Erectile dysfunction impotence

Erectile Dysfunction – Impotence : Erectile dysfunction causes and Treatment, Herbs, pills and everything you want to know

Erectile Dysfunction – Impotence : Erectile dysfunction causes and Treatment

A man is considered to have erectile dysfunction if he regularly finds it difficult getting or keeping a firm enough erection to be able to have sex, or if it interferes with other sexual activity.

Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm. However, erectile dysfunction (ED Erectile Dysfunction – Impotence : Erectile dysfunction causes and Treatment) is only considered a concern if satisfactory sexual performance has been impossible on a number of occasions for some time.

Since the discovery that the drug sildenafil, or Viagra, affected penile erections, most people have become aware that ED Erectile Dysfunction – Impotence : Erectile dysfunction causes and Treatment is a treatable medical condition.

Erectile Dysfunction: causes and options to have a baby

Men who have a problem with their sexual performance may be reluctant to talk with their doctor, seeing it can be an embarrassing issue.

However, ED is now well understood, and there are various treatments available.

This MNT Knowledge Center article offers helpful information for people experiencing this problem, or those close to them.

Fast facts on erectile dysfunction Impotence:

  • Erectile dysfunction (ED) is defined as persistent difficulty achieving and maintaining an erection sufficient to have sex.
  • Causes are usually medical but can also be psychological.
  • Organic causes are usually the result of an underlying medical condition affecting the blood vessels or nerves supplying the penis.
  • Numerous prescription drugs, recreational drugs, alcohol, and smoking, can all cause ED Erectile Dysfunction – Impotence : Erectile dysfunction causes and Treatment.
Erectile dysfunction - Health&

Causes of Erectile Dysfunction – impotence

Normal erectile function can be affected by problems with any of the following systems:

  • blood flow
  • nerve supply
  • hormones

Physical causes of Erectile Dysfunction – impotence

man stressed about ed Erectile dysfunction - Impotence
Erectile dysfunction can cause embarrassment.

It is always worth consulting a physician about persistent erection problems, as it could be caused by a serious medical condition.

Whether the cause is simple or serious, a proper diagnosis can help to address any underlying medical issues and help resolve sexual difficulties.

heart disease and narrowing of blood vessels | Erectile dysfunction | Impotence

Heart disease refers to any condition affecting the heart. There are many types, some of which are preventable.

Unlike cardiovascular disease, which includes problems with the entire circulatory system, heart disease affects only the heart.

According to the Centers for Disease Control and Prevention (CDC), heart disease is the leading cause of death in the United States. Around 1 in 4 deaths in the U.S. occur due to heart disease, and it affects all genders as well as all racial and ethnic groups.

In this article, learn more about the types, causes, and symptoms of heart disease

Diabetes and Erectile dysfunction – impotence

ERECTILE DYSFUNCTION | Urology & Gynaecology Clinic

Diabetes is a condition that impairs the body’s ability to process blood glucose, otherwise known as blood sugar.

In the United States, the estimated number of people over 18 years of age with diagnosed and undiagnosed diabetes is 30.2 million. The figure represents between 27.9 and 32.7 percent of the population.

Without ongoing, careful management, diabetes can lead to a buildup of sugars in the blood, which can increase the risk of dangerous complications, including stroke and heart disease.

Different kinds of diabetes can occur, and managing the condition depends on the type. Not all forms of diabetes stem from a person being overweight or leading an inactive lifestyle. In fact, some are present from childhood.

high blood pressure and Erectile dysfunction | Impotence

When doctors take a person’s blood pressure, they measure the force that blood exerts on the walls of the arteries as it flows through them.

If blood pressure is too high for too long, it can cause serious damage to the blood vessels.

This damage can result in a range of complications, some of which can be life threatening. They include heart failure, vision loss, stroke, kidney disease, and other health problems.

There are ways of managing high blood pressure, or hypertension. High blood pressure often does not cause symptoms, but regular screening can help a person know if they need to take preventive action.

Erectile dysfunction: a complex system that sometimes fails | Neolife

In the United States, around 75 million people, or 29% of the population, have high blood pressure, according to the Centers for Disease Control and Prevention (CDC).

In this article, we look at the causes of high blood pressure and how to treat it. We also explain the blood pressure measurements that health authorities consider to be healthy and too high

high cholesterol and Erectile dysfunction | Impotence

Cholesterol is both good and bad. At normal levels, it is an essential substance for the body. However, if concentrations in the blood get too high, it becomes a silent danger that puts people at risk of heart attack.

obesity and metabolic syndrome and Erectile dysfunction | Impotence

Many people want to know the answer to this question: How much should I weigh? However, there is not one ideal healthy weight for each person, because a number of different factors play a role.

Parkinson’s disease | Erectile dysfunction | Impotence

Parkinson’s disease is a movement disorder. It affects the nervous system, and symptoms become worse over time.

Towards clinical application of tissue engineering for erectile penile  regeneration. - Nat. Rev. Urol. - X-MOL

multiple sclerosis

Multiple sclerosis is a chronic disease that affects the central nervous system, especially the brain, spinal cord, and optic nerves. This can lead to a wide range of symptoms throughout the body.

hormonal disorders including thyroid conditions and testosterone deficiency

Testosterone is the key male sex hormone that regulates fertility, muscle mass, fat distribution, and red blood cell production.

Other causes of Erectile dysfunction | Impotence

  • structural or anatomical disorder of the penis, such as Peyronie disease
  • smoking, alcoholism, and substance abuse, including cocaine use
  • treatments for prostate disease
  • surgical complications
  • injuries in the pelvic area or spinal cord
  • radiation therapy to the pelvic region

Atherosclerosis is a common cause of blood flow problems. Atherosclerosis causes a narrowing or clogging of arteries in the penis, preventing the necessary blood flow to the penis to produce an erection.

Numerous prescription medications can also cause ED Erectile Dysfunction – Impotence, including those below. Anyone taking prescription medications should consult their doctor before stopping or changing their medications:

  • drugs to control high blood pressure
  • heart medications such as digoxin
  • some diuretics
  • drugs that act on the central nervous system, including some sleeping pills and amphetamines
  • anxiety treatments
  • antidepressants, including monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), and tricyclic antidepressants
  • opioid painkillers
  • some cancer drugs, including chemotherapeutic agents
  • prostate treatment drugs
  • anticholinergics
  • hormone drugs
  • the peptic ulcer medication cimetidine

Physical causes account for 90 percent of ED Erectile Dysfunction – Impotence cases, with psychological causes much less common.

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Psychological causes of Erectile dysfunction | Impotence

In rare cases, a man may always have had ED Erectile Dysfunction – Impotence and may never have achieved an erection. This is called primary ED Erectile Dysfunction – Impotence , and the cause is almost always psychological if there is no obvious anatomical deformity or physiological issue. Such psychological factors can include:

  • guilt
  • fear of intimacy
  • depression
  • severe anxiety

Most cases of ED Erectile Dysfunction – Impotence are ‘secondary.’ This means that erectile function has been normal, but becomes problematic. Causes of a new and persistent problem are usually physical.

Less commonly, psychological factors cause or contribute to ED Erectile Dysfunction – Impotence , with factors ranging from treatable mental health illnesses to everyday emotional states that most people experience at some time.

It is important to note that there can be overlap between medical and psychosocial causes. For instance, if a man is obese, blood flow changes can affect his ability to maintain an erection, which is a physical cause. However, he may also have low self-esteem, which can impact erectile function and is a psychosocial cause.

Erectile dysfunction – Anejo

Does riding a bicycle cause ED Erectile dysfunction | Impotence ?

Questions remain about the effects on men’s health of riding a bicycle.

Some research has raised concerns that men who regularly cycle for long hours could have a higher risk of ED Erectile Dysfunction – Impotence , in addition to other men’s health issues such as infertility and prostate cancer.

The most recent study to investigate this found that there was no link between riding a bike and ED Erectile Dysfunction – Impotence , but it did find an association between longer hours of cycling and the risk of prostate cancer.

Prostate disease and ED Erectile dysfunction | Impotence

Prostate cancer does not cause ED Erectile Dysfunction – Impotence .

However, prostate surgery to remove the cancer and radiation therapy to treat prostate cancer can cause ED Erectile Dysfunction – Impotence .

Treatment of non-cancerous, benign prostate disease can also cause the condition

Treatment for Erectile dysfunction | Impotence

The good news is that there are many treatments for ED Erectile Dysfunction – Impotence , and most men will find a solution that works for them. Treatments include:

Drug treatments for Erectile Dysfunction – Impotence

Men can take a group of drugs called PDE-5 (phosphodiesterase-5) inhibitors.

Most of these pills are taken 30 to 60 minutes before sex – the best known being the blue-colored pill sildenafil (Viagra). Other options are:

  • vardenafil (Levitra)
  • tadalafil (taken as a once-daily pill called Cialis)
  • avanafil (Stendra)

PDE-5 inhibitors are only available on prescription. A doctor will check for heart conditions and ask about other medications being taken before prescribing.

Side-effects associated with PDE-5 inhibitors include:

  • flushing
  • visual abnormalities
  • hearing loss
  • indigestion
  • headache

Less commonly used drug options include prostaglandin E1, which is applied locally by either injecting it into the penis or inserting it down the opening of the urethra.

Most men prefer a pill, however, so these locally acting drugs tend to be reserved for men who cannot take oral treatment.

Erectile dysfunction anatomical vector illustration infographic diagram -  VectorMine

Online pharmacies | Erectile dysfunction | Impotence

It is possible to buy treatment over the internet for ED. However, caution is advised.

The United States (U.S.) Food and Drug Administration (FDA) has a consumer safety guide about this, including a recommendation to check that the online pharmacy:

  • is located in the U.S. and licensed
  • has a licensed pharmacist to answer questions.
  • requires a prescription.
  • offers direct contact with a person who can discuss any problems.

You can check whether the pharmacy is licensed using this list of Verified Internet Pharmacy Practice Sites (VIPPS).

The FDA also offers tips for spotting the dangers of an unsafe website, including watching out for the following clues:

  • There is no way to contact the website by phone.
  • Prices are dramatically lower than those offered by legal online pharmacies.
  • Prescription drugs are offered without requiring a prescription – which is illegal.
  • Personal information is not protected.

The FDA adds that these illegal sites may send drugs of unknown quality and origin, even sending the wrong drug or a dangerous product.

Vacuum devices for Erectile dysfunction | Impotence

Vacuum erection devices are a mechanical way of producing an erection for men who do not want or cannot use drug treatments, or find they are not working.

The penis is made rigid by the use of a vacuum pump sealed around it that draws up blood. This is prevented from then leaving the penis by the use of an accompanying band.

The lack of spontaneity with the use of vacuum devices means that many men find other treatments for ED Erectile Dysfunction – Impotence preferable.

Surgical treatments for Erectile dysfunction | Impotence

There are several surgical treatment options:

  • Penile implants: These are a final option reserved for men who have not had any success with drug treatments and other non-invasive options.
  • Vascular surgery: Another surgical option for some men is vascular surgery, which attempts to correct some blood vessel causes of ED Erectile Dysfunction – Impotence .

Surgery is a last resort and will only be used in the most extreme cases. Recovery time varies, but success rates are high.

Do dietary supplements and alternative treatments work? | Erectile dysfunction – Impotence

The short answer is “no.”

No guidelines followed by doctors, nor any established sources of evidence, support the use of dietary supplements, such as herbal pills.

In addition to there being no evidence in favor of non-prescription alternatives for ED Erectile Dysfunction – Impotence , the FDA has warned of hidden risks of “treatments” sold online.

Erectile Dysfunction | NEJM

Symptoms of Erectile dysfunction | Impotence

Men may not always successfully achieve an erection, and if this rarely happens, it is not considered a medical problem.

However, ED Erectile Dysfunction – Impotence does not only refer to a complete inability to achieve an erect penis. Symptoms can also include struggling to maintain an erection for long enough to complete intercourse or an inability to ejaculate.

There are often also emotional symptoms, such as embarrassment, shame, anxiety, and a reduced interest in sexual intercourse.

A man is considered to have ED Erectile Dysfunction – Impotence when these symptoms occur regularly.

Exercises for Erectile Dysfunction – Impotence

There are exercises a man can carry out to reduce the effects of ED Erectile Dysfunction – Impotence .

The best way to treat erectile dysfunction without medication is by strengthening the pelvic floor muscles with Kegel exercises. These are often associated with women looking to strengthen their pelvic area during pregnancy, but they can be effective for men looking to regain full function of the penis.

Firstly, find the pelvic floor muscles. You can achieve this by stopping mid-stream two or three times the next time you urinate. The muscles you can feel working during this process are the pelvic floor muscles, and they will be the focus of Kegel exercises.

One Kegel exercise consists of tightening and holding these muscles for 5 seconds and then releasing them. Try to do between 10 and 20 repetitions each day. This may not be possible when you first start doing the exercises. However, they should become easier over time.

You should be able to notice an improvement after 6 weeks.

Make sure you are breathing naturally throughout this process and avoid pushing down as if you are forcing urination. Instead, bring the muscles together in a squeezing motion.

Aerobic exercise, such a jog or even a brisk walk, can also help the blood to circulate better and can help improve ED Erectile Dysfunction – Impotence in men who have circulation issues.

Erectile Dysfunction | Thoracic Key

Tests for Erectile Dysfunction – Impotence

The numerous potential causes of ED Erectile Dysfunction – Impotence mean that a doctor will typically ask a lot of questions and arrange for blood tests to be performed. Such tests can check for heart problems, diabetes, and low testosterone, among other things. The doctor will also carry out a physical examination, including of the genitals.

Before considering a diagnosis that requires treatment, a doctor will look for symptoms that have persisted for at least 3 months.

Once a medical history has been established, a doctor will then undertake further investigation. One simple test, known as the ‘postage stamp test,’ can be helpful in determining if the cause is physical rather than psychological.

Men usually have 3 to 5 erections a night. This test checks for the presence of erections at night by seeing if postage stamps applied around the penis before sleep have snapped off overnight. Other tests of nocturnal erection include the Poten test and Snap-Gauge test.

These methods provide limited information but can help guide a doctor’s choice of further tests.

How can porn induce erectile dysfunction impotence?

Erectile dysfunction (ED) occurs when a man cannot achieve an erection or sustain one long enough during sexual activity.

It is one of the most common sexual challenges men face and can be very distressing. Some people, particularly those who have religious or moral qualms about pornography, argue that porn use can cause erectile dysfunction.

The research on porn-induced erectile dysfunction is mixed, with some studies supporting this connection and others arguing that pornography might actually help with ED erectile dysfunction Impotence.

ED is a complex health issue that has physical and mental health components. This article aims to break down the topic and present the evidence.

How does it happen? | erectile dysfunction Impotence

Erectile dysfunction - Impotence porn and erectile dysfunction
People sometimes link pornography to erectile dysfunction, but it is a complex condition with a range of causes.

Relationships, body image, and similar factors can also play a role in causing erectile dysfunction. For many men, ED erectile dysfunction Impotence does not have a single, identifiable cause.

Porn-induced erectile dysfunction is a controversial theory for explaining sexual problems.

Some proponents of the notion, such as this highly subjective blog from anti-pornography advocacy group Fight the New Drug, believe that pornography is immoral. This potentially makes their research more biased than a laboratory study from a neutral party.

Research in support of the link between pornography and erectile dysfunction argues that porn can desensitize sexual response. A 2016 article argues that more young men are seeking help for ED, and that this could be due to the desensitizing effects of so-called “hardcore” pornography.

Drawing upon case studies and a review of previous research, the article argues that pornography may decrease men’s satisfaction with their own bodies, triggering anxiety during sex.

Men who view pornography may need to progressively increase sexual stimulation to feel and remain aroused.

The use of pornography might change the way the brain reacts to arousal, making a man less likely to feel aroused by a real-life partner.

