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Is Shockwave treatment effective for Erectile dysfunction?

Is Shockwave treatment effective for Erectile dysfunction?

In current society, erectile dysfunction (ED) is a common issue. It is more common in older people and people who are at risk for cardiovascular disease. The two primary therapy options for these patients are intravenous/intra-urethral alprostadil and oral 5-phosphodiesterase inhibitors (PDE5-I). Despite the positive outcomes of these strategies, non-responders are left without any other reasonable options.

One of the several treatments for erectile dysfunction is shockwave therapy (ED). Though the Food and Drug Administration (FDA) has not approved it, multiple studies that produced positive findings have supported the science behind this pill-free treatment.

People with vasculogenic ED, a blood vessel condition that affects blood flow to the tissue in the penis, seem to respond best to shockwave therapy. We are still uncertain of the therapy’s effectiveness with other ED reasons.

Shockwave Therapy

Recent years have seen the emergence of several cutting-edge solutions to this issue, and experiments using low-intensity extracorporeal shockwave therapy (Li-ESWT). It is applicable in the corpora cavernosa which have produced promising results.

It’s a harmless treatment that has long been utilised in orthopaedics to aid in the recovery of tendons, ligaments, and shattered bones. Additionally, LiESWT has been utilised to enhance wound healing. LiESWT has the ability to accelerate cell development and tissue repair by using focused high-energy sound waves.

Healthy blood flow to the penile tissue is necessary for erections. Shockwave therapy is regarded favourable method of promoting blood flow and rebuilding and fortifying blood vessels in the penis.

The purpose of more conventional ED treatments, such as oral drugs like sildenafil (Viagra) and tadalafil, is to improve blood flow to the penis (Cialis).

How does it work?

A pen-like device is used to deliver shockwave therapy close to certain penile regions. For roughly 15 minutes, a medical practitioner moves the device over various penile regions while it sends out moderate pulses. Anesthesia is not required.

The pulses cause the penis’s tissue to restructure and its blood flow to improve. These two adjustments can produce erections strong enough for sexual activity. There is presently no accepted recommendation for the length of time or frequency of treatment.

But according to a study and meta-analysis of clinical studies published in 2019, the most popular treatment schedule was twice weekly treatments for 3 weeks, followed by 3 weeks without therapies and another 3 weeks of twice weekly treatments. According to the research, shockwave therapy’s effects lasted for about a year.

Shockwave Therapy Candidate

It is not yet known who might benefit from shockwave therapy the most, similar to other off-label medical equipment. Theoretically, everyone dealing with chronic ED could be a candidate, but according to recent study, vasculogenic ED may benefit the most.

Studies on this topic are conflicting, however. While some studies indicated that shockwave therapy was most beneficial in cases of moderate to severe ED when used in alongside other treatments, other studies showed the opposite.

Talking with your doctor about your case is the best approach to find out if you qualify for this ED treatment, especially if you haven’t had luck with other treatments.

What about research?

The same 2019 research and meta-analysis discovered that shockwave therapy significantly improved erectile function. The best outcomes were seen in vasculogenic ED-positive individuals.

In a pilot trial conducted in 2010, it was discovered that after receiving shockwave therapy for six months, all 20 of the males with vasculogenic ED had improved erectile function. Following up with the males indicated no negative outcomes.

The Food and Drug Administration (FDA) has not yet approved shockwave therapy as a treatment for ED, despite this promising evidence. Shockwave therapy for ED may still be prescribed by some doctors, although doing so outside of a study environment is off-label.

New therapies that receive FDA approval are always associated by instructions for use and warnings about potential negative effects for patients.

Side effects

For most men, shockwave therapy is painless. And as was already mentioned, the study that is currently accessible has identified minimal, if any, negative effects.

That does not, however, imply that the surgery is risk-free. As a relatively novel medication, more investigation is required to ascertain its adverse effects, problems, and long-term efficacy.

Shockwave therapy costs

Shockwave therapy is a non-FDA-approved off-label ED treatment, therefore medical insurance is unlikely to pay for it. With an average of $450 each session, the precise fees may differ depending on the service and area.

So, if a doctor advises a twice-weekly schedule for three weeks at a time, the fees may perhaps total around $2,700.

However, you might be able to find ways to lower the cost of your treatment by collaborating with your provider. Discounted bundle prices and monthly payment plans are two alternatives.

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What is meant by erectile dysfunction nerve damage?

What is meant by erectile dysfunction nerve damage?

About 30 million men in the United States alone suffer from erectile dysfunction (ED), a frequent type of sexual dysfunction. If you struggle to get or keep an erection strong enough for sex, you may have erectile dysfunction.

Another possibility is that you can have an erection, but not frequently enough to engage in sexual activity when you want to. ED can be brought on by a number of things, including cardiovascular problems and psychological conditions including sexual performance anxiety.

Sometimes, issues with your neurological system can have an impact on how you behave sexually and either induce or exacerbate erectile dysfunction. The term “neurogenic” or “neurological ED” is used to describe this kind of erectile dysfunction.

Neurological ED

Any form of erectile dysfunction brought on by a neural system disorder is referred to as neurological erectile dysfunction, or neurological ED. The development and maintenance of an erection both before and during sex are significantly influenced by your neurological system.

Arousal and stimulation are the precursors to erections. The erectile tissue inside your penis receives impulses from neurons in your brain and pelvic region when you become aroused by physical contact or sexual imagery.

Due to the expansion of the blood vessels that supply your erectile tissue as a result of these impulses, more blood is pumped into your penis. The size and strength of an erection are a result of this blood.

The tunica albuginea, a fibrous membrane, contracts as blood continues to flow into your penis, trapping the blood inside the tissue and maintaining your erection, enabling you to engage in sex. Several factors influence this process such as:

This process may be disrupted when your nervous system is compromised, making it impossible for you to achieve and/or maintain an erection.

