ED Treatments

Erectile dysfunction (ED) is a common condition affecting millions of men worldwide. A 2018 review estimated that ED affects about one-third of men. 

The Massachusetts Male Aging Study, completed in 1994, found that around 52 percent of men experience some form of ED in their lifetime. According to the Boston Area Community Health Survey, 10% of men aged 30 to 39 suffer from ED. Whereas about 59% of men between the ages of 70 and 79 experience impotence. 

This is why understanding erectile dysfunction is crucial, as it not only affects physical health but can also impact your personal well-being. So, let us understand all about erectile dysfunction and all aspects related to its causes and treatment.

What Is Erectile Dysfunction?

Erectile Dysfunction, also known as Impotence, is the inability to get and keep an erection firm enough for sexual intercourse. Experiencing occasional difficulty in achieving an erection is generally not a cause for concern. However, if this issue persists, it may be a sign of an underlying problem that may require further medical attention.

Erectile Dysfunction Symptoms

The key symptoms of Erectile Dysfunction include-

• Being able to get an erection at times. 
• Getting an erection before intercourse but not being able to maintain it. 
• Complete inability to get and maintain an erection. 
• Needing significant stimulation to maintain an erection.

Erectile Dysfunction Causes

The three following factors can cause erectile dysfunction.

Types Of Erectile Dysfunction

Erectile dysfunction can be classified into three types. A healthcare professional will diagnose the specific type and recommend appropriate treatment options based on the underlying cause and presented symptoms. 

Vascular Erectile Dysfunction

Vascular erectile dysfunction occurs when the blood vessels that deliver the blood to the penis are damaged or blocked. This is one of the most common types of ED and occurs due to the following factors. 

• High blood pressure
• Due to radiation and surgery for prostate cancer 
• Long-term bike riding may damage the blood vessels 
• High cholesterol 

Neurogenic Erectile Dysfunction

Erectile function depends on signals from the brain that travel through nerves to the penis. When these nerves are damaged or impaired, it can lead to erectile dysfunction (ED).

Neurogenic erectile dysfunction can occur due to the following health conditions. 

• pelvic surgery
• Trauma
• radiation therapy
• multiple sclerosis (MS)
• spinal stenosis
• stroke. 

Hormonal Erectile Dysfunction

This type of erectile dysfunction occurs as a result of a deficiency of the male hormone testosterone. In a few cases, ED may also arise from thyroid and prolactin (a hormone secreted by the pituitary gland) issues. 

Psychogenic Erectile Dysfunction

This is the inability to achieve and maintain an erection due to psychological factors, such as-

• stress
• anxiety
• depression
• guilt
• low self-esteem
• Relationship concerns. 

Who Does Erectile Dysfunction Affect?

Erectile dysfunction can affect individuals of various ages and backgrounds, but it is more common in the following people-

• Older People: As a person ages, the risk of erectile dysfunction (ED) increases due to declines in hormone levels and blood flow.
• Have diabetes. Diabetes can damage blood vessels and nerves, which are crucial for achieving and maintaining an erection. Thus, such people are at a higher risk of ED. 
• Obesity: Excess weight can lead to hormonal imbalances and reduced blood flow. Both of these factors can contribute to ED.
• Suffer from depression: Depression can affect sexual function by altering mood, energy levels, and interest in sex, leading to ED.
• Physically inactive: Lack of exercise can lead to poor cardiovascular health and reduced blood flow, increasing the risk of ED.
• Smoke: Smoking can damage blood vessels and reduce circulation, making it harder to achieve and maintain an erection.

Diagnosis- Erectile Dysfunction Test

Erectile dysfunction is diagnosed through various tests to identify the cause and find the appropriate treatment options. Some of the standard tests recommended by doctors are: 

• Patient Medical or Sexual History: Reviewing the patient’s medical and sexual history can help understand conditions contributing to impotence. This can also help identify issues with erection, ejaculation, orgasm, or sexual desire.
• Physical Examination: A physical examination can help in diagnosing the following:
  • A lack of response to certain touch stimuli might indicate nervous system problems.
  • Secondary sex characteristics, such as hair patterns, can suggest hormonal imbalances involving the endocrine system.
  • Circulatory issues might be indicated by an aneurysm (bulging in a blood vessel).
  • Abnormalities in the penis could also be a reason for impotence. 

• Laboratory Tests: These tests may include blood counts, urinalysis, lipid profiles, Penile Doppler ultrasound, magnetic resonance angiogram (MRA), and measurements of creatinine and liver enzymes. Testosterone levels are often measured, especially in men with a history of reduced libido or diabetes.
• Psychosocial Examination: This assessment helps identify psychological factors affecting sexual performance. A doctor may ask your partner questions to understand the expectations and perceptions during intercourse.

Benefits Of Seeking Erectile Dysfunction Treatment

Seeking treatment for erectile dysfunction offers numerous benefits that can significantly improve the quality of life. Here are some key benefits of seeking erectile dysfunction treatment. 

Enhanced Relationship Quality

Erectile Dysfunction can affect your relationships, causing stress and emotional distance between partners. Seeking treatment can improve these issues and lead to greater happiness and stability.

Improved Mental Health

The psychological impact of ED can include anxiety, depression, and stress. Treating ED can help reduce these mental health issues, leading to an overall improvement in emotional well-being.

Boosting Confidence

Being sexually fit and healthy can enhance your confidence. Though ED can be challenging at any age, it is, however, more stressful for men in their 20s and 30s. 

Struggling with erections at a young age can affect your self-esteem. However, getting the necessary treatment can regain your confidence and improve your overall health.

Determining The Right Erectile Dysfunction Treatment

Your doctor will determine the specific treatment for erectile dysfunction based on the following factors:

• Age, overall health, and medical history
• The extent and cause of the condition
• Your tolerance for specific medications, procedures, or therapies
• Expected progression of the condition
• Personal preferences and opinions

Available Treatment Options At Iyrinhealth Care

At IyrinHealth Care, we offer effective treatments for erectile dysfunction, including sildenafil, tadalafil, and vardenafil. Our range of medications is designed to provide reliable and safe solutions for managing ED.

Sildenafil

Sildenafil is a medication commonly used to treat erectile dysfunction. It increases blood flow to the penis, thus helping achieve and maintain an erection. Sildenafil tablets have the same formulation, effectiveness, and safety profile as the brand Viagra.

It is also available in numerous other brand drugs, such as Cenforce, Malegra, and Aurogra. 

Tadalafil

Tadalafil is a widely used medication for the treatment of erectile dysfunction (ED). It works by enhancing blood flow to the penis, assisting in achieving and maintaining an erection during sexual activity. Known for its long-lasting effects, up to 36 hours, Tadalafil is also marketed under Cialis. 

Vardenafil

Vardenafil is a clinically proven erectile dysfunction medication popular for its quick onset and reliable effectiveness. With its well-established safety profile, Vardenafil is a trusted choice for men seeking a dependable solution to ED.

Comparing ED Treatment Options

Here is a comparison of Sildenafil, Vardenafil, and Tadalafil to determine the most suitable treatment option for you.

Note– 

It is important to note that these treatment options for erectile dysfunction are specifically designed for men and are not recommended for use by women.

Natural Remedies For Erectile Dysfunction

Lifestyle and nutrition significantly influence Nitric Oxide production and erectile function. A study published in The Journal of Sexual Medicine found that healthy lifestyle changes can help some men reverse erectile dysfunction [9].

Some natural remedies and lifestyle changes that can help improve ED are listed below. 

Physical Activity

Research shows that both moderate and high levels of physical activity can lower the risk of erectile dysfunction. Regular exercise improves blood flow and overall health, which can prevent and help improve ED. Staying active is an effective way to maintain sexual health and function.

Ginkgo

Ginkgo biloba is an herbal supplement derived from the leaves of the Ginkgo tree. It is believed to improve blood flow, potentially enhancing sexual desire and helping with erectile dysfunction (ED).

Acupuncture

This traditional Chinese medicine technique involves inserting tiny needles into specific points on the body to stimulate energy flow. Some studies suggest that acupuncture may enhance erectile function by increasing blood flow and boosting nitric oxide levels. Additionally, acupuncture may help reduce stress and anxiety, which are common contributors to erectile dysfunction.

L-arginine

L-arginine is an amino acid, the building block of protein. As a vasodilator, it helps to widen blood vessels, enhancing blood flow to the penis and helping with erection.

A 2017 study found that people with ED had low levels of L-arginine, indicating a possible connection. 

Smoking

Smoking is an established risk factor for erectile dysfunction. A recent study found that smokers have a 51% higher risk of developing ED compared to non-smokers.

Research by Harte and Meston also highlights the positive impact of quitting smoking. Their study showed that men who quit smoking experienced significant improvements in sexual health.