What is the Definition of Erectile Dysfunction (ED)
The failure to obtain or maintain a hard adequate erection for sexual intercourse is known as Erectile Dysfunction (ED). Impotence is a phrase that is sometimes used, but it is becoming less popular.
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It’s not uncommon to experience Erectile Dysfunction on a regular basis. It’s something that a lot of males go through when they’re under a lot of pressure. However, frequent ED might be a sign of underlying health issues that require treatment. It could also be an indication of emotional or relationship issues that require professional attention.
What Causes a Man to Have an Erection?
Erectile Dysfunction can be caused by issues at any point throughout the erection process. The increased blood flow into your penis causes an erection. Sexual thoughts or physical contact with your penis are both known to increase blood flow.
The muscles in the penis relax when a guy is sexually stimulated. This increases blood flow through the penile arteries, which fill two chambers within the penis. The penis stiffens when the chambers fill with blood.
When the muscles flex and the collected blood can flow out through the penile veins, the erection is over.
Causes of Erectile Dysfunction.
Erectile Dysfunction can be caused by a variety of factors, including both mental and physical issues. Among the most common causes are:
- Coronary heart disease
- Diabetes
- High blood pressure is referred to as hypertension.
- Elevated cholesterol levels
- Obesity
- Hormone abnormalities or low testosterone levels
- Renal failure
- Rise in age
- Stress
- Anxiety
- Depression
- Difficulties in relationships
- Various prescription drugs, such as those for high blood pressure or depression
- Sleep disturbances
- Usage of drugs
- Ingesting excessive amounts of alcohol
- Tobacco goods are used
- Parkinson’s disease and multiple sclerosis are two examples of health disorders (MS)
- Injury or surgery to the pelvic area might cause damage.
- Peyronie’s disease is a condition in which scar tissue forms in the penis.
Only one of these causes, or a combination of them, can induce Erectile Dysfunction. That’s why it’s critical to collaborate with your doctor so that any underlying medical concerns may be ruled out or treated. Find out more about ED’s causes.
Treatment for Erectile Dysfunction
The underlying cause of ED will determine the treatment. It’s possible that you’ll require a combination of therapies, such as medication or talk therapy.
Medications
To help you manage the symptoms of ED, your doctor may prescribe medication. It’s possible that you’ll have to test a few different medications before you find one that works. To help treat ED, the following oral drugs promote blood flow to your penis:
avanafil is a drug that is used to treat erect (Stendra)
sildenafil citrate (Viagra)
tadalafil tadalafil tadalafil (Cialis)
vardenafil vardenafil vardenafil var (Levitra, Staxyn)
Another drug that can be used to treat ED is alprostadil (Caverject, Edex, MUSE). It’s available in two forms: as a suppository for the penis or as a self-injection at the base or side of the penis.
If your testosterone levels are low, testosterone treatment (TRT) may be prescribed.
Erectile Dysfunction can be caused by medications taken for various reasons. Discuss your drugs with your doctor to see if they’re the source of your symptoms. You might be able to substitute another option. Do not discontinue taking drugs without consulting your doctor first.
Side effects are possible with ED medications. Consult your doctor if you’re having any unpleasant side effects. They might be able to suggest a different treatment. Find out more about the drugs used to treat ED.
Talk therapy is a type of psychotherapy that involves
Erectile Dysfunction can be caused by a variety of psychological reasons, including:
- Stress
- Anxiety
- PTSD (post-traumatic stress disorder) is a type of anxiety illness that (PTSD)
- Depression
Talk therapy may help you if you’re suffering from psychological ED. You and your therapist will talk about the following topics over the course of several sessions:
- Significant sources of tension or stress
- How you feel about sex
- Conflicts in your subconscious that may be harming your sexual health
Consider meeting with a relationship counselor if your Erectile Dysfunction is harming your relationship. Relationship counseling might assist you and your spouse in emotionally reconnecting, which may aid your ED.
Examine the impact of worry and stress on Erectile Dysfunction;
Pumps that create a vacuum
The production of a vacuum is used to generate an erection in this procedure. As the gadget is utilized, blood is pulled into the penis, causing an erection.
