When did you first notice symptoms of erectile dysfunction?
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Your penis also relies on a series of valves to close when it fills with blood — in some cases, these valves stop working as they should. Your nervous system includes your brain, spinal cord and nerves. They work together to send electrical impulses that help your body move and feel, including your penis. Your endocrine system includes the glands that create and release hormones. Hormones help tell your body to perform certain functions.
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Testosterone may help open up (vasodilate) your blood vessels, which helps blood flow to your penis. Injuries (trauma) to your penis and surrounding areas can also cause ED. Injuries to your pelvis bones (hip bones, sacrum and tailbone), bladder, prostate and spinal cord. Pelvic surgery, including prostate, colon or bladder cancer surgery. Erectile dysfunction is a common side effect of many prescription drugs.
Common Physical Causes:
Common medications that list ED as a potential side effect include: Substances that have addiction potential may cause ED, including: These substances can affect and suppress your central nervous system. They can also cause severe damage to your blood vessels, the pink pill for women which may lead to permanent erectile dysfunction. Fear of sexual intercourse or intimacy (genophobia). Conditions that affect your body’s ability to deliver blood to your penis are the most common cause of ED. You may have a greater risk of getting ED if you: Have a body mass index (BMI) over 25. What exactly happened when you first had erectile dysfunction symptoms? Do or did you experience erections at night or during the morning? What sexual positions do you regularly engage in? The provider may also ask to talk with your sexual partner. Your partner may be able to offer additional insight on potential causes. The provider may order tests to confirm their diagnosis and determine the cause of your ED. It depends on what your healthcare provider suspects is causing erectile dysfunction. Tests that measure if the nerves in your penis respond to vibrations (penile biothesiometry). Drugs that temporarily make your penis erect (vasoactive injection).
| Treatment Type | Average Cost per Session/Procedure | Insurance Coverage | Invasiveness |
|---|---|---|---|
| Oral Medications | $10 - $30 per pill | Varies | Minimal |
| Vacuum Device | $150 - $400 initial | Usually not covered | Non-invasive |
| Injectable Therapy | $50 - $100 per injection | Sometimes covered | Invasive |
| Penile Implants | $10,000 - $20,000 upfront | Usually not covered | Surgical |
Before testing, your provider will explain what’s involved with a test and answer any questions you have.
- PDE5 inhibitors include sildenafil, tadalafil, and vardenafil, working by relaxing smooth muscles.
- Quitting smoking and controlling alcohol intake support erectile health.
- Stress management techniques can help reduce ED caused by anxiety.
- Penile vascular surgery aims to repair blood flow pathways.
- Vacuum devices may cause bruising or numbness in some users.
- Hormone therapy is suitable for documented testosterone deficiency.
- Combining medication with counseling can improve outcomes in psychogenic ED.
If you don’t feel comfortable, you can decide not to do the test at any time.
| Medication | Contraindications | Common Risks |
|---|---|---|
| Sildenafil | Nitrate use, severe cardiac conditions | Hypotension, headache, visual disturbances |
| Tadalafil | Severe liver or kidney disease, recent stroke | Back pain, muscle aches, gastric reflux |
| Vardenafil | Certain antibiotics or antifungals affecting CYP3A4 | Dizziness, flushing |
| Alprostadil (injection) | Bleeding disorders, penile implants in place | Pain, fibrosis at injection site |
The first step in treating erectile dysfunction is identifying the underlying cause.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Generic | 2.5mg | 20 Pills | 40.73€ 38.79€ | |
| Levitra Generic | 20mg | 120 + 10 Pills | 224.15€ 213.48€ | |
| Viagra Original | 100mg | 92 + 4 Pills | 362.88€ 345.60€ | |
| Super Kamagra | 160 mg | 8 Pills | 69.23€ 65.93€ | |
| Levitra Original | 20mg | 48 + 4 Pills | 235.14€ 223.94€ | |
| Viagra Oral Jelly | 100mg | 21 Sachets | 78.66€ 74.91€ | |
| Levitra Original | 20mg | 92 + 4 Pills | 406.22€ 386.88€ | |
| Viagra Generic | 50mg | 60 + 4 Pills | 83.93€ 79.93€ | |
| Super Kamagra | 160 mg | 32 + 4 Pills | 218.25€ 207.86€ | |
| Kamagra Oral Jelly | 100 mg | 21 Sachets | 95.92€ 91.35€ | |
| Cialis Generic | 60mg | 60 + 4 Pills | 145.06€ 138.15€ | |
| Viagra Generic | 150mg | 60 + 4 Pills | 111.25€ 105.95€ |
A healthcare provider will help determine the best treatment for you.
