Urination after application will result in cream being expelled from the urethra, lessening its erectile effects. Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis. Many medicines and recreational drugs can affect a man's sexual arousal and sexual performance. The following is a list of some medicines and drugs that may cause erectile dysfunction (ED) in men. Treatment for erectile dysfunction is available from Dr Fox and Doctor4U.

Such devices imitate a natural erection, and do not interfere with orgasm. Relationship difficulties. Vascular surgery: Hormonal factors, such as a low level of the hormone testosterone. Talk to your health care provider if you think that a drug is having a negative effect on your sexual performance. If the problem persists, your doctor may be able to prescribe a different medication.

And although it is not an easy thing to talk about, there are trained professionals who can give you good advice about what may be the cause of your current predicament.

If MS has dented your self-confidence or self-image, or affected how you think partners see you, this may undermine your ability to enjoy sex and make erections harder to maintain. Antipsychotics also are often prescribed “off-label” to treat agitation and depression, among other conditions. The FDA also offers tips for spotting the dangers of an unsafe website, including watching out for the following clues: What is the treatment for ED? Performance anxiety can also cause impotence. Site information & policies, ask questions about your sexual function. It was estimated that, in 1995, over 152 million men worldwide experienced ED.

While these medications may treat a disease or condition, in doing so they can affect a man's hormones, nerves or blood circulation. What condition is this common while remaining underdiagnosed and, in many cases, untreated? These drugs not only affect and often suppress the central nervous system, but can also cause serious damage to the blood vessels, leading to permanent ED.

  • One out of eight men (about 10 million) in the United States will experience erectile dysfunction at some time in their lives.
  • Although sexual activity is unlikely to pose an immediate threat to your health — such as a heart attack — high blood pressure can affect your overall satisfaction with sex.
  • Men most often start having sex with their penile implants by eight weeks after surgery.
  • ED is usually treatable, most commonly by a tablet taken before sex.
  • Your doctor may want to change your tablet strength.

ED Treatments

However, the failure to achieve an erection more than 50% of the time generally means that there is a problem and treatment is needed. Physicians make a diagnosis of erectile dysfunction in men who complain of troubles having a hard enough erection or a hard erection that does not last long enough. The lab testing obtained for the evaluation of erectile dysfunction may vary with the information obtained on the health history, physical examination, and recent lab testing.

  • The treatment for ED starts with taking care of your heart and vascular health.
  • Sensate focus, a type of sex therapy, focuses on building intimacy between partners.
  • If you have a low testosterone level that lowers your sex drive, it can be hard to get or keep erections.
  • This is just what it sounds like.
  • So it's important to eat healthy foods and get enough exercise to help you stay in good health.
  • Tablets can treat ED caused by various underlying conditions.
  • What are the side effects?

When Should You Call Your Doctor?

ED is one of the most treatable complications of diabetes. Abortion, in rare cases, the drug Cialis® can cause or increase back pain or aching muscles in the back. Neuroimaging findings suggest that watching porn may have a similarly harmful effect on the brain as that of addictive substances. The nocturnal penile tumescence test is a study to evaluate erections at night. An injury could contribute to symptoms of ED. A recent observational study of schizophrenia found that in patients with diminished sexual desire, ziprasidone was preferred over olanzapine.

  • Don’t delay—erectile dysfunction doesn’t “just go away!
  • But they are more common in older men, who often have other health problems.
  • If you don't want to use medicine, or if medicine doesn't work for you, you may want to talk with your doctor about some of the following options.
  • But because it is sold as a dietary supplement, it is hard to know if you are getting the right amount.
  • A full, warm sensation in the penis is not a cause for concern, and may remain for several hours after use.
  • Stress - for example, due to a difficult work or home situation.

Sharing is Nice

PDE5 inhibitors improve on normal erectile responses helping blood flow into the penis. And don't be embarrassed about seeking professional help if erection problems are consistent and troublesome. Levitra, treatment options may include injections and/or topical patches or gels. Some alternative products that claim to work for erectile dysfunction can be dangerous. Treatment for erection problems depends on the cause Treatments for erectile dysfunction are much better than they used to be, and the problem often goes away. The most common types are: Physical problems, such as injury to nerves or loss of blood supply to the penis.

