Doctor insights on:
Medicine For Erectile Failure
One that works for u: Seriously! The Best medicine varies for any given individual. What's best for one isn't always best for someone else. Regarding erectile dysfunction, PDE-5 inhibitors such as Cialis, Levitra, (vardenafil) Staxyn, Stendra & Viagra are easy to take pills that are typically successful, tho expensive. Yohimbe is not as effective. Alprostadil is more invasive, whether a pellet is placed in urethral or a shot is given. ...Read more
Lifestyle changes: There are many causes for erectile dysfunction: psychosocial, physical, metabolic, hormonal, dietary, neurologic, and vascular--just to name a few. I would recommend seeing your primary care physician to get a thorough history/physical/bloodwork exam to rule out serious causes, which is present will need to be optimized before ed can improve. Weight loss and a good diet will help ...Read more
It'd be nice to know the cause. Some men lack testosterone, whereas others have problems with penis vasculature or nerves that are not working properly.
Viagra, Cialis or Levitra (vardenafil) are frequently used empirically, meaning without knowing the cause for sure and all 3 of those appear to be equally effective between themselves. ...Read more
Not if you have it!: Yes, I agree that we have a problem w/"medicalizing" conditions in order to sell drugs. This is a real issue. However, those of us in front lines of medicine only feel comfortable talking about conditions for which we have a reasonable solution/medication. A quarter century ago when I was training, no one really addressed depression b/c no safe drugs existed. Now it's a common condition like ed. ...Read more
It sounds like: There is a lot more going on than erectile dyfunction. The erectile dysfunction medications will provide assistance for short periods of time — they are not an over-all fix. I wonder if you are suffering from major depression or another medical problem. Please see your physician for work up. ...Read more
No, it isn't: At your age erectile dysfunction can occur, but it is more commonly caused by anxiety and other psychological factors, or by medication, or by prior use of anabolics, opiates, etc. There are medications which can treat it, but only after a thorough evaluation by your doctor. ...Read more
What is difference between impotence and erectile dysfunction? Is ED just a term from the drug companies?
No difference: Ed is a term coined by the pharmaceutical companies to make it more politically correct for tv ads. No difference. ...Read more
Yes, men with diabetes may develop low testosterone levels, particularly in men who are overweight.
Have your doctor examine you and then order labs related to testosterone levels.
If your testosterone level is normal you should be referred to a Urologist to further evaluate your erectile dysfunction. ...Read more
Yes: The best nonprescription treatment for ED is increase physical activity! Physical activity improves blood flow, raises testosterone, raises self-esteem--all key ingredients to better erections. Korean ginseng, l-arginine, maca are all natural substances that have been studied and may be effective in improving erections. ...Read more
No: There is no proven OTC med for ED. ...Read more
PE vs ED: Premature ejaculation is different issue/condition from erectile dysfunction although former could lead to latter. PE is usually treated non-medically although SSRIs (anti-depressants) can be used due to potential side effect of anorgasmia. ED is treated most commonly w/PDE-5 inhibitors followed by alprostadil in non-oral forms. Check out more options on this website. ...Read more
ED: Assuming that your erectile dysfunction was solely related to a new medication, you should recover normal function with discontinuation of the offending medication, most often, ed is multifacorial however. If ed persists after physician approved discontinuation of medication, see a urologist for complete evaluation. ...Read more
Erectile dysfunction: If you ask that question you need to make an early appointment with your doctor. He/she will take your history, examine you, and order appropriate labs. You will likely be referred to a urologist as well. ...Read more
What can a 27 yearold male do about recent erectile dysfunction? I'm less stressed than ever, healthy, not taking new medicines and have given up porn
Find the cause: This kind of question is best handled by a relationship with a local, accountable, evidence-based practitioner who knows the ayurvedic meds. If you have erectile dysfunction at your age (i.e., don't get hard even with your favorite partner / images / thoughts), I'm worried you have hemochromatosis, a prolactinoma or something else dangerous that a mainstream physician could find. ...Read more
Food or herb?: There is no single food that can be consumed to treat erectile function. If there were, men would have consumed all of it by now. As for herbs, while many are advertised for ED, in the States, dietary supplement manufacturers can legally make miraculous claims w/o proof so buyer beware. Of note, the prescription drug yohimbine is derived from the over-the-counter African tree bark yohimbe. ...Read more
How could the side effects with respect to erectile dysfunction of medicines of high BP be avoided?
Nutrition & exercise: High blood pressure is often related to being overweight & out of shape. In and of itself, this can cause erectile dysfunction. But so can medications used to treat hypertension. Therefore, to avoid side effect complications, change your eating habits & get physically active regularly in order to improve health, lower blood pressure & strengthen erections. ...Read more
Used penis extender and drugs on top of the penis.erectile dysfunction ever since 2 years ago expert said is psychological. Analysis I should do?
Not on the internet: I am sorry to continue to report but without an examination and some testing there is no answer going to come from strangers on the internet. We do not know who this 'expert' was; what they really said or recored from the visit and what testing you have had done. Your answer will only come from an in person expert. If you do not agree with the previous expert you need a second opinion. ...Read more
I have moderately elevated cholesterol levels, and am prescribe statin drugs. Which control it nicely, but cause erectile dysfunction. Alternatives?
Different dose or me: Compliance with medication is affected when problems arise, especially ed. Try switching to a different statin, lower the dose & combine with another cholesterol medication. Consider a stress test b/c ED and coronary artery blockage are connected. Decrease your animal fat including dairy and eat more plants. Add coq10 200mg to help with statin side effects and fish oil to help with triglyceride. ...Read more
They don't: They prevent the opening of blood vessels that drain blood out of the penis, allowing it to become and remain erect. ...Read more
Pls what is d the best medicine to boost sperm count/motility & to ehance strong erection bcos I do hv erectile dysfunction occasionally.
Erectile Dysfunction: Hi, the best way to approach this is to see your PMD to find out why you have ED, is it due to hormonal imbalance or it's due to psychological issues. ...Read more
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