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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.

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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.

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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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    In fact, one doctor-Stuart Meloy of Winston-Salem, North Carolina-already patented one, in 1996. (More on that in a bit.) This outlook rests on reasonable foundations: Orgasms are just energy and drugs surging through brains, and we can trigger them without genital stimulation, even by thoughts alone. They usually (but not always) unfold thanks to (not always sexual) stimulation of the genitals or the nerves tied to them, which send signals up the spinal cord and into the brain.

    It consists of a small generator, to be implanted near the spine, linked to electrodes running into spinal nerves that take signals from an external remote. Those electrodes would zap the brain, via the nerves, to orgasm. Only about a dozen women have tried the Orgasmatron, and only a few reported full orgasms.

    “Every partner could be different, every action that preceded it… whether it’s make-up sex or angry sex or S&M sex or whatever it might be,” said Jim Pfaus, a sexual neuroscientist. “The quality of [an orgasm] is going to change. Your brain is interpreting it differently because of the antecedent conditions.”We don’t know much about how differing build-up colors an orgasm, or what brain activity during orgasm ties to how we interpret it.

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    The spinal surgeon was performing a routine pain-relief operation on a patient, using electrodes implanted into the spine when he hit the magic spot. The patient who was awake at the time started making rather appreciative noises, and told Dr Meloy: ‘You’ll have to teach my husband how to do that’.

    He began investigating a device that could trigger orgasms on demand, though they involved having a generator – akin to a pacemaker – surgically implanted along with the spinal electrodes. Aside from the invasive surgery requirement, there was one other problem: the generators cost $25,000 (£19,600) each. In the years since, interest in the Meloy’s orgasmatron has gone limp (sorry again).

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    The pleasure we experience after our ‘brief event’ is the result of neurohormones and endorphins – endogenous morphine. The stimulation of different nerves produces different types of orgasms (vaginal, clitoral, anal, prostate, cervical, urethral etc) meaning that there are different flavours and blends depending on your particular predilections. But if an orgasm is ultimately just a flood of chemicals to the brain, could there be an answer outside of new tech devices? What if you could take a pill that eliminated the hard work (and aching wrist) making sexual nirvana as easy as treating a headache? Recently in Pakistan, a group of patients being treated for Parkinson’s disease reported a rather unusual side effect.

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    Could this have a mass application? Would it even be desirable? The experts are sceptical. The downside, of course, is that if you cheat it and shortcut your way to climax, you miss out on all the good stuff. It’s like specifically taking the scenic route and falling asleep until you get there.

    While an orgasm button might be a way off, there’s certainly plenty of sex tech innovation to keep an eye on. Much of the innovation is coming from women, borne of a desire to close the ‘orgasm gap’ in heterosexual encounters (heterosexual women said they orgasmed 63% of the time, for men, it was 85%).

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    They’re a crucial part of wellness. The hormones released during climax are known to relieve pain, depression, and stress. Oxytocin stimulates attachment, calmness, and a sense of well-being, while dopamine contributes to a natural high, a sense of elation, and a feeling of boldness. If the pleasure isn’t enough incentive for you, think about that.

    What’s a woman to do who can’t quite attain the Big O? Also, a man fears his wife will leave him for a vibrator. Sexploration answers your queries. Got a question? E-mail us. In surveys, about a quarter of American women report some sort of orgasm snafu, either not being able to have one at all (called anorgasmia) or often getting close without being able to take that blissful leap over the edge.

    Marcalee Sipski Alexander (no relation) of the University of Alabama, Cindy Meston of the University of Texas at Austin, and of course, Beverly Whipple, who helped pioneer the effort. But even they cannot say for sure what makes an orgasm. “As of yet, no definitive explanations for what triggers orgasm have emerged,” states a review of the science authored by Meston, Alexander and others.

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    Many therapists suggest practice, practice, practice with vibrators or fingers or whatever works. Go solo at first so there is no pressure to perform. The last thing you want is for a lover to lose patience and switch on an old episode of “Green Acres.” To know if you have actually had an orgasm isn’t always easy; some are mild tremors, some are major earthquakes.

    This is good; it expands the menu. But if a woman comes to expect that same feeling to always be the one that pushes her over the edge, she can become frustrated. So keep the toys in the sock drawer for a little while and then slowly integrate them again.

    Orgasms have been much talked about in the past few years with people becoming more aware about sexuality and giving more importance to sexual pleasure in relationships. A lot has been said about how to get better and more frequent orgasms, as the female orgasms also became a subject of importance and controversy that followed.