A vacuum pump is made up of several separate parts:
A tube of plastic that you place over your penis
A pump that works by sucking the air out of the plastic tube to generate vacuum
As you remove the plastic tube, an elastic ring that you’ll move to the base of your penis
The elastic ring keeps the erection going by keeping the blood in the penis and preventing it from flowing back into the body. It can stay in place for up to 30 minutes. More information on vacuum pumps and how to use them may be found here.
Symptoms of Erectile Dysfunction
If you suffer the following symptoms on a regular basis, you may have Erectile Dysfunction.
- Having a hard time getting an erection
- Having trouble keeping an erection during sexual activities
- Interest in sex has waned.
- Other sexual problems that are linked to ED are:
- Ejaculation that occurs too soon
- Ejaculation that is delayed
- Anorgasmia is the inability to achieve orgasm despite being stimulated sufficiently.
If you’re experiencing any of these symptoms, see your doctor, especially if they’ve lasted three months or more. They can help you figure out if your symptoms are caused by an underlying problem that needs to be addressed.
Tests for Erectile Dysfunction
A physical examination and a review of your health and sexual history are among the processes involved in ED testing. If your symptoms are caused by an underlying ailment, more tests may be required.
Physical examination
Your doctor will listen to your heart and lungs, check your blood pressure, and inspect your testicles and penis during your physical exam. A rectal exam to check your prostate may also be recommended.
Psychosocial Background
Your doctor will ask you questions about your symptoms, medical history, and sexual history, or may ask you to complete a questionnaire. The responses will aid them in determining the severity of your ED.
You may be asked the following questions:
- How long have you had an ED problem? Is it something that happened all of a sudden or something that happened over time?
- Is it difficult for you to sense sexual desire, ejaculate, or achieve orgasm?
- How frequently do you engage in sexual activity? Is there a recent change in this frequency?
- What is the firmness of your erections? Is this influenced by specific situations or stimulus types?
- Do you have erections in the morning or in the middle of the night?
- What’s the status of your current relationship? What do you and your partner have in mind for each other? Have there been any modifications?
- Have you been under a lot of stress recently?
- What are the meds you’re now taking? Do you use to smoke, alcohol, or over-the-counter medications?
- Do you have any underlying medical conditions, or have you ever had surgery or an injury to your pelvic region?
Additional examinations;
Additional testing may be ordered by your doctor to aid in the diagnosis of your ED. A variety of tests are available, including:
- Ultrasound. To identify if there is an issue with penile blood flow, an ultrasound can be used to inspect the blood arteries of the penis.
- Test for nocturnal penile tumescence (NPT). The quality of your nocturnal erections is assessed using a small, battery-powered instrument worn on the thigh. The device saves the information, which your doctor can access later.
- Test using an injection. A drug is injected into your penis to stimulate an erection during this test. This enables your doctor to assess the firmness of the erection as well as its duration.
- Urine tests are performed. Urine testing can be used to detect diabetes or other underlying health problems.
- Tests on the blood. Diabetes, heart problems, thyroid difficulties, and low testosterone levels can all be detected through blood tests.
- These tests can assist your doctor to direct your treatment and establishing if your ED is caused by an underlying problem. Learn more about how blood tests can help with ED diagnosis.
Exercises for Erectile Dysfunction
Certain workouts can also aid in the treatment of Erectile Dysfunction.
- Exercising your Kegels
Kegel exercises are basic motions that you can undertake to strengthen the muscles in
your pelvic floor. Here’s how to do it:
- Recognize the muscles of your pelvic floor. Stop peeing in the middle of the process to do this. Your pelvic floor muscles are what you employ to do this.
- Contract these muscles for 3 seconds now that you know where they are. Then let them go.
- Three times a day, repeat this exercise 10 to 20 times in succession.
- In a modest 2005 study, two groups of males with ED were compared. The first group of males worked with a physiotherapist on regular pelvic floor muscle exercises.
- They were also given biofeedback and lifestyle recommendations. Only lifestyle changes were offered to the second group.
- After three months of daily pelvic floor muscle workouts, men in the first group experienced a considerable improvement in penile function. After three months, the males in the second group showed no progress.
- All participants were given at-home exercises to complete over the next three months. After a total of 6 months, 40 percent of all individuals (including some men from the second group) had reclaimed normal erectile function.
- Pelvic floor exercises were also found to be useful in treating both ED and premature ejaculation in a 2019 research review. However, the perfect workout regimen (in terms of frequency and intensity) has yet to be discovered.