The use of sex toys might desensitize nerves in the penis, making it more difficult to get an erection because the nerves require more physical stimulation.

The lead author of this study, Gary Wilson, is the founder of an organization called Your Brain on Porn. Wilson’s campaign against pornography raises questions of bias. Other studies that find a link between pornography and erectile dysfunction uncover only a weak connection.

This suggests that, even when pornography is one possible factor behind a case of erectile dysfunction, it is unlikely to be the only factor.

Anatomy-based penile venous stripping, shown chronologically. Upper... |  Download Scientific Diagram

A 2015 analysis of two large, cross-sectional studies also points to a link between pornography use and ED. The link in that study, however, was very modest. Just one of the two studies found a link, and that link was weak.

Additionally, only men who engaged in “moderate” use of Internet pornography reported more ED erectile dysfunction Impotence than those engaged in “high” or “low” use.

This undermines the notion that excessive use of pornography is desensitizing. The authors of the study argue that their data does not support public health concerns about pornography, and does not suggest that pornography plays a role in erectile dysfunction.

Porn and erectile dysfunction Impotence

Some other studies suggest that pornography might actually help with erectile dysfunction, especially when ED is due to psychological or relationship concerns.

A 2015 study found that men who reported more time spent viewing pornography had greater sexual responsiveness to a partner in a laboratory setting. This suggests that pornography might help prime the brain or body for sex, potentially improving intercourse with a partner.

However, the research supporting the positive effects of pornography is limited and preliminary, similarly to studies that focus on the harm of pornography use.

A 2014 article emphasizes that scientific research rarely discusses so-called “pornography addiction,” or its suggested role in ED erectile dysfunction Impotence. Yet the term is common on Internet forums and other non-clinical sources, and may even be used in treatment. This supposed link between erectile dysfunction and pornography has fueled a lucrative industry, despite there being little scientific evidence to support the link.

Men who feel guilty about their use of pornography may struggle with ED erectile dysfunction Impotence due to this guilt. In this way, a belief that pornography is wrong or is linked to ED erectile dysfunction Impotence can become a self-fulfilling prophecy.

Other causes of erectile dysfunction Impotence

atherosclerosis and erectile dysfunction Erectile dysfunction - Impotence
Atherosclerosis can sometimes cause erectile dysfunction.

Erectile dysfunction is a complex issue that can have more than one cause.

For example, a man might have a physical ailment that makes it difficult to sustain an erection. This can trigger anxiety, intensifying the problem. If ED erectile dysfunction Impotence causes problems in a relationship with a partner, this can make the issue worse.

Secondary erectile dysfunction, which develops later in life after a long period of being able to maintain an erection, is the most common form of ED.

Secondary ED is also the type most likely to be blamed on porn. Primary ED, which occurs when a man has never been able to achieve an erection, is very rare and usually the result of an underlying condition.

Some of the most common causes of secondary ED erectile dysfunction Impotence include:

  • psychological distress, such as body image problems or anxiety about sex
  • relationship problems
  • blood vessel disorders, including those due to heart health issues
  • neurological damage, which is often due to diabetes
  • prostate disorders
  • smoking-induced atherosclerosis, which clogs arteries

Periodic difficulties with getting or sustaining an erection are typical and often due to stress. A man who only experiences occasional ED erectile dysfunction Impotence is unlikely to be diagnosed with ED or a related medical condition.

Related health problems | erectile dysfunction Impotence

A number of health problems can cause erectile dysfunction by damaging the nerves or narrowing the blood vessels.

When blood vessels narrow, it becomes harder for the penis to fill with blood. Some common culprits include:

  • cardiovascular disease
  • atherosclerosis
  • high blood pressure
  • diabetes
  • spinal cord injuries
  • nerve damage due to surgery
  • prostatitis and other prostate disorders

Some mental health conditions, including anxiety disorders and depression, may also play a role. Some men find that certain drugs, including antidepressants and blood pressure medications, make it more difficult to achieve or sustain an erection.

Penile Venous Anatomy: An Additional Description and Its Clinical  Implication - Hsu - 2003 - Journal of Andrology - Wiley Online Library

Treatment for Porn induced Erectile dysfunction – Impotence

The American Association of Sexuality Educators, Counselors and Therapists (AASECT) argues that there is insufficient scientific evidence to support the existence of addiction to either sex or pornography.

It further emphasizes that any attempts to treat sexual issues, including issues related to porn, should be non-pathologizing, or should not be framed as treatments for a disease.

AASECT emphasizes that many efforts to treat so-called “pornography addiction” are harmful, unsupported by scientific research, and rooted in misconceptions.

sexual therapist Erectile dysfunction - Impotence
Visiting an open-minded sexual therapist can help a man to resolve erectile dysfunction.

Men experiencing sexual dysfunction should seek out healthcare professionals who embrace an open and judgment-free approach to treating sexual issues. It is important to look at both the physical and psychological aspects of erectile dysfunction when seeking a cure.

The right treatment depends on the cause of sexual dysfunction. For men who experience performance anxiety, therapy, relaxation exercises, and a supportive partner may help. Some men may also find that pornography helps to stoke sexual desire when the underlying issue is psychological, not physical.

Other treatment options include:

  • ED Erectile dysfunction – Impotence drugs, such as Viagra and Cialis
  • the use of a penis pump to pull blood into the penis and achieve an erection
  • lifestyle remedies to address cardiovascular disease, such as exercise and diet changes
  • surgery to address anatomical problems or prostate disorders
  • a penile implant
  • adopting a pleasure-based rather than performance-based approach to sexuality

Outlook and conclusion for Porn induced Erectile dysfunction – Impotence

In the absence of another factor, such as guilt about porn or sex or a physiological problem, pornography is unlikely to cause sexual dysfunction. Men may have other reasons for abstaining from pornography but should know that doing so will not directly address an underlying sexual health issue.

Erectile dysfunction is common and treatable despite the frustration it can case. A sensitive doctor, knowledgeable therapist who specializes in human sexuality, and supportive partner can all help manage and reverse symptoms.

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Does drinking water improve erectile dysfunction – Impotence?

Erectile dysfunction can be affected by many factors, including hydration levels. Dehydration can reduce blood volume and affect mood, so a person may find that drinking water can help with maintaining an erection.

Erectile dysfunction, or ED, is when a man has difficulty achieving or maintaining an erection. An estimated 30 million men experience ED at some point. A wide range of factors can influence ED.

In this article, we look at the relationship between hydration and both ED and sex drive, how you can tell if you are dehydrated, and other causes of erectile dysfunction.

Is dehydration linked to ED Erectile dysfunction – Impotence ?

Erectile dysfunction - Impotence Mature man drinking glass of water.
Being dehydrated may cause a number of physiological changes, such as temporary ED.

It is possible for a person’s hydration levels to influence temporary ED. A lack of sufficient body water can affect a person physiologically and mentally.

Several elements are needed for a man to achieve and maintain an erection. A breakdown in one or more of these steps means he may not be able to achieve an erection that is firm enough for sex. The process includes:

  • sexual arousal, or the messages sent to the brain that stimulate blood flow to the penis
  • increased blood flow into two chambers in the penis called the corpus cavernosum that leads to the penis swelling and becoming erect
  • when a man achieves ejaculation, the blood leaves the chambers, and the erection goes away

When a man is dehydrated, he does not have as much blood volume in his body as when he is properly hydrated. Therefore, his blood vessels become constricted, as there is not enough blood to keep them tense. This impairs blood flow to all parts of the body, including the penis.

Little research has looked at whether dehydration directly causes erectile dysfunction, so further studies are needed.

When a person is dehydrated, their body releases greater amounts of the enzyme angiotensin I, which leads to the blood vessels constricting.

The presence of angiotensin II, which the body makes from angiotensin I, has been associated with sexual dysfunction in animal studies, although more research is needed into how this affects humans.

In addition to the physical effects of dehydration that impact penile erection, mood is also associated with dehydration.

A small scale 2011 study found that mild dehydration was associated with impaired memory, tension, and anxiety in men.

A person’s mental state can have a profound effect on their sex drive and ED. According to the American Academy of Family Physicians, stress, anxiety, depression, and nervousness can all contribute to ED. Therefore, it is possible that the mood changes associated with dehydration could lead to ED Erectile dysfunction – Impotence

Symptoms of dehydration | Erectile dysfunction – Impotence

A person’s fluid needs may vary based on their body size, physical activity level, and exposure to warm temperatures.

When a person is mildly dehydrated, they may experience symptoms that include:

  • dark urine
  • dry mouth
  • fatigue
  • dizziness
  • thirst

Drinking enough water can help a person feel better on several levels, including sexual performance. A person should drink enough water, so their urine is clear in color, and they do not feel thirsty.

If a person does not drink water or other fluids when they start having signs of dehydration, they may progress to severe dehydration. This can turn into a medical emergency.

Symptoms of severe dehydration include:

  • confusion
  • having an intense sense of thirst
  • lack of sweating even in warm climates
  • low blood pressure
  • producing little to no urine
  • a fast heart rate


ED Erectile dysfunction – Impotence is a common and often treatable condition affecting men. Although doctors have not conducted specific research studies related to how dehydration specifically affects ED Erectile dysfunction – Impotence , there are other studies and literature that can establish a link.

However, dehydration is usually a temporary condition and not typically the sole contributor to long-term ED- Erectile dysfunction – Impotence . If a man is consistently having trouble getting or maintaining an erection, he should talk to his doctor for a diagnosis.

Penile Venous Anatomy: An Additional Description and Its Clinical  Implication - Hsu - 2003 - Journal of Andrology - Wiley Online Library

Can apple cider vinegar treat erectile dysfunction Impotence?

Erectile dysfunction (ED) can be a frustrating condition, particularly when standard treatments are not effective. However, there is little scientific evidence to support the use of apple cider vinegar as an alternative treatment option for ED erectile dysfunction Impotence.

Apple cider vinegar can, however, help a person manage aspects of some medical conditions that may lead to ED erectile dysfunction Impotence.

Anecdotal evidence and folk medical tradition both suggest that ED may improve with the use of apple cider vinegar.

Most males experience few or no side effects after taking apple cider vinegar. This may make it a possible alternative for males who want to improve the symptoms of ED erectile dysfunction Impotence but have concerns about the adverse effects of ED drugs.

In this article, we will explore the research into apple cider vinegar and its possible effects on ED erectile dysfunction Impotence.

Apple cider vinegar for ED erectile dysfunction Impotence

apple cider vinegar for erectile dysfunction
Research is inconclusive on the benefits of apple cider vinegar for males with ED.

For some males, ED means being completely unable to get an erection. In others, ED erectile dysfunction Impotence can mean that an erection does not last long enough or takes a lot of effort to maintain.

No studies have tested the direct effects of apple cider vinegar on ED. This means that a male should not use it as their only treatment for ED, particularly when the cause is unknown.

The most common factors that give rise to ED erectile dysfunction Impotence include:

  • anxiety
  • depression
  • stress
  • relationship issues
  • kidney disease
  • multiple sclerosis
  • type 2 diabetes
  • heart disease
  • high blood pressure or high cholesterol
  • injuries to the penis due to surgery or trauma
  • bladder or prostate cancer
  • bladder or prostate surgery
  • Anecdotal evidence has suggested that apple cider vinegar can relieve the effects of some of the causes of ED erectile dysfunction Impotence.

However, scientific research into the effectiveness of apple cider vinegar has had mixed results for many of these conditions.

What does the research say? | erectile dysfunction Impotence

In the sections below, we cover some of this research. It is important to point out that some studies found a benefit but were small or poorly designed. Others revealed that apple cider vinegar provided no benefits at all.

Males with ED should always talk to their doctor before trying apple cider vinegar as a treatment.

Although apple cider vinegar may not directly treat ED, it may help ease some of its causes. For example:

Protecting heart health | erectile dysfunction Impotence

Apple cider vinegar may help lower levels of blood lipids and cholesterol, which can improve heart health. This may theoretically reduce the severity of ED.

A 2014 study of female mice found that apple cider vinegar could reduce blood lipids.

A 2018 study of male rats found a link between apple cider vinegar and improved cardiovascular health. Even though the rats ate a high fat diet, apple cider vinegar reduced the risk of obesity, which has links to cardiovascular disease.

Rats who consumed apple cider vinegar were also less likely to have metabolic changes linked to obesity and worsening heart health.

Improving organ health | erectile dysfunction Impotence

Oxidative stress can cause kidney and liver damage to develop over time. Research in mice has found that apple cider vinegar may slow signs of oxidative stress in the kidneys and liver.

Apple cider vinegar might also increase levels of antioxidants that can improve organ health.

Although no research has shown that it can prevent ED that develops due to kidney or liver damage, it does suggest that people with organ conditions may benefit from taking apple cider vinegar.

There is also no evidence to suggest that apple cider vinegar improves the symptoms of ED following recent organ surgery.

Erectile Dysfunction

Treating diabetes | erectile dysfunction Impotence

Diabetes can undermine heart health and circulation, potentially making it difficult to achieve and maintain an erection. Some research has found that apple cider vinegar may help treat diabetes.

For example, a 2015 study in mice with diabetes discovered that apple cider vinegar could significantly bring down blood glucose levels. Other studies have found that various vinegars can help with diabetes.

However, a 2016 review of previous research concluded that there is no definite evidence linking apple cider vinegar to an improvement in diabetes symptoms. More research is needed.

The review contends that other vinegars may be helpful, but the author does say that the risks of apple cider vinegar for people who have diabetes outweigh the benefits.

What is apple cider vinegar? | erectile dysfunction Impotence

apple cider vinegar spoon
Apple cider vinegar is fermented apple juice.

Apple cider is fermented apple juice. Manufacturers make apple cider vinegar from apple cider. Apple cider commonly contains alcohol, so apple cider vinegar may also have alcohol content.

People have long used apple cider vinegar as a remedy, and its proponents support its use to manage conditions including diabetes, psoriasis, and cardiovascular disease.

The specific concentrations of both alcohol and apples in apple cider vinegar may differ from one manufacturer to the next. Organic and unfiltered apple cider vinegar is the more healthful choice.

All vinegars must contain at least 4 grams per 100 milliliters of acetic acid to receive classification as such.

Is apple cider vinegar safe? | erectile dysfunction Impotence

People allergic to apples or cider should not use apple cider vinegar.

Also, people with a history of acid reflux or other acid related stomach problems may wish to avoid using apple cider vinegar due to its acid content.

To avoid possible acidic burning of the throat, it is best for people with throat pain, mouth sores, or ulcers to avoid using apple cider vinegar unless a doctor advises otherwise.

There are safety concerns associated with using potent apple cider vinegar.

There are also concerns that it may erode tooth enamel.

Using apple cider vinegar for erectile dysfunction Impotence

Apple cider vinegar is a nutritional supplement, so there is no single recommended dosage.

It has a very strong flavor, which makes it useful as a pungent seasoning in some dishes.

People can buy apple cider vinegar clear or with the cloudy strands of proteins and healthful bacteria for the gut.

A few ways to use apple cider vinegar include:

  • adding a small quantity, such as a teaspoon, to a smoothie
  • replacing salad dressing or other vinegars
  • swallowing a teaspoon of apple cider vinegar as a daily supplement
  • mixing a teaspoon with sparkling water for a flavorful drink
erectile dysfunction

Summary | erectile dysfunction Impotence

Several treatments can help people with ED manage their condition. Prescription drugs may support a male in getting and sustaining an erection. Treating any underlying medical conditions can also be beneficial.

Males with depression or anxiety may find that their ED improves with therapy, medication, or both. Similarly, couples counseling can help couples overcome stress, sexual problems, or relationship related ED.

Apple cider vinegar may be an effective supplement alongside standard treatments for medical conditions that could be contributing to ED. However, when the cause of ED is unknown, males should not use apple cider vinegar as their first choice remedy.

