Among men not receiving antihypertensive medication, penile blood flow velocity progressively decreased with rising blood pressure – i.e. blood flow was fastest in those with normal blood pressure, slower in those with high-normal blood pressure, and slowest in those with hypertension (see Figure). In contrast, among men taking antihypertension therapy, there was no difference in penile blood flow velocity between the three blood pressure categories.
Medscape: "Tobacco Education: Emphasizing Impotence as a Consequence of Smoking." .
Strong evidence links a sedentary lifestyle to erectile dysfunction. Running, swimming, and other forms of aerobic exercise have been shown to help prevent ED.
If stress, anxiety, or other emotional issues are causing the condition, counseling may help. Some men experience erectile dysfunction because of past experiences that cause a lack of self-esteem, fear, or guilt, and counseling can help you overcome those negative feelings. Couple counseling can also help improve mutual understanding and acceptance in a relationship, allowing you to feel more comfortable during intimacy.
Viagra and other ED drugs are increasingly being misused and even abused. Learn about the risks of recreational ED drug use.
It is more likely that you’ll develop ED as you get older, but aging itself does not cause erectile dysfunction. Many factors can cause erectile dysfunction, including those that affect your endocrine, vascular and nervous systems.
Professor Vlachopoulos said: “These results imply that hypertensive patients already have significant structural damage in the penile arteries and adding antihypertensive drugs does not further reduce penile blood flow. But in men with normal or high-normal blood pressure, the penile arteries have minimal structural damage and medications could have a negative impact on penile blood flow.”
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American Association of Genitourinary Surgeons American Urological Association European Association of Urology Punch Club Société Internationale d’Urologie The Royal Society of Medicine Urological Club of Great Britain & Ireland
Some estimates indicate that about 40% of men over the age of 40 will have erection problems at times. being unable to get an erection experiencing a partial erection having an erection of a shorter than usual duration. What causes an erection to fail?
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There are a variety of other options to treat erectile dysfunction including medication, surgical options, injections, or vacuum devices:
Anxiety and depression can be treated with counselling and cognitive behavioural therapy (CBT).
Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, General Urology, Penile Implant, Robotic surgery, Robotic Surgery for Prostate and Kidney Cancers, UroLift, Vasectomy
The options for management beyond behaviour modification include TRT, PDE5 inhibitors, intracavernosal injection therapy, vacuum constriction devices (VCDs), intraurethral prostaglandin suppositories and surgical placement of a penile prosthesis.40
Erectile dysfunction is the inability to achieve or maintain an erection that is sufficiently rigid for sexual intercourse. Sexual drive and the ability to have an orgasm are not necessarily affected. Because all men have erection problems from time to time, doctors diagnose erectile dysfunction if a man fails to maintain an erection satisfactory for intercourse on at least 25% of attempts. Worldwide, erectile dysfunction occurs in close to 20% of men.