Causes of Neurological ED

There are a number of disorders that can lead to neurological erectile dysfunction, including neurological conditions that harm the nerves in specific areas of your body and injuries or surgeries that cause damage to your nervous system.

Typical neurological ED causes include:

Injuries to the neurological system

Sexual problems including erectile dysfunction and anejaculation are frequently brought on by injuries to the neurological system, such as spinal cord injuries (inability to ejaculate). These problems are frequently transient. For instance, after two years, the majority of men with spinal cord injuries resume some penile function, according to study.

Surgery on the bladder or prostate

The nerves and blood vessels surrounding the penis can be harmed during several surgical treatments for prostate or bladder cancer, which could result in erectile dysfunction. Many men discover that as they heal from this kind of surgery, their erection quality and sexual function gradually improve.

Diabetic nerve injury (nerve damage due to diabetes)

Diabetes, especially when it’s uncontrolled or inconsistently treated, can result in diabetic neuropathy, a type of nerve damage. Strong erectile dysfunction and poorly controlled diabetes have been linked in research. In fact, erectile dysfunction brought on by neuropathy affects 40 to 50 percent of men with diabetes.

A number of sclerosis

The central nervous system is harmed by multiple sclerosis (MS), which finally results in irreversible nerve loss. Erectile dysfunction may eventually result from this nerve injury. In some circumstances, drugs intended to treat MS symptoms may also cause ED.

Parkinson’s condition

Parkinson’s disease is an illness of the nervous system that worsens over time, and one of its symptoms is impotence. Other sexual difficulties, such as diminished sexual arousal and trouble initiating orgasm, are frequently experienced by men with Parkinson’s disease.

Epilepsy

Some epileptic males experience erectile dysfunction. The levels of sex hormones like testosterone and prolactin, which are involved in sex drive and erections, may be affected by epileptic discharges as the source of this, according to experts.

Additional neurological reasons

Heavy metal toxicity and alcoholism are two more potential reasons of neurological ED, both of which can have an impact on the nerve tissue throughout your body. if you are afflicted, more than one component may be involved in the development of your neurological ED symptoms.

Symptoms of Neurological ED

Neurological erectile dysfunction, like ED brought on by poor cardiovascular health or psychological problems, can vary in severity. Those who experience neurological erectile dysfunction may:

  • having trouble getting an erection at any time or finding it impossible
  • being able to erect yet having trouble keeping it up long enough to engage in sex
  • possess the ability to erection but not frequently enough to engage in sex when you want to

Similar signs and symptoms to cardiovascular ED can be found in neurological ED.

Treatment for Neurological Erectile dysfunction

Damage to your neural system, whether through an accident, surgery, a disease that impairs nerve function, frequently results in ED. While certain neurological ED types go better with time, others need constant care and management.

Neurological ED can be treated with a variety of ED medications, gadgets, and surgical techniques. Many men discover that they can actually result in noticeable increases in their erections and sexual performance. Although they aren’t successful for everyone.

These medicines need to be discussed with a qualified healthcare provider online. They will decide whether or not a prescription is necessary.

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What is the recovery time of Erectile dysfunction?

What is the recovery time of Erectile dysfunction?

One of the most prevalent issues with men’s sexual health is erection dysfunction (ED). ED may be a chronic issue if it is brought on by a long-term illness or other health issues. But it’s frequently only temporary.

The term “erectile dysfunction” (ED) refers to the persistent inability to achieve or sustain an erection that is strong enough and long-lasting enough for sexual activity. Anxiety over sexual performance or issues with blood flow are just two examples of medical or psychological causes of ED.

It is not unusual to occasionally have erection troubles. However, if it frequently interferes with a person’s life, they can experiment with other remedies.

By asking you to schedule a yearly appointment with your physician, our doctors at NYU Langone keep track of how well erectile dysfunction treatments, gadgets, and surgeries are working for patients. Your urologist continues to collaborate with your primary care physician or cardiologist to design your erectile dysfunction treatment so that your cardiovascular needs are also taken into account if heart-related issues were discovered to be the cause of the erectile dysfunction.

Surgical Recovery

Men are instructed to desist from sexual activity for at least six weeks following erectile dysfunction surgery, which typically requires four weeks of recovery time. Any postoperative restrictions, such as refraining from exercise, might be discussed with your doctor.

Your doctor can recommend our professional acupuncturist if you’re interested in holistic therapy to supplement your medical and surgical therapies for erectile dysfunction because she can aid with symptoms.

Acupuncture

According to acupuncture, the body’s energy pathways can become out of balance. It is believed that treating pressure points all over the body with tiny needles can relieve some health disorders’ symptoms by regulating the flow of energy.

An acupuncturist focuses on pressure points in the abdomen that are most frequently linked to erectile dysfunction.

Psychotherapy

Doctors of psychotherapy at NYU Langone are aware that erectile dysfunction can cause men to feel nervous or ashamed. Your doctor may recommend psychotherapy if they believe you would benefit from speaking with one of our psychologists. Psychotherapy can assist you in addressing your worries and regaining your self-worth and sense of wellbeing.

These issues can include low self-esteem, stress, or performance anxiety. To address any worries you both might have about how erectile dysfunction affects intimacy, you might urge your sexual partner to attend therapy sessions with you.

Talk with your doctor

When discussing ED with their doctor, many men experience embarrassment. However, if you have ED, your doctor can assist you in determining the most effective course of action.

Additionally, it’s crucial to inform your doctor of your situation because ED is frequently a sign of a more serious medical problem. Your doctor can do different linked conditions tests on you, such as those for diabetes, high blood pressure, or cardiovascular disease.

Here are some suggestions about how to have an easier talk with your doctor:

  • Prepare in advance for what you’re going to say.
  • Make a list of possible inquiries.
  • List your symptoms together with the times when you experienced them.