Instead, they should seek medical consultation and testing to understand the underlying cause. Once the doctor has identified a cause, both standard and supplemental treatments, including apple cider vinegar, may help improve symptoms.

Should I use red ginseng for erectile dysfunction -Impotence?

Sexual performance affects confidence and interpersonal relationships. When a man has difficulty with erectile dysfunction, it can affect several aspects of his life.

Erectile dysfunction (ED) occurs when a man cannot achieve or maintain an erection for enough time to sustain sexual activity. ED erectile dysfunction -Impotence is most common among men ages 75 and older, according to the American Academy of Family Physicians (AAFP). However, men can experience ED erectile dysfunction -Impotence at younger ages.

ED erectile dysfunction -Impotence can occur as a result of impaired blood flow, psychological conditions, or other medical conditions that impact one or both of these factors.

While there are prescription medication treatments available, one herbal remedy reported to treat the condition is red ginseng. However, there are many considerations to make before using the herb as a treatment for ED erectile dysfunction -Impotence.

What is red ginseng?

ginseng erectile dysfunction impotence
Fresh ginseng comes from plants that are less than 4 years old while red ginseng comes from plants that are at least 6 years old.

Red ginseng or Panax ginsenx is a Korean herbal remedy. It is widely used for the treatment of a number of conditions, including ED erectile dysfunction -Impotence.

Red ginseng is the oldest form of the herb and is not harvested until the plant is at least 6 years old. Fresh ginseng is 4 years old or younger.

The plant is a root that has stalks, which resembles the human body, with arms and legs. Practitioners and herbal supplement manufacturers may prepare red ginseng as a tea or in pill form for sale.

How might red ginseng help ED erectile dysfunction -Impotence ?

Researchers do not know the exact mechanism by which red ginseng might help ED.

Red ginseng was first thought to cause hormonal influences that are similar to testosterone. However, researchers have measured testosterone levels of men taking red ginseng and they do not usually increase.

Other possible mechanisms of action include increasing levels of nitric oxide, which relaxes the muscles in the penis and promotes blood flow. Researchers are still unsure if these or other causes could reduce ED symptoms.

Research about red ginseng and ED erectile dysfunction -Impotence

A 2008 review of studies in the British Journal of Clinical Pharmacology regarding red ginseng and ED found six of the studies reviewed reported improvement in erectile function when compared with a placebo. However, the researchers wrote that larger-scale research studies are needed.

Another study published in the International Journal of Impotence Research researched 119 men with mild to moderate ED. The participants took either 350 milligrams (mg) of red ginseng four times per day or a placebo for 8 weeks.

At the end of the study, the researchers found premature ejaculation decreased and sexual performance improved in those who took red ginseng.

Red ginseng is sold in many different preparations including a cream and in pill form. According to the American Academy of Family Physicians (AAFP), taking 900 mg of red ginseng three times a day may improve erections. However, the AAFP state that men did not report enhanced sexual experience when taking red ginseng.

erectile dysfunction impotence

Side effects of red ginseng

One of the side effects of red ginseng may be insomnia. Other effects that sometimes occur include headaches, stomach upset, and constipation.

Researchers do not have a lot of data on long-term effects of taking red ginseng. However, no current reported drug interactions exist, according to the British Journal of Clinical Pharmacology.

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Other possible health benefits | erectile dysfunction -Impotence

Practitioners of traditional Chinese medicine have used red ginseng to prepare a tonic designed to boost a person’s energy. The ginseng plant contains compounds known as ginsenosides believed to have this beneficial effect on the human body.

erectile dysfunction impotence red ginseng may aid concentration
Red ginseng as a tea or supplement may help to improve concentration.

According to the National Center for Complementary and Integrative Health (NCCIH), additional benefits associated with using red ginseng include:

  • improving overall well-being
  • boosting physical stamina
  • healing health disorders, such as respiratory and heart problems
  • improving concentration
  • reducing the incidence of menopausal hot flashes
  • slowing the aging process

However, the NCCIH point out that there are currently no studies that conclusively support red ginseng as a treatment for any kind of medical condition. This includes ED.

Other possible treatments for ED erectile dysfunction -Impotence

Because many factors can contribute to ED erectile dysfunction -Impotence, it’s important for men to see a doctor to work out any potential causes. This is especially true if affected blood flow from high blood pressure may be the cause.

A doctor can often make recommendations regarding lifestyle changes and prescribe medications to reduce the incidence of ED erectile dysfunction -Impotence. Examples of the many treatments and changes for ED erectile dysfunction -Impotence include:

erectile dysfunction impotence Different forms of red ginseng.
The FDA caution against the use of dietary supplements to treat erectile dysfunction.
  • Lifestyle changes: Stopping smoking, reducing alcohol intake, becoming more physically active, and quitting illegal drug abuse can all help reduce ED erectile dysfunction -Impotence symptoms.
  • Mental health support: Counseling to help a man decrease anxiety and stress or enhance his relationship with his partner can all help people struggling with ED erectile dysfunction -Impotence.
  • Prescription medications: Taking certain prescription medications can improve blood flow and reduce the incidence of ED erectile dysfunction -Impotence. Examples of these medications include sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra).
  • Injectable medications: Sometimes, a man can inject medications that will result in an erection. Examples include alprostadil (Caverject, Edex). These medications widen blood vessels, resulting in an erection.

In addition to these medications, some men may take other alternative medicines besides red ginseng. One example is yohimbe, an herbal supplement.

The United States Food and Drug Administration (FDA) caution against ordering dietary supplements that promise to reduce the incidence of ED erectile dysfunction -Impotence. While the products may promise “all-natural” alternatives to prescription medications, they may have unwanted ingredients added that could be harmful.

In a test of 17 all-natural products advertised to reduce ED erectile dysfunction -Impotence, 6 of the 17 products contained Viagra-like substances.

In another example, the FDA reviewed a supplement called Ginseng Power-X. This product promised an “all-natural” supplement and herbal extract.

However, the FDA found the supplement contained sildenafil and another active ingredient that was chemically similar to sildenafil. This could be harmful for a man who is taking medications that could interact with Viagra, such as nitrates.

The FDA maintain a list of products sold online that a man with ED erectile dysfunction -Impotence should avoid.

People who are taking medications of any sort and are considering taking red ginseng should consult their doctor first.

Can beet juice help treat erectile dysfunction impotence?

Erectile dysfunction occurs when a man has trouble getting or keeping an erection during sexual activity. Can drinking beet juice help a man get and keep an erection?

The compounds in beet juice do pose many benefits to the human body, and some may explain why a lot of men say beet juice helps them avoid ED erectile dysfunction impotence.

Benefits of beet juice for ED erectile dysfunction impotence

erectile dysfunction impotence Beetroot on a board and beet juice may help with ED
Beet juice contains compounds that are beneficial to the human body.

There is currently no strong scientific evidence to support the claim that beet juice is good for ED erectile dysfunction impotence.

In spite of this, many men say regularly drinking beet juice helps them get or keep an erection. There may be a few reasons for this.

Nitric oxide

Beet juice helps the body produce nitric oxide. Nitric oxide is often used to open up the blood vessels and is sold as a dietary supplement for ED erectile dysfunction impotence. Nitric oxide helps keep the pressure in the corpus cavernosum necessary to keep an erection.

The corpus cavernosum is a sponge-like tissue that becomes engorged with blood during an erection. There must be enough pressure in the tissue to keep the blood trapped and to maintain an erection. Nitric oxide helps sustain this pressure.

Beet juice may contribute to this because it is high in nitrates, and the body turns these nitrates into nitric oxide.

Reduced blood pressure

Beets also appear to affect other circulation factors of ED erectile dysfunction impotence.

High blood pressure may influence ED, as it may make it difficult for blood to flow to the penis to enable an erection.

Research has found that foods such as beets that are high in nitrates can lower the blood pressure in people with hypertension. Drinking one cup of beet juice each day may be enough to experience this benefit.

In cases where ED erectile dysfunction impotence is caused by high blood pressure, this would, theoretically, relieve symptoms of ED erectile dysfunction impotence.


Cyclic guanosine monophosphate or cGMP helps arteries relax, which could increase blood flow to the penis. Many ED drugs work by making the body recycle cGMP.

A recent study found that high nitrate foods might also increase the amount of cGMP in the male body. This could mean foods such as beets may potentially help men keep an erection.

psychological causes of Erectile Dysfunction (ED) - is it all in your  head?** | Andy Garland Therapies | Counselling Cardiff | Mental Health  Services Cardiff | Cardiff Therapists

How to use beet juice for ED erectile dysfunction impotence

Similarly to many juices, beet juice is best served fresh. Processing the root and stem of fresh beets in a juicer can create beet juice very quickly. Many grocery stores or juice bars also sell beet juice.

Beet juice has an earthy flavor that may be unpleasant to some people. It can be diluted with celery juice, ginger, apples, or oranges to make it sweeter.

Beet juice can be taken alone or with other juices. Many juice bars mix beet with other root vegetables, such as carrots, radish, and ginger.

There are no guidelines or an approved recommended daily intake for beet juice. Drinking beet juice in moderation is usually safe, however.

It is sensible for an individual to talk to a doctor before adding regular beet juice to their diet if they have any conditions or takes medications that may be affected.

Health benefits of beet juice | erectile dysfunction impotence

Beets on a table. They may help with ed
Beets contain fiber, iron, folate, and potassium.

Beets are very nutritious and offer many benefits for the body, beyond helping with ED erectile dysfunction impotence. Most notably, beets contain:

  • folate
  • manganese
  • potassium
  • copper
  • iron

Beets also contain fiber and some protein, so adding some whole beets to the diet is a healthful choice. Much of this fiber is removed in the juicing process, but the beets can be roasted, added to soups, or cooked in other ways.

Compounds in beets called betalains also provide some helpful benefits to the body. As one study notes, these compounds may be helpful antioxidants and anti-inflammatory agents. They may even help protect against certain cancers, though more research is needed to confirm this.

Risks and considerations | erectile dysfunction impotence

When taken in moderation, most people can enjoy beet juice safely and regularly without the risk of side effects.

The most common side effect is a condition called beeturia, where the urine turns a reddish color after a person eats beets. This is normal and will go away once the person stops eating beets.

Nitrates can dilate blood vessels in the body and lower blood pressure, so anyone taking medication for high blood pressure may want to talk to their doctor before including drink beet juice in their diet.

A recent study found that a diet high in beets did not decrease the blood pressure of people who were taking high blood pressure medication, but it is best to take precautions.

People with diabetes should also be aware that beets are high in sugar. When they are juiced, most of the fiber is removed so that the sugar may cause glucose spikes in the bloodstream. It is best to monitor blood sugar levels while eating beats and make any necessary changes in insulin.

Anyone with a history of urinary stones caused by calcium oxalate may want to talk to their doctor before drinking beet juice regularly. Beets are high in oxalates, which may bind to calcium in the kidneys and form these stones.

Doctors may suggest a way of eating beets, such as drinking the juice with a source of calcium, to avoid a buildup in the kidneys

Other lifestyle changes that may improve ED erectile dysfunction impotence

erectile dysfunction impotence Man meditating which may help with ED erectile dysfunction impotence
Lifestyle changes such as exercise and meditation may improve ED erectile dysfunction impotence symptoms.

Lifestyle choices are important contributing factors for ED erectile dysfunction impotence. Making some healthy changes in the diet and daily activities may help prevent ED erectile dysfunction impotence in some cases.

Some habit changes may help with ED, such as cutting back on excessive drinking or smoking. Other lifestyle changes that may improve ED erectile dysfunction impotence symptoms include:

  • stress-reducing habits, including meditation or counseling
  • physical exercise and living a more active lifestyle
  • maintaining a healthy weight
  • talking with a sexual partner to avoid anxiety and insecurity

Takeaway | erectile dysfunction impotence

Occasional ED erectile dysfunction impotence is normal and not usually a cause for concern. Lifestyle choices, lack of exercise, and even a stressful day may impact the libido and make it difficult to be in the mood for sex.

Maintaining a healthy lifestyle may be the best way to prevent ED, and adding beet juice or whole beets to the diet may be a step in the right direction. Using beet juice for ED seems promising, but is not yet proven.

Other cases of ED erectile dysfunction impotence may not be so simple. Anyone experiencing ED erectile dysfunction impotence with other symptoms, such as difficulty urinating or premature ejaculation, should talk to their doctor for a proper diagnosis.

sexual performance anxiety | erectile dysfunction impotence

Sexual performance anxiety and erectile dysfunction are common sexual problems. Concerns about a partner’s expectations and personal worries are among the contributing factors.

Stress about sex can lead to performance anxiety. This, in turn, can lead to erectile dysfunction (ED), which is when a person has difficulty getting or keeping an erection.

Some simple coping methods may help people deal with ED when it stems from performance anxiety.

AMICUS Illustration of amicus,medical,anatomy,erection,erectile,dysfunction ,artery,penis,shaft,blood,cavernous,dorsal,helicine,vein,nerve,erect, erectile,limp

What is the link between performance anxiety and ED erectile dysfunction impotence ?

erectile dysfunction impotence
erectile dysfunction impotence

Performance anxiety and ED may be linked in several ways. Stress and anxiety about performing sexually or pleasing a partner can cause sexual dysfunction in anyone, regardless of their sex.

When a person feels unable to meet a partner’s sexual expectations, they may start feeling unworthy or incapable.

These feelings of inadequacy and low self-esteem may lead to physical symptoms, such as ED erectile dysfunction impotence .

Researchers list psychological factors as one of several causes of ED. In other words, a person’s state of mind can affect their ability to perform sexually.

Causes of performance anxiety | Erectile dysfunction impotence

Performance anxiety typically results from a person’s negative thoughts about their ability to perform well during sexual activity. A person may be worrying about sexual inadequacy or the inability to please a partner.

Factors that can influence these feelings include:

  • body image
  • penis size
  • perceptions of virility
  • ideas about gender roles
  • relationship issues
  • the use of internet porn

Dealing with financial concerns, family issues, or stress at work may also affect a person’s mental state and contribute to performance anxiety.

Causes of ED erectile dysfunction impotence

ED erectile dysfunction impotence can happen when various contributing factors interact, including:

  • hormonal balance
  • neurological factors
  • blood circulation
  • mental health and psychological factors

Other things that may contribute to ED include:

  • depression
  • disinterest
  • loss of attraction
  • stress
  • low testosterone levels
  • smoking
  • alcohol or drug abuse
  • chronic illnesses
  • kidney disorders
  • nerve damage from diabetes
  • stroke
  • injury
  • pelvic irradiation
  • recent surgery

Some medications may also cause ED erectile dysfunction impotence , especially those that disrupt or alter the hormones, nerves, or blood pressure.

They include:

  • antidepressants
  • anti-inflammatory medicines
  • high blood pressure medications
  • drugs for an irregular heartbeat
  • muscle relaxers
  • hormone therapy
  • chemotherapy
  • drugs that affect the prostate

A doctor or pharmacist can help identify potential side effects before a person starts a new medication.

ED erectile dysfunction impotence and mental health

ED is not just a physical problem. It can affect a person’s mental health, relationships, and social life.

Experts have found links between ED and:

  • anxiety
  • depression
  • stress
  • low self-confidence
  • low self-esteem
  • relationship difficulties
  • sleep issues

These can trigger performance anxiety, and they can also result from it.

If a person has an erection on waking in the morning but not during sexual activity, there may be an emotional or psychological cause.

Psychological treatment and counseling, such as cognitive behavioral therapy, may help overcome concerns about sexual performance and ED erectile dysfunction impotence .

Erectile dysfunction Amicus – Page 12 – Anatomy Exhibits

Symptoms | erectile dysfunction impotence

Performance anxiety affects everyone differently, as not everyone responds to stress and anxiety in the same way.