Premature Ejaculation (PE)
It’s important to talk to a healthcare provider if you have problems getting and maintaining an erection. Healthcare providers separate ED into several categories: Vascular ED includes causes that affect the blood vessels that send blood to the tissues in your penis that allow you to get and maintain an erection, or the valves in the penis that normally hold blood inside. Vascular ED is the most common type of ED. Neurogenic ED occurs as a result of nerve problems, which prevent signals from traveling from your brain to your penis to create an erection. This can happen because of trauma, pelvic surgery, radiation therapy or neurologic conditions like stroke, spinal stenosis and multiple sclerosis (MS).
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Hormonal ED refers to ED that happens as a result of testosterone deficiency, or in some cases as a result of thyroid issues. Psychogenic ED involves psychological conditions (conditions that affect your thoughts, feelings or behavior) that can cause ED. Erectile dysfunction is the most common sex-related condition that males report to healthcare providers, especially as they age and develop other health issues. Providers and medical researchers estimate that erectile dysfunction affects over 50% of males between the ages of 40 and 70. And those numbers may be higher — many don’t seek help for the condition due to embarrassment or shame.
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Only sometimes being able to get an erection before sexual intercourse. Being able to get an erection before sexual intercourse but not being able to maintain it during sexual intercourse. Requiring a lot of stimulation to maintain an erection. There are many possible causes of ED, including conditions that affect your: Your circulatory system includes the blood vessels that carry blood throughout your body. Your penis needs adequate blood flow to become erect and maintain an erection. Vigorous cardiovascular exercise for at least 45 minutes three times per week may help reverse some cases of mild ED. Cardiovascular exercises may include brisk walking, jogging, swimming, bicycling and jumping rope. For men with mild ED, quitting smoking can lead to improvement after several months. Oral medications that help increase blood flow to your penis, including sildenafil (Viagra®), vardenafil (Levitra®), tadalafil (Cialis®) or avanafil (Stendra®). Oral medications start to work within an hour. Penile low-intensity focused shockwave therapy (LiSWT).
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Are you currently taking any medications, including prescription drugs, over-the-counter drugs, herbal supplements, dietary supplements and nonmedical drugs? Has a healthcare provider ever diagnosed you with depression or anxiety? How often are you able to get erections? How long are you able to maintain an erection? Do you lose your erection because you ejaculate sooner than you would like? This noninvasive treatment improves blood flow by using sound waves. It can take two months to see improvement.
| Procedure | Description | Risks |
|---|---|---|
| Penile Implants | Inflatable or semi-rigid devices implanted in penis | Infection, mechanical failure |
| Vascular Surgery | Repairs or bypasses blood vessels in penis | Usually for younger men with vascular disease |
| Penile Artery Revascularization | Restores blood flow in specific cases | Limited success, specialized procedure |
Medications you inject directly into your penis to create an erection, including alprostadil (Caverject®), papaverine (Papacon®), phentolamine (Regitine®) or a combination of multiple medications.
- Early treatment of underlying health issues can prevent worsening of ED.
- Regular exercise maintains healthy blood vessels for optimal erections.
- Psychological support helps with emotional factors impacting ED.