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Weak pennies treatment to consider for affected men.

Weak pennies treatment to consider for affected men.

The term “erectile dysfunction” (ED) refers to the persistent inability to achieve or sustain an erection that is strong enough and long-lasting enough for sexual activity. Anxiety over sexual performance or issues with blood flow are just two examples of medical or psychological causes of ED.

It is not unusual to occasionally have erection troubles. However, if it frequently interferes with a person’s life, they can experiment with other remedies.

The many ED treatment alternatives are covered in this article, including herbal remedies, complementary therapies, and pharmaceutical medications. It also looks at the risks involved.

Erection problems in young men

Additionally, ED can affect men between the ages of 20 and 30. The statistics imply that ED in young men occurs more frequently than was previously thought.

According to a 2013 study published in The Journal of Sexual Medicine, 26% of males between the ages of 17 and 40 had problems getting an erection. These examples run the gamut from mild to severe.

According to research, young men’s erection issues are more closely related to their way of life and mental health than to any physical issues. It was discovered that younger males used more alcohol, tobacco, and narcotics than older men. Also as per several research, worry or depression are the most common causes of erection issues in young men.

Treatment for Weak penis

The underlying reason of your erectile dysfunction may be treated in collaboration with a medical practitioner (ED). Selecting an ED treatment is an individual choice. However, it may be advantageous for you to discuss which course of action is best for your relationship with your partner.

Lifestyle changes

Your doctor might advise you to alter your lifestyle in order to lessen or treat ED. You may.

If you need assistance making these changes on your own, a health professional can be contacted.

Go to counseling

If psychological or emotional problems are having an impact on your ED, talk to your doctor about seeing a counsellor. You can learn how to manage your sex-related tension or anxiety from a counsellor. NIH external link Your therapist could advise you to bring your significant other along so they can learn how to help you. A physician can concentrate on treating the physical causes of ED while you work on reducing your stress or worry.

Medications

Your doctor may advise switching to a different dose or medication if a medication you need for another medical issue is also contributing to ED. Never discontinue taking a medication without first consulting your doctor.

To assist you in achieving and maintaining an erection, a medical expert might recommend one of the following oral medications:

Each of these drugs increases blood flow to the penis during sexual stimulation by relaxing smooth muscles. If you take nitrates to treat a cardiac disease, you should not take any of these medications for ED. Your blood vessels are widened and relaxed by nitrates. The result could be a quick drop in blood pressure, which could make you feel weak or lightheaded or cause you to fall and possibly sustain injuries.

If you take alpha-blockers to address prostate enlargement, let your doctor know as well. A sharp reduction in blood pressure may also result from taking alpha-blockers along with ED medications.

If you have low levels of this hormone in your blood, a doctor might recommend testosterone. However, whether your ED is brought on by circulatory or nervous issues, testosterone therapy is frequently ineffective. Additionally, taking testosterone may cause adverse effects include an elevated red blood cell count and urination issues.

Prescribe injectable medicines and suppositories

By injecting a drug called alprostadil into the penis, which causes it to fill with blood, many men can achieve harder erections. While oral medications can enhance your sensitivity to sexual stimulation, they do not automatically cause an erection like injectable medications can.

Some men choose to inject a drug instead of administering an alprostadil suppository through the urethra. A suppository is a solid medication that is inserted into the body and dissolved there. You will need to push the pellet into your urethra about an inch deep using a prefilled applicator that a medical expert will prescribe for you. It usually takes 8 to 10 minutes for an erection to start, and it might last for 30 to 60 minutes.

Discuss alternative medicines

Some men claim that taking specific alternative medications orally can help them achieve and keep an erection. But not all “natural” medications or dietary supplements are secure. Combining certain conventional and alternative treatments may result in serious health issues. Discuss your use of alternative medications, including the use of vitamin and mineral supplements, with a health care practitioner to assist ensure coordinated and safe care. Be sure to consult your doctor before ordering any medications online.

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Checkout simple tricks to cure Erectile dysfunction.

Checkout simple tricks to cure Erectile dysfunction.

Erectile dysfunction?

Erectile dysfunction is basically a disorder found in men which could be a sign of physical or psychological condition. The symptoms associated with this disorder is found in men’s reproductive organ i.e. inability to keep an erection firmer and longer enough during a sexual activity.

There are many men who experience erectile dysfunction occasionally because of stress, fatigue, alcohol, or emotional issues, but 25% of men have recurring episodes of the disorder. People dealing with erectile dysfunction will be:

  • Unable to achieve erection at anytime needed.
  • might achieve erection sometime but not when needed like during sexual activity.
  • might able to achieve erection when needed but not long enough

The Over-The-Counter Gimmicks

You must take action to restart or control the process of getting hard in order to combat ED. As a result, many gimmicks have been used over the years, as one might imagine. New, straightforward solutions are always being sought after or advertised.

Even some of them have been looked into through scant research, which is insufficient to offer much evidence. In a few investigations, menthol was found to be a “vasodilator”—something that encourages vascular dilatation.

The study, which was released in 2016 and concentrated on a small group of males, had promising findings, but it was faulty since menthol only affects the blood vessels that are located just below the skin, or cutaneous blood vessels, not the ones that are located inside the penis.

Although there are various drugs available to treat erectile dysfunction (ED), many men prefer to go the natural way. Fortunately, there are a number of original approaches that may be used to solve this problem for little money and with less work.

1. Kegel Exercises

Kegel exercises aren’t exclusively for women. Men can participate too! Regularly performing Kegel exercises will strengthen your pelvic floor, which will enhance both ED and sexual performance. You may find online instructions for the exercises, or ask your doctor for specifics, and they are quite straightforward.

On a regular basis, you should contract the muscles near the base of your pelvis, hold the contraction for three seconds, and then relax. For optimum sexual fitness, perform this 10-15 times, three times every day.