In addition to ED, performance anxiety could lead to:

  • premature ejaculation
  • an inability to orgasm
  • a lack of interest in sex

Research also suggests that heterosexual people who experience performance anxiety may be more likely to seek sexual experiences outside of a steady relationship.

The physical symptoms of ED erectile dysfunction impotence include difficulty getting or keeping an erection. It may also lead to a loss of sexual desire.

How to cope | erectile dysfunction impotence

Various tips can help people cope with performance anxiety and ED erectile dysfunction impotence and enable them to have positive sexual experiences.

Avoid the cycle

Most people have a disappointing sexual experience from time to time. Occasional ED is not usually a cause for concern.

However, if disappointment leads to fear and anxiety, and these feelings persist, they can hinder future sexual activity.

It is essential to recognize that an inability to perform from time to time does not mean that a person is unable to have sex.

It may mean that they were under stress or facing anxiety at that time. At another time, when the stress is not present, they will be able to enjoy sex as before.

Shifting the focus to the cause, rather than the symptoms, may help a person reduce the pressure that they place on themselves to perform well every time, especially during times of increased stress.

Focus on the senses

A person with performance anxiety may mentally relive their perceived sexual failures and continually worry about what their sexual partner is thinking or how another partner may perceive them.

It may help to focus the mind fully on the senses during sexual activity, rather than overthinking or analyzing the event.

Focusing on what the hands are feeling or what the eyes are seeing can help block out anxious thoughts about performance.

Scented candles or music might also add to the sensory experience and help reduce anxiety.


Research has noted a link between getting little or no physical exercise and experiencing ED symptoms. Completing a simple 20-to-30-minute exercise routine a few times a week can boost overall well-being and reduce stress levels, which may be helpful.

Other techniques | erectile dysfunction impotence

Many other techniques can help treat performance anxiety and ED erectile dysfunction impotence . These include:

  • guided meditations, such as guided imagery therapy
  • couples counseling
  • sex therapy
  • sexual education
  • stress-relieving practices, such as mindfulness and yoga

It may also help for a person to be open with any sexual partners about their feelings of performance anxiety. Doing this can reduce stress, and the partner can help the person find solutions to relieve their anxiety.

When to see a doctor

If symptoms do not improve with lifestyle and relaxation techniques, or if they worsen over time, medical treatment may help.

A doctor may:

  • ask about symptoms
  • carry out a physical examination
  • perform blood tests to help identify any physical causes
  • ask questions about mental health and stress levels

A healthcare professional can help a person find a therapy or treatment that relieves their symptoms and encourages positive sexual experiences.

Treatment | Erectile dysfunction impotence

There are various ways to treat sexual performance anxiety and ED. A doctor will prescribe a treatment plan after identifying the cause of the problem.

Guidelines from the American Urological Association (AUA) recommend an integrated approach for ED erectile dysfunction impotence and ejaculation disorders that will take into account the individual’s mental health, social situation, and physical well-being.

This approach may include:

  • relationship counseling
  • psychotherapy
  • medication for ED
  • treatment for specific diseases, such as benign prostatic hyperplasia
  • lifestyle measures, such as a diet and exercise plan

The AUA recommend that partners, too, should discuss the treatment options and their risks and benefits with the doctor, as this may increase the chance of a positive outcome.


There are many possible causes of sexual performance anxiety, including relationship issues and poor body image. If it becomes persistent, this anxiety can lead to physical symptoms, such as ED erectile dysfunction impotence .

People can try certain at-home techniques to manage ED erectile dysfunction impotence . Being open with any sexual partners about performance anxiety may also help reduce the associated stress.

If these techniques are ineffective, a doctor can offer advice on treatment options, which may include a combination of psychotherapy and medication.

Erection Erectile dysfunction impotence

Can zinc help treat Erectile dysfunction impotence ?

Zinc is a trace mineral that plays a vital role in many aspects of human health. These processes include growth, immunity, and reproduction.

It helps the body produce and regulate many hormones including testosterone. Some studies have shown a link between not having enough zinc and erectile dysfunction (ED).

Zinc and ED Erectile dysfunction impotence

Zinc is vital to the development and function of the male sex organs. Males with zinc deficiency have been shown to have less developed testes and reduced sperm count.

Zinc supplements Erectile dysfunction impotence
Zinc supplements may be used as a potential treatment for ED Erectile dysfunction impotence .

Zinc helps produce key sex hormones, such as testosterone and prolactin. Zinc also enables the creation of the main component of prostatic fluid.

There is evidence that dietary zinc may impact male sexual competency. In one study, rats receiving a moderate daily oral dose of zinc sulphate showed an increase in time before ejaculation and penile thrusting.

A 2016 study also found that a supplement containing folic acid, zinc, and the herb golden root improved the ejaculatory control of those affected by premature ejaculation.

Zinc supplements have also been cited as a potential treatment for ED Erectile dysfunction impotence in those with long-term kidney disease.

ED Erectile dysfunction impotence is when the penis has difficulty becoming or staying erect during sex. According to the American Urological Association, ED Erectile dysfunction impotence affects an estimated 30 million men in the United States.

Most cases of ED Erectile dysfunction impotence are caused by a combination of physical and emotional factors.

Physical factors, such as high blood sugar and cholesterol, reduce blood flow, which limits penile firmness. Physical factors such as stress can decrease sexual desire or confidence. Serious illnesses, especially those affecting hormone regulation and blood systems, can also lead to ED Erectile dysfunction impotence .

Many with ED Erectile dysfunction impotence also experience additional symptoms such as delayed or premature ejaculation.

Common causes of ED include:

  • cardiovascular disease
  • lack of exercise
  • high blood pressure
  • high blood sugar
  • high cholesterol
  • smoking
  • drug or alcohol use
  • obesity or metabolic syndrome
  • nerve damage
  • spinal cord injury
  • sexual performance anxiety
  • stress
  • relationship, family, or workplace conflict
  • depression
  • medications

In more recent years, zinc deficiency has also been linked to ED Erectile dysfunction impotence .

Deficiency – Erectile dysfunction impotence

An estimated 17 percent of the global population is thought to suffer from zinc deficiency. Symptoms of zinc deficiency include loss of energy, poor appetite, slow healing wounds, long-term respiratory infections, acne, dermatitis, and psoriasis.

Oysters erectile dysfunction impotence
High levels of zinc may be found in shellfish and cooked oysters.

The symptoms of zinc deficiency vary greatly with severity.

Cases of severe zinc deficiency are considered rare. They are often caused by genetic disorders or illnesses, but can take a serious toll on health.

Moderate cases of zinc deficiency are relatively common and typically associated with an imbalanced or poor diet. Some 2 billion people in the developing world are thought to have mild to moderate zinc deficiencies.

The symptoms of moderate zinc deficiency are often similar to those of severe cases. Moderate cases of zinc deficiency are not normally life-threatening for healthy adults but can greatly impair the development of young children.

Many of the symptoms of zinc deficiency and the condition itself are linked to additional health disorders. Symptoms of zinc deficiency include:

  • slowing or stopping of growth
  • weak immune system
  • delayed or incomplete sexual maturity
  • sensory impairment
  • loss of appetite
  • long-term diarrhea
  • pneumonia
  • skin rashes
  • hair loss or thinning
  • mental tiredness

Those at the greatest risk of zinc deficiency are pregnant women, young children, and those over 65.

Most cases of zinc deficiency are caused by improper nutrition and most are the direct result of diet. Strict vegetarians are at greater risk of developing a zinc deficiency because zinc is found predominantly in meat and shellfish.

Legumes and some cereal grains also contain phytic acid, which blocks zinc absorption. Malnourishment or starvation can also lead to zinc deficiency.

Certain conditions that can interfere with the absorption of zinc include:

  • Crohn’s disease
  • celiac disease
  • inflammatory bowel disease and ulcers
  • liver and kidney disease

Medications that reduce intestinal absorption can also lead to a zinc deficiency.

Diagnosing zinc deficiencies is challenging because zinc is involved in too many biological processes to have a unique biological fingerprint. Zinc levels are often determined by plasma or serum tests.

Zinc is a really important dietary mineral and it is vital for good health. A trace mineral, zinc plays a vital role in many aspects of human health, including growth, immunity, reproduction and sense perception.

The best way to get zinc into the body is through natural sources that are found in food. It is easy to include zinc in a diet because it is found in a large number of foods. It is found in most things that contain iron, with the exception of milk products.

Other foods that contain high levels of zinc include:

  • shellfish, particularly cooked oysters
  • toasted wheat germ
  • cooked lean beef and veal liver
  • toasted pumpkin, sesame, and squash seeds
  • dark chocolate
  • fortified cereals, although not those with high sugar levels
  • soya beans, lima beans, and green beans
  • nuts, particularly cashews

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Supplementation | Erectile dysfunction impotence

The 2015-2020 Dietary Guidelines for Americans recommend meeting daily zinc needs through diet. Most Americans meet their zinc needs by consuming meats, such as beef and pork, and legumes.

The recommended daily allowance (RDA) for zinc depends on age and gender. Measurements are in milligrams (mg).

AgeFemale (mg/day)Male (mg/day)
0 – 6 months22
7 months – 3 years33
4 – 8 years55
9 – 13 years88
14 – 18 years911
19 years811
Pregnant women11-1211
Nursing women12-1311

Mineral supplements and medications are available for those unable to get enough zinc through diet. However, supplements are not regulated by the U.S. Food and Drug Administration (FDA) and may not be labeled correctly, or may be contaminated with other minerals.

People taking zinc supplements should ensure they buy them from reputable dealers and always check appropriate levels with their doctor.

vitamins for Erectile dysfunction impotence
Zinc is commonly found in multivitamins but may also be sold separately.

Zinc is a commonly included ingredient in most multivitamins but is also sold separately in pill or capsule forms. Some of these supplements have known side effects. For example, zinc sulphate, which is the cheapest over-the-counter form of the mineral, is known to irritate the stomach.

Some prescription zinc supplements exist such as Mercola and Galzin. In some cases, zinc injections are recommended. But this will only occur once a doctor has assessed an individual’s zinc levels, which can be tested through blood, urine or hair samples.

Before taking zinc supplements, people with ED Erectile dysfunction impotence should speak with their doctor. A testosterone test can help signal whether zinc supplementation may be beneficial.

There are some guidelines regarding levels of zinc supplementation that are specific to sexual dysfunction. Anybody with ED Erectile dysfunction impotence who is considering taking zinc supplements must talk to their doctor first to discuss options and doses. Taking too much zinc can also cause health problems.

Safety precautions for zinc supplements

The U.S. Food and Nutrition Board warn adults not to consume more than 40 mg of zinc daily to avoid side effects or toxicity.

Common symptoms of mild zinc toxicity include gut problems, such as cramping, diarrhea, and nausea. More severe zinc toxicity can also cause headaches, fever, loss of muscle coordination, and drowsiness.

Long-term zinc toxicity can cause anemia and dramatically weaken the immune system. Extreme copper deficiencies have also been associated with long-term zinc toxicity.

People should take zinc supplements 1-2 hours after meals and should not take them at the same time as other mineral supplements, such as iron and copper.

Foods that contain phytic acid, such as cereals and whole grains, may reduce the absorption of zinc supplements. Foods rich in fiber and phosphorous may also reduce zinc absorption.

Zinc supplements may interact with several medications including diuretics and blood pressure medications. In particular, ACE inhibitors may be affected. A person who is taking medication for their blood pressure must discuss zinc supplementation with their doctor.

Herbs for treating Erectile dysfunction Impotence

Erectile dysfunction is a condition that affects a man’s ability to achieve or maintain an erection suitable for sex.

The condition can affect men at any age, but according to the American Academy of Family Physicians, erectile dysfunction (ED) is most common when a man is 75 years or older.

Recent innovations in medical treatments mean that there are now more medications available to reduce ED Erectile dysfunction Impotence. However, some men prefer to take herbal supplements as an alternative.

Many herbs show potential to be effective in improving men’s sexual function, but little evidence actually exists to support the use of any herbal medication in the treatment of ED Erectile dysfunction Impotence. People should always exercise caution when taking any form of herbal supplementation.

The United States government do not monitor herbs. There is no consistency in the strength or purity of the herbs sold, so they may be contaminated or mislabeled. Some herbs may interact with medications taken, so anyone considering taking herbs should talk to a doctor or pharmacist about potential problems.

Erectile Dysfunction - Disorders of Organ Systems - Pharmacotherapy  Principles and Practice, Second Edition (Chisholm-Burns, Pharmacotherapy),  2nd Ed.

Dehydroepiandrosterone (DHEA) | Erectile dysfunction Impotence

What is it: DHEA is a supplement that mimics a natural steroid hormone in the body and may help treat ED in men.

Some tablets spilling from a jar. Erectile dysfunction Impotence
DHEA supplements mimic the action of a natural steroid hormone.

The dosages for DHEA vary from person to person. Some men take between 20 and 75 milligrams (mg) for about 6 months, while others may take between 100 to 400 mg for up to 8 weeks.

How does it work: Natural DHEA levels subside as a person ages. Increasing the amount of adrenal hormone may help the body create hormones that improve sexual functions as well as energy levels.

Research: A 1999 study published in the journal Urology showed that DHEA treatment improved sexual performance. However, the study was a very small one. Since then, other research has shown inconsistent results, with one report in 2012 suggesting that DHEA does not help ED.

Side effects: DHEA is usually safe when taken in low doses. However, acne can be a side effect.

Horny goat weed (epimedium) for Erectile dysfunction Impotence

What is it: This Chinese herb has been used to reduce the causes associated with sexual dysfunction, including erectile dysfunction. Women may also take it to reduce the incidence of painful intercourse and loss of libido.

How does it work: Researchers do not know the exact mechanism by which the supplement works. But scientists believe it alter the levels of certain hormones in the body, which may in turn improve sexual performance.

Research: Taking horny goat weed hasn’t been studied in people. However, a study published in The Journal of Sexual Medicine studied the effect of a purified extract of epimedium on rats. It found that rats who received the extract demonstrated greater incidences of blood flow than those who did not.

Side effects: Using this herb could affect a person’s heart function. Those with heart disease should not take it as it can cause irregular heartbeat. The medication can also interact with other drugs.


What is it: Ginkgo biloba is an herb that practitioners have used for thousands of years to treat a number of health conditions. Examples include dementia, anxiety, and poor blood flow to the brain.

Ginkgo biloba leaf in a mortar with a pestle.
Erectile dysfunction Impotence
Ginkgo has been used to treat many health conditions. Some believe it may improve blood flow to the male sexual organs.

How does it work: Proponents of taking ginkgo for erectile dysfunction believe ginkgo dilates blood vessels to promote blood flow to the sexual organs.

Research: The Mayo Clinic rank the evidence for ginkgo in treating erectile dysfunction a “C,” meaning that there is unclear scientific evidence for the herb’s use.

According to Columbia University, ginkgo may be effective in helping treat sexual dysfunction that has been caused by taking selective serotonin reuptake inhibitors (SSRIs), medications prescribed to treat depression.

Side effects: Ginkgo can increase the risk for bleeding, and people who take blood thinners should not take it.

Other side effect risks include nausea, headache, stomach upset, and mouth irritation.

L-arginine for Erectile dysfunction Impotence

What is it: L-arginine is an amino acid that scientists in the 1800s first isolated from animal horn. It is incorporated into supplements to increase the amount of nitric oxide in the body.

How does it work: When taken in high doses, l-arginine can stimulate blood vessels to become larger. This improves blood flow, which could help a man get an erection.

Research: L-arginine is often combined with glutamate and yohimbine hydrochloride as a treatment for ED.

In one study published in the Journal of Sexual and Marital Therapy, researchers gave participants a combination of l-arginine and pycnogenol, a supplement derived from pine bark.