- Some treatments require ongoing use, while others are permanent solutions.
- Education about safe medication use prevents adverse effects.
- Pelvic exercises support erectile function and urinary control.
- Consulting a healthcare provider ensures personalized and effective ED treatment.
Injectable medications start to work within 10 minutes. Penis pumps start to work almost immediately.
How LI-SWT Works
You may want discuss with you doctor regarding this issue and they might be able to help you to overcome this condition. One of the main reason for Erectile Dysfunction is blood flow issue which is why improving the blood supply is always important. However there are also other causes of Erectile Dysfunction such as : LOW TESTOSTERONE HORMONES or ANDROPAUSE can also caused ED. Other reasons of Erectile Dysfunction could be due to : Drugs or Medicine are known as phosphodiesterase type 5 (PDE5) inhibitors that enhance penile blood flow. There are four phosphodiesterase (PDE-5) inhibitors are available for treating erectile dysfunction that are approved by the U.S Food and Drug Administration (FDA).
Other Conditions That Can Cause Impotence
These medications are triggered by sexual stimulation, so you also need to be aroused for it to work. (CLICK ON THE BUTTON BELOW FOR MORE INFORMATION) Especially if you are don't want to be too reliant on the medications. There are other treatment options at Erectile Dysfunction treatment clinic that can be used to treat Erectile Dysfunction such as : Our certified physician can determine and explain why this is happening. At HE MEDICAL CLINIC - Men’s Clinic in Publika or Erectile Dysfunction treatment clinic, we offer the most complete array of treatments. Cure erectile dysfunction with proven solution; get the best erectile dysfunction treatment in Kuala Lumpur.
Lifestyle modifications
Just get our treatment for sexual activity and see a boost in your performance today. Check out more about its advantages at our website. Get better in bed and enhance your sexual performance like never before. Learn more about what you can do for increasing your sexual desire and treat erectile dysfunction. Erectile dysfunction (ED) is the inability to get or maintain an erection long enough to have sexual intercourse. Testosterone replacement therapy, which is available as a gel, injection, patches and pellets. Testosterone replacement therapy starts to work within four weeks.
Preparing for your appointment
There are many different causes, which may include conditions that affect your blood vessels, neurological conditions, mental health conditions and injuries. A healthcare provider can diagnose and treat erectile dysfunction. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services.
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Erectile dysfunction (ED) is a type of penile disorder. It affects your ability to get and maintain an erection firm enough for sexual intercourse. Your feelings play a major role in getting and maintaining an erection. Feeling relaxed, confident and aroused is essential. But it’s normal to sometimes have erection issues.
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Erection problems can occur if you feel nervous, anxious, frustrated or tired. Drinking alcohol and/or using substances can also have an effect. It can also result from other conditions or as a side effect of certain medications or cancer treatments. If you’re having difficulty getting or maintaining an erection, it’s a good idea to schedule an appointment with a healthcare provider for further discussion. In many cases, ED can be the first symptom of another underlying problem, including heart disease. A penile implant is a procedure in which a surgeon places a device into your penis to make it hard. The device doesn’t affect sensation, peeing or orgasm. ED will not likely go away on its own without changes to your lifestyle or some kind of treatment. The outlook for ED is good and it’s a very treatable condition. Though there aren’t cures for some causes of ED, many treatment options can help you get and maintain an erection hard enough for sexual intercourse. Certain lifestyle changes can help lower your risk of developing erectile dysfunction, including: Being more physically active, especially doing cardiovascular exercises like running, jogging or bicycling.
What is the treatment for ED?
A healthcare provider can diagnose ED and determine its cause. They’ll review your medical history and perform a physical exam. They’ll also ask you questions about your personal and sexual history. These questions may make you feel embarrassed or awkward. But it’s important to be honest with the provider in order to quickly determine the cause. Eating healthy foods with low saturated fats, such as fruits, vegetables and whole grains.