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LIVING WITH ERECTILE DYSFUNCTION?

Sexual activities can be a very pleasurable experience for the majority of people, unless they have a long-term lack of desire and/or pleasure during sexual activities. These issues can lead to stressful situations for those involved. People tend to become self-conscious and/or depressed. This article will help people understand what Erectile Dysfunction is, how men get it, and all of the treatment options available for you to discover.

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What is Erectile Dysfunction?

Erectile dysfunction -abbreviated as ED- occurs when a man is unable to obtain or maintain an erection. The condition makes it impossible for the man to have or finish sex. This condition was previously known as impotence. ED is very common. It affects about 30 million men in the United States. (NIH)

 

What is sexual dysfunction?

Sexual dysfunction is a problem that can occur at any stage of the sexual response cycle, preventing people from experiencing sexual satisfaction.  It is estimated that 43% of women and 31% of men report some degree of sexual dysfunction (Cleveland Clinic) It prevents people from experiencing satisfaction from sexual activity. There are several types of sexual dysfunctions: desire disorders, arousal disorders, orgasm disorders, and pain disorders. It has been estimated that the worldwide prevalence of ED will be 322 million cases by the year 2025 (NCBI) Men who are unable to maintain an erection or who have early, or premature, ejaculation are considered to have sexual dysfunction. Medical professionals consider these disorders to be common, despite the fact that the majority of them appear in patients after the age of 40 due to cellular decline and slowed metabolic rate associated with the aging process. Continue reading to learn more about the symptoms and complexities of erectile dysfunction causes.

 

Symptoms of ED?

Unless it occurs over a long period of time and/or is accompanied by other symptoms of underlying physical and mental conditions, ED symptoms are often ignored or neglected.  But for men living with erectile dysfunction, seeking a diagnosis and finding the right treatment can do more than improve the quality of a man’s life- IT MAY SAVE IT!

A diagnosis of erectile dysfunction is associated with a two-fold increase in heart attacks, strokes and cardiovascular death beyond traditional risk factors” (American Heart Association)

 

What are the complications of erectile dysfunction?

There are numerous complications associated with ED. Unfulfilled sex life, loss of intimacy between you and a partner, resulting in a strained relationship, depression, anxiety, and low self-esteem, and inability to get a partner pregnant are all symptoms that some people experience. If one of these complications becomes a long-term problem, it is critical to seek medical attention.

 

How does an erection work?

Several critical components are involved in the mechanism that allows a penis to become and remain erect. Arousal causes an erection by stimulating the production of nitric oxide from nerve terminals and blood vessels. This enhances the flow of blood into the erectile tissue. The veins that drain blood from the penis collapse as the erectile tissue fills with blood. This maintains the penis erect by preventing blood from exiting the erectile region (University of Iowa Hospital and Clinics). A male frequently finds it difficult to get another erection right away. The time between erections varies according to a man’s age, health, and whether he is sexually active on a regular basis. A young, sexually active man in good health may be able to get an erection after just a few minutes, whereas a man in his 50s or older may have to wait 24 hours. One reason may be that nerve function slows with age (Harvard Health)

 

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What causes a weak erection?

There are numerous things that can contribute to ED. The majority of males have a blood vascular blockage. Anyone having ED for an extended period of time should seek medical attention, since ED can be a symptom of a larger problem and life-threatening condition.

Diseases – These are some of the most common diseases that can cause ED

Lifestyle choices

A multitude of lifestyle factors can lead to ED. Anyone who engages in heavy drinking/drugs, heavy smoking, overeating (which leads to obesity), or lives a sedentary lifestyle should consider living a better lifestyle by exercising more and quitting bad habits.

Mental Issues

Once a medical expert has determined that there is no physical condition causing ED, a person’s degree of worry and stress in their life might be utilized to evaluate if ED is caused by psychological factors.

Age

ED is increasingly prevalent with age: approximately 40% of men are affected at age 40 and nearly 70% of men are affected at age 70. The prevalence of complete ED increased from 5% at age 40 to 15% at age 70.2 Age was the variable most strongly associated with ED (Cleveland Clinic).

What are some treatment options?

People suffering from ED have several treatment choices. It should be noted that not all therapies will be ideal for everyone. Consult a medical practitioner to determine what is best for your lifestyle and any underlying concerns.

Prescription Pills

There are several prescription medications that can treat ED. Specifically, Viagra, avanafil (Stendra), tadalafil (Cialis) and vardenafil (Levitra). The cost of ED drug therapy to patients varies greatly based on the pharmacy price, co-pays, and your degree of health plan coverage.

Pumps

A penile pump is made up of three parts: a plastic tube that goes over the penis, a hand or battery-powered pump attached to the tube, and a band that wraps around the base of the penis after it is erect (constriction ring). Although only for a short period of time (and only when used correctly), the majority of men can obtain an erection sufficient for intercourse if they utilize a pump correctly.  A common type of pump used by urology offices can be found at TIMM Medical.