After treatment for 3 months, 92.5 percent of the 40 men enrolled who experienced ED reported achieving a normal erection.

Side effects: Side effects of taking l-arginine can include stomach upset, including cramping and diarrhea. The supplement can also adversely interact with taking the medication Viagra.

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Red ginseng for Erectile dysfunction Impotence

What is it: Ginseng is an herb that Korean herbal practitioners promote for its ability to treat erectile dysfunction. Another name for red ginseng is Panax ginseng.

Different forms of red ginseng. Erectile dysfunction Impotence
There are several theories as to why red ginseng might help treat erectile dysfunction. More research is required to support these theories.

How does it work: Researchers aren’t exactly sure how red ginseng reduces erectile dysfunction symptoms.

One theory is that it influences hormones responsible for achieving an erection. Another is that it promotes blood flow through increasing the amount of nitric oxide.

Research: A 2008 review published in the British Journal of Clinical Pharmacology found that red ginseng was often more effective than placebo when reducing ED symptoms.

However, human studies usually have a small sample size, which makes it difficult for researchers to draw firm conclusions on the benefits of red ginseng.

Side effects: Taking red ginseng can cause insomnia. However, researchers largely regard it as safe when taken on a short-term basis.

Yohimbine for Erectile dysfunction Impotence

What is it: Yohimbine is a supplement made from the bark of an African tree. Before medications such as Viagra, doctors often recommended yohimbine as a treatment for ED.

How does it work: Yohimbine works by triggering receptors in the body that trigger the release of the hormones epinephrine and norepinephrine. These can block the effects of other compounds that may otherwise constrict the blood vessels in the penis.

Research: The American Urological Association do not recommend taking yohimbine as a treatment for ED because of its many side effects. However, it has been shown to enhance libido and sexual motivation in animal studies.

Side effects: Taking this supplement is associated with many side effects. Examples include high blood pressure, rapid heart rate, and anxiety. Men should not take yohimbe without consulting their doctor first.

When to see a doctor about ED Erectile dysfunction Impotence

Men should not be afraid to see their doctor about ED Erectile dysfunction Impotence if they experience it.

There are many medications, lifestyle changes, and even counseling that could help a man reduce the incidence of ED. If he wishes to, and has discussed the treatment with his doctor, he may even wish to take an herbal supplement to reduce ED Erectile dysfunction Impotence.

A man should see his doctor about his ED Erectile dysfunction Impotence if he has experienced changes in sexual desire, changes in erectile function after taking a new medication, or other changes in sexual function.

The condition is very treatable. Men should never be afraid to talk to their doctor about ED as sometimes the condition can indicate an underlying medical condition that should also be treated.

Many potential causes of ED Erectile dysfunction Impotence exist. These include:

  • anxiety
  • atherosclerosis, a condition that causes a buildup of plaque in the arteries
  • chronic kidney disease
  • depression
  • diabetes
  • heart and blood pressure-related conditions
  • history of injury to the penis or surrounding organs
  • stress
  • taking certain medications, such as antidepressants, antihistamines, appetite suppressants, and tranquilizers

Achieving and maintaining an erection requires several things to happen. These include sensory stimulation, increased blood flow, increased blood pressure in the penis, and the contraction of muscles in the penis. If one or more of these steps are interrupted, ED can occur

Erectile Dysfunction Cellular Mechanisms of Penile Smooth Muscle Relaxation

Does marijuana cause Erectile dysfunction – Impotence?

Erectile dysfunction refers to an inability to have and maintain an erection firm enough for sex.

A variety of medical and mental health conditions can trigger erectile dysfunction (ED), as can certain lifestyle choices, including the use of some recreational drugs.

The medical community has not found conclusive evidence that using cannabis, or marijuana, leads to ED Erectile dysfunction – Impotence.

However, specific effects of the drug may result in ED, and a person who smokes a mixture of marijuana and tobacco may have an increased risk.

Marijuana overview – Erectile dysfunction – Impotence

Erectile dysfunction - Impotence Cannabis for treatment
People use cannabis for recreational and medicinal purposes.

According to the National Institute on Drug Abuse (NIDA), in the United States, more than 11 million people between the ages of 18 and 25 used marijuana in 2014.

People in the U.S. are more likely to use marijuana than any other recreational drug.

Marijuana consists of the dried leaves, flowers, seeds, and stems from the hemp plant, Cannabis sativa.

The plant contains a variety of chemicals, including a group called cannabinoids. The best-known of these chemicals is delta-9-tetrahydrocannabinol (THC).

THC has a psychoactive effect, which means that it affects a person’s thinking.

The chemical may also have other effects, and some prescription drugs with approval from the U.S. Food and Drug Administration contain synthetic forms of THC.

Marinol and Syndros, for example, are treatments for some types of anorexia. Cesaret, which was developed to treat nausea and vomiting that results from chemotherapy, contains nabilone, which has a similar structure to THC.

A person using marijuana recreationally may smoke it in a pipe, a water pipe, or a hand-rolled cigarette called a joint.

If a person does not want to inhale the smoke, they may use a vaporizer, though these devices are also linked to some health hazards. Others incorporate marijuana into foods, such as brownies or cookies, or brew it as a tea.

Many companies also market marijuana products that can be applied to the skin.

Marijuana and ED Erectile dysfunction – Impotence

Erectile dysfunction - Impotence Cannabis and erectile dysfunction
Cannabis can relax the body, but could it also increase the risk of erectile dysfunction?

While some small studies have suggested that recreational marijuana use may lead to ED Erectile dysfunction – Impotence, authors of a 2018 meta-analysis concluded that there is not enough evidence to confirm a link.

However, it is possible to identify how certain effects of THC could cause the dysfunction. A person who mixes marijuana with tobacco may have a higher risk.

Smoking tobacco restricts blood flow to the veins and arteries, and a person who smokes cigarettes has an increased risk of developing ED Erectile dysfunction – Impotence. Smoking marijuana, especially when mixed tobacco, may confer a similar risk.

Cannabinoid receptors are present in the smooth muscle tissue of the penis. For this reason, it is theoretically possible for THC to impair penile function, and this may lead to ED Erectile dysfunction – Impotence. However, evidence is lacking.

According to NIDA, marijuana can cause a feeling of euphoria, then drowsiness and a slower reaction time.

These effects could lead to a decreased desire for sex.

The Centers for Disease Control and Prevention (CDC) note that marijuana may also affect the circulatory system and lead to increases in blood pressure and heart rate. A person who smokes marijuana is more likely to experience these effects, and both put a person at risk for ED Erectile dysfunction – Impotence.

There is also some evidence that frequent cannabis use may cause men to have difficulty reaching an orgasm or reaching one in the desired timeframe.

However, at least one study found no significant difference in risk for ED Erectile dysfunction – Impotence between a group that used cannabis and a control group.


When a person smokes marijuana, THC passes from the lungs into the bloodstream. The bloodstream carries it to the brain and other organs throughout the body.

THC affects the brain’s pleasure and reward system. It signals the body to release more dopamine than usual, and the dopamine affects mood and sensation. This is why a person feels “high” after using the drug.

Other short-term effects of using marijuana may include:

  • changed sensory perception
  • euphoria followed by drowsiness and relaxation
  • changes in balance and coordination
  • increased heart rate
  • problems with learning and memory
  • anxiety

Possible long-term effects include:

  • mental health problems
  • frequent respiratory infections and a persistent cough
  • memory impairment

Marijuana and medications | Erectile dysfunction – Impotence

marijuana medication
Scientists are investigating how substances in marijuana might be useful in medication.

Recently, the medical use of marijuana and its components has received a lot of attention.

In June 2018, the FDA approved the use of cannabidiol (CBD) to treat epilepsy that occurs with two rare and severe conditions, Lennox-Gastaut syndrome and Dravet syndrome.

Some compounds within marijuana show promise as treatments for various other conditions. However, much research is still needed before these treatments can be approved.

Even in states where the drug is still banned, many people in the U.S. use marijuana or its derivatives in the hope that it will benefit their health. The risks of doing so are mostly unclear.

Like other drugs, marijuana may interfere with some medicines and alternative treatments, including:

  • Blood thinners: Marijuana may increase the blood-thinning effects of warfarin and some herbs and supplements.
  • Alcohol: Marijuana may amplify the psychotropic and depressant effects.
  • Theophylline: Marijuana may reduce the effects of this treatment on asthma and other respiratory illnesses.Benzodiazepines and barbiturates: Marijuana may increase the depressant effects on the central nervous system.
  • Psychiatric medications: Marijuana may change the effects.
  • Antiretroviral therapy: Marijuana may make some of these drugs less effective.

Other drug interactions may occur, and further research is necessary.

Anyone concerned about the impact of recreational or medicinal use of cannabis or its derivatives should speak with a healthcare professional.

A doctor can provide more detailed information about possible side effects and interactions with medication.

Final word

There is not enough evidence to link marijuana use with ED Erectile dysfunction – Impotence. However, some of the drug’s side effects, such as cardiovascular complications, may increase the risk of ED.

Authors of one review found no significant link between cannabis use and ED Erectile dysfunction – Impotence. They did observe that consuming alcohol and smoking cigarettes increased the risk of ED, while physical activity seemed to reduce this risk.

Anyone concerned about ED Erectile dysfunction – Impotence may benefit from getting more exercise and avoiding tobacco and alcohol.

A person should only use marijuana in accordance with local laws and while under a doctor’s care.

Does diabetes cause erectile dysfunction?

Erectile dysfunction – Impotence, also called impotence, is not being able to get and maintain an erection for long enough to have sexual intercourse.

There are many causes of erectile dysfunction (ED) which can be physical, psychological, or both. One of the most common causes of ED is diabetes.

Studies suggest that 35-75 percent of men with diabetes will go on to develop ED. They will also tend to develop ED some 10-15 years earlier than men without diabetes.

Diabetes and Erectile dysfunction – Impotence

Diabetes can cause ED because it can damage the blood supply to the penis and the nerves that control an erection.

Erectile dysfunction - ImpotenceA
Poorly managed diabetes can lead to erectile dysfunction due to its effects on the bloodstream.

When a man becomes sexually aroused, a chemical called nitric oxide is released into his bloodstream. This nitric oxide tells the arteries and the muscles in the penis to relax, which allows more blood to flow into the penis. This gives the man an erection.

Men with diabetes struggle with blood sugar level swings, especially if their condition isn’t managed poorly.

When their blood sugar levels get too high, less nitric oxide is produced. This can mean that there is not enough blood flowing into the penis to get or keep an erection. Low levels of nitric oxide are often found in those with diabetes.

Other causes of erectile dysfunction

Listed below are some other reasons for ED Erectile dysfunction – Impotence :

  • obesity, high blood pressure, and high cholesterol
  • hormonal problems such as low testosterone
  • psychological problems including stress, anxiety, and depression
  • nervous system problems including damage to spinal cord or brain
  • smoking, drinking too much alcohol, and using some illegal drugs
  • some medications such as those taken for high blood pressure and depression

Pelvic injury or surgery on the prostate, bowel or bladder may cause damage to nerves connected to the penis. This nerve damage can also lead to ED Erectile dysfunction – Impotence .

Tests and diagnosis

A doctor will often perform some of the following tests to diagnose ED Erectile dysfunction – Impotence :

  • Blood tests to check for a raised blood sugar level, which may indicate diabetes.
  • Hormone tests to measure the levels of testosterone and other hormones.
  • Nervous system tests, such as blood pressure and sweat tests, which can rule out nerve damage to the heart, blood vessels, and sweat glands.
  • Urinalysis to test for sugar in urine, which might indicate diabetes.
  • Physical examination to assess the genitals and nerve reflexes in the legs and penis.
  • Patient history to help determine why someone is having problems with erections and under what circumstances.
  • Sexual health (SHIM) questionnaire to help diagnose the presence and severity of ED Erectile dysfunction – Impotence .
  • Injection of a drug into the penis to check that the blood supply to the penis is normal.

Lifestyle tips | Erectile dysfunction – Impotence

Erectile dysfunction - Impotence
Keeping diabetes under control is a good way to reduce the risk of erectile dysfunction.

Erectile dysfunction due to diabetes is much better understood now. Good control of diabetes can reduce the risk of ED Erectile dysfunction – Impotence .

Other preventive measures such as stopping smoking and reducing alcohol intake will help lower the risk of developing ED Erectile dysfunction – Impotence .

Other lifestyle changes that may help include:

  • Eating a healthy diet and taking exercise: Studies suggest that men who changed their diet to one low in saturated fat and high in fiber and did moderate physical activity each week were able to improve ED without prescription drugs.
  • Weight loss: Some studies show that even a small weight loss can improve erectile function and sexual desire in men with diabetes. Those who lost weight had increased testosterone levels and blood flow resulting in better erections.
  • Stress reduction: ED Erectile dysfunction – Impotence can cause stress and tension in a relationship. Counseling can be helpful even if the origins of sexual dysfunction are physical. People with ED should try to find time for relaxation and get enough sleep every night.

A new study also suggests that supplementation with amino acids called l-arginine and l-citrulline may also help to improve erectile function. These acids are known to increase the body’s production of nitric oxide, which can increase blood flow to the penis. As stated previously, low levels of nitric oxide are often found in men with diabetes.

Treatments for Erectile dysfunction – Impotence

Treatment of ED Erectile dysfunction – Impotence will depend on the cause and there is a range of good treatment options. These are the same for men with diabetes and men who have ED from other causes.

Doctors can switch any prescription medications that may contribute to ED Erectile dysfunction – Impotence .

The most common treatment is with oral tablets. These have been shown to work well in many men with diabetes, restoring sexual function. Certain drugs called PDE-5 inhibitors are used to treat ED Erectile dysfunction – Impotence .

The four most commonly prescribed are:

  • sildenafil (Viagra)
  • vardenafil (Levitra)
  • tadalafil (Cialis)
  • avanafil (Spedra)

These drugs cause an erection by increasing blood flow to the penis. They require sexual stimulation to be effective. They should be taken 30-60 minutes before sexual intercourse.

Erectile dysfunction A man is taking a pill while in bed.
Oral tablets such as sildenafil are commonly used to treat erectile dysfunction.

There are several other forms of treatment for ED Erectile dysfunction – Impotence . These include:

  • Hormone therapy: Testosterone replacement therapy is recommended for men with ED Erectile dysfunction – Impotence who show low levels of testosterone.
  • Penile injection therapy: Injection of alprostadil (Caverject) directly into the penis before intercourse has been approved for men who do not respond to oral drug therapy. This hormone injection increases the blood supply to the penis to produce an erection.
  • Vacuum pump therapy: A plastic tube connected to a pump is placed over the penis. The pump empties the air out of the tube and this causes blood to be drawn into the penis. A ring is then placed on the base of the penis to maintain the erection during intercourse.
  • Penile prosthesis: This is only considered when all other treatment options have failed as it requires major surgery. An inflatable rod is implanted into the penis to make it erect for intercourse.
  • Psychological support: If erectile dysfunction is caused by psychological conditions, such as anxiety or depression, the patient may benefit from counseling.

A well-balanced diet, exercise, and good stress management have been shown to be equally important in treating diabetes.

Can masturbation cause Erectile dysfunction – Impotence?

Some people believe that masturbation can cause erectile dysfunction, but this is a myth. Masturbation is a common and beneficial activity.

While most men have trouble getting or keeping an erection at some point in their lives, frequent difficulties getting an erection is called erectile dysfunction (ED).

Learn more about ED and masturbation, if watching porn affects sexual function, and when to see a doctor.

Can masturbation cause ED Erectile dysfunction – Impotence ?

Erectile dysfunction - Impotence 
man sat on the end of his bed worried about masturbation causing erectile dysfunction
Researchers are confident that masturbation does not cause ED.

No, masturbation cannot cause ED Erectile dysfunction – Impotence — it is a myth.

