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Erectile Dysfunction? There's a Treatment for That!

If you're struggling with erectile dysfunction, know that you're not alone. There are many effective treatments available. Read about some of the options and then talk to your doctor to find the best solution for you.

How to Treat Erectile Dysfunction

Erectile dysfunction (ED), also known as impotence, is the inability to achieve or maintain an erection. It can be caused by physical or psychological factors.

Physical causes include:

  • cardiovascular disease
  • high blood pressure
  • high cholesterol
  • diabetes
  • obesity
  • metabolic syndrome – a combination of obesity, high blood pressure, and diabetes
  • parkinson’s disease
  • multiple sclerosis
  • hormone problems
  • peyronie’s disease – the development of scar tissue inside the penis
  • injury to the nerves or blood vessels supplying the penis
  • chronic illnesses such as kidney failure, liver failure, or heart failure
  • substance abuse, including alcoholism and the use of illegal drugs such as cocaine
  • certain prescription medications, such as antidepressants, blood pressure medications, and ulcer medications

Psychological causes include:

  • stress
  • anxiety
  • depression
  • relationship problems

Treatment

ED can be treated in a number of ways. The most common treatments are:

  • medications, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra)
  • penile injections, such as alprostadil (Caverject or Edex)
  • vacuum devices, which use a pump to create a vacuum inside the penis, drawing blood into the penis
  • penile implants, which are surgically inserted into the penis
  • counseling

Prevention

There are a number of things you can do to reduce your risk of ED:

  • Exercise regularly. Exercise improves blood flow and reduces stress and anxiety.
  • Eat a healthy diet. A diet rich in fruits, vegetables, whole grains, and lean protein can improve blood flow and reduce ED.
  • Quit smoking. Smoking damages blood vessels and can lead to ED.
  • Limit or avoid alcohol. Alcohol can interfere with erections.
  • Manage stress and anxiety. Stress and anxiety can contribute to ED.
  • See your doctor. If you have any of the risk factors for ED, see your doctor for a checkup. Treating underlying medical conditions can improve ED.
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So the most important thing I want you to get is that absolutely all forms of erectile dysfunction are treatable. There is a variety of treatment strategies available. The most user friendly, in a sense, and preferred ones are the oral medications. We call them the PDE5 inhibitors. So that is your Viagra, Cialis, and Levitra.

And I think one of the biggest distinctions in them is that Cialis has a long half life. We call it “the weekender.” The reason I, as a sex therapist, prefer working with clients on Cialis is that it helps have more spontaneity. When you already notice that you’re having problems with your arousal erection and then have to stop to think, OK am I going to feel like having sex in an hour. That pressure, like, OK this is supposed to happen, creates a little bit of a performance demand that I think in some ways isn’t optimal for helping to relax and get back to that place of confidence knowing that when you’re in the moment, of course you’re going to get aroused by the sensation and stimulation you’re experiencing with your partner.

There’s also injection therapy, and Caverject would be one of them but there are many different kinds of combinations that you can try. A urologist will work with you to find the one that works best. And then there’s something called MUSE, which is a pellet basically that is inserted into the urethra. And then there are vacu constrictive devices. And, ultimately, if all else fails there is penile implants.

It’s important that you speak to a urologist and really determine through an assessment what’s causing your erectile dysfunction, which of these treatment options makes sense for you. And in saying this I can tell you to try, try again, because any time you often try a first treatment you’re doing what we call spectatoring, which is observing how is this going, and that quality and process of wondering what’s going on in your body ,in addition to what you want to have happen in your body may impact the effectiveness of whatever treatment strategy you’re trying.

So, I always say try, try again, and just know that as you relax ultimately in time you’re going to be having erections that you can count on.

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Video transcription:

So the most important thing I want you to
get, is that absolutely all forms of erectile dysfunction are treatable.. There is a variety of treatment. Strategies
Available. The, most user friendly, in a sense, and preferred
ones- are the oral medications. We call them the PDE5 inhibitors. So, that is your Viagra, Cialis, and Levitra. And I. Think one of the biggest distinctions
in them is that Cialis has a long, half life. We call it
the, weekender.
The reason I,, as a sex. Therapist, prefer working
with clients on Cialis is that it helps have more spontaneity. When. You already notice that you’re having
problems with your arousal erection and then have to stop to think,. Ok am I going to feel
like having sex in an hour. That pressure,, like, OK. This is supposed to
happen,, creates a little bit of a performance demand that I think in some ways, isn’t optimal
for helping to relax and get back to that place of confidence, knowing that when you’re
in, the moment,, of course, you’re going to get aroused by the sensation and stimulation you’re
experiencing with your partner. There’s. Also injection therapy, and Caverject
would be one of them, but there are many different kinds of combinations that you can try. A urologist will work with you to find the
one that works. Best. And then there’s something called MUSE, which
is a pellet. Basically, that is inserted into the urethra. And. Then there are vacu constrictive devices. And, ultimately,. If all else fails there, is
penile implants. It’s important that you speak to a urologist
and, really determine through an assessment what’s causing your erectile dysfunction,
which of these treatment options makes sense for you. And. In saying this, I can tell you to try,
try again,, because any time you often try a first treatment you’re doing what we call
spectatoring,, which is observing. How is this going, and that quality and process of wondering
what’s going on in your body ,in addition to what you want to have happen in your body
may impact, the effectiveness of whatever treatment strategy, you’re, trying., So,, I, always say: try,, try, again, and just
know that, as you relax ultimately in time, you’re going to be having erections that you
can count. On.

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