2. Everyday Exercise

Additionally effective is traditional exercise. Since arousal necessitates healthy blood flow, Aerobic exercise is crucial to maintaining a healthy cardiovascular system. Reversing erectile dysfunction can also be aided by maintaining a healthy weight. According to studies, men who have a waist circumference of 42 inches or more are 50% more likely to have ED. So take your significant other for a leisurely stroll!

3. Limiting Alcohol

One drink could help you loosen up and get in the mood, but if you have erectile dysfunction, drinking too much alcohol will swiftly lower your spirits. Alcohol might make your sexual reflexes and central nervous system less responsive.

Drinking more will make it harder for your body to feel, react, and function at its best. Additionally, long-term heavy drinking might harm the liver, which causes males to produce more oestrogen. Your satisfaction in the bedroom may increase if you cut back on your alcohol consumption.

4. Quitting Smoking

Smoking is detrimental to your cardiovascular system and causes vascular disease, which ultimately reduces blood flow to vital organs like the genitalia. You must give up all tobacco use in order to achieve optimal blood flow to all the necessary areas. Quitting smoking could make you more seductive in the bedroom if your companion is a nonsmoker. Additionally, you can work jointly to stop smoking if your partner smokes.

5. Ginseng

Ginseng is sometimes referred to as the “herbal Viagra,” and numerous studies have shown that taking 600–1000 milligrammes of it three times per day can be a successful treatment for erectile dysfunction. Make careful to purchase “red ginseng,” a dried and cooked form of the root. Consult your doctor before attempting supplements if you’re currently taking medication for ED or another illness to make sure there won’t be any harmful drug interactions.

6. L-arginine

The body naturally produces the amino acid L-arginine, which aids in the production of nitric oxide, which relaxes blood vessels to cause an erection. L-arginine users can experience significant improvements with as little as 5 grammes per day. Talk to your doctor before beginning a L-arginine regimen to ensure it doesn’t negatively interact with other medications or medical problems. It does appear to reduce blood pressure.

7. Watermelon

Amino acids save the day once more! Watermelon has high quantities of the amino acid citrulline, which appears to improve blood flow to the penis. According to one study, males who took a supplement containing citrulline noticed an improvement in their erections and felt more satisfied. You will be eating a little bit better at the very least if you include watermelon in your diet.

8. Sensate Focus

Techniques that entail experiences focused on sensation rather than performance are frequently effective for men who experience erectile dysfunction for psychological reasons. Sensate focus exercises gradually increase in intensity over a number of sessions to teach you more about your own and your partner’s bodies. It works wonders to lower anxiety and establish new habits of anticipation. More information on how to perform sensory focus exercises appropriately might be obtained from your physician or a therapist.

9. Good Conversation

One of the best natural sex tips for dealing with erectile dysfunction is to talk to your partner. A candid conversation with your partner can relieve anxiety and create a supportive environment to try various treatments. Sometimes it works best to have conversations about sex when you’re not in the bedroom.

Be very clear about your body’s changes and remember there’s more to physical intimacy and love than sexual performance. Honesty and teamwork can often be the natural wonder that improves erectile dysfunction.

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What are the drugs that can cause Erectile dysfunction?

What are the drugs that can cause Erectile dysfunction?

Summary

Sexual dysfunction is a result of a variety of medical problems and treatments. Antihypertensives, antidepressants, antipsychotics, and antiandrogens are among the medications frequently implicated.

The doctor will be able to customise therapies for the patient and his or her partner by being aware of the potential for drug-induced sexual issues and their detrimental effects on adherence to treatment.

Good clinical treatment necessitates facilitating a conversation with the patient regarding sexual function and offering solutions to the issue.

Introduction

Sexual dysfunction in both men and women is a result of several prescription drug groups. A patient’s likelihood of not adhering increases if they experience drug-induced sexual dysfunction. Antipsychotics and antihypertensives have been found to have this effect. Less information is known on female or couple problems, and the literature has emphasised male sexual disorders.

Alcohol, opioids, stimulants, and hallucinogens are examples of recreational drugs that can alter sexual function. Alcohol consumption has a short-term impact on sexual desire by lowering inhibitions, but it also lowers performance and delays climax and ejaculation. Contrary to what their spouses frequently describe, many substance users claim to have greater sexual function.

The phases of sexual desire, arousal, and orgasm make up sexual function. Any of these periods might be problematic for both men and women. A person’s partner may also be impacted by low desire, lack of swelling and lubrication in women, erectile dysfunction, premature, retrograde, or absent ejaculation, anorgasmia, and painful sex.

Medications resulting in Erectile dysfunction

You might want to start by looking in your medication cabinet if you are having trouble getting or keeping an erection. Many prescription and over-the-counter medications have the potential to cause erectile dysfunction. While these medications may be used to treat an illness or condition, they can also have an impact on a man’s hormones, nervous system, and blood circulation, which might lead to ED or raise the risk of ED.

Below is a list of medications that could result in ED. To rule out any medications as a cause of, or contributor to, ED, talk to your doctor about the medications you are now taking.

Medicine to lower blood pressure

Although all blood pressure drugs have the potential to result in erectile dysfunction, “diuretics” (sometimes known as “water pills”) are the most likely to do so. Following are a few blood pressure drugs that frequently result in ED:

  • Chlorothiazide, chlorthalidone, and hydrochlorothiazide are examples of thiazide diuretics.
  • Furosemide, Torsemide, and Ethacrynic Acid are examples of loop diuretics.
  • Spironolactone
  • Clonidine
  • Guanethidine
  • Methyldopa
  • Lastly, Beta-blockers, another class of heart medication, carry a negligible risk of ED. Popular medications such as metoprolol (Lopressor), atenolol (Tenormin), propranolol (Inderal), and bisoprolol are among them (Zebeta).

There is some good news if you take one of these drugs and experience ED. ED is not frequently brought on by the following blood pressure medications:

  • ACE inhibitors such as lisinopril, benazepril, enalapril, ramipril, quinapril, and ramipril
  • Alpha-blockers such as doxazosin, prazosin, and terazosin

Cholesterol-lowering drugs

Contrary to popular belief, statins (drugs used to decrease cholesterol) such as atorvastatin, simvastatin, and rosuvastatin do not result in ED. Self-reported erectile function for men with ED who take statins for elevated cholesterol really improves by 25%. It’s a win-win situation because the statin also promotes heart and then brain health.

Antidepressants

Low sex drive and erectile dysfunction are frequently brought on by depression. However, a lot of antidepressants might worsen erectile dysfunction and low sex drive.

Examples of antidepressants that cause ED include the following:

  • SSRIs include sertraline, fluoxetine, citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), and paroxetine (Paxil) (Zoloft)
  • SNRIs include duloxetine, venlafaxine, and desvenlafaxine (Effexor, Pristiq) (Cymbalta)
  • MAOIs include tranylcypromine, phenelzine, and isocarboxazid (Marplan) (Parnate)
  • Amitriptyline, nortriptyline, and clomipramine are examples of tricyclic and tetracyclic antidepressants.

The most often prescribed antidepressants and those that are most likely to result in ED are SSRIs (selective serotonin reuptake inhibitors). This is unfortunate because SSRIs are some of the best available antidepressants.

The following antidepressants have a lower risk of causing erectile dysfunction:

  • Bupropion (Zyban) (Zyban)
  • Mirtazapine (Remeron) (Remeron)
  • Patches for selegiline (Emsam)

Finally, discuss this with your doctor if you believe your antidepressant is contributing to erectile dysfunction.

Antihistamines

Erectile dysfunction can also be brought on by antihistamines like Benadryl, Dramamine, and Phenergan. Histamine, a substance in the body that has a role in both allergic reactions and good erections, is blocked by antihistamines.

Acid reflux medications

Similar to antihistamines, some H2 blocker medications used to treat acid reflux can disrupt histamine and result in erectile dysfunction. Cimetidine (Tagamet), a medication in this class, carries the highest risk for ED, but ranitidine (Zantac) and famotidine (Pepcid) carry a lower risk.

Opioid pain medications

Opioids and ED go hand in hand as well. Long-term opiate use can cause low testosterone and erectile dysfunction. Medications that contain opioids include morphine, oxycodone, and hydrocodone.

Do not stop taking the medicine if you have ED and suspect it might be related to your prescription without first talking to your doctor. Your doctor might be able to recommend a different drug if the issue continues.

The following recreational and regularly misused drugs are among those that can induce or lead to ED:

  • Alcohol /Amphetamines
  • Barbiturates
  • Cocaine
  • Marijuana
  • Methadone
  • Nicotine /Opiates

ED is not frequently discussed, aside from the well-known negative effects that using and abusing these medicines can have. However, using these medications can result in ED. These medicines can seriously harm blood vessels and result in persistent ED in addition to affecting and frequently suppressing the central nervous system.

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What are the best medicines for ED without side-effects?

What are the best medicines for ED without side-effects?

What is erectile dysfunction?

Erectile dysfunction is basically a disorder found in men which could be a sign of physical or psychological condition. The symptoms associated with this disorder is found in men’s reproductive organ. It is an inability to keep an erection firmer and longer enough during a sexual activity.

There are many men who experience erectile dysfunction occasionally because of stress, fatigue, alcohol, or emotional issues, but 25% of men have recurring episodes of the disorder. People dealing with erectile dysfunction will be:

  • Unable to achieve erection at anytime needed.
  • might achieve erection sometime but not when needed like during sexual activity.
  • might able to achieve erection when needed but not long enough

Introduction

You are not alone if you experience erectile dysfunction (ED). In the US, an estimated 18 million men struggle from ED. Despite being prevalent, ED can have a negative impact on your close relationships, as well as your physical and mental health. Fortunately, it has been demonstrated that most men can successfully treat ED with drugs that have been approved by the Food and Drug Administration (FDA).

Lets discuss some of the most popular FDA-approved drugs in this post, along with each one’s dosage, price, and potential adverse effects. I’ll also go through the duration of each prescription, the safest medications, and the medical issues that the medication may effect.

The majority of men may treat ED safely and effectively using ED medicines. Since prescriptions are required for all medications, speaking with your doctor will help you decide which, if any, is best for you.

How Does ED Medication Work?

The initial line of treatment for erectile dysfunction is frequently oral medicines. These drugs perform well and have few adverse effects for the majority of men who struggle to maintain an erection strong enough for intercourse (erectile dysfunction).

Oral drugs such as sildenafil (Viagra), vardenafil (Levitra, Staxyn), tadalafil (Cialis), and avanafil (Stendra) work to treat erectile dysfunction by boosting the effects of nitric oxide, a substance your body naturally generates that relaxes the penile muscles. As a result of the increased blood flow, you can respond to sexual stimulation by getting an erection.

ED drugs are safe when used by healthy people as prescribed and may help men have more fulfilling sexual experiences.

How oral medications differ

Each oral drug has a somewhat different chemical composition even though they all function in a similar fashion. These insignificant variations have an impact on how each prescription functions, including how quickly it takes action and wears off as well as any potential side effects. These elements, together with any additional medical issues you may have and any drug interactions, will be taken into account by your doctor.

