While we are not against drugs as one possible pathway to greater confidence, we believe starting with more natural, holistic solutions should be first. We work with many men who deal with erectile dysfunction and want you to know that for many of you, there are alternative solutions, especially when the root of erectile dysfunction is psychological as opposed to physiological.
The penis is composed of three cylinders: two on the top, the corpora cavernosa and one on the bottom, the corpus spongiosum. All of these are involved in the process of an erection. The corpora cavernosa are composed of potential spaces that can distend with blood, causing rigidity of the penile shaft. The corpus spongiosum is important for rigidity of the glans of the penis. When aroused, stimulated chemicals are released from the nervous system (nitric oxide is one) that stimulate the arteries to the penis to relax and increase blood flow into the penis. These potential spaces, like a sponge, can expand when more blood flow comes in the penis. Each corpora cavernosa is surrounded by an outer coating the tunica albuginea. When the penis fills with blood, these potential spaces, the sinusoids, compress the veins in the corpora against the side of the tunica albuginea, thus preventing blood from leaving the penis. It is this compression of the veins that allows for the erection to become fully rigid.
Many men are extremely uncomfortable discussing erectile dysfunction or any other issue that has the potential to disrupt their sense of themselves as men. To do so is interpreted as a failure of male functioning and evidence they are not “real men”. Men resist disclosing any experience of erectile dysfunction for fear of being mocked or ridiculed. As such, this is not a topic likely to be discussed at barbecues.
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Medications commonly contribute to erectile dysfunction (ED). By far the most common are various blood pressure medications, including clonidine (brand name Catapres) and the many beta-blocker drugs, among others. Diuretics, which are often used in the treatment of hypertension, may also worsen ED. You might be reading this and saying, "Great! High blood pressure causes ED and the medicines used to treat high blood pressure cause ED. What am I supposed to do?" You can't let high blood pressure go untreated, because it will worsen your vascular disease overall, and increase your risk of heart attack and stroke. The goal is to find the medicines that are the least likely to worsen ED. Fortunately, ACEs and ARBs have a fairly low risk of causing ED.
Sure, this condition might be common – but isn’t erectile dysfunction a problem that only middle and senior-aged men get? It is true that erectile problems are common in older men. It often happens due to lower levels of testosterone and reduced blood flow to the penis. But this study showed that a quarter of all men under the age of 40 experience erectile dysfunction of some kind!
Currently, placement of a penile prosthesis is the most common surgical procedure performed for erectile dysfunction. Penile prosthesis placement is typically reserved for men who have tried and failed (either from efficacy or tolerability) or have contraindications to other forms of therapy including PDE5 inhibitors, intraurethral alprostadil, and injection therapy.
The key to treating erectile dysfunction is to identify the underlying cause. In many cases, it takes a fair bit of trial and error. Because the majority of ED cases are caused by physiological issues, your first step should be to talk to your doctor about your concerns. After completing a physical examination and reviewing your medical history, your doctor will ask you some questions and run some tests to rule out medical causes for your ED.
“Even before any human clinical trials were done, severe sexual dysfunction was a foreseeable consequence of taking finasteride or dutasteride,” Dr. Steven Belknap, research assistant professor of dermatology and medicine at Northwestern and lead author of the study, told Healthline. “If there was meaningful assessment of persistent sexual dysfunction in humans during the clinical development of the these drugs, this does not appear to have been reported in the medical literature, the FPI, or other publicly accessible sources.”
Aging: There are two reasons why older men are more likely to experience erectile dysfunction than younger men. First, older men are more likely to develop diseases (such as heart attacks, angina, cardiovascular disease, strokes, diabetes mellitus, and high blood pressure) that are associated with erectile dysfunction. Second, the aging process alone can cause erectile dysfunction in some men by causing changes in the muscle and tissue within the penis.
The Viagra class of drugs come out from under patent protection in nine months. Already, they're on in such first world countries as New Zealand. You can order them online for shipment to America from there as little as a buck a dose, and the quality is perfectly fine. In ten months, that's what they're going to cost here, from American manufacturers.
Many commonly used drugs can cause erectile dysfunction. Prescription medication and over-the-counter drugs can decrease libido, interfere with normal blood flow, or even cause absent seminal emission or retrograde ejaculation. In fact, 8 of the 12 most commonly prescribed medications list ED as a side effect. Medications that commonly cause ED include: