Although erectile dysfunction – also called impotence – occurs in men of all ages, it is more commonly experienced by men over 65. While most men with the disorder see it only as interfering with their sexual performance, erectile dysfunction can sometimes be a first indication of other disease that – left untreated – can actually shorten your life.Today, more men are taking advantage of the treatment options.
Changes with Age
Two spongy cylinders within the penis run parallel to the urethra. With sexual arousal, the nervous system relays messages to blood vessels to relax. Under normal circumstances, when these vessels relax, more bloods flow into and flood the spongy cylinders. The result is an erection.
As you age, it may take longer to develop and erection and the erection may not be as rigid. More direct stimulation may be necessary to achieve erection. Orgasms may be less intense and recovery time between erections may be longer. For effective purchasing, the hyper male force reviews should be in the notice of the patients. The selection of the best expert’s available online or local clinic should be done through the patients. All the need of the person will be satisfied through the medication.
The term erectile dysfunction encompasses a range of disorders, but it most commonly refers to the inability to achieve adequate erection for sexual activity. It may be a sign of physical or emotional problems. Some of the causes of erectile dysfunction include:
Chronic diseases and disorders. Erectile dysfunction may be a first warning sign of a more serious underlying disorder. This may include diabetes, high blood pressure, kidney, liver, or hormonal disorders, or atherosclerotic diseases, such as coronary artery disease.
Surgery or trauma. Surgery for prostate or colorectal cancer may result in problems with erectile dysfunction. Trauma or disease affecting the pelvic area or spinal cord also may cause problems.
Medications. Erectile dysfunction may be a side effect of some medications.
Substance abuse. Chronic alcohol use, excessive smoking, and use of illicit substances such as marijuana or other drugs can lead to erectile dysfunction.
Psychological disorder. Stress, anxiety, depression can play a role in erectile dysfunction.
Reason to See Your Doctor
If erectile dysfunction is recurring problem or lasts longer than a couple months, see your doctor.
If your doctor determines the cause is related to psychological issues, you may be referred to a psychologist or psychiatrist. Should the blood test show your testosterone levels are low, testosterone therapy may be tried using creams, patches, or injections. If the cause is a condition such as diabetes or cardiovascular disease, treatment for that specific condition may help improve erectile dysfunction.
Additional treatment options also may considered:
Oral medications. Sildenafil (Viagra) was the first oral drug to help improve response to sexual stimulation by allowing increased blood flow to the penis. Sildenafil, however, should not be taken if you are also taking a nitrate-based drug such as nitroglycerin for a heart disorder. Two drugs that work in the same manner as sildenafil are tadalafil (Cialis) and vardenafil (Levitra). Both drugs were approved by the Food and Drug Administration (FDA) in 2003. Studies show tadalafilstays active in the body longer than does sildenafil. Vardenafil appears to work slightly faster than does sildanafil. A third drug — apomorphine ((Uprima) —- is being reviewed by the FDA. It works via central nervous system.With the new drug choices on the horizon, men who find that one doesn’t work will most likely have more options to consider before looking at treatments other than medications, including;
Injected drugs. You can be taught to inject drugs into the penis that can enhance the blood flow to the penis. Alprostadil (Caverject, Edex) may be used on its own or your doctor may suggest it be combined with either papaverine or phentolamine (Regitine) to improve effectiveness. Side effects may include bleeding from the injection site and prolonged erection. Fibrous tissue formation at the injection site can occur, but is uncommon.
Self-administered intraurethral therapy. This treatment, known as MUSE, involves using a small applicator to insert a tiny pellet of alprostadil into urethra. This can be uncomfortable and produce some minor bleeding. You may also experience dizziness. However, this form of treatment avoids the need to inject medicine into penis.
Vacuum devices. These involve placing a hollow plastic tube over your penis and manually pumping to create a vacuum that pulls blood into the penis. To maintain the erection, a constriction band is placed of the penis.
Surgical options may be considered if other treatments for erectile dysfunction fail to be helpful. Penile implants such as semirigid malleable rods or inflatable devices may be surgically placed.
Complications may include infection or sometimes malfunction of the implantable device. In rare cases, microvascular surgery may be done in younger men who have vascular damage due to trauma.