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Erectile Dysfunction? Dr. Arash Rafiei Can Help!

If you're struggling with erectile dysfunction, know that you're not alone. Learn about the causes and treatment options from Dr. Arash Rafiei.

Erectile Dysfunction ED Causes and Treatment – Dr. Arash Rafiei

Erectile dysfunction (ED) is a common condition that affects men of all ages. It is characterized by the inability to get or maintain an erection long enough to have satisfactory sex. Although it can be a difficult and embarrassing problem to talk about, it is important to remember that you are not alone. ED is a medical condition that can be treated. There are many potential causes of ED, including psychological factors such as stress, anxiety, or depression; physical factors such as diabetes, high blood pressure, or cardiovascular disease; and lifestyle choices such as smoking, excessive alcohol consumption, or illegal drug use. If you are experiencing ED, there are a number of treatment options available to you. These include oral medications, vacuum devices, surgery, and lifestyle changes. Your doctor can help you choose the best treatment for your individual needs.

Oral Medications

There are a number of oral medications that can be used to treat ED. These include:
  • Sildenafil (Viagra): This medication is taken orally, typically 30-60 minutes before sexual activity. It works by increasing blood flow to the penis, which helps to produce an erection.
  • Tadalafil (Cialis): This medication is taken orally, typically 30 minutes before sexual activity. It works by increasing blood flow to the penis, which helps to produce an erection. It can be taken on a daily basis or only when needed.
  • Vardenafil (Levitra, Staxyn): This medication is taken orally, typically 30-60 minutes before sexual activity. It works by increasing blood flow to the penis, which helps to produce an erection.

Vacuum Devices

A vacuum device is a plastic cylinder that is placed over the penis. The cylinder is then pumped to create a vacuum, which helps to draw blood into the penis and produce an erection.


In some cases, surgery may be necessary to treat ED. Surgery options include:
  • Penile implants: This surgery involves placing implants in the penis to allow for the achievement and maintenance of an erection.
  • Vascular surgery: This surgery is used to correct problems with the blood vessels that supply blood to the penis. It can be used to treat conditions such as atherosclerosis or venous leak.

Lifestyle Changes

Making lifestyle changes can also help to treat ED. These changes can include:
  • Quitting smoking
  • Exercising regularly
  • Eating a healthy diet
  • Reducing stress
  • Treating underlying medical conditions
If you are experiencing ED, talk to your doctor. He or she can help you determine the cause of your ED and recommend the best treatment option for you.
Advanced Urology Institute – DeLand Office

685 Peachwood Drive DeLand, Florida 32720 USA

Phone: (386) 753–3993


Advanced Urology Institute

Address: 12109 County Road 103 Oxford, Florida 34484 USA

Phone: 855 298 2273

Fax: 352 350 8283 Email: [email protected] Website:

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Prostate Cancer, Urology, Urologist, Oxford, FL, Florida, Oxford FL

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Video transcription:

Erectile dysfunction, it’s very common we’re seeing more and more younger patients come in with difficulties with erections. Most of the time is multifactorial. There are vascular problems that could cause erectile dysfunction, neurological problems, hormonal problems, psychological problems and other medical conditions, good causes, including hypertension, diabetes. Also, the medications that treat some of some of the medical conditions can cause erectile dysfunction and, most of the time it’s a multifactorial. Multiple things are working together to cause the erectile dysfunction. We do have a rectal dysfunction clinic here. I worked with a patient advocate and we both see the patient and talk to the patient. We spend a good amount of time with them, go through their different medical conditions and figure out what is actually causing the PD and boost our patient from very non-invasive treatment options that we have and again take them up the ladder we start physical therapy Kinari habilitation. First, then, we start making medications phosphodiesterase inhibitors. After that, our injection therapy, we throw gels that we can offer and if that doesn’t work, the last option that we have for patients is placement opening all prosthesis. You.

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Big respect.

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