- You might find that doing Kegels while lying down is easier at first. You’ll eventually be able to try them while sitting or standing.
Exercise that is Aerobic in Nature
- Moderate to intense exercise is not only healthy for your overall health, but it can also aid with Erectile Dysfunction by increasing blood flow. Running and swimming are two examples.
- The effect of aerobic exercise on ED was investigated in a review of ten research. Investigators concluded from their review that 160 minutes of weekly exercise for 6 months could reduce erectile dysfunction.
- Another study looked at 87 men with ED’s physical fitness and testosterone levels. Testosterone levels were shown to be inversely connected with body fat and abdominal fat, according to the study. This shows that exercise, in addition to lowering body fat, may raise testosterone levels.
- Always consult with your doctor before beginning a new workout program. This is especially critical for persons who have heart disease or another underlying condition that could be made worse by strenuous exercise. Learn more about ED and exercise.
Yoga;
- Yoga can aid in mind and body relaxation. Yoga may be an effective technique to relieve ED symptoms because stress and anxiety can cause or contribute to ED.
- In fact, a 2010 research of 65 males aged 24 to 60 years old revealed that after a 12-week yoga practice, sexual function improved dramatically. Discover five yoga poses that may aid in the treatment of ED.
Foods for Erectile Dysfunction
Problems with blood flow are frequently linked to ED. Maintaining the health of your blood vessels can help you avoid and cure ED. This can be accomplished by adopting particular lifestyle habits, such as consuming a nutritious diet.
To help lower your risk of having ED, follow these simple steps:
- Emphasize whole grains, veggies, and fruits in your diet.
- Red meat, full-fat dairy, and processed sweets should all be avoided.
- Consume alcoholic beverages in moderation.
- Several foods, ranging from cocoa to watermelon, may aid in the treatment of ED. Find out what else you might want to include in your shopping cart.
Natural Remedy for Erectile Dysfunction
Natural therapies may aid in the treatment of ED in certain men.
Supplements and herbs
- Asparagus racemosus is a kind of asparagus.
- Dehydroepiandrosterone is a kind of dehydroepiandrosterone (DHEA)
- Korean red ginseng is an example of ginseng.
- L-arginine
- L-carnitine
- Yohimbe
- Zinc and horny goat weed may also be beneficial.
Acupuncture
Acupuncture is a method of traditional Chinese treatment that involves inserting needles into the skin at precise sites called acupoints. Acupuncture is thought to function by stimulating nerves, which then affects the release of neurotransmitters.
Acupuncture’s effectiveness in treating ED is unknown. There are few studies on its effectiveness, and those that do exist are frequently inconclusive. According to some data from a 2019 review, acupuncture may aid in the treatment of psychological ED.
Look for a qualified acupuncturist who utilizes disposable needles and adheres to Food and Drug Administration (FDA) rules for needle disposal and sterilization when choosing an acupuncturist. L
earn more about how acupuncture can be used to treat ED.
Massage
Prostatic massage is a type of massage therapy that can help with ED. Prostatic massage is frequently utilized in conjunction with other medical procedures.
A practitioner will massage the tissues in and around the groin to improve blood flow to your penis during the prostatic massage. A massage may be required multiple times per week. The duration of your massage therapy is determined by your symptoms.
There has only been a little research on the effectiveness of prostate massage so far. With the help of this brief guide, you may learn how to find a practitioner and more.
Last but not least
If you’re seeking a natural way to treat your ED, you have a lot of possibilities. Consider one or more of the alternatives listed above, or a combination of them. Acupuncture and massage can also be used in conjunction with Viagra and other standard drugs. Learn more about how lifestyle modifications can affect ED.
Surgery for Erectile Dysfunction
In circumstances where drugs aren’t working, your doctor may consider surgery. Implants and vascular surgery are two types of techniques that can be employed.
The penis can be implanted with a penile implant, also known as a prosthesis. There are two types of them. An inflatable implant allows you to enlarge your penis using a pump, whereas a malleable implant lets you manually modify the position of your penis.
Atherosclerosis can be repaired by vascular surgery. This may assist in restoring proper blood flow to the penis. Younger males are more likely to be candidates for this surgery.
