Erections are not enough firm for sexual intercourse.
Erections are for short duration for sexual intercourse.
Inability to achieve erections for Sex.
As you get older, erections might take longer to develop and might not be as firm. You might need more direct touch to your penis to get and keep an erection.
Various risk factors can contribute to erectile dysfunction, including:
Medical conditions, particularly diabetes or heart conditions
Tobacco use, which restricts blood flow to veins and arteries, can — over time — cause chronic health conditions that lead to erectile dysfunction
Being overweight, especially if you're obese
Certain medical treatments, such as prostate surgery or radiation treatment for cancer
Injuries, particularly if they damage the nerves or arteries that control erections
Medications, including antidepressants, antihistamines and medications to treat high blood pressure, pain or prostate conditions
Psychological conditions, such as stress, anxiety or depression
Drug and alcohol use, especially if you're a long-term drug user or heavy drinker
Complications resulting from erectile dysfunction can include:
An unsatisfactory sex life
Stress or anxiety
Embarrassment or low self-esteem
The inability to get your partner pregnant
Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction.
Physical causes of Erectile Dysfunction
Common causes include:
Clogged blood vessels (atherosclerosis)
High blood pressure
Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol
Certain prescription medications
Peyronie's disease — development of scar tissue inside the penis
Alcoholism and other forms of substance abuse
Treatments for prostate cancer or enlarged prostate
Surgeries or injuries that affect the pelvic area or spinal cord
Psychological causes of Erectile Dysfunction
The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include:
Depression, anxiety or other mental health conditions
Relationship problems due to stress, poor communication or other concerns
The various treatment options include ---
Vacuum therapy or getting a penile implant
Changing lifestyle and adopting certain healthy habitshelps in treating your ED:
Reducing alcohol consumption
When bringing changes in one’s lifestyle alone doesn’t work, One should consult the doctor for drug therapy, the next step of treating ED
Drugs known as PDE-5 inhibitors relax muscle cells in the penis and increase blood flow. They are Sildenafil or tadalafil are oral prescribed and the most commonly prescribed therapy for ED, but they may have side effects or may treat the Erectile Dysfunction completely.
The common side effects are headaches, back pain, upset stomach, or muscle tenderness, redness of face or eyes.
In few rare cases, sildenafil can cause blue-green shading of vision that lasts for a short time. If you are taking nitrates for your heart, you should consult your doctor before using a PDE-5 inhibitor to learn how it might affect your health.
Drug therapy is safe but it has its own side effects, its your healthcare provider who can guide you about using these drugs and also provide your doctor with a complete list of medications you’re taking, specially heart problems and blood pressure medications, that can cause a harmful interaction.
Other Medication for treating ED
If oral drugs don’t work, another drug, alprostadil, is used in men with ED. This drug can be used in two forms, which your doctor will decide on how it is to be used:
Medical Injections for Impotence
The drug is injected into the side of penis with a very fine needle. The success rate of this medication for getting an erection firm enough to have sex is as high as 85%.
In this drug which is tiny medicated pellet is directly placed in the urethra (the tube that carries urine out of your body). With Intrauretheral therapy you save yourself from having to give yourself ainjection shot, but also makes it less likely to work.
Urethral Suppository or MUSE (alprostadil) is also used to treat ED. Common side effects with this are penis or testicle pain, urethral bleeding, and burning in the urethral opening.
The most common side effects of alprostadildrug are - burning feeling in the penis, and an erection that can last for over four hours and need medical attention to make it go down.
Another form of Treating ED is through:
When medication alone don’t work then your specialist will suggest you with other form of treating ED which is Penile Implant or Vacuum Therapy.
Penile Pump / Vacuum Therapy Device
This device has a penile cylinder that is placed over the penis, on pressing a button , negative pressure is created that draws blood from the body into the penis. This vacuum creates an erection.
This type of device may be used just prior to sexual intercourse.
Vacuum erection devices are a way of producing an erection, if medicines are not working or if medicines are contraindicated.
Pumps can be either hand-operated or run on batteries. To avoid any sort of accidental injury to the penis, the penile pump should contain a “quick release” feature that allows for a rapid release of the vacuum.
There are two basic types of Penile Implants :
Malleable Penile Prosthesis
3 piece inflatable Penile Prosthesis
Both implant types are custom fitted to your body and allow you to have a satisfactory erection for sexual intercourse. Your sensitivity and ability to ejaculate are not affected. The primary difference between the two penile prosthesis types is that flexible malleable implants produce a permanently firm penis, while the 3 piece inflatable penile prosthesis produce a more natural erection.
Malleable penile prosthesis
The malleable implant consists of 2 rods that are placed in the corpora cavernosa. There are no further parts to this implant. To have an erection, you only need to hold the penis and move it to the erect position. When you are finished with the intercourse, you return the penis to the non-erect position.
3 piece inflatable penile prosthesis
The inflatable penile prosthesis is a self-contained, fluid-filled system made from Bioflex and silicone. As the only penile prosthesis with a true lockout valve located at the base of the reservoir, the penile implant is designed to mimic the look and performance of a natural erection.
With the 3 piece inflatable penile implant, cylinders are lying flaccid in the corpora; patient inflates the cylinders by pressing the pump bulb in the scrotum.
One can control the firmness by pumping until he is satisfied with the erection.
