I think Metro is the urology department, for erectile dysfunction known as ED in general and want to clarify many of the common myth there.Myth: Most men suffer from ED
Fact: - About 50 percent of some mild, of men over the age of 40 has some serious with some degree of ED. That? And approximately 30 million men in the United States, and millions more overseas. ED is common.Myth: "anything be done about ED can not" or "Viagra did not work - so, nothing will!"
Fact: 20 years ago, there was a cure for some of the ED. You maybe interested in penis erection systems. There are way more effective and proven to improve erectile problems there now, including, but not limited to Viagra. View tips to getting bigger erections. You will learn which of the many treatment best for you to sit down with health care professionals only. For more information about the options available, please click here.Myth: "It is all in my head."
Fact: A few years ago, doctors felt that psychological problems 90%, 10% of the problem was caused by physical and ED. Now doctors know that it has the opposite true. Caused by a physical problem with about 90% of the problem of erectile nerve blood vessels, or vein, only about 10% of cases are caused by a problem is mainly psychological. It can have some degree of depression even if you have a problem related to anxiety, stress and erection is very common. However, in most cases, is not before come after these physical problems, has caused a problem of erection.Myth: most men will seek help for ED physicians
Fact: Most men ask for help to a doctor is not available. Check out also causes symptoms hereditary erectile dysfunction. It is 10 to about 15% of men despite the fact that effective treatment that has been around for many years, with erection problems is estimated to ask for help. Embarrassment, fear, discomfort, from the treatment required for them to support themselves and their partners, will hold a lot of men talking about the theme.Myth: ED is a natural part of aging.
Fact: The erection is not a natural part of aging. As men get older, we have developed a number of medical problems, or into drugs, smoking and drinking continue to have led to the ED. Check out also sneezing during erection. It may be to develop a problem other people in their 40s, some older men, you can avoid the ED. Often, the difference between these men, the number of risk factors they have (Smoking is one example) has become. You maybe interested in erection pump walmart. Once you have identified the risk factors you and your doctor can cause ED, the change may reduce the risk of worsening it, or to improve an erection immediately. View using condom as erection ring.Be able to help over-the-counter herbal treatment: myth
Fact: Unfortunately, over-the-counter and herbal products (OTC), it may be useful for the treatment of erection problems has not been shown. You maybe interested in medical erection exam. Yohimbine, Andro, Enzyte, other OTC products, has not been proven in legitimate medical research in order to strengthen so that it can be retrieved to maintain, or achieve an erection. . Rather than product reliability increased, Herb - The success rate in the range of 95 from 50 percent 30% of men feel support be able to experience the "effective" placebo "These products are prescription from your doctor You will need.Is a matter of "man" in just a matter of erection Myth:
Fact: erection problems, ED is not a "human problem" just unfortunately is a matter of a couple. Partners are suffering as well. Depression, masculinity, sense of insecurity was lost - these feelings, and sleep separately to avoid their partner, can cause difficulty of husband and wife, and many other negative behavior, " You can lead a man to clam up ". Because the men and their partners of the effects of ED, we are a partner, because they do not recommend to be part of the visit of the office, can be part of the solution.Other frequently asked questions: Cause of the ED
Cause of erectile dysfunction is a physical and psychological. Reduced blood flow to the penis and leaking of blood of the penis, is the most common cause. A partial list of many causes of ED are as follows.
- Vascular disease
- Drug use / drug
- Hormonal imbalance
- Due to nerve
- Pelvic trauma surgery
- Peyronie's disease
- Venous leak
- Cause psychological
Arteriosclerosis, or hardening of the arteries stenosis, there is likely to cause impotence and a decrease in blood flow throughout the body. It is in men over the age of 60 is associated with age of 50% to 60% of impotence, to the account. Risk factors can speed up the development of arteriosclerosis is as follows. See l arginine dose and erection.