Infection is the most common cause of penile implant failure and is treatable with antibiotics. Relationship counseling, in which partners are prompted to explore the physical and psychological issues behind their sexual problems, may also be an effective method of overcoming erectile dysfunction. This may include concerns about getting someone pregnant, not wanting to appear inexperienced, or worrying about using a condom without embarrassment or losing your erection while putting a condom on. It can be caused by stress, anxiety or excessive alcohol consumption. It's usually nothing to worry about, but you should see a GP if it keeps happening.

Does porn cause ED? For instance, performance anxiety relating to ED may cause a person to ejaculate prematurely and, likewise, worries related to the possibility of ejaculating prematurely may bring on ED. ED is a complicated problem and multiple factors may be triggering it. Antihypertensives (medication for high blood pressure).

Product Reviews

Some blood pressure medicines can also cause erectile dysfunction. “Central regulation of erections relies on dopamine and serotonin, so any impact on these processes can worsen erectile function,” says Trost. You're likely to start by seeing your family doctor or a general practitioner. Extracorporeal shock wave therapy (ESWT) - low-intensity shock waves that aim to fix the erectile tissues and help restore natural erections. Even young men can struggle to get an erection after a hard night of partying. Two semi-rigid but bendable rods are placed within the erection chambers of the penis, which allows manipulation into an erect or non-erect position. Your doctor will want to know how often the problem happens. In some cases, however, these drugs may be unsuitable for patients with heart disease.

Proven Results

Histamine H2-receptor antagonists. The controllable risk factors for arteriosclerosis--being overweight, lack of exercise, high cholesterol, high blood pressure, and cigarette smoking--can cause erectile failure often before progressing to affect the heart. The sexual side effects of these drugs have been difficult to tease out because many of the psychiatric conditions the drugs are used to treat are themselves associated with sexual problems. Beta blockers. Your reassurance that this isn't the case can help.

Changing your depression medication may also change the sexual side effects. Seismic imaging technology could deliver finely detailed images of the human brain. What is the main cause of erectile dysfunction? For example, switching from an SSRI to Wellbutrin (bupropion) seems to help alleviate arousal and interest issues that are common in people who take SSRIs.

What Are Surgical Causes of Erectile Dysfunction (ED)?

The diagnosis of ED is usually made without extensive laboratory tests. Testosterone replacement. Their main disadvantage is that the penis remains constantly erect, which may cause problems with concealment. 25–26 Vascular reconstructive surgeries are beneficial in certain groups. Similarly, in men with a history of arterial trauma, surgical intervention can restore erectile dysfunction.

Adderall is an amphetamine used in the treatment of attention deficit hyperactivity disorder (ADHD) and narcolepsy. What medications could cause erectile dysfunction (ED)? Exercises designed to strengthen the pelvic floor muscles, such as Kegel exercises, can be effective in treating or preventing erectile dysfunction. “It typically takes several months to years to see the full impact of these medicines, and often they cannot be discontinued,” says Trost, unless they were prescribed for recurrent long-lasting erections — a condition called priapism — in the first place. New drug products, taking medicine as your doctor suggests will improve your health and may prevent future problems. A natural supplement that is anecdotally reported, but not scientifically proven, to help improve blood flow to the penis.

Intraurethral alprostadil (MUSE). A man is considered to have erectile dysfunction if he regularly finds it difficult getting or keeping a firm enough erection to be able to have sex, or if it interferes with other sexual activity. Oral medicines: The pellet contains a similar medicine to that used for the injection treatment.

  • Try nicotine replacement, such as over-the-counter gum or lozenges, or ask your doctor about a prescription medication that can help you quit.
  • It is important to understand that in most cases, ED is a symptom of another, underlying problem.
  • Most men have erection problems every now and then.
  • Do a complete physical exam of the abdomen, penis, prostate, rectum, and testicles.
  • These include pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis), and vardenafil (for example, Levitra).

How Many People Have Erectile Dysfunction?