Maximized Girth and Rigidity – ensures better erections by providing maximized girth and rigidity compared to other cylinders on the market. Sizes range from 11 cm to 28 cm.
Natural Appearance – The non-bulky, low-profile pump design ensures a natural appearance when the penis is flaccid.
Confident Operation – Easy to locate inflation and deflation pads in the scrotum help you confidently operate the device when you’re ready for sexual activity. This ease of use also decreases the need for repeated physician visits for prosthesis training.
Easy one-handed deflation – The pump allows for easy one-handed deflation of the device, while the unique Lock-out™ valve is designed to prevent auto-inflation.
Innovative cloverleaf reservoir design allows for surgical placement with a smaller footprint, while the implants hydrophilic coating promotes easier device implantation.
Superior Mechanical Reliability Rates: Recent studies have shown mechanical reliability rates of 97.5% after five years on first-time implants.
Lifetime Replacement Policy: these implants provide a lifetime replacement policy with all of its penile implants. The inflatable implant, or any component, can be replaced for any reason during your lifetime.
Erectile Dysfunction is not an inevitable part of aging, like the appearance of a few gray hairs or developing a need for reading glasses. It’s a highly treatable medical condition that you don’t have to suffer with it. With help, you can get back to enjoying a satisfying sexual relationship with your partner.
Consultant a Qualified Doctor Who Specializes in Erectile Dysfunction at the BLUE RIBBON PROSTATE, UROLOGY AND ANDROLOGY CLINIC
When you meet us, here are some questions you can ask:
How many penile implant procedures have you done over the course of your career?
What are the advantages of the penile implant?
Am I an ideal candidate for a penile implant? Why or why not?
Are there any additional diagnostic tests that you would recommend before the procedure?
What happens during the surgery?
What are the risks?
What can I expect during the recovery process?
How long should I wait before resuming intercourse?
Talk to Someone Who’s Been There
We can give you information about the technical aspects of having a penile implant, but there are some questions that can only be answered by someone who actually has a penile prosthesis. Connect with our previous patients to learn more about what daily life is like with a penile implant, including if the operation will affect your sensitivity and ability to ejaculate.
How to Support a Partner with E.D.
As women, we can sometimes feel as though we’re responsible for the wellbeing of our loved ones. If your partner regularly cannot get or keep an erection, your first instinct may be to blame yourself. Don’t.
Your partner’s ED is not caused by anything you’ve done.
ED can’t be cured by sexy new lingerie or more variety in the bedroom, because it isn’t related to your guy’s attraction to you. His inability to “perform” is a physical condition that is most often linked to medical problems such as diabetes, high cholesterol, or early-stage heart conditions.
This might sound worrisome too, but it’s news with a silver lining. Having a medical cause for ED means help is available. With treatment, your partner can get back to sweeping you off your feet.
Support for Spouses and Partners
If you don’t feel comfortable discussing your spouse’s or partner’s ED with a girlfriend, Blue Ribbon Prostate, Urology and Andrology Clinic can help. We’ve provided a partner support network to help you connect with other women struggling with the same issues.
Having a sympathetic listener in your corner can help you address your concerns without making your loved one feel as though you’re unhappy with him or are divulging his very personal secrets to just anyone.
Opening the Lines of Communication
Dealing with ED is stressful for any man, even when he’s nowhere near the bedroom. Since erections are often portrayed in popular culture as a sign of masculinity, it’s no surprise that ED can him lead to feelings of shame, isolation, anxiety, and depression.
If you’ve noticed that your sweetheart is hesitant to hug, kiss, or show any affection, he’s probably worried about what will happen if things turn physical and he’s unable to satisfy you. No man wants to feel like he’s disappointing the woman he loves.
Minimizing the problem might seem helpful, but telling your partner his erectile dysfunction doesn’t matter makes it sound like you don’t miss sexual intimacy. This message is ultimately hurtful and will only cause him to withdraw even further.
To show your support, arrange a time to talk where you both feel relaxed. You want to be far away from the bedroom when this conversation occurs. Try having the discussion after you’ve enjoyed a meal or watched a funny movie together. Share the ED information you’ve uncovered. Let him know that you care about his health and happiness, and gently encourage him to see his doctor. You can offer to join him at his appointment, but he might be more comfortable having a private conversation with his physician. He will know what feels right.
Important Safety Information
What are the risks of penile implant surgery?
With any surgery, there are some risks to consider. Please discuss the benefits and risks with your physician.
Risks associated with penile prosthesis implant include:
A penile implant, also called a penile prosthesis, is concealed entirely within the body to address erectile dysfunction (impotence). The implant requires some degree of manipulation before and after intercourse to make the penis erect or flaccid.
Penile implants are surgical solutions requiring a healing period that have risks associated with surgery such as pain, anesthesia reactions, repeat surgery due to infections, or mechanical problems with the device.
The implant eliminates the possibility of a natural erection.
Considerations in choosing a penile implant may include your medical condition, lifestyle, personal preference and cost.
This treatment is prescribed by your physician. Although many patients benefit from the use of this device, results may vary.
Discuss the treatment options with your physician to understand the risks and benefits of the various options to determine if a penile implant is right for you.
Penile Implant - Patient Experience
Penile Prosthesis implantation for Erectile Dysfunction