- High cholesterol
- Alcohol abuse
High levels of blood glucose associated with diabetes, in many cases, small blood vessels and nerves diabetes damage to the entire body can impair nerve impulses and blood flow necessary for erection. It will also damage the veins often cause a leakage of blood, lying under the skin of the penis. This venous leak, many diabetic patients, the trouble is to get an erection before noticing the difficulty powerful, and then explain why you will notice that the first to maintain an erection. Approximately 60-80% of diabetic men will experience ED at some point in their life.Medicine
High blood pressure medicine, heart, anti-depressants, including the drug occurs or for tranquilizer, sedative, you have more than 200 prescription drugs may contribute to impotence. See record erection. Can lead to cold medicine and an antihistamine, erectile dysfunction, especially in the number of over-the-counter drugs. Long-term use of alcohol and illicit drugs, may affect the blood vessels and the nervous system, are associated with erectile dysfunction. View cannot maintain erection.Hormonal imbalance
Hormonal disorders is less than 5 percent of the men is the main cause of ED. It is a higher proportion, may contribute as one of many factors. Testosterone (not necessarily occur), which is the main male hormone that can be endurance / strength loss of libido (sexual desire), poor erection, fatigue, depression, reduced when low. In other conditions, an excess of the hormone prolactin by the pituitary tumor, you can reduce the level of testosterone. Hormonal imbalance, there is likely to occur as a result of kidney or liver disease. Low libido, but also is often the main symptom of low testosterone, depression, psychological problems can be caused by a dispute between husband and wife. Testosterone level as close to the peak of the best this time, when tested before 10, and drop it in the afternoon and evening.Due to nerve
They damage the brain and spinal cord (eg, paraplegia or stroke), there is likely to cause erectile dysfunction when to interrupt the transmission of nerve impulses from the brain to the penis. For example, other neurological disorders, multiple sclerosis, Parkinson's disease, such as Alzheimer's disease can cause impotence.Pelvic trauma surgery
Trauma to the spinal cord, can cause damage to the blood vessels and nerves needed for erection or pelvic area. Surgery of the rectum, can cause damage to the nerves and blood vessels involved in erection colon, prostate, or bladder. You maybe interested in how much ginkgo biloba for erection. Cancer surgery, in particular, you need to remove the nerves surrounding the affected area increases the possibility of extra tissue and impotence frequently. Removal of the prostate and bladder often leads to impotence. A new nerve-sparing technique with the aim of lowering the incidence of impotence is currently being developed, that are used in these surgeries. Partial erection, but may be possible to return an erection before, it takes a long time as 6 to 18 months. Even nerve-sparing procedure, many men have a mild to moderate ED yet. Check out also female nurse erection. Nerve-sparing is not intended to be spared to ensure that the full force and effect.
Prostatectomy will need to cut or remove any of the nerves that control blood flow to the penis (prostate cancer) and radical cystectomy (bladder cancer). Check out also does impotence cause depression. These nerves, it can be damaged by men who have undergone radiation therapy for bladder cancer and prostate permanently. These nerves, but not responsible for orgasm and does not control the sensation of the penis. Erectile function is affected only to the next step.Peyronie's disease
Peyronie's disease is just under the surface, in order to form in the fiber layer of the penis, is a very common inflammatory disease causing the scar tissue. It is during their lifetime, occurs in approximately 1-3% of men, without the use of (the other 50%) for any reason, or can be caused by trauma (50% of patients) in the penis can occur. This is (but not necessarily) scarring can produce a song obtain or maintain penis, pain and erectile difficulties. Curvature, it is quite difficult and can lead to or become mild, can be severe enough to stop the penetration. It is not related to cancer, if you do not care about you, you do not need treatment. See my wife caused my friends erection. If Peyronie's cause that they are difficult, there is a cure for some of them. These can include oral medications, topical creams, surgery as a last resort.Venous leak
If you can not prevent blood from leaving the penis during erection of the penis vein, it is a good idea to keep an erection is not possible. Venous leak, it can be the result of damage to the vein of the penis injury, or disease. There are frequent cause of diabetes, Peyronie's disease, high blood pressure, cholesterol, alcohol abuse, and smoking. View psychogenic erections.Cause psychological
Depression, guilt, worry, stress, anxiety has contributed to the loss of all libido and erectile dysfunction. If man is the loss of erection occurs, he does not worry that it might happen again. This may lead to chronic problems during sex and can produce anxiety associated with the performance. Check out also weak erection remedy. If the cycle is inevitable, it may result in impotence. Psychological factors of impotence is often secondary to physical causes, they will expand its significance. To break the vicious circle of failure is the key to improve the ED often psychological.Diagnosis:
History and physical examination is the best way to diagnose ED for the first time. Thorough history, it is possible to identify risk factors may have led to erectile dysfunction (smoking, cholesterol, etc. Check out also make your erection firmer., drugs) a. History alone would be enough to explain more than 80 percent of the cases of ED. You maybe interested in male erection in his fifties. Inspection may be performed to exclude or cause other less obvious in the remaining 20% of these, to confirm the diagnosis. These can be included.Blood test and urine test
Blood tests can indicate a condition that could interfere with normal erectile function. These tests measure the hormone levels, cholesterol, blood glucose, liver, kidney function, thyroid function. (Hyperprolactinemea) can lower testosterone levels can be reduced libido prolactin excess. Such as the level of other hormones can be, can be measured in the same manner as in both of these levels. View tank erection. If they persistently low, you will need the endocrine (hormone specialist) to consult.
