, increase workouts or stop using drugs or alcohol.

In rare cases, the pills may create “priapism,” a prolonged and painful erection lasting six hours or more (although reversible with prompt medical attention). They found that 19 percent of men who took opioid medications for prolonged periods (four months or more) also received prescription ED drugs, whereas just 7 percent of men who did not take opioids also received ED drugs, the researchers said. Published 2020, bJU Int 2020; 109:. As well, methamphetamine has significant cardiovascular effects due to its sympathomimetic properties [20]. Blood loss is typically small. Their main disadvantage is that the penis remains constantly erect, which may cause problems with concealment. Physical problems, such as injury to nerves or loss of blood supply to the penis.

Lab Tests

Ketamine is reported to produce analgesia and amnesia. Treatment can include: What's the best treatment? Physical problems Physical problems cause about 8 out of 10 cases of erectile dysfunction. If you are trying to access this site from the United States and believe you have received this message in error, please reach out to [email protected] Performance anxiety can also cause impotence. Reduced blood flow to the penis and nerve damage are common causes of erectile dysfunction. With proven treatments available, diabetic men with ED have options.

Viagra does not directly cause penile erection, but affects the response to sexual stimulation. Mobile Apps

Thanks for visiting! Compared with nicotine and alcohol, it has significantly more serious psychic, physical and withdrawal symptoms. About nkf, the good news is that erectile dysfunction associated with cycling is almost always a temporary affliction. Men with psychogenic erectile dysfunction may relate the onset of problems to a "stressor," such as failed relationship. High levels of blood sugar often damage small blood vessels and nerves throughout the body, which can impair nerve impulses and blood flow necessary for erection. Even with an erection problem, a man may still have sexual desire and be able to have an orgasm and to ejaculate. If sexual side effects persist, ask your doctor about other medication options. Thiazides are the most common cause of erectile dysfunction among the high blood pressure medicines.

  • If you have chronic health conditions or your doctor suspects that an underlying condition might be involved, you might need further tests or a consultation with a specialist.
  • Many medicines and recreational drugs can affect a man's sexual arousal and sexual performance.
  • Men with ED are about 38% more likely to have high blood pressure than those without ED, according to a study that examined the medical records of more than 1.


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). Of these men, 80% had used MDMA, 66% ketamine, 43% methamphetamine, 29% GHB, 14% sildenafil and 12% poppers (amyl nitrate); 53% had used four or more drugs. The adverse effects of clomipramine (Anafranil), for instance, include ejaculation failure (reported by more than 40 percent of men taking the drug), impotence (reported by at least 15 percent of patients) and decreased libido (reported by at least 18 percent of patients). Mental health conditions like depression or anxiety can negatively impact your libido, making it more difficult for you to become aroused.

Many experts believe that when veins are the cause, a venous leak, or cavernosal failure, is the most common vascular problem.

Once inserted, an erection can begin within 10 minutes and last up to an hour. Among those who were told about the drug's potential sexual side effects, almost a third reported ED. Diseases that affect nerves. Men may be able to develop an orgasm, but their sexual drive may be unaffected. You use a special applicator to insert the suppository into your penile urethra. Men with psychogenic erectile dysfunction (erectile dysfunction due to psychological factors such as stress and anxiety rather than physical factors) usually maintain these involuntary erections. 20–21 As of 2020, sildenafil is available in the UK without a prescription. Lifestyle, there are no established norms for testosterone levels in aging men. Is your erectile dysfunction due to psychological (stress, relationship problems, etc.)

Self-Injection Therapy

Finding and then stopping medicines that may be causing the problem. NIH National Institutes of Health. Secondary PE is due to physical causes, usually involving the penile arteries, veins, or both. What's your t-score? bone density scans for osteoporosis, squeeze the buttocks while lifting it and the lower and middle back. Thiazide diuretics and beta-blockers are most likely to cause problems, but this is not a common effect of these medicines and will not happen to everyone.

Possible side effects include flushing, nasal congestion, headache, visual changes, backache and stomach upset. Treatment for advanced prostate cancer often includes medicines that counteract testosterone, and commonly cause erectile dysfunction as well as loss of sexual interest. Sarah williams, *Two-sample Student’s -test between groups. Are there any brochures or other printed material that I can take home with me? The cause may be mental, physical, or a combination of both.


What to think about Oral medicines are commonly tried first before other medicine or surgery. Medicines are usually the main treatment for erection problems. If your blood pressure still can’t be managed, then your doctor might switch to a drug that's less likely to or a combination of medications might work better to control high blood pressure and without a high risk of erectile dysfunction.

The treatment for erectile dysfunction depends on what is causing it.


The implant can be bent downward for peeing or upward for sex. Why is an empty shampoo bottle so easy to knock over? You may be able to avoid erection problems related to anxiety and stress by talking with your partner about your concerns. Once you’ve determined the cause for your ED, you and your doctor can decide on a form of treatment. Most often, one small surgical cut is made. A recent observational study of schizophrenia found that in patients with diminished sexual desire, ziprasidone was preferred over olanzapine. Just remember that you should never stop taking a prescription medication without the supervision of a doctor. The dependence developed with methamphetamine is worse than that with alcohol or nicotine [19]. Impotence, or erectile dysfunction, is the inability to achieve an erection, and/or dissatisfaction with the size, rigidity, and/or duration of erections.

A great variety of prescription drugs, such as blood pressure medications, antianxiety and antidepressant medications, glaucoma eye drops, and cancer chemotherapy agents are just some of the many medications associated with ED. 17 Up to 70% of patients with depression have sexual dysfunction, which can affect any phase of sexual activity. Webmd network, the vacuum will gush the blood into the penis. Avoiding tobacco and drugs and limiting alcohol. Talking with your partner. Nerve impulses cause relaxation of the muscles that control the tissue on either side of the penis, called the corpus cavernosum. Because the arteries to the penis are narrower than those to the heart, you may develop symptoms of erectile dysfunction before you experience any symptoms of heart disease, such as angina. When you had erections with sexual stimulation, how often were your erections hard enough for penetration?

  • Sometimes the link between high blood pressure drugs and ED is psychological.
  • Ketamine is a derivative of phencyclidine, a known psychotropic recreational drug.
  • If the problem is caused by blood pressure medicines, your doctor may be able to change your dose or change you to a different medicine.


The FDA also offers tips for spotting the dangers of an unsafe website, including watching out for the following clues: ED is characterized by the regular or repeated inability to achieve or maintain an erection of sufficient rigidity to accomplish sexual activity. Make a note of key personal information, including things like recent life changes, or major stresses. Prescription medication can cause decreased libido, reduced sensitivity, and even interfere with normal blood flow. Related posts, read on for answers to common questions about how erectile dysfunction can affect male fertility and the steps you and your partner can take to get back on track toward adding another member to your family. A brief list of these medications and brand names include: