DO NOT change or stop taking any medicine without first talking to your provider. Talk to your provider if your erection problems have to do with a fear of heart problems. Sexual intercourse is usually safe for men with heart problems. Call your provider right away or go to an emergency room if you are taking ED medicine and it gives you an erection that lasts for more than 4 hours. American Urological Association website.
What is erectile dysfunction? Updated June Accessed October 15, Burnett AL. Evaluation and management of erectile dysfunction. Campbell-Walsh Urology. Philadelphia, PA: Elsevier; chap Erectile dysfunction: AUA guideline. J Urol. PMID: pubmed. Updated by: Linda J.
Editorial team. Erection problems. Disease: Diabetes High blood pressure Heart or thyroid conditions Clogged arteries atherosclerosis Depression Nervous system disorders, such as multiple sclerosis or Parkinson disease Medicines: Antidepressants Blood pressure medicines especially beta-blockers Heart medicines, such as digoxin Sleeping pills Some peptic ulcer medicines Other physical causes: Low testosterone levels.
This can make it difficult to get an erection. It can also reduce a man's sex drive. Nerve damage from prostate surgery. Nicotine, alcohol, or cocaine use. Spinal cord injury. In some cases, your emotions or relationship problems can lead to ED, such as: Poor communication with your partner.
Feelings of doubt and failure. Stress, fear, anxiety, or anger. Expecting too much from sex. This can make sex a task instead of a pleasure. Symptoms may include any of the following: Trouble getting an erection Trouble keeping an erection Having an erection that is not firm enough for intercourse Less interest in sex. Exams and Tests.
Your provider will perform a physical exam, which may include: Taking your blood pressure Examining your penis and rectum to check for Pleasure - Terminal Erection - Terminal Erection (Cassette) Your provider will also ask questions to help find the cause, such as: Have you been able to get and keep erections in the Pleasure - Terminal Erection - Terminal Erection (Cassette) Are you having trouble getting an erection or keeping erections? Do you have erections during sleep or in the morning?
How long have you had trouble with erections? Do you drink, smoke, or use recreational drugs? What is your state of mind? Are you stressed, depressed, or anxious? Are you having relationship problems? You may have a number of different tests to help find the cause, such as: Urinalysis or blood tests to check for health conditions such as diabetes, heart problems, or low testosterone A device you wear at night to check for normal nighttime erections Ultrasound of your penis to check for blood flow problems Rigidity monitoring to test how strong your erection is Psychological tests to check for depression and other emotional problems.
These include: Getting exercise Eating a healthy diet Losing extra weight Sleeping well If you and your partner have trouble talking about your relationship, it may cause problems with sex. Lifestyle changes alone may not be enough.
There are many treatment options. Pills you take by mouth, such as sildenafil Viagravardenafil Levitra, Staxynavanafil Stendraand tadalafil Adcirca, Cialis. They work only when you are sexually aroused.
They usually start to work in 15 to 45 minutes. Medicine inserted into the urethra or injected into the penis to improve blood flow. Very small needles are used and do not cause pain.
Surgery to place implants in the penis. The implants may be inflatable or semi-rigid. A vacuum device. This is used to pull blood into the penis. A special rubber band is then used to keep the erection during intercourse. Testosterone replacement if your testosterone level is low. This comes in skin patches, gel, or injections into the muscle. You may not be able to use these drugs if you have any of the following conditions: Recent stroke or heart attack Severe heart disease, such as unstable angina or irregular heartbeat arrhythmia Severe heart failure Uncontrolled high blood pressure Uncontrolled diabetes Very low blood pressure Other treatments also have possible side effects and complications.
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