Masturbation is natural and does not affect the quality or frequency of erections.

Research shows that masturbation is very common across all ages. Approximately 74 percent of males reported masturbating, compared to 48.1 percent of females.

Masturbation even has health benefits. According to Planned Parenthood, masturbation can help release tension, reduce stress, and aid sleep.

A person may not be able to get an erection soon after masturbating. This is called the male refractory period and is not the same as ED. A male refractory period is the recovery time before a man will be able to get an erection again after ejaculating.

What does the research say? | Erectile dysfunction – Impotence

Universally, researchers are confident that masturbation does not cause ED. However, difficulty getting and keeping an erection either while masturbating or while having sex may be a sign of other conditions.

Age is the most significant predictor of ED Erectile dysfunction – Impotence. Erectile dysfunction is common in men over 40 years old, with approximately 40 percent being affected to some degree.

Rates of complete ED Erectile dysfunction – Impotence, or the inability to get an erection, increase from 5 percent in men aged 40 to about 15 percent at age 70.

Other risk factors for ED Erectile dysfunction – Impotence include:

  • diabetes
  • being overweight
  • heart disease
  • lower urinary tract symptoms (bladder, prostate, or urethra issues)
  • alcohol and cigarette use

ED in younger men | Erectile dysfunction – Impotence

Although ED generally affects older men, a 2013 study found that as many as a quarter of men under 40 years old received a new ED diagnosis.

In younger men, ED is more likely to be caused by psychological or emotional factors. Younger men also have higher levels of testosterone in their bodies and are less likely to have other risk factors for ED.

Anxiety about sexual performance or erection quality can lead to further stress, sometimes creating a “vicious circle.”

Factors that can contribute to ED in younger men include:

  • stress
  • anxiety
  • depression, post-traumatic stress disorder, bipolar disorder, or medications for these illnesses
  • being overweight
  • insomnia or lack of sleep
  • urinary tract problems
  • a spinal cord injury, multiple sclerosis, or spina bifida
  • having a high-stress job
  • relationship stress
  • performance anxiety

Porn and ED Erectile dysfunction – Impotence

Erectile dysfunction - Impotence 
 Man using his laptop in bed
Watching porn may contribute to performance anxiety about sex.

There is no evidence to suggest that watching porn causes ED.

Internet porn usage rose at the same time that the rate of ED diagnoses increased in men under 40 years old.

This led some researchers to believe that porn might affect male viewers’ ability to get and maintain erections.

While it is true that internet porn access and diagnoses of ED in younger men increased at about the same time and rate, this does not prove a link between the two.

Until recently, there was little research into ED Erectile dysfunction – Impotence in young men, making numbers difficult to interpret. Also, due to stigmas and reluctance to speak to a doctor about sexual health, ED may be underreported in both younger and older men.

It is also difficult to separate the psychological effect of watching porn from other psychological factors, such as performance anxiety.

When to speak to a doctor | Erectile dysfunction – Impotence

ED Erectile dysfunction – Impotence is sometimes a sign of underlying conditions, such as heart disease or anxiety.

Telling a doctor about ED Erectile dysfunction – Impotence can prevent potential problems that these conditions might cause, and also provide solutions to ED Erectile dysfunction – Impotence.

For example, doctors may recommend that men with ED Erectile dysfunction – Impotence who are overweight lose some weight. This is because maintaining a healthy weight can increase testosterone levels, making it easier to get an erection.

A doctor may also recommend stress-relief techniques or cognitive behavioral therapy for those dealing with ED Erectile dysfunction – Impotence due to emotional or psychological issues.


Masturbation does not cause ED Erectile dysfunction – Impotence, but many underlying health problems, including heart disease, urinary tract symptoms, alcohol use, depression, and anxiety, can.

Research does not suggest that masturbation using internet porn could cause ED Erectile dysfunction – Impotence. Some people who watch porn may also experience performance anxiety, resulting in difficulties with erections, but performance anxiety is common without porn use.

Anyone experiencing problems getting or maintaining an erection should speak to a doctor, as ED Erectile dysfunction – Impotence is often treatable.

Viagra and OTC pills for Erectile dysfunction Impotence: Do they work?

Erectile dysfunction (ED) is a common concern. Medications to treat this condition were previously available on prescription only, but some options are now available over the counter.

Viagra is the most well-known treatment for ED Erectile dysfunction Impotence. There are, however, many other pills and tablets available on the market, including over-the-counter (OTC) treatments and dietary supplements.

Before trying these, it is important to know if they work and if they are safe for short- or long-term use.

This article will look at various treatment options for ED Erectile dysfunction Impotence, including OTC pills, natural remedies, and prescription medications such as Viagra. It will also discuss the evidence and risks associated with these options.

OTC treatments – Erectile dysfunction Impotence

Erectile dysfunction - Impotence  a hand holding an ed pill
IBushuev/Getty Images

ED is a medical condition, so the manufacturers of OTC products are not legally allowed to say that they treat ED Erectile dysfunction Impotence. Instead, the manufacturers may market them as sexual enhancers. These pills aim to help people maintain an erection.

Although many pills are available for purchase, none have yet received approval from the Food and Drug Administration (FDA) to treat ED Erectile dysfunction Impotence.

The FDA do not recommend using OTC products for ED Erectile dysfunction Impotence because they are not regulated for safety and may contain undisclosed ingredients or varying doses.

The following sections will look at the evidence behind four common OTC drugs marketed for treating ED Erectile dysfunction Impotence.


Dehydroepiandrosterone (DHEA) is an important hormone for sexual function. It helps create sex hormones, including testosterone and estrogen. The adrenal gland naturally produces this hormone.

Levels of DHEA in the body reach their peak in a person’s 20s, then they gradually decrease with age.

According to a 2018 review, there is evidence to suggest that low levels of DHEA in the body can increase the chance of ED Erectile dysfunction Impotence. However, studies have not convincingly shown that taking DHEA supplements helps with ED Erectile dysfunction Impotence or improves sexual performance.

In fact, one 2013 review concluded that DHEA did not significantly improve male sexual function.

Along with being touted for ED Erectile dysfunction Impotence, DHEA has become a common supplement for boosting energy, enhancing immunity, slowing aging, and improving weight loss. There is not enough evidence to suggest that it is effective for any of these uses, however.

L-arginine for Erectile dysfunction Impotence

L-arginine is a common amino acid in men’s health supplements.

The body converts this amino acid into a chemical called nitric oxide. Nitric oxide helps the blood vessels open wider, which improves blood flow.

Research from 2017 found that a significant number of people with ED Erectile dysfunction Impotence have low levels of L-arginine.

However, the findings of this study are specific to males with poor blood flow through their arteries, which is known as arterial insufficiency. The findings did not apply to males without this issue.

A small-scale clinical trial from 2020 reported that taking 2.5 grams of L-arginine improved the symptoms of moderate ED Erectile dysfunction Impotence

That said, it is important to be cautious when taking L-arginine or similar supplements, as side effects can include nausea and stomach cramps. Supplements can also cause more serious side effects, such as low blood pressure and an increased risk of bleeding, when a person takes them alongside other medications.

Ginseng for Erectile dysfunction Impotence

Ginseng, or Panax ginseng, is a popular and widely used herbal remedy. It is available in the form of pills and creams. Manufacturers claim that it can help with fertility and improve sexual function.

Ginseng contains chemicals called ginsenosides. One action of these chemicals is to promote nitric oxide, which may help trigger an erection by relaxing the smooth muscles in areas of the penis.

A review study focusing on Korean literature suggested that ginseng could help with ED and may improve sexual performance. However, the results were mixed; two studies showed positive effects, and two showed no improvement.

It is worth noting that ginseng is a stimulant and may interrupt sleep or lead to insomnia. Also, it may not be safe for people with heart disease, autoimmune conditions, or bleeding disorders.

The side effects of ginseng may include nausea, diarrhea, and headaches. Ginseng can also interact with a variety of medications. It is important to talk to a doctor before using ginseng.

Yohimbe for Erectile dysfunction Impotence

Yohimbe is an African evergreen tree. Its bark contains a compound called yohimbine, which has traditional uses as an aphrodisiac.

People use yohimbe as a natural supplement for ED, weight loss, high blood pressure, and diabetes-related nerve damage.

However, the National Center for Complementary and Integrative Health (NCCIH) say that there is not enough evidence to support the use of yohimbe for ED or any other medical condition.

The NCCIH also detail its risks, which include:

  • stomach problems
  • increased blood pressure
  • a fast or irregular heartbeat
  • anxiety

Several OTC pills contain a combination of ingredients, while other pills do not specify which ingredients they contain.

Should I use OTC treatments for ED Erectile dysfunction Impotence ?

To date, there is not enough research to confirm that any store-bought supplements or pills are effective or safe for treating ED.

Many products that the manufacturers claim to be sexual enhancers have not undergone testing or regulation by the FDA.

The FDA have found that nearly 300 products marketed for ED contained excessively high doses or undisclosed ingredients. This included prescription drugs such as Viagra.

Importantly, the undisclosed ingredients in these supplements may interact with other medications that a person is taking. This may have harmful consequences.

For example, these products may interact with drugs that contain nitrates, such as:

  • nitroglycerin, which helps treat angina and coronary heart disease
  • isosorbide or nitroprusside, which help treat high blood pressure
  • amyl nitrate

Having a label that suggests that the product is natural or an herbal remedy does not make it safe. It is best to speak with a doctor before taking any type of supplement.

The FDA recommend being cautious about ED pills that:

  • claim to have quick results, such as within 30–40 minutes
  • are available in single servings
  • are labeled as alternatives to prescription drugs
  • are marketed through unsolicited emails
  • have labels in a different language
  • contain warnings and directions that mimic those of prescription products
Erectile Dysfunction - Disorders of Organ Systems - Pharmacotherapy  Principles and Practice, Second Edition (Chisholm-Burns, Pharmacotherapy),  2nd Ed.

Prescription drugs for ED Erectile dysfunction Impotence

A doctor may prescribe a drug that stimulates blood flow to the penis. This should help the person achieve an erection.

There are several prescription ED Erectile dysfunction Impotence drugs, and each has potential side effects.

The four main FDA-approved oral drugs for ED Erectile dysfunction Impotence are:

  • sildenafil (Viagra)
  • avanafil (Stendra)
  • tadalafil (Cialis)
  • vardenafil (Levitra)

These drugs are known as PDE-5 inhibitors. They enhance the effects of nitric oxide, which the body produces to relax muscles in the penis to allow increased blood flow.

Different drugs vary in dose, how long they work for, and possible side effects.

Some possible side effects include:

  • flushing
  • nasal congestion
  • headache
  • visual changes
  • backache
  • upset stomach

A person’s doctor can determine which medication is the best fit for them.

Some groups should not take medications for ED, as they can be dangerous. This includes people who:

  • take nitrate drugs or have heart problems
  • have very low blood pressure or uncontrolled high blood pressure
  • have liver disease
  • have kidney disease

Other treatments for Erectile dysfunction Impotence

There are several other treatment options for ED. These include:

  • vacuum devices, which are mechanical pumps that create an erection by drawing blood into the penis
  • ED rings, which are bands that go around the base of the penis to help maintain an erection
  • self-injections, or medications that the person injects directly into their penis
  • testosterone replacement
  • blood vessel surgery

Natural options

Certain lifestyle factors can increase a person’s chance of erectile problems. Controlling these factors can help improve their symptoms.

Making the following lifestyle changes can help naturally treat erectile problems and boost the person’s overall health:

  • quitting smoking
  • reducing alcohol intake
  • eating a balanced, nutritious diet
  • improving sleep health
  • exercising regularly
  • maintaining a moderate weight


To date, research has not confirmed that any OTC pills or supplements can safely or effectively treat ED Erectile dysfunction Impotence. Prescription drugs, however, can effectively treat ED Erectile dysfunction Impotence — though these are not safe for everybody.

If a person is concerned about erectile problems, they may benefit from talking to a doctor to learn more about the treatment options.AD

Erectile dysfunction impotence

Penis fracture: Is it possible? | Erectile dysfunction impotence

Erectile dysfunction impotence

Is it possible to fracture your penis?

Answer From Matthew (Matt) J. Ziegelmann, M.D.

Yes. Although rare, a penis fracture can occur when there is trauma to an erect penis.

A penis fracture differs from other fractures in the body because the penis has no bones. During an erection, the penis is engorged with blood that fills two cylinders (corpora cavernosa). If an engorged penis is bent suddenly or forcefully, the trauma can rupture the outer lining of one of the two cylinders (tunica albuginea). This can result in a penis fracture.

The trauma is most often caused by sexual intercourse, such as when the penis slips out of the vagina and is accidentally thrust against the pelvis. But a penis fracture can also occur due to aggressive masturbation or taqaandan, a cultural practice in which the top of an erect penis is forcefully bent to relax an erection.

A penis fracture often results in a penis that bulges and appears purple, looking somewhat like an eggplant. Signs and symptoms of a penis fracture include:

  • Immediate penile pain
  • A popping or cracking sound
  • Rapid loss of erection
  • Swelling in the penile shaft
  • Discoloration of the penile shaft due to bleeding underneath the skin

Sometimes the tube that drains urine from the body (urethra) is damaged as well, and blood might be visible at the urinary opening of the penis.

A penis fracture requires urgent medical attention. The injury can usually be diagnosed with a physical exam, but additional testing such as an ultrasound may be needed. Prompt surgical repair is typically recommended.

Left untreated, a penis fracture might result in a curved penis or the permanent inability to get or keep an erection firm enough for sex (erectile dysfunction).

Erectile dysfunction impotence

Erectile dysfunction impotence

Penile Implants – for Erectile dysfunction Impotence

Penile Implants – for Erectile dysfunction Impotence

Penile implants are devices placed inside the penis to allow men with erectile dysfunction (ED) to get an erection. Penile implants are typically recommended after other treatments for ED fail.

There are two main types of penile implants, semirigid and inflatable. Each type of penile implant works differently and has various pros and cons.

The placement of penile implants requires surgery. Before choosing penile implants, make sure you understand what surgery involves, including possible risks, complications and follow-up care.

Products & Services

Erectile dysfunction Impotence

Why it’s done

For most men, erectile dysfunction can be successfully treated with medications or use of a penis pump (vacuum constriction device). You might consider penile implants if you aren’t a candidate for other treatments or you can’t get an erection sufficient for sexual activity by using other methods.

Penile implants can also be used to treat severe cases of a condition that causes scarring inside the penis, leading to curved, painful erections (Peyronie’s disease).

Penile implants aren’t for everyone. Your doctor might caution against penile implants if you have:

  • ED that’s situational, the result of a relationship conflict or potentially reversible
  • An infection, such as a pulmonary infection or urinary tract infection
  • Diabetes that isn’t well-controlled

Keep in mind that while penile implants allow men to get an erection, they don’t increase sexual desire or sensation. Most penile implants also won’t make your penis any larger than it naturally is at the time of surgery. In fact, your erect penis might be slightly shorter than it used to be.


Erectile dysfunction Impotence

Risks of penile implant surgery include:

  • Infection. As with any surgery, infection is possible. You might be at an increased risk of infection if you have a spinal cord injury or diabetes.
  • Implant problems. New penile implant designs are reliable, but in rare cases the implants might malfunction. Surgery is necessary to remove, repair or replace a broken implant.
  • Internal erosion or adhesion. In some cases, an implant might stick to the skin inside the penis or wear away the skin from inside the penis. Rarely, an implant breaks through the skin. These problems are sometimes linked to an infection.

Treating an infection

Infections after penile implant surgery typically occur in the first few weeks or possibly years later. Early infections can cause swelling of the scrotum, pus buildup and fever. Later infections might involve persistent or recurrent long-term pain.

