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Erectile Dysfunction

Erectile Dysfunction

Erectile Dysfunction (ED) is common and is defined as the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. Erectile dysfunction is strongly age-related and affects as many as 30 million American men. While there is an estimated prevalence of all ages of about 10%, the prevalence rises to over 50% in men between 50 and 70 years of age. While ED is common, only a small percentage of men ever discuss this problem with a physician.

It’s important to listen to men with ED and make them feel comfortable with what can be a troubling symptom for them. ED may also occur with cardiovascular disease, neurological disorders, after pelvic surgery or trauma, with diabetes and as a consequence of certain medications used commonly. There are a number of treatments to treat ED including; hormone testing, non-invasive ultrasound measurement of blood flow, and trials of medicine and non-medicine treatments.

Here are some treatment options:

Changing Habits and Medications

Quitting smoking can be an important step in reducing the impact of impotence or eliminating it altogether. Small changes in prescription medication may also help improve erectile quality.

Hormone Medications

Irregular levels of sex hormones such as low levels of testosterone, excess prolactin, and excess estrogen cause some cases of ED. These conditions are usually treatable with excellent results.

Vacuum Devices

This treatment involves the use of an external vacuum device and one or more tension rings. The device works by inserting the penis into a plastic cylinder, which is then pumped to create a controlled vacuum. Once an adequate erection is produced, a tension band is slipped around the base of the penis to maintain the erection: the vacuum device is then removed. The erection-like state generally lasts long enough for a couple to have intercourse.

Injection Therapy

One of the newest forms of treatment involves the self-injection of medication into the side of the penis. The relatively painless injection produces erections of good quality for about 70-80 percent of patients. There are several injectable medications that, when used alone, help increase blood flow to the penis which promotes an erection.

Penile Prostheses

This treatment involves the surgical placement of a stationary or movable device into the two sides of the penis, allowing erections as often as desired. These implants come in two forms: an inflatable device and semi-rigid rods. This treatment is not recommended until other methods have been considered or tried first.

Surgical Treatment

This treatment is usually reserved for those patients whose blood flow has been blocked by an injury to the penis or pelvic area. Surgery is also used to correct ED caused by vascular blockages. The goal of this treatment is to correct a blockage of blood flow to the penis so that erections will occur naturally.

Oral Therapy

The mainstay of therapy for erectile dysfunction has consisted of very safe medications called PDE5 inhibitors. These medications include Viagra, Levitra, and Cialis. They are all similar but there are some important differences between them. They are typically quite effective and can be given at the initial visit as samples.

Professional Counseling

Because ED can result from a combination of psychological and physical factors, counseling can lessen anxiety, which in turn may reduce the impact and duration of the condition. This therapy is often used in combination with other treatments directed by a physician.

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Do you suffer from Erectile Dysfunction?

* Erectile Dysfunction – how it is related to infertility, treatment options, symptoms.


Erectile Dysfunction, also known as impotence, is the inability of a man to achieve and sustain an erection in order to have intercourse. Erectile Dysfunction(ED) is common and it is treatable.

If a couple is trying to get pregnant and the male partner is experiencing Erectile Dysfunction, which is causing low sexual desire and performance anxiety, Erectile Dysfunction will only exacerbate infertility problems. If a couple must have sex at a certain time and Erectile Dysfunction is preventing this from happening, the chances of pregnancy occurring decrease even more.

Infertility treatments are a huge stressor for couples emotionally and financially and this stress can lead to a man having performance problems.  You may need to have sex even if you don’t want to in order to try and conceive and Erectile Dysfunction makes this virtually impossible.   Also, medications you may have to take may make it harder for you to have sex.  Emotional vulnerability, performance anxiety, and scheduled intercourse are stressors for a couple trying to conceive and can lead to the male partner experiencing Erectile Dysfunction.   Fertility stressors that lead to a man being unable to ejaculate on demand and the pressure to do so is a contributor to ED and infertility.

One of the biggest indicators of ED is the inability of a male to sustain an erection or even have an erection during sexual intercourse.  Another symptom of ED occurs occasionally and when this is the case, it is not serious concern.  Yet another symptom of Erectile Dysfunction occurs when a male experiences erections in the morning or only when masturbating.  At some point in their lives, all males experience this.  While alarming and possibly embarrassing, it is very common.

Luckily, ED is treatable and many treatment options exist.  These treatment options make it possible for male patients to address infertility problems with their partners as well as have an enjoyable sex life.  ED can be treated at any age and the overall health of the patient is addressed immediately when treating the condition.

It is important for patients to discuss any issues they are experiencing with their doctor.  That is the first step in getting help for the problem.  In some cases,  ED can be addressed by making lifestyle changes.  Losing weight, decreasing alcohol consumption, and smoking are all changes that can be made to treat Erectile Dysfunction.  Medications a patient is taking may be the source of ED and if so, speak with your doctor about changing or decreasing the medications that may be contributing to the problem.  If a patient is experiencing Erectile Dysfunction, they also have the option of getting a penis pump, penile implant, or surgery to improve the blood flow to the penis.  Psychotherapy and drug therapy are additional options available to patients who want to address and eliminate such problems.





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Erectile Dysfunction

Erectile Dysfunction Myths And Facts

Many myths persist when it comes to erectile dysfunction and its causes. The reality is that erectile dysfunction has several causes and it is important to separate the facts from the myths. Even though there are a number of people suffering from erectile dysfunction (ED), the condition is still surrounded by information that is misguided and wrong.

Following are some of the most popular myths surrounding ED:


Myth: You are old and that is why you have ED


Fact:   While it is true that Erectile Dysfunction is more common in older men, just because you are older does not mean that you must accept ED as a normal part of the aging process. It is important to understand that ED is a medical problem that can occur in older men as well as younger men. The good news is that regardless of age, if you are experiencing ED, it can be treated.



Myth: Lack of sexual desire is the cause of ED


Fact:   Lack of sexual attraction towards your partner can cause you not to get an erection. However, when it comes to ED, the more likely culprit is medically related. Fear of sex and avoiding intercourse because they may not have an erection may be the reason a male has a lack of sexual desire.



Myth: ED is mostly psychological

Fact:   Yes, some cases of ED are psychological but the percentage is quite small; around 10%. Most cases are related to medical conditions such as diabetes, hypertension, or occur following surgery for prostate cancer. The fact is, the cause of ED is much more body related than mentally related.



Myth: ED is not a common problem


Fact:   That would be incorrect. About 18 million men in the United States have erectile dysfunction.


Myth: A diagnosis of Erectile Dysfunction means pills for the rest of your life.

Fact:   Erectile Dysfunction can be treated many different ways. Medications that have been approved by the FDA include medications taken by mouth, injected directly into the penis, or inserted into the urethra. All of these options have been very effective in the treatment of ED.


Myth:             ED can be treated with herbal supplements

Fact:   Many people believe they can treat ED themselves and use herbal supplements to do so. However, herbal supplements have not been scientifically proven to treat ED and the FDA does not regulate them. Using herbal supplements may interfere with other medications you are taking and they may cause unwanted side effects.

Myth:             Tight underwear is causing your Erectile Dysfunction

Fact:   This myth just will not go away. There is no correlation between tight underwear and erectile dysfunction. ED is physical or psychological but your tight underwear does not contribute to this serious problem.

Myth: Erectile Dysfunction is only a man’s problem

Fact:   If a man suffers from ED, it can also cause problems for his sexual partner. When impotence goes untreated, both partners suffer. Failure to communicate and denial of the problem can lead to depression, anxiety, and lack of self –esteem and this can affect both partners.

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