Improvements in your lifestyle, such as a eating healthy diet, reducing alcohol intake, losing weight and increasing your exercise can dramatically improve erectile dysfunction. More specific treatment usually involves: weight loss and increased exercise (this may reduced the risk of erectile dysfunction by up to 70%) treatment of any hormone abnormality (testosterone treatment is only indicated if your testosterone levels are low and may be harmful if your the levels are normal); lifestyle modification (e.g. reduce stress, stop smoking, reduce alcohol consumption & stop illicit drugs); treatment of any anatomical abnormality if present (e.g. circumcision, frenuloplasty, penile straightening); psychological support if necessary.
35-90% of diabetic men also experience ED. Hyperglycemia can have a negative impact on several aspects of erectile function. Complications and changes associated with diabetes can compromise macrovascular and microvascular structures, the nervous system, and blood vessel linings. .
GAINSWave therapy appeals to men who haven’t responded positively to other treatments. This procedure can be performed in under a half-hour, features little discomfort, and doesn’t even require an anesthetic. Little to no adverse side effects No downtime or recovery periods Doesn’t interact with prescription medications or preexisting health conditions
We do the first injection here in our office so we can show you how to do it yourself at home. It also helps us determine the correct dose for your needs.
As described above, there are many risk factors and causes for ED. Therefore, our team investigates the potential causes for each patient thoroughly and independently to ensure the best possible outcome. Our work up for ED may include:
All of these are phosphodiesterase-5 inhibitors (also known as PDE-5 inhibitors). They work by enhancing the effects of nitric oxide to relax the penile muscles, expand blood vessels that go into the penis, and improve penile blood flow. This helps improve the ability to get and maintain erections. Penile implantsVacuum erectile devices (VEDs)ED ringsBlood vessel surgeryInjectible or suppository drugsTestosterone replacement therapy (TRT)
Stendra (avanafil)Viagra (sildenafil)Cialis (tadalafil)Levitra or Staxyn (vardenafil)
Pomegranate juice. Drinking antioxidant-rich pomegranate juice has been shown to have numerous health benefits, including a reduced risk for heart disease and high blood pressure. Does pomegranate juice also protect against ED? No proof exists, but results of a study published in 2007 were promising. The authors of this small-scale pilot study called for additional research, saying that larger-scale studies might prove pomegranate juice's effectiveness against erectile dysfunction. "I tell my patients to drink it," says Espinosa. "It could help ED, and even if it doesn't, it has other health benefits."
To treat a prolonged erection, we put a small needle in your penis, drain the blood, and inject a small amount of adrenaline. If the procedure is done early, there’s usually minimal or no damage to the penis. wrong technique, expired medication, inadequate dose, scarring or deformity (curvature) of the penis, or penis infection.
Yes, prescription medication, telemedicine, and telehealth visits are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) and health reimbursement arrangement (HRA).
A penile implant is often recommended for men who have tried other treatments without success. This device, on the market for 30 years, basically gives men an erection at their discretion but does not affect the ability to ejaculate or feel orgasm.
A psychological component, often called "performance anxiety", is common in men with impotence. However, a purely psychological problem is seen in only 10%.
Instead, Espinosa suggests taking L-citrulline, which helps your body make more arginine. But, he warns, high doses can lower your blood pressure.
Taking too much tadalafil by accident can cause unpleasant side effects, including:
An extract of the Epimedium plant, it has not been well studied in humans. Toxicity is rare and generally mild. “Despite promising animal studies,” there is “no evidence of improvement in sexual health among humans.”
Implants, or prostheses, help restore firmness for many men with ED. There are two types:
Nearly 95% of men with erectile dysfunction can obtain an erection sufficient for sexual satisfaction with a vacuum constriction device. Only vacuum constriction devices containing a vacuum limiter should be used. All FDA approved devices have such a limiter. Vacuum constriction devices can be a useful second-line treatment option especially in the patient with a supportive partner in a stable relationship. Virtually all men of all ages and with all types of erectile dysfunction can have successful intercourse with a vacuum constriction device.