Surgery to remove the implant is likely necessary to treat an infection. Replacing a penile implant can be complicated and can lead to a buildup of scar tissue and a decrease in penis length.

How you prepare

Initially, you’ll talk to your doctor or a urologist about penile implants. During your visit, your doctor will likely:

  • Review your medical history. Be prepared to answer questions about current and past medical conditions, especially your experience with ED. Talk about any medications you’re taking or have taken recently, as well as any surgeries you’ve had.
  • Do a physical exam. To make sure penile implants are the best options for you, your doctor will do a physical exam, including a complete urologic exam. Your doctor will confirm the presence and nature of ED, and make sure that your ED can’t be treated in another way.

    He or she will also try to determine whether there’s any reason that penile implant surgery is likely to cause complications. Your doctor will also examine your ability to use your hands, since some penile implants require greater manual dexterity than others.

  • Discuss your expectations. Make sure you understand what the procedure involves and the type of penile implant that suits you best. It’s also important to know that the procedure is considered permanent and irreversible.

    Your doctor will also explain the benefits and risks, including potential complications. Ideally, you’ll include your partner in the discussion with your doctor.

Types of penile implants for

Erectile dysfunction Impotence

There are two main types of penile implants:

  • Inflatable implants. Inflatable devices, the most common type of penile implant used, can be inflated to create an erection and deflated at other times. Three-piece inflatable implants use a fluid-filled reservoir implanted under the abdominal wall, a pump and a release valve placed inside the scrotum, and two inflatable cylinders inside the penis.

    To achieve an erection, you pump the fluid from the reservoir into the cylinders. Afterward, you release the valve inside the scrotum to drain the fluid back into the reservoir. The two-piece model works in a similar way, but the fluid reservoir is part of the pump implanted in the scrotum.

  • Semirigid rods. Semirigid devices are always firm. The penis can be bent away from the body for sexual activity and toward the body for concealment.

    A positionable penile implant is a semirigid device with a central series of segments held together with a spring on each end. It can maintain upward and downward positions better than other semirigid rods can.

Other special designs can fit a shortened penis, or one that’s larger than average. Some inflatable penile implants are also available with antibiotic coatings, which might help reduce the risk of infection.

Comparing implant types

When choosing which type of penile implant is right for you, consider your personal preference and your medical history. Your doctor might suggest one type of design over another based on your age, risk of infection, and health conditions, injuries or medical treatments you’ve had in the past.

Type of penile implant Pros Cons
Three-piece inflatable
  • Creates the most natural, rigid erection
  • Provides flaccidity when deflated
  • Has more parts that could malfunction than does any other implant
  • Requires a reservoir inside the abdomen
Two-piece inflatable
  • Provides flaccidity when deflated
  • Is mechanically more complicated than is a semirigid implant
  • Provides less firm erections than does a three-piece implant
Semirigid rod
  • Has a low chance of malfunction due to the small number of parts
  • Is easy to use for those with limited mental or manual dexterity
  • Results in a penis that is always slightly rigid
  • Puts constant pressure on the inside of the penis, which can cause injury
  • Can be difficult to conceal under clothing

Before penile implant surgery you might also need to:

  • Avoid certain medications. Your doctor might recommend that you temporarily stop taking aspirin and anti-inflammatory drugs, which can increase your risk of bleeding.
  • Arrange for a ride home. Ask your doctor when you’ll be able to go home after surgery. Penile implant surgery typically involves an overnight stay.
  • Limit food and liquids. Don’t eat or drink anything after midnight before your surgery, or follow specific instructions from your doctor.

What you can expect

Before the procedure

Penile implant surgery is usually done at a surgery center or hospital. Your doctor might give you medication to make you unconscious during the surgery (general anesthesia) or medication that blocks pain in the lower part of your body (spinal anesthesia).

Your doctor will give you IV antibiotics to help prevent infection. The surgery site will also be shaved immediately before surgery to reduce the risk of infection.

During surgery

A tube (catheter) might be inserted into your bladder via your penis to collect urine at some point during surgery. Your surgeon will make an incision below the head of the penis, at the base of the penis or in the lower abdomen.

Next, your surgeon will stretch the spongy tissue in the penis that would normally fill with blood during an erection. This tissue is inside each of the two hollow chambers called the corpora cavernosa.

Your surgeon will choose the correct size implant and place the implant cylinders inside your penis. All sizes are customized to your exact body measurements.

If your doctor is implanting a two-piece inflatable device, a pump and valve are placed inside the scrotum. For a three-piece device, your doctor will also implant a fluid reservoir under the abdominal wall through an internal incision.

Once the device is in place, your surgeon will sew the incisions closed. Penile implant surgery usually takes 45 minutes to an hour.

After surgery

After penile implant surgery, you’ll likely need to take medications to ease pain. Mild pain might persist for several weeks. You might also need to take antibiotics for one week to prevent infection.

Your doctor might recommend keeping your penis up on your lower abdomen and pointing toward your bellybutton during the healing process to prevent downward curvature.

Your doctor will provide specific instructions about when you can resume normal activities. Most men can resume strenuous physical activity and sexual activity about four to six weeks after surgery. You’ll likely need to return to your doctor to have your stitches removed in about two weeks.

At this point, your doctor might recommend fully inflating and deflating inflatable penile implants twice a day to give you practice using them and stretch the area surrounding the cylinders.


Although penile implants are the most invasive and least often chosen treatment for erectile dysfunction, most men and their partners report satisfaction with the devices. The 10-year device survival is between 60 and 80 percent.

Erectile dysfunction Impotence

Erectile dysfunction impotence

Sildenafil (Oral Route) Proper Use

Proper Use

Drug information provided by: IBM Micromedex

Use sildenafil exactly as directed by your doctor. Do not use more of it and do not use it more often than your doctor ordered. If too much is used, the chance of side effects is increased.

Special patient instructions comes with sildenafil. Read the directions carefully before you start using sildenafil and each time you get a refill of your medicine.

You may take this medicine with or without food.

If you are using the oral liquid, shake the bottle well for at least 10 seconds before measuring each dose. Use the oral syringe provided in the package to measure each dose. Wash the oral syringe after each use.

This medicine usually begins to work for erectile dysfunction within 30 minutes after taking it. It continues to work for up to 4 hours, although its action is usually less after 2 hours.

Use only the brand of this medicine that your doctor prescribed. Different brands may not work the same way.


The dose of this medicine will be different for different patients. Follow your doctor’s orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For treatment of erectile dysfunction:

    • For oral dosage form (tablets):

      • Adults up to 65 years of age—50 milligrams (mg) as a single dose no more than once a day, 1 hour before sexual intercourse. Alternatively, the medicine may be taken 30 minutes to 4 hours before sexual intercourse. Your doctor may adjust your dose if needed.

      • Adults 65 years of age and older—25 mg as a single dose no more than once a day, 1 hour before sexual intercourse. Alternatively, the medicine may be taken 30 minutes to 4 hours before sexual intercourse. Your doctor may adjust your dose if needed.

      • Children—Use is not recommended.

  • For treatment of pulmonary arterial hypertension:

    • For oral dosage forms (suspension or tablets):

      • Adults—5 or 20 milligrams (mg) three times a day. Each dose should be taken about 4 to 6 hours apart.

      • Children—Use and dose must be determined by your doctor.


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Throw away any unused mixed Revatio® oral liquid after 60 days.


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Erectile dysfunction impotence

Department of Urology – Benign Prostatic Hyperplasia | Erectile dysfunction impotence

Benign Prostatic Hyperplasia | Erectile dysfunction impotence

Researchers in the Department of Urology are investigating new methods to treat benign prostatic hyperplasia, including novel medications, surgical techniques, minimally invasive procedures and other approaches to improve patient quality of life and outcomes.

Areas of research in benign prostatic hyperplasia (BPH) include:

  • Minimally invasive therapies; interstitial devices such as interstitial laser coagulation and transurethral needle ablation; high-intensity focused ultrasound; and water-induced thermotherapy
  • New approaches for Peyronie’s disease, including an early trial of inexpensive, safe and well-tolerated oral therapy
  • Transurethral microwave heat therapies using standardized treatment protocols and patient selection as opposed to transurethral resection of the prostate and other established BPH treatment modalities to improve safety, efficacy and patient comfort
  • Post-implant computerized tomography and transrectal ultrasound (CT/TRUS) image fusion, which could improve the ability to reproduce the effects of various levels of post-implant radiation
Erectile dysfunction impotence

Premature ejaculation – Symptoms and causes | Erectile dysfunction impotence

Premature ejaculation – Symptoms and causes | Erectile dysfunction impotence

Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time.

As long as it happens infrequently, it’s not cause for concern. However, you might be diagnosed with premature ejaculation if you:

  • Always or nearly always ejaculate within one minute of penetration
  • Are unable to delay ejaculation during intercourse all or nearly all of the time
  • Feel distressed and frustrated, and tend to avoid sexual intimacy as a result

Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition. Medications, counseling and sexual techniques that delay ejaculation — or a combination of these — can help improve sex for you and your partner.

Symptoms – Premature ejaculation

The main symptom of premature ejaculation is the inability to delay ejaculation for more than one minute after penetration. However, the problem might occur in all sexual situations, even during masturbation.

Premature ejaculation can be classified as:

  • Lifelong (primary). Lifelong premature ejaculation occurs all or nearly all of the time beginning with your first sexual encounters.
  • Acquired (secondary). Acquired premature ejaculation develops after you’ve had previous sexual experiences without ejaculatory problems.

Many men feel that they have symptoms of premature ejaculation, but the symptoms don’t meet the diagnostic criteria for premature ejaculation. Instead these men might have natural variable premature ejaculation, which includes periods of rapid ejaculation as well as periods of normal ejaculation.

When to see a doctor for Premature ejaculation ( impotence)

Talk with your doctor if you ejaculate sooner than you wish during most sexual encounters. It’s common for men to feel embarrassed about discussing sexual health concerns, but don’t let that keep you from talking to your doctor. Premature ejaculation is a common and treatable problem.

For some men, a conversation with a doctor might help lessen concerns about premature ejaculation. For example, it might be reassuring to hear that occasional premature ejaculation is normal and that the average time from the beginning of intercourse to ejaculation is about five minutes.

Causes of Premature ejaculation ( erectile dysfunction)

The exact cause of premature ejaculation isn’t known. While it was once thought to be only psychological, doctors now know premature ejaculation involves a complex interaction of psychological and biological factors.

Psychological causes – (impotence)

Psychological factors that might play a role include:

  • Early sexual experiences
  • Sexual abuse
  • Poor body image
  • Depression
  • Worrying about premature ejaculation
  • Guilty feelings that increase your tendency to rush through sexual encounters

Other factors that can play a role include:

  • Erectile dysfunction. Men who are anxious about obtaining or maintaining an erection during sexual intercourse might form a pattern of rushing to ejaculate, which can be difficult to change.
  • Anxiety. Many men with premature ejaculation also have problems with anxiety — either specifically about sexual performance or related to other issues.
  • Relationship problems. If you have had satisfying sexual relationships with other partners in which premature ejaculation happened infrequently or not at all, it’s possible that interpersonal issues between you and your current partner are contributing to the problem.

Biological causes – Premature ejaculation

A number of biological factors might contribute to premature ejaculation, including:

  • Abnormal hormone levels
  • Abnormal levels of brain chemicals called neurotransmitters
  • Inflammation and infection of the prostate or urethra
  • Inherited traits

Risk factors

Various factors can increase your risk of premature ejaculation, including:

  • Erectile dysfunction. You might be at increased risk of premature ejaculation if you occasionally or consistently have trouble getting or maintaining an erection. Fear of losing your erection might cause you to consciously or unconsciously hurry through sexual encounters.
  • Stress. Emotional or mental strain in any area of your life can play a role in premature ejaculation, limiting your ability to relax and focus during sexual encounters.


Premature ejaculation can cause problems in your personal life, including:

  • Stress and relationship problems. A common complication of premature ejaculation is relationship stress.
  • Fertility problems. Premature ejaculation can occasionally make fertilization difficult for couples who are trying to have a baby if ejaculation doesn’t occur intravaginally.
Erectile dysfunction impotence

Better sex when you have high blood pressure | Erectile dysfunction impotence

High blood pressure and sex: Overcome the challenges | Erectile dysfunction impotence

Treatment for high blood pressure and satisfaction with sex can go hand in hand — if you’re open about the problem and work closely with your doctor.

By Erectile Dysfunction Clinic Staff

High blood pressure often has no signs or symptoms. But the impact on your sex life may be obvious. Although sexual activity is unlikely to pose an immediate threat to your health — such as a heart attack — high blood pressure can affect your overall satisfaction with sex.

A link between high blood pressure and sexual problems is proved in men. For women who have decreased sexual satisfaction, it’s not yet proved that high blood pressure is to blame.

Challenges for men | Erectile dysfunction impotence

Over time, high blood pressure damages the lining of blood vessels and causes arteries to harden and narrow (atherosclerosis), limiting blood flow. This means less blood is able to flow to the penis.

For some men, the decreased blood flow makes it difficult to achieve and maintain erections — often referred to as erectile dysfunction. The problem is fairly common.

High blood pressure can also interfere with ejaculation and reduce sexual desire. Sometimes the medications used to treat high blood pressure have similar effects.

Even a single episode of erectile dysfunction can cause anxiety. Fears that it will happen again might lead men to avoid sex — and affect the relationship with their sexual partner.

Men should discuss any concerns with their doctor.

Challenges for women

High blood pressure’s effect on sexual problems in women isn’t well-understood. But it’s possible that high blood pressure could affect a woman’s sex life.

High blood pressure can reduce blood flow to the vagina. For some women, this leads to a decrease in sexual desire or arousal, vaginal dryness, or difficulty achieving orgasm. Improving arousal and lubrication can help.

Like men, women can experience anxiety and relationship issues due to sexual dysfunction. Women should talk to their doctor if they experience these difficulties.

High blood pressure medication side effects in men: Sexual problems

High blood pressure medications that can cause sexual dysfunction as a side effect include:

  • Water pills (diuretics). Diuretics can decrease forceful blood flow to the penis, making it difficult to achieve an erection. They can also deplete the body of zinc, which is necessary to make the sex hormone testosterone.
  • Beta blockers. These medications, especially older generation beta blockers such as propranolol (Inderal, Innopran XL), are commonly associated with sexual dysfunction.

To reduce the risk of side effects from these medications, including sexual problems, take medications exactly as prescribed. If you still have side effects, talk to your doctor about other possible medications that may have fewer side effects.

Medications less likely to cause sexual side effects | Erectile dysfunction impotence

If sexual side effects persist, ask your doctor about other medication options. Some high blood pressure medications are less likely to cause sexual side effects, such as:

  • Angiotensin-converting enzyme (ACE) inhibitors
  • Calcium channel blockers
  • Angiotensin II receptor blockers

To help your doctor select the most appropriate medication for you, tell him or her all the other medications you’re taking now — including herbal supplements and over-the-counter drugs. Sometimes a particular combination of medications or supplements contributes to sexual problems.

If your doctor says it’s OK, you may be able to stop taking blood pressure medications temporarily to see if your sex life improves. To make sure your blood pressure remains within a safe range, you may need frequent blood pressure readings while you’re not taking the blood pressure lowering medication that may be causing your sexual difficulties. This can be done with a home blood pressure monitoring device for convenience.

Erectile dysfunction drugs and high blood pressure

Men considering medications for erectile dysfunction should check with their doctor first. It’s usually safe to combine the erectile dysfunction drugs sildenafil (Revatio, Viagra), vardenafil (Levitra, Staxyn) and tadalafil (Adcirca, Cialis) with high blood pressure medications.

Taking these drugs with nitrates, taken either regularly for chest pain or in an emergency setting, can cause a dangerous drop in blood pressure.