  • Sildenafil (Viagra) – One hour prior to having sex, take this drug on an empty stomach for best results. If you suffer from mild to moderate erectile dysfunction, it remains effective for at least four to five hours.
  • Vardenafil (Levitra, Staxyn) – This medicine can be taken with or without food and is most effective when taken an hour prior to intercourse. It could not absorb as quickly if you eat a meal that is high in fat. If you have mild to severe erectile dysfunction, vadenafil will work for at least four to five hours. A more recent medicine formulation that dissolves on the tongue might function more quickly than a pill that you swallow.
  • Tadalafil (Cialis) – This drug should be consumed one to two hours prior to having intercourse, with or without meals. For up to 36 hours, it works. It can be consumed either in a little daily dose or a bigger quantity if required.
  • Avanafil (Stendra) – Depending on the dosage, this medicine may be taken with or without food 30 minutes prior to sexual activity. It might endure for six hours.

The American College of Physicians advises making the decision depending on your preferences, including the cost, simplicity of use, duration of the drug’s benefits, and adverse effects because both medications are similarly effective. Sildenafil, vardenafil, and tadalafil are all available in generic form.

Are Oral medicines unsafe?

Get your doctor’s approval prior to taking any erectile dysfunction medicine. If any of the following apply to you, erectile dysfunction drugs may not work or may be hazardous.

  • Take nitrate medications, which are frequently prescribed for angina (chest discomfort), include nitroglycerin (Nitro-Dur, Nitrostat, etc.), isosorbide mononitrate (Monoket), and isosorbide dinitrate.
  • possess either uncontrolled high blood pressure or extremely low blood pressure (hypotension) (hypertension)
  • have a serious liver condition
  • a renal condition that necessitates dialysis

Side effects of ED medications

The majority of guys who take oral erectile dysfunction drugs don’t have any issues with side effects. When side effects do materialise, they may comprise:

  • Flushing /Headache /Indigestion
  • A blue tint to the eyesight, sensitivity to light, or impaired vision are some examples of visual alterations.
  • runny or stuffed nose
  • back ache

Rarely, more severe side effects can develop, such as: loss of eyesight or hearing. Following the use of one of these drugs, some men experienced an unexpected loss of hearing or eyesight. It is unclear, however, whether vision or hearing loss was a direct result of using the medicine or was brought on by a pre-existing illness. Seek immediate medical assistance if you’re taking an oral erectile dysfunction prescription and experience a sudden loss of hearing or vision.

Conclusion

Erectile dysfunction medicines are generlally safe and effective when treated with proper precaution and prescription provided by the health rpofessional. However as per comparative studies and research on these ED medicines, the Boston University School of Medicine claims that vardenafil (Levitra), which is 10 times more biochemically active than sildenafil (Viagra), may have the lowest risk of adverse effects because it can induce erections with a smaller dose.

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Is there a permanent cure for Erectile dysfunction?

Is there a permanent cure for Erectile dysfunction?

What is erectile dysfunction?

Erectile dysfunction is basically a disorder found in men which could be a sign of physical or psychological condition. The symptoms associated with this disorder is found in men’s reproductive organ i.e. inability to keep an erection firmer and longer enough during a sexual activity.

There are many men who experience erectile dysfunction occasionally because of stress, fatigue, alcohol, or emotional issues, but 25% of men have recurring episodes of the disorder. People dealing with erectile dysfunction will be:

  • Unable to achieve erection at anytime needed.
  • might achieve erection sometime but not when needed like during sexual activity.
  • might able to achieve erection when needed but not long enough

Causes of Erectile dysfunction

There are many factors involved in male sexual arousal, including hormones, emotions, nerves, muscles, and the blood vessels. There are a number of factors that can contribute to erectile dysfunction. It is also possible for erectile dysfunction to be caused or worsened by stress and mental health concerns.

Following are multiple reasons due to which men may experience erectile dysfunction.

  • Diabetes, especially uncontrolled type 2 diabetes
  • High blood pressure
  • Atherosclerosis (hardening of the walls of the arteries)
  • Chronic kidney disease (CKD)
  • Fatigue
  • Drug abuse
  • Excessive alcohol or tobacco consumption
  • Certain medications (antidepressants, blood pressure medications, sedatives, appetite suppressants, or medications to treat prostate cancer)
  • Injury to the brain or spinal cord
  • Psychological issues, such as anxiety, stress, or depression, or relationship problems
  • Radiation therapy to the testicles or pelvic region
  • Hypogonadism (reduced levels of the male hormone testosterone)
  • Multiple sclerosis
  • Stroke
  • Parkinson’s disease
  • Obesity
  • Surgeries on the bladder or prostate
  • Lack of physical activity

Permanent cure for Erectile dysfunction

A recurrent struggle to achieve and maintain an adequate erection for pleasurable sexual activity is known as erectile dysfunction, or ED.

A complex process including blood vessels, nerves, muscles, brain signals, and psychology goes into achieving and sustaining an erection. Problems can arise along the route because there are so many steps involved. However, unless it occurs to you, you might not be aware of how frequent it is. Fortunately, not all ED-related causes are serious or long-lasting.

Let’s go over a few of the treatable reasons of ED. When we use the term “curable/cured,” we refer to ED conditions that can be prevented or treated without the need of drugs, surgery, injections, or implants.

1. Medication side effects

At least 25% of all occurrences of ED are caused by drugs that can have ED as a side effect. Diuretics, a class of pharmaceuticals used to treat high blood pressure, several antidepressants (particularly SSRIs and SNRIs), some indigestion treatments, some antihistamines, and some opioid painkillers are the worst offenders. However, to a lesser extent, Parkinson’s drugs, some chemotherapies, and some prostate cancer treatments can also lead to ED.

Speak to your doctor about your medication if you believe it may be the cause of your ED. They might advise you to take it less frequently, stop taking it altogether, or switch to a different medicine with a lower risk of ED.

2. Recreational drugs and nicotine

Though you would believe that using alcohol, marijuana, cocaine, heroin, methadone, amphetamines, or barbiturates can increase arousal and sexual confidence, the truth is quite the opposite. All of these drugs can actually make it much more difficult to achieve and maintain a good erection. So avoid using drugs. They won’t achieve anything but disappointment.