Psychosocial interventions for erectile dysfunction. This can be done with a home blood pressure monitoring device for convenience. If stress, anxiety or depression are causing erectile dysfunction, counseling may be an effective treatment. Single-phase flow with minimal or absent diastole when the penis is flaccid. Hormonal abnormalities, such as increased prolactin (a hormone produced by the anterior pituitary gland), steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones administered for prostate cancer may cause ED.

Only you know your health and life concerns (like sex) the best. Parkinson disease medicines: ED is not an inevitable part of the aging process. With acquired premature ejaculation, the patient previously had successful coital relationships and only now has developed premature ejaculation.

Esposito K, et al. In some cases, treatment can involve inserting prostaglandin pellets into the urethra, injecting smooth muscle relaxants and vasodilators into the penis, a penile implant, a penis pump, or vascular reconstructive surgery. Featured topics, alprostadil has been used for decades as an injectable vasodilator therapy for ED, but has fallen out of favor following the approval of orally active drugs such as Pfizer’s Viagra and Eli Lilly’s Cialis. If you choose to seek help, give your doctor as much information as you can about your symptoms including their frequency and severity as well as the onset.

  • “For blood pressure medications and antidepressants, there are alternatives that most physicians know to prescribe if the man is having ED,” he says.
  • A penis pump (vacuum erection device) is a hollow tube with a hand-powered or battery-powered pump.


Your surgeon may suggest a lubricant for your partner. Monoamine oxidase inhibitors are also associated with sexual dysfunction. While these medications may treat a disease or condition, in doing so they can affect a man's hormones, nerves or blood circulation, resulting in ED or increasing the risk of ED. Fortunately, many of the things that cause erection problems can be treated. The most common physical causes of erectile dysfunction are related to circulation and blood pressure. Taking prescription medicine that can help you get erections. Experts continue to debate this issue. Have you had any changes in sexual desire?

Related Institutes & Services

Some men take this dietary supplement to try to treat erection problems. Side effects of medicines, including some medicines used to treat benign prostatic hyperplasia (BPH), depression, and prostate cancer. Worries, anxiety or stress about other aspects of your life. Alprostadil self-injection. This is especially common after a type of surgery called a transurethral resection of the prostate (TURP). This phase can be an emotional response. The use of prostaglandin E1 is contraindicated in patients with a predisposition to priapism (e. )For example, frequent long-distance bicycle riding on a hard, narrow saddle may increase risk.

GoodRx is not available outside of the United States. Diabetes (type 1 and type 2), [47] Its antonym, or opposite condition, is priapism. Make sure you are breathing naturally throughout this process and avoid pushing down as if you are forcing urination. Sexual side effects have been reported with the following medications:


Vascular disease : These oral medications may only be taken once every 24 hours. What are the types of sexual dysfunction? Erectile dysfunction (ED) occurs when a man cannot consistently get or keep an erection for satisfactory sexual intercourse. A commonly prescribed topical medication for ED is Vitaros©, a prescription medicine in the form of a cream, containing the active ingredient alprostadil. Related conditions and diseases, how a male fertility vitamin deficiency can have a HUGE impact on YOUR erectile dysfunction and depression. Many people report the use of home remedies to treat ED.

This MNT Knowledge Center article offers helpful information for people experiencing this problem, or those close to them. What medications can cause sexual dysfunction? PDE-5 inhibitors are associated with several side-effects including headaches, a runny nose, hot flushes, an upset stomach and light sensitivity. Online hangouts thrive in the age of social distancing, most recently, patients have begun to wonder if Minoxidil may cause sexual side effects. How this works.

Some medicines may lead to life-threatening reactions if you do not take care when stopping or changing them. Effective management requires a thorough assessment of all the possible contributing issues. There may be additional drugs other than those on this list that can cause erection difficulties. A doctor will perform an assessment of BMI and waist circumference to evaluate for abdominal obesity. When you make the appointment, be sure to ask if there's anything you need to do in advance. Erectile dysfunction meds: make them work better, in a clinical study, RECTIV was found to be effective in treating moderate to severe pain from chronic anal fissure. If you use sildenafil, tadalfil, or vardenafil and get chest pains, be sure to tell the paramedics, nurses or doctors at the hospital that you use it and when you used it last.