Surgery

Penile implants are devices that are implanted within the penis to help men with erectile dysfunction (ED) achieve an erection. When other ED therapies fail, penile implants are usually advised by a Urologist. (Mayo Clinic)  However, Penile implants are functionally deemed cosmetic and non-essential which leaves many men stuck paying upwards of $60,000 and suffering from lack of sensation, infections, and mechanical failures. 

Functional electrical stimulation (FES) therapy

Small electrical impulses are used in functional electrical stimulation (FES) to activate specific muscles and nerves. The desired function is triggered by these impulses, such as contracting muscles to move a foot or elevate an arm. FES is also used to suppress pain signals and restore or improve body functions including bowel and bladder control, among other things. ” IG participants underwent FES therapy (50 Hz/500 µs) for a total of 4 weeks, divided into two weekly sessions lasting 15 min each, with intensity lower than the motor threshold.” (PubMed)While preliminary results stated marginal at best results for men’s sexual function, the low cost access to related e-stim devices for personal use lead to a new and rather unique men’s sex fetish, called “electro-sex.” (Wikipedia)

Shockwave

Low-intensity shockwave therapy  treatment is now being offered for men with erectile dysfunction (ED) caused by inadequate blood flow to the penis, called Vasculogenic ED. Because most ED patients experience some blockage of their blood vessel, Shockwave therapy can be very effective for most people.

Shockwave Procedure

A medical specialist will run a wand-like device around different parts of your penis during the process, emitting mild pulses that stimulate greater blood flow. The entire treatment takes around 15 minutes, and each patient must get Shockwave Therapy once a week for six weeks. Most patients experience little to no pain and do not need to do anything to prepare for the treatment. When the therapy is over, the patient will be able to drive themselves home safely. Medical professionals advise that if your patients experience any For males suffering with Vasculogenic ED, which is characterized by inadequate blood supply to the penis, low-intensity shockwave therapy is now accessible. Shockwave therapy can help because the majority of ED patients have a blood vascular occlusion.Because the majority of ED patients have a blood vessel obstruction, shockwave therapy can be quite beneficial for the majority of people. pain, take over-the-counter (OTC) medications, such as acetaminophen or ibuprofen for pain relief. Most people can return to normal activity the following day after shockwave therapy, but your urologist will discuss whether you should restrict your activity for longer to recover.

 

Benefits of Shockwave Therapy in Las Vegas, NV

Shockwave Therapy can be used to treat ED. Patients enjoy little to no pain and no adverse effects associated with prescription drugs and surgery procedures because this therapy is non-invasive. All Shockwave Therapy should be performed in a medical facility by a trained medical expert. This provides the most effectiveness and avoids the risk generally connected with someone who utilizes an at-home device.

Is shockwave therapy effective?

Shockwave therapy effectively reduces pain associated with tendinopathies while also improving functionality and quality of life. Because of its effectiveness and safety, it has become a first line treatment in Europe and is considered the “Gold Standard” for treating ED. 

Who is a good candidate for Shockwave Therapy in Las Vegas, NV

Shockwave Therapy is appropriate for men with mild to moderate vasculogenic ED who have shown some response to PDE5 inhibitors. Furthermore, anyone who does not respond well to alternative therapies such as surgery or drugs is an excellent candidate for Shockwave Therapy.

Radial Wave Therapy vs. Shockwave Therapy

 

Radial Wave Therapy

Male erectile treatment utilizing low-intensity radial shockwave therapy appears to be an appealing option based on research and clinical experience. As part of the comprehensive package provided to men at a dermatology and/or medical aesthetic office, skilled staff can safely and efficiently deliver the therapy.

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Shockwave Therapy

Data suggests that it can increase blood flow and possibly aid in the formation of new blood vessels. This treatment must be administered by a licensed medical professional with professional expertise. The Food and Drug Administration (FDA) has not yet licensed it for use in treating erectile dysfunction, although it is being studied by medical specialists.

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Research

In a recent meta-analysis of 10 randomized controlled trials involving a total of nearly 900 men with vasculogenic ED, researchers reported that, compared with sham treatment, LISWT (Shockwave Therapy) resulted in significant improvements in measures of erectile function and penile blood flow (Nature 2019)

Restorative therapies are a promising technology that represents a new frontier of treatment geared towards reversing disease pathology rather than just treating symptoms (Science Direct, 2021)

This study showed that penile electromagnetic shockwave therapy may improve erectile function, to a modest extent, on certain patients that do not respond to PDE5I; making it an alternative for vascular ED patients that reject more invasive therapies (Science Direct, 2021)

LI-ESWT applied to the corpora cavernosa showed a statistically significant improvement in the quality of erections in ED patients with or without oral or intracavernous treatment, without side effects (Hindawi, 2017)

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