Similar to how it affects becoming hard, nicotine (both smoked and vaped) can make it harder to inspire sexual desire in the first place.

Look at your social habits if you’re having sexual dysfunction. Do you smoke, consume beer, use marijuana or other drugs recreationally? If you do then there is a good likelihood that these could be the root of your erectile dysfunction.

3. Obesity

By raising your risk for conditions including type 2 diabetes, high blood pressure, and high cholesterol, all of which are factors in erectile dysfunction (ED), obesity and extra fat around the waist can contribute to ED. Did you know that obesity affects the amount of testosterone in your body? Your erection maintenance and sex drive are also impacted by low testosterone levels. More on that will follow.

If you are obese, resolving your erectile dysfunction is only one of the numerous advantages to losing weight via healthier food and regular exercise.

4. Hormone imbalances

Erectile dysfunction can be brought on by low testosterone levels, excessive prolactin levels, aberrant thyroid hormone levels, and abnormal cortisol levels.

A hormone imbalance can improve ED symptoms by being treated. For instance, a 2004 research of 51 males with ED brought on by high prolactin levels revealed that when their high prolactin levels were treated over 6 months, both sexual function and low testosterone levels improved.

5. Obstructive sleep apnea (OSA)

According to a 2009 research of 401 German males, ED occurs more frequently in men with OSA (69% vs. 34% of men without OSA). Although the exact cause is yet unknown, it appears to be connected to nightly low blood oxygen levels.

Obstructive sleep apnea-related ED can be treated. A 2013 research of males with OSA and ED supported this finding, demonstrating that therapy with a nighttime breathing mask (CPAP) to raise low blood oxygen levels enhanced sexual performance.

6. Psychological or emotional causes

The physical processes that result in an erection are greatly accelerated by the brain. Because of this, erectile dysfunction can be brought on by traumatic experiences in the past, anxiety linked to performance, relationship issues, stress, anxiety, and depression, among other things. ED frequently results from problems with both mental and physical health.

Counseling, psychotherapy, and therapies for stress, anxiety, and depression are ways to address these issues, which will help with ED symptoms as a result.

7. High Cholesterol

Blood arteries, especially those in the penis, can be harmed by an excess of cholesterol, which can also lead to ED.

It’s very clear from the studies that lowering your high cholesterol levels will also help your ED symptoms. Men with high cholesterol and ED who took statins (drugs that decrease cholesterol), such as atorvastatin, simvastatin, and rosuvastatin, showed a 25% improvement in their erectile function, independent of age, according to a 2014 meta-analysis of 11 randomised trials.

8. Biking

Erectile dysfunction may have a (reversible) cause that involves biking. According to the hypothesis, spending a lot of time in the saddle on a bike might put strain on the nerves and blood arteries that supply the penis, which can lead to numbness and occasionally erectile dysfunction.

Simple modifications to your bike seat may help with ED symptoms if you ride a bike frequently. Riders with ED who are serious about their riding should select wide seats without a nose and check that the seat is at the proper height and not tilted up. There is evidence for this: For instance, a 2002 German study discovered that although padding did not appear to make much of a difference, wide saddles were preferable than narrow ones for maintaining blood flow to the penis.

Conclusion:

Therefore, erectile dysfunction is treatable, but it relies on the underlying cause. Some ED-related factors are simpler to “treat” than others. But with the correct diagnosis, encouragement, and care, ED may be cured without the need of ED drugs like Viagra (sildenafil) or Cialis (Tadalafil).

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Can stress management help in preventing ED?

Can stress management help in preventing ED?

Everybody encounters stress. Our bodies are geared toward sensing stress and responding to it. It keeps us vigilant and prepared to prevent threats. However, persistent stress causes the body to degenerate and can lead to issues like erectile dysfunction. The secret to managing stress is figuring out what situations in your life are contributing to it and finding solutions to change them.

Erectile dysfunction

Erectile dysfunction is basically a disorder found in men which could be a sign of physical or psychological condition. The symptoms associated with this disorder is found in men’s reproductive organ i.e. inability to keep an erection firmer and longer enough during a sexual activity.

There are many men who experience erectile dysfunction occasionally because of stress, fatigue, alcohol, or emotional issues, but 25% of men have recurring episodes of the disorder. People dealing with erectile dysfunction will be:

  • Unable to achieve erection at anytime needed.
  • might achieve erection sometime but not when needed like during sexual activity.
  • might able to achieve erection when needed but not long enough

Stress

The body’s response to any change that necessitates a modification or response in order to sustain normal function is stress. When something changes, the body may respond physically, emotionally, or mentally.

Stress is typically a result of your circumstances, and it is typically momentary (like an upcoming project deadline, exams, a new baby on the way, relationship struggles or retirement). On the other hand, anxiety encompasses more than just being stressed, anxious, or worried. After the initial source of stress or worry has passed, anxiety is the continued feeling of stress or worry.

Why does stress lead to erectile dysfunction?

The first thing to realise about stress is that it has both physical and psychological impacts. Continuous stress can result in a lengthy variety of symptoms, which when combined can lead to issues both in and outside of the bedroom, such as:

  • Irritability
  • low mood
  • difficulty sleeping
  • Headaches
  • chest pain
  • Heartburn
  • diarrhoea or indigestion

It’s also important to realise that in order to get an erection, you must be sexually stimulated. It may be difficult to get enthusiastic enough for sex if you’re under a lot of stress since you may lose your sex drive. Even if you are successful in getting an erection, you can have trouble keeping it up.

A vicious cycle of deteriorating symptoms can also be brought on by stress. Stress-related ED might actually cause you to feel more anxious because you worry about “failure to perform.” Your symptoms might develop as a result of this performance anxiety, making it challenging for you to finish the cycle.