May be able (fat) that reduce blood flow to the penis, which shows a hardening of the arteries, easy to close as a blood lipid level of cholesterol and triglycerides like this: test of profile / cholesterol lipid (elasticity make them) may be more difficult to be a small vein in the penis.
PSA: Most of the 50-year-old physician after 40 of the relatives of patients with prostate cancer, men over men, you agree that there should be screened for prostate cancer blood test of PSA. PSA is a naturally-occurring chemicals released by the prostate. May be prostate cancer and prostate infection is discovered, which may cause ED.
Liver and kidney function tests, liver or kidney disease, you can create an imbalance horomonal. Blood test for liver function and kidney function, you can measure the level of the level of waste products in the blood and the normal enzyme.
Thyroid function, thyroid hormone test and hormones modulate the production of metabolism; deficiency may contribute to impotence.
Urine analysis urine test, look for the signs of the presence of elevated blood protein, or sugar in general. See nocternal erections after circumcision. (Prostate disease and cancer), diabetes, testosterone deficiency, levels may indicate renal dysfunction.Test of erectile function
The next test, by examining the other tissues of the pelvic area blood vessels, nerves, muscles, and the penis, to evaluate the erectile function.
Ultrasonic blood flow ultrasonic double double, venous leak, has been used to evaluate the signs of scarring (hardening of the arteries), atherosclerosis of erectile tissue. Penile erection is induced by injection of drugs and are designed to stimulate blood flow. You maybe interested in too drunk cant get erection. Ultrasound (imaging by ultrasound) is, to see how quickly the blood is moving through the cavernous artery is used to check the leakage of blood out of the penis. View erection collection. You can check also detects scar tissue and penile curvature.
Prostate examination, prostate hypertrophy can be detected in (DRE), you may interfere with blood flow and nerve stimulation of the penis digital rectal examination.
Nerve test: test of a particular nerve has been used in patients with suspected nerve damage as a result of diabetes and neurological disorders. These special tests are often done in the neurologist. Has not biothesiometry penis may be used, and less common. In this test, we use the electromagnetic vibration to evaluate sensitivity and nerve function to the glands and shaft of the penis. View how to get biggest erection. Decreased perception of vibration can lead to impotence may indicate nerve damage in pelvic area.
Normal male (NPT) has up to six erections during sleep from four to generally nocturnal penile tumescence. Erection of the last, in many cases, to explain why men often cause an erection AM, is in progress when men were awakening. You maybe interested in blood pressure mediciine erection. This is even if the body sex has not occurred, is a way to maintain a healthy blood flow to the penis. Erection or some bad, but also may indicate organic penis, a physical problem, there may be a symptom of depression. Erection, during sleep is usually, if occurs when bad, this is a psychological illness, it is not suspected of being a physical presence probably will occur. Erection, if you are not in poverty during sleep and wakefulness, the possibility of physical illness is much larger. This device has been tested with Rigiscan penile rigidity usually you can, measure the circumference duration, and, to be downloaded to your computer for analysis. Also use the snap gauge, you can provide the following information in it.
Vascular injection is injected into the penis, a particular solution will cause an erection by the dilation of blood vessels of erectile tissue. Erection, rigidity, curvature, time to get the time and maintenance can all be evaluated. See erection inflatable tension bands. Anomaly is not only give a clue to the problem of an artery or vein, Peyronie's? You can quantify the extent of disease (scar tissue of the penis).Treatment: Sex therapy
It is believed that 20% of ED is important to be primarily psychological. Many others, has developed a relationship of psychological problems after the ED is caused physically. Check out also male erection sex pills. Often, these can be overcome. Problem is not resolved even when started as there is a problem with blood vessels and nerves, even though the problem has been corrected occasional erection of a psychological effect. Therapist is qualified (for example, sex therapist / counselor, psychologist), all can improve sexual communication to mitigate the tension, to improve erectile function are realistic expectations for sex will work with couples to create.
