Erectile dysfunction is a common condition that that has many and varied causes, a lot of people attribute aging or the aging process to the onset of erectile dysfunction, and it is true that, as patients get older, we do see a higher incidence of erectile dysfunction. Patients in their 40s may have approximately 40 percent risk of having erectile dysfunction at some point in your 40s, whereas a man in his 70s that that risk goes goes up to closer to 70 percent. There are many factors that contribute to the deterioration in erections, as men may get older. Some of these factors include the onset of certain medical conditions such as high blood pressure, diabetes, atherosclerosis, obesity, lack of exercise, increased stress in your life due to increased workloads, and things like that. So these are all factors that contribute. Also. You should be aware that, as you get older, it’s a normal phenomenon that testosterone levels will actually decrease. As you age, though low testosterone may not actually be a causative factor for erectile dysfunction. It certainly plays a role because, by having low testosterone levels that can reduce your libido or your desire for sexual activity, it can sometimes be related to erectile dysfunction as well. So all of these factors are are contributing to the process of having deterioration in erections as you get older. So age is certainly a prominent factor to consider when talking about causes of erectile dysfunction. If you suffer from erectile dysfunction, then it’s important to understand what some of the causes related to your lifestyle may be. That could be contributing to these problems. If you speak to your physician about your problem of erectile dysfunction, then we will commonly ask you, questions related to your medical history, use of medications and use of illicit substances, including the use of alcohol. Alcohol is a known depressant to your body and can often contribute to erection problems. It makes it more difficult to not only have erections but can make it harder to sustain erections and can affect the sexual experience. So especially if you are a heavy alcohol user, you may want to get counseling on stopping the use of alcohol or join community programs. Like alcoholics, anonymous to help you with your alcohol addiction, even the social use of alcohol sometimes can can affect your ability to have erections and just be aware that even one or two drinks may may impair your your sexual experience or impair your ability to have erections alcohol is a common cause of erectile dysfunction that you should certainly be aware of. When we talk about treatment for erectile dysfunction. There are many different options: there’s medications that can be taken which may include fda approved medications such as Viagra, Cialis or levitra. There’s injection therapy to the penis, where various compounds can be injected directly into the penis there’s also use of devices such as vacu devices to act as an aid to facilitate erections. There are what we call suppositories pills that can be inserted into the urethra that deliver medications directly to the penile tissues. All these would be considered conventional fda, approved therapies for erectile dysfunction, there’s a category of of therapies which we would put into the category of alternative medications or alternative meds, and these may include herbal supplements, various products that you can find on the market. With regard to some of these treatments, they may be effective. However, there should be some caution when utilizing any of these particular compounds. There are some products which have been shown to be effective and may facilitate erections and probably are safe in the short term, but we don’t have significant studies to evaluate their efficacy or safety in the long term. These include things like dhea l-arginine ginseng, so these are herbal products that that sometimes can help with erectile function. There’s a product called yohimbine, which is a naturally occurring substance, which also can help with erections. However, this particular product has the possible side effect of of low blood pressure. Dizziness fainting, so it probably should not be used as the safety of the medication is not determined. There are other products on the market which you will see being marketed as herbal Viagra. The fda has put out warnings stating that these products contain a large number of compounds that are not regulated and may not be known. Many of these products may actually be spiked with products that are similar to drugs such as Viagra, and because these are not regulated products, they can have serious potential side effects such as fainting dizziness. So the fda has put out a warning saying practice extreme caution when using these types of products and it recommends against the use of these types of products. So there are alternatives to conventional therapies. The most commonly used treatments for erectile dysfunction happen to be conventional therapies. However, many patients will see many things being marketed and the bottom line is you have to practice caution, because the safety of of many of these products is not clearly determined. There are a number of factors that can increase your risk of erectile dysfunction and a common question that we get as urologists are. Does bike lane bicycling actually increase your risk of having problems with erections and the short answer is yes, depending on the types of seats you’re using things like that, but basically bicycling puts direct pressure from the bicycle seat on an area called the perine. The perine is the area behind the testicles and in front of the rectal area, and that is where all the the nerves and the blood vessels that go to the penis go through to get to the penile area. So by placing direct pressure on that area, there can be trauma or injury to some of those nerves or blood vessels, and for this reason, in the recent years bicycle companies have come out with newly developed seats that actually are split down the middle, so that pressure is no longer placed on this middle area and rather distributed to the sides, and that can be protective to reduce the risk of injury to those areas. But if you’re an avid biker- and you spend a lot of time on the bike, then you should definitely consider getting one of these specialized seats. Otherwise there can be trauma that occurs as a result of long hours spent on the bike. Cialis is a medication, that’s commonly prescribed for erectile dysfunction. It is a medication in the class of medications called phosphodiesterase 5 inhibitors. What these medications do is block a an enzyme within the penile tissues, and this causes the elevation of an some other compounds that act as what we call vasodilators. These compounds facilitate relaxation of the smooth muscle in the blood vessels to the penis, and when you have this relaxation process, it’s it’s important for that relaxation process to help stimulate an erection. So the relaxation of the smooth muscles of these blood vessels then leads to increased blood flow into the penile tissues and can then facilitate an erection. The taking the medication itself will not cause an erection, but it will help to not only give you a firmer erection but will help to also sustain an erection for a longer period of time. The difference between c alice and several other medications in the same category is that Cialis lasts in your system. Longer it takes approximately 36 hours for the medication to be cleared out of your system. So if you take one dose of Cialis, then technically you should not take another dose for several days. Otherwise you can have serious side effects from buildup of the product in your body. The benefit to this, this pharmacologic effect is that if you take a pill tonight, then in theory the pill should still be active in your system tomorrow night, so that you don’t have to take the pill again. The next day, Cialis has also recently come out with a daily version of the pill. This is a lower dose of the medication that is not only designed to help with erectile dys
function, but there are some studies that have shown there may be some benefit in improving urinary flow for men who may have conditions that affect the urine flow through the prostate area. So these studies have shown that daily Cialis may actually slightly improve urinary flow, so there may be some benefit to daily Cialis, for not only patients with erectile dysfunction, but men who may have some mild prostate, related symptoms, such as slowing of the urinary stream going to the bathroom more often waking up at night time to go things like that, and it’s a common correlation that men with prostate issues may be more likely to also have erectile dysfunction. So the daily version of Cialis may benefit some of those men. The advantage of the daily version is that again, you do not have to necessarily take it. 30 minutes prior to sexual activity, such as the on demand Cialis, which is taken approximately 30 minutes prior to sexual activity. So with the daily version, then you take the pill once a day just like just like you would take a baby aspirin daily and in theory, then you are prepared for sexual activity at any. Given time.