Every procedure has advantages and disadvantages. If you decide to have ED surgery, make sure to discuss these with your doctor. Learn how penile implants are placed and how the healing goes in this guide to penile implants.
Diabetes and Erectile Dysfunction
Both ED and diabetes can develop at the same time. In fact, men with diabetes have a 50% chance of having EDTrusted Source. But why is this the case?
The way your body processes glucose is affected by diabetes. Excess glucose can be seen in your blood when glucose isn’t stored properly, resulting in high blood sugar. Type 1 diabetes and type 2 diabetes are the two most common kinds of diabetes.
Blood vessels and nerves can be damaged if you have a lot of sugar in your system. This injury can also impact the blood vessels and nerves surrounding the penis, making it difficult to get or keep an erection.
If you have diabetes, working with your doctor to keep your blood sugar under control is critical. This may aid in the prevention of damage that could lead to ED. Investigate the link between ED and type 2 diabetes.
Factors that are at risk
There is a slew of risk factors that can raise your chances of acquiring ED. Blood flow and circulation are frequently linked to these risk factors. Injuries might also be a risk factor.
Growing older is a significant risk factor for ED. It may become more difficult to obtain or sustain an erection as you grow older. You may also realize that getting an erection requires more direct stimulation.
The following are some additional ED risk factors:
- Having a medical problem such as diabetes or cardiovascular disease
- Having a mental illness such as anxiety or sadness
- Being overweight, especially obese
- Incurring an injury to your pelvic area or having surgery on it
- Using antidepressants or blood pressure meds
getting specialized medical treatment, such as cancer radiation therapy
consuming tobacco, narcotics, or alcohol
Incidence
ED affects around 30 million men in the United States, according to Trusted Source. With age, the prevalence of ED rises. Each decade of life, it is estimated that 10% more men will develop mild or moderate ED (60 percent of men in their sixties, for example). ED, on the other hand, can strike younger men.
According to one study, one out of every four men seeking therapy for ED is under the age of 40. When compared to older males, these guys had a greater link between smoking, drug use, and ED. This shows that lifestyle choices play a significant role in the development of ED in young males.
Although the risk of ED raises with age, it is not a foregone conclusion. In general, the greater your sexual function, the healthier you are. Learn more about aging and erectile dysfunction.
Outlook
In a lot of cases, you can get rid of your ED symptoms. There are numerous medications and treatments available. Vacuum pumps, for example, can help you manage your symptoms momentarily so that you can continue to engage in sexual activity.
Your treatment will be determined by a number of criteria, including the severity of your ED and whether or not it is caused by a medical condition. Your doctor will work closely with you to explain the advantages and dangers of each treatment option.
It’s crucial to keep in mind that ED is a prevalent problem. If you’re having ED symptoms, make an appointment with your doctor as soon as possible. They can then rule out any underlying problems and start working on a treatment plan.
Prevention
There are a number of things you can do to help prevent ED. Making healthy lifestyle adjustments is a big part of a lot of these processes. As a result, they’re beneficial not only for preventing ED but also for enhancing general health.
To help Prevent ED, follow the suggestions below:
- Maintain control of medical disorders such as heart disease and diabetes.
- Make sure you work out on a regular basis.
- Maintain a healthy body mass index (BMI).
- Concentrate on eating a balanced diet.
- Look for ways to lessen or manage your stress.
- If you’re suffering from anxiety or depression, seek help.
- Stop smoking.
- Alcohol should only be consumed in moderation.
- Avoid taking medications that your doctor hasn’t prescribed.
- Make sure you stay up with your routine checkups as well. Important clinical parameters, such as blood pressure and cholesterol levels, will be monitored by your doctor. This can aid in the early detection and treatment of conditions that may result in ED.
Find out more about how to avoid Erectile Dysfunction.
How Can Erectile Dysfunction (ED) Be Reversed?
- Factors related to your way of life
- Psychological variables
- Medical reasons
- Outlook
- Overview
In men in their forties and fifties, erectile dysfunction (ED) is very frequent. For many men, improving erectile function and reversing ED may be achievable.
Continue reading to find out how you may improve your erectile function.
Factors related to your way of life
According to ResearchTrusted Source, making lifestyle changes can help you enhance your erectile function. Over a five-year period, roughly a third of Australian males aged 35 to 80 suffered erectile issues, according to a study trusted Source. These issues improved on their own in 29% of the men, implying that variables within their control, such as lifestyle, were to blame for the ED reversal.