Be honest with your doctor

If you have high blood pressure, you usually don’t have to live with a loss of sexual satisfaction. Start by talking with your doctor. The more your doctor knows about you, the better he or she can treat your high blood pressure — and help you maintain a satisfying sex life. Be prepared to answer questions your doctor may ask, such as:

  • What medications are you taking?
  • Has your relationship with your sexual partner changed recently?
  • Have you been feeling depressed?
  • Are you facing more stress than usual?

Promote overall health

By making healthy lifestyle choices, you can lower your blood pressure and potentially improve your sex life. Healthy lifestyle choices include:

  • Not smoking or using tobacco
  • Eating healthy foods
  • Limiting alcohol consumption
  • Reducing the amount of salt in your diet
  • Losing extra pounds
  • Exercising regularly

Of course, a leaner body can boost your confidence and help you feel more attractive, which could also improve your sex life.

Set the stage for satisfying sex

Your sexual response may vary with feelings about your partner and the setting in which sex occurs. To encourage satisfying sex, initiate sex when you and your partner are feeling relaxed. Explore various ways to be physically intimate, such as massage or warm soaks in the tub.

Share with each other the types of sexual activity you enjoy most. You may find that open communication is the best way to achieve sexual satisfaction.

Erectile dysfunction impotence

Prostate cancer treatment: Erectile Dysfuntion – Impotence

Does my choice of initial prostate cancer treatment preclude other treatments later on?

Erectile DysfuntionImpotence

Answer From Patricio C. Gargollo, M.D.

For most initial prostate cancer treatments, the answer is no. For instance, if your initial treatment is surgery to remove the prostate (prostatectomy), other treatments, such as radiation therapy and hormone therapy, may be options for you later, if necessary.

However, if you choose radiation therapy or cold therapy (cryosurgery) as an initial treatment, surgery may not be an option later because of the risk of complications.

Radiation therapy and cryosurgery cause changes to the prostate and surrounding tissues that make later surgery to remove the prostate (salvage prostatectomy) very difficult. Salvage prostatectomy carries a significantly increased risk of urinary incontinence and erectile dysfunction, as well as a risk of injury to nearby structures, such as your rectum.

Salvage prostatectomy can be performed with careful planning at specialized medical centers, but it isn’t an option for everyone. Your doctor may recommend other treatments, such as hormone therapy, before considering salvage prostatectomy.

Erectile Dysfuntion – Impotence

Erectile dysfunction impotence

Peyronie’s disease – Symptoms and causes | Erectile dysfunction impotence

Peyronie’s disease | Erectile dysfunction impotence

Peyronie’s (pay-roe-NEEZ) disease is a noncancerous condition resulting from fibrous scar tissue that develops on the penis and causes curved, painful erections. Penises vary in shape and size, and having a curved erection isn’t necessarily a cause for concern. But Peyronie’s disease causes a significant bend or pain in some men.

This can prevent you from having sex or might make it difficult to get or maintain an erection (erectile dysfunction). For many men, Peyronie’s disease also causes stress and anxiety. Penile shortening is another common concern.

Peyronie’s disease rarely goes away on its own. In most men with Peyronie’s disease, the condition will remain as is or worsen. Early treatment soon after developing the condition may keep it from getting worse or even improve symptoms. Even if you’ve had the condition for some time, treatment may help improve bothersome symptoms, such as pain, curvature and penile shortening.

Syptoms- Peyronie’s disease | (Erectile dysfunction impotence)

Peyronie’s disease signs and symptoms might appear suddenly or develop gradually. The most common signs and symptoms include:

  • Scar tissue. The scar tissue associated with Peyronie’s disease — called plaque but different from plaque that can build up in blood vessels — can be felt under the skin of the penis as flat lumps or a band of hard tissue.
  • A significant bend to the penis. Your penis might curve upward or downward or bend to one side.
  • Erection problems. Peyronie’s disease might cause problems getting or maintaining an erection (erectile dysfunction). But, often men report erectile dysfunction before the beginning of Peyronie’s disease symptoms.
  • Shortening of the penis. Your penis might become shorter as a result of Peyronie’s disease.
  • Pain. You might have penile pain, with or without an erection.
  • Other penile deformity. In some men with Peyronie’s disease, the erect penis might have narrowing, indentations or even an hourglass-like appearance, with a tight, narrow band around the shaft.

The curvature and penile shortening associated with Peyronie’s disease might gradually worsen. At some point, however, the condition typically stabilizes after three to 12 months or so.

Pain during erections usually improves within one to two years, but the scar tissue, penile shortening and curvature often remain. In some men, both the curvature and pain associated with Peyronie’s disease improve without treatment.

When to see a doctor

See your doctor as soon as possible after you notice signs or symptoms of Peyronie’s disease. Early treatment gives you the best chance to improve the condition — or prevent it from getting worse. If you’ve had the condition for some time, you may wish to see a doctor if the pain, curvature, length or other deformities bother you or your partner.


The cause of Peyronie’s disease isn’t completely understood, but a number of factors appear to be involved.

It’s thought Peyronie’s disease generally results from repeated injury to the penis. For example, the penis might be damaged during sex, athletic activity or as the result of an accident. However, most often, no specific trauma to the penis is recalled.

During the healing process after injury to the penis, scar tissue forms in a disorganized manner. This can lead to a nodule you can feel or development of curvature.

Each side of the penis contains a spongelike tube (corpus cavernosum) that contains many tiny blood vessels. Each of the corpora cavernosa is encased in a sheath of elastic tissue called the tunica albuginea (TOO-nih-kuh al-BYOO-JIN-e-uh), which stretches during an erection.

When you become sexually aroused, blood flow to these chambers increases. As the chambers fill with blood, the penis expands, straightens and stiffens into an erection.

In Peyronie’s disease, when the penis becomes erect, the region with the scar tissue doesn’t stretch, and the penis bends or becomes disfigured and possibly painful.

In some men, Peyronie’s disease comes on gradually and doesn’t seem to be related to an injury. Researchers are investigating whether Peyronie’s disease might be linked to an inherited trait or certain health conditions.

Risk factors

Minor injury to the penis doesn’t always lead to Peyronie’s disease. However, various factors can contribute to poor wound healing and scar tissue buildup that might play a role in Peyronie’s disease. These include:

  • Heredity. If a family member has Peyronie’s disease, you have an increased risk of the condition.
  • Connective tissue disorders. Men who have certain connective tissue disorders appear to have an increased risk of developing Peyronie’s disease. For example, a number of men who have Peyronie’s disease also have a cordlike thickening across the palm that causes the fingers to pull inward (Dupuytren’s contracture).
  • Age. Peyronie’s disease can occur in men of any age, but the prevalence of the condition increases with age, especially for men in their 50s and 60s. Curvature in younger men is less often due to Peyronie’s disease and is more commonly called congenital penile curvature. A small amount of curvature in younger men is normal and not concerning.

Other factors — including certain health conditions, smoking and some types of prostate surgery — might be linked to Peyronie’s disease.


Complications of Peyronie’s disease might include:

  • Inability to have sexual intercourse
  • Difficulty achieving or maintaining an erection (erectile dysfunction)
  • Anxiety or stress about sexual abilities or the appearance of your penis
  • Stress on your relationship with your sexual partner
  • Difficulty fathering a child, because intercourse is difficult or impossible
  • Reduced penis length
  • Penile pain

 Erectile dysfunction Impotence

Erectile dysfunction impotence

Cancer treatment for men: Possible sexual side effects | Erectile Dysfuntion – Impotence

Erectile DysfuntionImpotence

Cancer treatment for men: Possible sexual side effects

Find out if you’re at risk of sexual side effects after cancer treatment and which cancer treatments can cause these side effects.

By Erectile Dysfunction Clinic Staff

Treatment for certain cancers can affect your sexuality, causing a range of signs and symptoms that can make sex with your partner more difficult. But that doesn’t mean you can’t have a healthy sex life after cancer treatment.

Knowing more about your cancer treatment and how it may affect sexual function can help you find a solution if problems develop.

Pelvic cancers: More likely to cause sexual dysfunction than are other cancers

Men with cancer in their pelvic area are more likely than are men with other cancers to report difficulty resuming sex after cancer treatment.

Sexual side effects are most common after treatment for:

  • Bladder cancer
  • Colon cancer
  • Prostate cancer
  • Rectal cancer

Older men are more likely to experience sexual dysfunction after cancer treatment. That’s because most older men, including those who haven’t had cancer, will experience difficulty with sex at some time.

So older men who’ve had cancer treatment may experience sexual side effects related to aging rather than to treatment. Or they may find that cancer treatment accelerates the sexual side effects associated with normal aging.

Erectile dysfunction: Most common sexual side effect of cancer treatment for men

A number of sexual side effects can occur as a result of cancer treatment, including:

  • Inability to achieve or maintain an erection (erectile dysfunction)
  • Difficulty climaxing
  • Orgasm without discharge of semen (dry orgasm)
  • Weaker, less satisfying orgasms
  • Loss of interest in sex
  • Pain during sex
  • Less energy for sexual activity
  • Feeling less attractive

Not every man with cancer will experience sexual side effects. Your doctor can discuss the level of risk you may encounter for your specific type of cancer and treatment.

Cancer can cause sexual side effects if the cancer involves sexual organs. Cancers that do not affect the sexual organs can also affect your sexuality by changing your body image, making you feel less attractive, or causing fatigue or depression and decreasing interest in sex.

Sexual difficulties can also result from side effects of cancer and its treatment, such as fatigue, pain or anxiety about your treatment. In addition, depressed feelings about having cancer could cause a loss of libido.

Sometimes emotional factors may have sexual side effects in addition to the physical changes you undergo during treatment.

How cancer treatments affect your sexuality

Surgery, radiation therapy, hormone therapy, chemotherapy and other medications can all cause sexual side effects.

Surgery | Erectile Dysfuntion – Impotence

Nerves in your pelvic area control blood flow to your penis. If you have a tumor in your pelvic area that needs to be removed, your surgeon must work carefully to avoid damaging nerves. A severed nerve can lead to weakened erections or the inability to achieve an erection.

Operations that can cause erectile dysfunction include:

  • Colon and rectal surgery. If you have colon or rectal cancer, you may require surgery called abdominoperineal resection to remove your lower colon and rectum.
  • Bladder surgery. A procedure called radical cystectomy for bladder cancer involves removing the bladder, prostate, upper urethra and seminal vesicles.
  • Prostate surgery. If you have prostate cancer, you may consider radical prostatectomy to remove your prostate and seminal vesicles.
  • Penis surgery. Though rare, surgery to remove all or part of the penis (penectomy) is an option for men with penile cancer. If the penectomy is partial, you may still be able to achieve an erection.
  • Lymph node removal. Surgery to remove many lymph nodes in the pelvic area (retroperitoneal lymph node dissection) may be used in men with testicular cancer or certain sarcomas.

Newer nerve-sparing operations are less likely to cause erectile dysfunction, though whether you’re a candidate for that type of surgery depends on the size and location of your cancer. For some cancers, nerve damage can’t be avoided if the surgeon is to remove all of the cancer.

Men who undergo nerve-sparing prostatectomy may experience temporary erectile dysfunction, while the effects are permanent in men who are not eligible for the nerve-sparing surgery.

Nerves damaged during surgery may cause you to experience a dry orgasm — an orgasm without ejaculation of semen. The semen your body produces may not leave your testicles, or it may be pushed into your bladder (retrograde ejaculation).

Some men say that a dry ejaculation feels no different and, often, their partners don’t notice or don’t mind the difference. However, other men find that dry orgasms are weaker or feel less pleasurable than their orgasms before surgery.

In addition, some operations may require placement of an opening (ostomy) that allows stool or urine to collect in a bag that attaches to your body. Wearing an ostomy bag may make you feel self-conscious and unattractive. Ostomy therapists and specialized clothing can help boost your self-confidence.

Radiation therapy |Erectile Dysfuntion – Impotence

Radiation aimed at the pelvis can cause erectile dysfunction, though it isn’t clear why.

Radiation may damage nerves in your pelvic area, block blood flow to your penis or decrease the level of testosterone in your body. Radiation’s side effects start slowly about six months to a year after treatment.

Whether you experience erectile dysfunction as a result of radiation therapy depends on the amount of radiation you receive and how much of your pelvic area is being treated — a greater level of radiation over a greater amount of your body is more likely to cause sexual side effects.

Men who smoke or who have a history of heart disease, high blood pressure or diabetes also may be at a higher risk of erectile dysfunction after radiation therapy. These conditions may have already caused some artery damage, which can be made worse by the radiation.

The amount of semen you ejaculate may decrease after radiation therapy. You may feel pain during ejaculation after treatment, though it usually goes away over time.

Hormone therapy | Erectile Dysfuntion – Impotence

If you have prostate cancer that has spread, your doctor might try to lower the level of the hormone testosterone in your body by removing your testicles (orchiectomy) or treating you with medications.

Some prostate cancers rely on testosterone for fuel. By lowering your testosterone levels, your doctor hopes to slow or stop your cancer’s progression. Men who have large prostate cancers might receive hormone therapy to shrink the prostate before surgery to make it easier to remove.

Hormone therapy most commonly causes a loss of libido, but it doesn’t happen to everyone. Some men find that they have a desire for sex but are unable to get an erection or are unable to reach orgasm. Younger men tend to have fewer sexual side effects from hormone therapy. Hormone therapy can also cause you to produce less semen when you ejaculate.

Chemotherapy | Erectile Dysfuntion – Impotence

You may experience a loss of libido and difficulty achieving an erection after chemotherapy. Some chemotherapy drugs reduce the amount of testosterone your body produces. You’ll usually regain your sexual function within a few weeks of ending treatment.

Chemotherapy can cause fatigue, increased bleeding or an increased risk of infection. During this time, your doctor may advise you to avoid sexual intercourse, or you may not feel the desire for sex.

Other medications

Many other medications are known to interfere with sexual function in men. Pain medications, if taken regularly, can lead to sexual dysfunction. A large number of medications that are used to treat some of the side effects of cancer also can affect sexual function. Ask your doctor if any of your medications may be leading to a problem with sexual function.

What you can do to regain sexual function

Some sexual side effects of cancer treatment will resolve in a few weeks. Others may last for a year or two after treatment, and some will be permanent.

Find out as much as you can about what’s impeding your sexual function. This may help you feel more in control of the situation and help guide you to treatment options. You may also want to:

  • Do some experimenting. You may find that certain situations reignite your sexual desire or help you get an erection.

    Pay attention to what works — whether it’s stimulating your penis yourself or thinking about sexual fantasies. You might find your orgasms are more intense if you spend more time on foreplay. After certain operations or treatments, different sexual positions or activities may be helpful. If fatigue is a major problem, allow your partner to take the more physically active role.

  • Talk with your doctor. Your doctor can give you more information on what’s causing any sexual dysfunction you’re experiencing. From there you can discuss treatment options, such as medications, implants or devices that can facilitate an erection.

    Keep in mind, though, that some doctors may be just as reluctant or embarrassed as you are to talk about sexual side effects. If so, ask your doctor for a referral to a specialist, such as a urologist or a sex therapist.

  • Talk with your partner. Let your partner know what works best for you. Be honest about your concerns and feelings. If you’re silent about what you’re experiencing, your partner may feel rejected.

    Your partner can offer vital support as you recover from cancer treatment. She or he might also have ideas on how to help you regain your sexual function.

  • Talk with other cancer survivors. Your health care team might be able to steer you to a support group in your town. Otherwise, connect with other cancer survivors online.

    If you’re embarrassed about discussing sex face to face with strangers, the online environment provides more anonymity. Start with the American Cancer Society’s Cancer Survivors Network.

Men who have had cancer treatment may find that it simply takes time to regain sexual function. Medications and other options for treatment work in some men and not in others. Sometimes it takes a year or two for nerves or blood vessels in your pelvic area to heal.