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    The basis of the idea is that an orgasm is basically energy and drugs in motion in the brain, and it can be triggered with thoughts alone, even if there is no genital simulation. An orgasm is caused when simulation of genitals and nerves linked to them sends signals to the brain.

    Orgasms are phenomenon that occur during sexual intercourse when two partners are intimately aroused. Of course, men and women are very different in bodily structure, and there are a lot of differences in orgasm technique and effect. Science has looked further into the differences between the two sexes to find out more about which sex has the better orgasm.

    Science has shown that men and women are aroused in very different ways, and even that one gender requires more time than the other, but nevertheless, the feelings are very much similar and one gender doesn’t really experience a ‘better’ orgasm than the other, per-se. In fact, both genders have used the same exact words to describe the feelings of an orgasm.

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    Women have been socialized to believe male orgasm is more important than their own, We have been taught in America that talking about sex is inappropriate or uncomfortable, Women have been brought up to believe that asking for things or standing up for themselves is considered less attractive than a woman who agrees with or goes along with the norm It’s easier to fake an orgasm than to speak up, You’re tired of having sex or aren’t in the mood, You want your partner to feel validated despite how you feel You’re embarrassed/think something is wrong because you can never orgasm during penetrative sex Next, I want to normalize how common it is for women to have a hard time achieving orgasm in general so perhaps we might all understand that if you can’t, or don’t regularly there’s nothing wrong with you.

    I’d like to also say that while it is normal, that doesn’t mean we need to accept it, but it is well understood. Over and over again in sexual health research, the data is clear-male-female penetrative sex does not equal an orgasm for most women. In a 2019 article posted by The Kinsey Institute (a leading research group on sex and sexuality), when asked about orgasm, 22% of women reported that they had never orgasmed during penetrative sex and only 31-40% reported they regularly reached orgasm during sex.

    So, what are those 31-40% of women doing differently than the majority? Through a great deal of research (it’s interesting how we love to write, research and learn more about sex isn’t it?!), we understand the determinants of orgasm have less to do with how sexual we are or how often we masturbate and more to do with how our relationships are doing and how we communicate.

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    We communicate and connect through words, touch, nonverbal cues, and through sex. Sex is one of the deepest and most personal forms of communication between you and your partner. When you essentially lie about orgasming you’re breaking down communication in your intimate relationship when it could be used as an opportunity to strengthen communication.

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    What if you found out that five of the last 10 times you had sex with your partner they were faking their orgasms? How would it feel? Would it cause you to trust them less? Would you appreciate it? The thought of lying about something as intimate as sex creates an immediate disconnect between you and your partner.

    Even if you’re in a casual relationship or a one-night stand it matters (see #2 for details on that!) This unhealthy and unproductive feeling that is a side effect of not having your needs met or heard is unfortunately all too common when it comes to sex. If you’re lying next to your partner after sex wishing it was different, biting your tongue, unsure of how to approach the situation, it’s a really good idea to broach the topic sooner than later.

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    The whole point of sex is to become closer, physically, mentally, and emotionally. Use sex that’s less than satisfying as an opportunity to grow, don’t like something? Just say so. Really love something else, make it obvious! Need something different, bring it up. 3 of 4 This is a complicated topic.

    The timing of your conversation is also crucial. Finding a time when you have the time, you’re not in a hurry, and you’re both generally in a good mood is important. Definitely stray away from bringing something like this up during an argument or as a fighting point. I actually wrote an entire article about how to talk to your partner about sex.

    Additionally, penetrative sex alone just doesn’t do it for most women because it doesn’t stimulate the clitoris. Instructions and tips on how to achieve an orgasm could honestly be an article itself-so I’ll just list a few hot tips here and link you to some good reading if this is your goal! Try slowing down sex and increasing foreplay.

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    Try experimenting at home alone. Online ordering allows you to browse the many options of vibrators and dildos available. I really like body positive and friendly companies like Dame (woman-owned and operated) or Maude (same deal.)Never had an orgasm? Confused about the clit? Let’s get you started: I really like this Guide to Clitoral sex, it details the ins and outs of how to orgasm by stimulating the clit.

    I have a friend who’s never had an in her life-in her life! That hurts my heart.” -Nicki Minaj Don’t hurt Nicki’s heart, ya’ll. Demand that orgasm, or at least start taking a few baby steps to boost your confidence and get closer to getting what you deserve babe. All good things come to those who ask for what they want! .

    In said study, about 10% of men in their 20s and 7% of men in their 30s claim to have experienced multiorgasms. Let’s take a deeper look into what entail, as well as how to achieve them. It’s important to be able to tell the difference between an orgasm and the process of ejaculating.

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