Improve your heart’s health
Your body’s ability to transport the blood required for erections is harmed by poor cardiovascular health. Researchers monitored male participants for 25 years in a study published in 2004 by a Trustworthy Source. Researchers discovered that heart disease risk variables predicted which men were most likely to get ED in the future. ED has been linked to four significant cardiovascular risk factors in numerous studies:
Smoking. ED can be avoided by not smoking or quitting if you already do.
Alcohol. Reduce your alcohol intake. Heavy drinkers are more likely to develop ED.
Weight. According to one study, decreasing weight helped overweight men with ED improve their erectile performance in around a third of the study participants.
Exercise. Physical activity, especially when accompanied by a balanced diet, has been shown in studies to increase erectile function.
By avoiding these risk factors, you might be able to improve your erectile function and reverse ED.
Boost your testosterone levels
Erectile health can be improved by taking efforts to counteract low levels of testosterone, the male sex hormone. To naturally boost testosterone levels, do the following:
- Weight loss
- Stress reduction
- Exercise
These suggestions can also help you improve your heart health, which may help you lessen your ED symptoms even more. Here are some additional scientifically proven techniques to naturally boost your testosterone levels.
Get some rest.
Sleep deprivation has a significant impact on sexual performance. Men with sleep apnea, or disrupted breathing at night, increased their erectile performance after using CPAP breathing equipment at night, according to studies.
Replace the seat of your bicycle.
Bicycling has been related to ED in certain studies, but additional study is needed to prove the link. Bicycle seats put pressure on the pelvic nerves and blood vessels. Consider purchasing a seat designed to relieve pressure on your perineum if you’re a frequent or long-distance cyclist. Learn more about how cycling affects erectile function.
Increase the number of sexual encounters
Sex on a regular or frequent basis can help you improve your overall performance. According to one study, men who had intercourse less than once a week were twice as likely to develop ED than men who had intercourse at least once a week.
Psychological variables
ED can be caused by psychological issues such as performance anxiety. Addressing the psychological causes of ED can aid in its reversal. Anxiety, depression, and relationship issues are at the top of the list.
Relationships that are healthy
Whether you take ED medications or not, erections strong enough for sex are based on arousal and desire. Intimate relationship strife and dissatisfaction can have a negative impact on libido, arousal, and, ultimately, erectile function. Counseling for relationships is an option.
Take care of your mental wellness.
Anxiety, stress, and depression are all factors that can contribute to ED. In short, research conducted by Trusted Source, 31 men newly diagnosed with ED were given either tadalafil (Cialis) or tadalafil plus an eight-week stress management program. The group who participated in the stress management program improved their erectile function more than the group that merely took tadalafil at the end of the trial.
Meditation, yoga, and exercise all help to relieve tension and anxiety. You might also want to talk to a therapist about how to deal with anxiety and depression. Although some medications can suppress sexual function, they can also help with anxiety and depression.
Medical reasons
The following medical causes of ED are difficult to reverse:
A lack of blood flow. ED can be caused by blocked arteries in the pelvic area in some people. That’s because you need enough blood flow to inflate the spongy erectile tissues in the penis that cause an erection once you’ve been aroused.
Damage to the nerves. Even careful “nerve-sparing” surgery won’t completely prevent ED in men who have their prostate glands removed due to cancer. Even after surgery, many men still require the usage of ED drugs in order to have sex.
Parkinson’s disease is a neurological disorder. ED, along with low libido, premature or delayed ejaculation, and inability to have orgasms, affects up to 70% to 80% of men with Parkinson’s disease.
Peyronie’s disease is a type of Peyronie’s disease. Because of the extreme curving of the penis, intercourse can be painful or impossible.
Men with ED caused by medical issues may benefit from ED drugs such as Eron plus and Semaxin. which will restore your confidence and ability as a man.
Examine Your Medications.
One medical condition that can be addressed to reverse ED is drug side effects. Antidepressants and thiazide, a drug that causes your body to lose water in order to lower blood pressure, are two common culprits. Consult your doctor if you believe your medicine is causing ED. You may be able to substitute another drug or lessen the dosage.
