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Erectile Dysfunction Expert Explains Causes and Treatments - Dr. Jared Wallen

Are you experiencing erectile dysfunction? Learn about the causes and treatments from expert Dr. Jared Wallen. Then, find out how you can get help.

Erectile Dysfunction

Erectile dysfunction (ED), also known as impotence, is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. ED can have psychological consequences as it can be tied to relationship difficulties and self-image.

Causes of erectile dysfunction can be both physical and psychological. Physical causes include:

  • cardiovascular disease
  • obesity
  • high blood pressure
  • high cholesterol
  • diabetes
  • metabolic syndrome
  • Parkinson’s disease
  • multiple sclerosis
  • certain prescription medications
  • tobacco use
  • Peyronie’s disease
  • injury to the pelvis or spinal cord
  • radiation therapy to the pelvis
  • surgery of the bladder, colon, or prostate

Psychological causes of ED can include:

  • stress
  • performance anxiety
  • depression
  • relationship problems

Diagnosis

A variety of tests can be used to look for evidence of cardiovascular disease, diabetes, low testosterone levels, and other potential causes of ED.

Treatment for erectile dysfunction can be successful in the vast majority of cases. The first line of treatment is often making lifestyle changes, such as quitting smoking, losing weight, and increasing physical activity.

In some cases, medications can be used to treat ED. Commonly prescribed medications include:

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

These medications work by relaxing the muscles of the blood vessels and increasing blood flow to the penis. In some cases, penile injections or penile implants may be used to treat ED.

Complications

ED can lead to:

  • Anxiety and depression. ED can be a source of anxiety and depression for men. It can affect their relationships and their self-esteem. If you’re having trouble getting or maintaining an erection, talk to your doctor.
  • Cardiovascular disease. ED can be a sign of an underlying cardiovascular disease. If you have ED, you may be at higher risk for heart disease.
  • Erectile dysfunction can be an early warning sign of more serious health issues. If you’re having trouble getting or maintaining an erection, make an appointment with your doctor.
Who knew we had to consider so many factors when searching for the cause of erectile dysfunction?! Have you been searching for a solution to this issue? This clip with urologist Dr. Jared Wallen is just for you!

For more on sexual health, birth control, and more, watch Health Solutions Ep 87: youtu.be/N3w53_4ZehU

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Video transcription:

The next thing we want to move on to is unique treatments for erectile function and, let’s just before we go into those unique treatments for your erectile function, go over your typical protocol, consultation of what you would talk to a patient about if they had erectile dysfunction, then your typical treatment, starting with the phosphodiesterase inhibitors and then I mean the reality- is first of all organically. The penis is basically an inflatable rod right. So you need good blood flow in to fill it up and stretch it out, and you need little valves to close the veins to close to keep you nice and stiff and that’s usually a process that happens with stimulation that goes away after the ejaculation. Orgasm response occurs, that’s natural for us! Certainly we talk about psychosocial stressors, I mean if your relationship is not good and you’re, constantly fighting with your your significant other, that’s not going to help or if you’re stressed out at work and that and and because you’ve got so many on your plate and there’s financial crises or what have you all the all the different things that can happen in the world? Remember what what needs to happen in order for the arteries to fill and the stiffness to occur is that the the blood vessels need to dilate and so that way more blood flow can get to the penis in the first place, if you’re stressed out and anxious and and constantly under pressure or depressed, or what have you, those blood vessels clamp, and so that makes it certainly a situation where that makes it difficult for a good erection, good, stiff erection to occur, and so that can be part of it. But beyond that again organically. We we go through and talk about all the other typical types of medical problems that people have, whether it’s diabetes or high blood pressure or any number of things. Whether they’ve had prostate cancer surgery or bladder cancer surgery or bladder removal surgery. All these types of things any type of pelvis surgery, colon erectile surgery, if they have scar tissue disorders of the penis like peyronie’s, where you get a little bit of curvature that can cause problems with the little valves. The reality is screening through all that plus also screening, through all of the bad things that we do to ourselves like smoking and alcohol, excess use and drugs, and, and these types of things, certainly talking to folks about their their heart function. Very common subset of patients that we see with erectile dysfunction are those with coronary artery disease and actually, in fact, we know that through studies, we know that erectile dysfunction is actually up to a a three to five year: indicator of a potential heart outcome: poor outcomes, if you’re not asking their patient your male patients about their erection and you’re, not screening them for testosterone. We know that testosterone is also an independent risk factor for bad cardiovascular outcomes, low testosterone that is- and so, if you’re not asking about those you’re missing an opportunity to catch these men early, and so we talk about all these things, because certainly even diabetes is very common. All of these things play a role, so we got to talk about those we talk about all that stuff. We talk about, like you mentioned the phosphodiesterase inhibitors, the Viagra Cialis, all the different medical pills out there that can be can be tried. Most of those basically just increase the amount of blood flow to actually most of your entire body, but also specifically geared towards increasing the blood flow to the penis and to kind of increase. The the pressure. Remember, more pressure, more volume equals more pressure, more pressure equals rigidity right, and so that’s the goal in the in terms of an erection, and so that’s usually the first line, but but also remember. We talked to people about behavioral characteristics, so upwards of 30 or 40 40 minutes of cardiovascular activity every day, not every day, but I guess this: they they used to be three days a week now they say at least five days a week right so pretty much every day right and so from that standpoint, getting active and not being sedentary and getting home from work and and just basically being kind of a slug on the couch. Obviously, that’s not a good thing for anybody, and so certainly again that does play a role in your hormones. Right if your hormones are low as you get older or for whatever reason, you’re you’re going to be fatigued at the end of the day, a lot of times and so making sure we check your hormone levels is very important.

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