Sex therapist in order to restore the intimacy is lost during the long period of sexual dysfunction often, to communicate with men, we have emphasized the need for partners. As intimacy and communication, improve the reduced anxiety and depression, psychological aspects of the relationship is helped. This frees the urology department in order to concentrate on the physical aspects of dysfunction.Medical care Oral medication
Sildenafil (Viagra ), vardenafil (Levitra), tadalafil (Cialis), and yohimbine (Yohimbine , Yukon ) - There are currently four oral formulations of (ED) erectile dysfunction.
Viagra is usually erection will disappear after you ejaculate, improving the natural erection by inhibiting substances in the body. It will improve the level of cyclic GMP causes smooth muscle and blood vessels of the penis to relax, of (cGMP). When you relax, the extra blood, causing an erection often excellent, flows into the body of the two muscle penis, corpus cavernosum of the penis. Viagra is ideal if you want to shoot about 45 minutes to 1 hour before sexual intercourse, in many cases, be helped by taking it on an empty stomach. In order for it to work, sexual stimulation is required. You maybe interested in erection viagra photo galleries sex. The results vary, depending on the cause of erectile dysfunction - was successful from 30% low, such as those with a history of prostate surgery, and height 85% of psychological ED. The most common side effects include headache, flushing, indigestion include. Rare side-effects are included palpitations and changes in color vision. All side effects are temporary. Nitrite using the drug taken for chest pain from heart disease and Viagra is not done more than once a day, a man should not suitable. In spite of the information in the public press, that Viagra can cause heart disease, does not worsen. See leading causes of impotence. Many men had multiple medical problems as long as safely, because nitrate is not used, are taking Viagra. Check out also prosolution pills minites to erection. If you carry a nitro, until they can discuss the issue with your cardiologist, comfortable feel some doctors to prescribe Viagra is not available.
Cialis and Levitra work by the same chemical mechanism as seen on Viagra. These drugs explains their growing popularity often provides a substantial part of the patient benefitsfor. Both new drugs Viagra is intended for chemical substances similar to those used to stop an erection. However, fewer side effects Cialis and Levitra both, to other chemical systems has little effect. Compared to all three drugs, Levitra, there is a most easy task, some patients became that it might be the strongest. Cialis, which has a longest life in the body, not affected by food completely. Cialis is to improve the possibility of having an erection (or more) up to 36 hours, you may not cause an erection for a long time have been described very rarely in television advertising. In urology, we are our patients is recommended that you try out a sample of all three drugs often in the metro. To either drug will work best side-effects are usually at least be formulated. It should be noted, men taking alpha-blockers relax the prostate is taking Levitra should not be. Among these drugs, Flomax, it can be safely used in Cialis.
Some men are less successful enough has been treated with Viagra Levitra Cialis and successfully. Please consider the appointment in order to discuss the new drug, to obtain the sample.
Yohimbine, improve erectile proportion, of about 20-30% of male slight. Studies have shown that slightly better than placebo (sugar pill) is it. Can stimulate the parasympathetic nervous system in which it is linked to the erection, it may increase the libido. You maybe interested in canadian approved herbal erection products. Need to take medicine for six to eight weeks before determining whether they work or not it is, must be taken three times a day. See unwanted and obvious erections. Increased side effects, you can include dizziness, irritability heart rate and blood pressure, mild, and irritability. View top male enhancement. For these reasons, it is having a heart disease and high blood pressure is not recommended. To have the risk of heart disease, stroke, high blood pressure many men of ED, yohimbine has been used less. It is a common component of many OTC products.Urethral suppository
Devices, including (alprostadil), as of (medicated urethral system for erection) Muse , may be an alternative to prostaglandin injection. Check out also exercises for a harder erection. Delivery system under a small plastic at the end of the penis, a man will use the prostaglandin pellet inserted into the urethra. Drug is 15-20 minutes, will be absorbed through the urethra in the penis erectile tissue. It has been well tolerated is available on prescription, may be improved erections in 40% to 50% of men. The most common side effects, which includes pain and tingling pain, mild short-term to the penis. Please see our lightheadedness In rare cases, do not see the feelings of dizziness, or prolonged erection.Penile self-injection
