The Erectile Dysfunction (Ed): Symptoms, Diagnosis & Treatment Ideas
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Non-invasive treatments are often tried first. Most of the best-known treatments for ED work well and are safe. Still, it helps to ask your health care provider about side effects that could result from each option:Oral drugs or pills known as phosphodiesterase type-5 inhibitors are most often prescribed in the U.S.
PDE5 inhibitors improve on normal erectile responses helping blood flow into the penis. Use these drugs as directed. About 7 out of 10 men do well and have better erections. Response rates are lower for Diabetics and cancer patients. If you are taking nitrates for your heart, you SHOULD NOT take any PDE5 inhibitors.
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An elastic ring is then slipped onto the base of the penis. This holds the blood in the penis (and keeps it hard) for up to 30 minutes. With proper training, 75 out of 100 men can get a working erection using a vacuum erection device. If oral drugs don’t work, the drug Alprostadil is approved for use in men with ED.
Alprostadil is injected into the side of penis with a very fine needle. It’s of great value to have the first shot in the doctor’s office before doing this on your own. Self-injection lessons should be given in your doctor’s office by an experienced professional. The success rate for getting an erection firm enough to have sex is as high as 85% with this treatment.
Since the ICI erection is not regulated by your penile nerves, you should not be surprised if the erection lasts after orgasm. The most common side effect of ICI therapy is a prolonged erection. Prolonged erections (>1 hour) can be reversed by a second injection (antidote) in the office. Men who have penile erections lasting longer than two to four hours should seek Emergency Room care.
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Penile implants are devices that are placed fully inside your body. They make a stiff penis that lets you have normal sex. This is an excellent choice to improve uninterupted intimacy and makes relations more spontaneous. There are two types of penile implants. The simplest kind of implant is made from two easy-to-bend rods that are most often made of silicone.
The implant can be bent downward for peeing or upward for sex. With an inflatable implant , fluid-filled cylinders are placed lengthwise in the penis. Tubing joins these cylinders to a pump placed inside the scrotum (between the testicles). When the pump is engaged, pressure in the cylinders inflate the penis and makes it stiff.
Your surgeon may suggest a lubricant for your partner. With the implant, men can control firmness and, sometimes, the size of the erection. Implants allows a couple to be spontaneously intimate. There is generally no change to a man’s feeling or orgasm. Penile implants are most often placed under anesthesia.
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If a man is on blood thinners, then he may need to talk with a medical expert about stopping the medications for elective surgery and healing. Most often, one small surgical cut is made. The cut is either above the penis where it joins the belly, or under the penis where it joins the scrotum.
For the first month, men should limit their physical activity. The surgeon will explain when and how much exercise to do during the healing period. Men most often start having sex with their penile implants by eight weeks after surgery. If there is persisting swelling or pain, the use of the implant may be delayed.
There are risks to prosthetic surgery and patients are counselled before the procedure. If there is a post-operative infection, the implant will likely be removed. The devices are reliable, but in the case of mechanical malfunction, the device or a part of the device will need to be replaced surgically.
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Most men with penile implants and their partners say that they’re satisfied with the results, and they return to more spontaneous intimacy. Several restorative or regenerative treatments are under investigation for the future treatment of ED:Extracorporeal shock wave therapy (ESWT) – low-intensity shock waves that aim to fix the erectile tissues and help restore natural erections.
Patients who are interested should discuss the risks and benefits (informed consent) of each, as well as costs before starting any clinical trials. Most therapies not approved by the FDA are not covered by government or private insurance benefits. Supplements are popular and often cheaper than prescription drugs for ED.
Patients should know that many over-the-counter drugs have been found on drug testing to have ‘bootlegged’ PDE 5 Inhibitors as their main ingredient. The amounts of Viagra, Cialis, Levitra or Stendra that may be in these supplements is not under quality control and may differ from pill to pill. The FDA has issued consumer warnings and alerts.
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An erection occurs when the blood flow to the penis increases, causing it to change shape and size. There are three stages to an erection: This is the penis’s “normal” state, and it occurs when there is no sexual arousal or stimulation via sight, touch, or fantasizing. During this phase, blood flow to and from the penis is equal.
The penis starts to swell during this phase. The penis becomes erect as visual, imaginary, or touch stimulation continues. The brain and nerves continue to send more blood to the penis and restrict blood flow from it. The penis becomes fully erect, allowing manual stimulation or vaginal, anal, or oral sex to occur.
People can experience erections at any point during the day or night. These can be in response to arousal or may be random. Given the variable nature of erections, it is difficult to quantify a ‘normal’ occurrence rate. People going through puberty may experience more frequent erections, while those of older age or people with erectile dysfunction (ED) may experience significantly less, or none at all.
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However, this can vary significantly due to the many factors that can affect erection duration. It is also worth noting that a person does not need an erection to achieve orgasm. People may worry that they are on either end of the spectrum and that their erection lasts either too long or not long enough.
ED occurs when a person is unable to get or keep an erection long enough for sexual activity. Several factors, such as stress or relationship issues, can worsen ED. Some of ED include:Several treatments are available for ED, including medications, physical interventions, and, potentially, surgery. PE is a form of sexual dysfunction that may prevent people from having satisfactory sex.
It is important for someone who has had an erection for 2 hours or more to seek immediate emergency care. Tissue damage can begin 4-6 hours after erection onset. Any damage to the sensitive penile tissue may be permanent and nonreversible. Treatments to help reduce a prolonged erection include:medication to decrease blood flowaspiration to drain blood from the penissurgery to restore normal blood flow to the penis In some cases, a person may not need to see their doctor for erection troubles.
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However, a person should talk withv their doctor if they frequently have an issue with achieving an erection. Their doctor may be able to help them identify a root cause, such as medication or emotional issues. The doctor can also provide treatment to help the person get an erection. If a person has a prolonged erection that is unrelated to sexual activity and lasts more than a few hours, they should seek immediate medical help.
Erections typically start during arousal and normally go away when arousal stops or following ejaculation. Factors such as stress, alcohol, and medication can affect a person’s ability to achieve and maintain an erection. If a person has continual trouble with getting an erection, they should talk with their doctor because they may have ED.
A persistent, prolonged erection of the penis that will not go down is called priapism. This unwanted erection may or may not be caused by sexual arousal, is usually very painful and can last for 2 hours or longer. The sooner you treat it, the less risk that the penis will be damaged.
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If your erection is prolonged (lasts longer than 2 hours), seek emergency treatment. Hospital treatment of priapism may include medicine to help blood leave the penis. It may also including using a needle and syringe to release some of the blood in the penis. Surgery may also be an option..
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So nighttime erections aren’t a result of touching your penis inadvertently or having sexy dreams. They’re all about your nervous system, Ramin emphasizes. But that still leaves open the question: What’s the point of this automatic response? Nobody really knows.”There is no true purpose to development of nocturnal erections,” he says.
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These erections keep your penile tissue soft and stretchy. They also prompt the smooth muscles in your penis to relax, allowing the blood to rush in and get you hard. That keeps it in fighting shape for when you’re awake and need it. Without this regular sleepytime workout, the muscles may become too contracted, and eventually, the length of your erect penis may shorten, Köhler says.
If you notice a change in your nighttime erections, best thing to do is get it checked out. And try these lifestyle tips for how to get stronger erections and stay hard. Alright, let’s say you’re having erection issues during sex and you’re having trouble determining if you’re getting nighttime erections for the obvious reason that you’re asleep.
(That would indicate that you had an erection.) This test isn’t full-proof, especially if you’re a restless sleeper who moves around a bunch. If putting stamps on your peen isn’t appealing-and we don’t blame you-you can purchase a , a portable home device to evaluate the quality of your nocturnal penile erections.
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The results are stored on the machine, making them simple to then share with your doctor. Additional reporting provided by Michelle Malia. Elizabeth Millard is a freelance writer focusing on health, wellness, fitness, and food. Marty Munson, currently the health director of Men’s Health, has been a health editor at properties including Marie Claire, Prevention, Shape and Real, Age.
You may think nothing is happening when you sleep. But parts of your brain are quite active during sleep. And enough sleep (or lack of it) affects your physical and mental health. When you sleep, your body has a chance to rest and restore energy. A good night’s sleep can help you cope with stress, solve problems or recover from illness.
Sleep helps us in many ways. We need it for: In children and young adults, deep sleep (sleep that’s harder to wake from) supports growth. The body releases growth hormone during this type of sleep. The body also increases production of proteins, which we need for cell growth and to repair damage.
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The last two stage of non-REM sleep is when you sleep deeply. It’s hard to wake up from this stage of sleep. happens about an hour to an hour and a half after falling asleep. REM sleep is when you tend to have vivid dreams. As you sleep, your body cycles through non-REM and REM sleep.
Healthcare providers call this motion hypnic myoclonic or hypnic jerk. Hypnic jerks are common and not anything to be concerned about as this occurrence is unlikely to cause any complications or side effects. This period of light sleep features periods of muscle tone (muscles partially contracting) mixed with periods of muscle relaxation.
That’s why REM sleep is the stage where you’ll have intense dreams. At the same time, major muscles that you normally control (such as arms and legs) can’t move. In effect, they become temporarily paralyzed. Usually, REM sleep arrives about an hour and a half after you go to sleep.
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