Some lifestyle choices that either cause or contribute to ED are influenced by stress and anxiety, including:

  • Usage of illicit drugs
  • nicotine use
  • excessive alcoholic beverage use
  • a sedentary way of life

Causes of Stress resulting in ED

Everything, including negative things, can lead to stress. Your body responds to these modifications physically, mentally, and emotionally. Sometimes we are unaware of the myriad factors that stress is influenced by as well as the problems that stress can lead to.

Men of all ages can experience sexual dysfunction due to a variety of stressors, including but not limited to the following:

  • Marriage
  • Deadlines
  • legal issues
  • job loss
  • Divorce
  • a new job
  • Retirement
  • Money issues
  • Illness
  • Parenting

Dangers of Chronic Stress

A sustained adrenaline rush brought on by an urgent risk, such as a fire or a car accident, is not the same as chronic stress. A constant flow of adrenaline stresses your arteries and wears down your body.

Your blood vessels resemble a firehose. They can withstand extremely high pressure when your heart is working hard and quickly, particularly when you require more oxygenated blood in an emergency, but they cannot withstand pressure that is constant.

Chronic stress is comparable to watering your yard continuously for 12 hours with a fire hose. The fire hose will also be destroyed by that burst of high-pressure water, which will likewise devastate your landscape. The worst type of stress on your body is the ongoing daily stress you experience from things like work, family, and traffic.

Your blood arteries are like a fire hose; they can withstand pressure for a little period of time to put out the occasional fire, but not continuously throughout the day. And do you know where in the male anatomy those priceless blood vessels are required to maintain an erection?

Adequate blood flow is important for erections. One of the primary reasons of erectile dysfunction, a persistently stressful atmosphere will eventually harm the way your blood vessels operate (ED).

De-stress for better Sex life

Different strategies elicit different reactions from different people. Finding a stress-reduction strategy that works for you will probably result in reduced erectile dysfunction and increased sexual satisfaction. Several methods to lessen stress include:

  • Meditation
  • Yoga
  • Exercise (150 minutes of moderate intensity)
  • Limit caffeine,
  • Drink less alcohol
  • decrease nicotine
  • Dance
  • Laugh
  • Socialize
  • acupuncture

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Atherosclerosis and Erectile Dysfunction: A Vulnerable Rush

Atherosclerosis and Erectile Dysfunction: A Vulnerable Rush

An increasing number of men suffer from erectile dysfunction. Two-thirds of men over 70 have significant symptoms of erectile dysfunction, and up to 39% of men under 40 report some degree of erectile dysfunction.

There is no immediate threat to life from erectile dysfunction, but that does not mean it is not serious. The rate of depression and decreased enjoyment in life is higher among men with erectile dysfunction (ED).

There might be a misconception that ED (erectile dysfunction) has nothing to do with your heart. ED, however, could be an indication that your arteries are clogged.

There’s nothing more important than blood flow. It is essential that blood has no trouble getting to your penis for you to obtain and maintain an erection. In people with ED, it is possible that one or more of their blood vessels have narrowed or been blocked.

Your arteries can become clogged with plaque if they are not clean. The disease is known as atherosclerosis, which is characterized by hardening of the arteries due to plaque buildup.

Erectile dysfunction

Erectile dysfunction is basically a disorder found in men which could be a sign of physical or psychological condition. The symptoms associated with this disorder is found in men’s reproductive organ i.e. inability to keep an erection firmer and longer enough during a sexual activity.

There are many men who experience erectile dysfunction occasionally because of stress, fatigue, alcohol, or emotional issues, but 25% of men have recurring episodes of the disorder. People dealing with erectile dysfunction will be:

  • Unable to achieve erection at anytime needed.
  • might achieve erection sometime but not when needed like during sexual activity.
  • might able to achieve erection when needed but not long enough

Atherosclerosis

Whenever plaque builds up on the interior walls of your arteries, the condition is known as atherosclerosis. Blood and oxygen are transported from the heart to the rest of the body through the arteries.

There are several substances that make up plaque, including fat, cholesterol, calcium, and others. Plaque builds up in your arteries, causing them to narrow and harden.

During heartbeats, blood flows through the arteries to reach different parts of the body. In order for blood to reach the penis, it passes through the belly arteries and then branches off. As a result of an erection, these arteries widen, or dilate to cause an erection. This makes the penis swell due to more blood flow.

Atherosclerosis and ED

Having erectile dysfunction can indicate that some of the blood vessels lining that path aren’t in good condition. Despite not having a blocked artery, you might have an issue with the lining of your blood vessels. Erectile dysfunction can occur for a variety of reasons, not just atherosclerosis. If you have this problem, you should see a doctor to figure out what’s causing it.

Blood supply blockage

It is necessary for the blood vessels in the penis to be robust, in order for blood flow to increase rapidly during an erection. There is usually a problem with blood vessels everywhere when someone suffers from erectile dysfunction. In the early stages of atherosclerosis, this can signal increased risk.

When sexually arousing, blood flow needs to be opened wide in the penis. When you exercise, your heart’s arteries need to be wide open so that blood can flow freely. For this purpose, the inside lining of blood vessels (endothelium) releases chemicals on demand.

It is possible for high blood pressure, diabetes, or smoking to damage the endothelium. In addition, they contribute to the development of atherosclerosis.

As soon as the endothelium is damaged, the arteries cannot expand as well, so blood flow is reduced. Erections are less firm when there is less blood flow into the penis

The Early Warning Sign

Additionally, the endothelium functions as a maintenance crew to stop the formation of atherosclerotic plaques. Before atherosclerotic blockages are visible, the endothelium is damaged.

Erectile dysfunction has long been acknowledged by medical professionals as a “early warning symptom” of atherosclerosis. Erection problems are typically a sign that atherosclerosis is developing. In the arteries of the heart or brain, atherosclerosis may already be present if there is erectile dysfunction.

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