Are included by using the (smaller than a needle of diabetes) short for self-injection, to inject the drug directly into the penis through the sides of the cavernous muscle of the penis, a thin needle. See how long is the average erection. This can easily in approximately 80% of men, followed by a few hours or will generate an erection. View chinese erection herbs. The VIP alprostadil (Caverject , Edex ), papaverine, phentolamine (Regitine ), and forskolin, will include: current drugs. Among these drugs, alprostadil has been approved by the FDA for use in penile injection. Others, to test elsewhere in the body, but was found to be safe, has been not been approved for use in the penis. These drugs, to extend the blood vessels in the penis, causing an erection, please let me relax the muscle tissue. Check out also urologist erection procedure. Unlike oral drugs, the result is faster and does not require sexual stimulation often. Injection is relatively easy to create an erection to start about 5 to 10 minutes after injection. It is self-injection is recommended that you do three or more times per week. Side effects, infection, bleeding, you can include bruising, dizziness, palpitations, and flush the injection site. (Lasting four to six hours or more, and erectile need medical assistance) a small risk for priapism have. Repeated injections are likely erectile tissue can compromise the erection In addition, the scarring. Check out also erection after prostate surgery. This has been estimated using the injection as long-term treatment, and about 8-10% occur in men.Vacuum device
Vacuum device, you can create an erection manually, works by pulling blood to the penis. Penis, plastic tube that is pressed against the body to form a seal, it is inserted. Hand pump that is connected to the tube, has been used in order to create a vacuum causing the penis to become engorged, to draw blood to the penis. Once created, erection is maintained by preventing the leakage by pressing the rubber ring on the base of the penis. Penis is removed from the tube, the ring has been left in place for (. You maybe interested in natural herbs for maintaining erections! Anymore) 25 to 30 minutes. If the size of the ring does not hold an erection enough, you can use the ring tight. Vacuum pump, you can use at home, to improve erections regardless of the cause of impotence in general is easy. With practice, the use of pump is simpler, as soon as erection occurs. Some men after placing the O-ring, you may experience a delay or weak ejaculation, or to experience a sense of numbness. Side effects can include also cold penis, penis discomfort and bruising.Penile implant surgery
Penis implants, surgical insertion of the rod, including inflatable penis to bend or. See pst first erection.
Implant, AMS 600 or Dura-II of the penis, such as One Piece is a flexible metal rod was covered with silicon. One is in the tube (corpus) of muscle tissue on each side, will be placed on both sides of the penis. After insertion, it can provide the necessary rigidity for sexual intercourse, bend up and down the body for concealment. This requires surgery easiest prostheses of all, there is an advantage (usually more than 10 years) that persist the longest and is the easiest to use (bending it into position). The main drawback is that clothing, in a certain type that it is difficult to conceal.
The penis inflatable prosthesis, such as Mentor Titan or AMS 700 is composed of small pump implanted in the scrotum, and the reservoir small that have been ported tube has been inserted into the (plastic) penis, in the abdomen bioflex silicone or soft two have. View erection older. Erection from the tank into the tube to generate push the pump into the scrotum, human pump, sterile water. You may (depending on the type of implant) for a longer tube is extended to form an erection. Erection is no longer if it is not desirable, you can return water to the tank by pressing the valve in the scrotum. Inflatable prosthesis is the most natural feelings of penile implant, and they control the rigidity and size is possible.
Surgery to inject the inflatable prosthesis is slightly more complicated than the single-piece implant. See psychological problems with maintaining erection. In addition, because there is more mechanical parts, you may have a high risk of mechanical failure that requires repair or adjustment. The advantage of three-piece unit, when not in use can be the penis to extend the length and girth (with single-piece unit is different), and are deflated return the penis and the unit to its normal size (just more easily is that you can hide).
Side effects of the implant penis all is not the same infection (1-2%), loss of perception of the length swelling for a long time, discomfort, penile erection (, and were as young people they are, in this .) can include a best effort of the surgeon will stretch the penis to its maximum size.Vascular reconstructive surgery
Has received reconstructive surgery of blood vessels to improve blood flow to the penis is small percentage of men. Revascularization is included to bypass the veins and arteries that are blocked by transferring a vein from the leg, it is install it to create a path to the penis, bypassing the area of obstruction. Young people who experience a local artery occlusion after trauma is the best candidate for this procedure. It will be able to recover the function of 50% to 75% of men.EDED
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