Erectile dysfunction, or being unable to maintain an erection firm enough to have sexual intercourse, affects a majority of men between the ages of 40 and 70. Appointments Request an Appointment
If you have ED often, you’re not alone. An estimated 30 million men in the United States experience erectile dysfunction. Erectile dysfunction isn’t easy to talk about. But it’s nothing to feel embarrassed about, either. If you’re having trouble, your Aurora urologist can treat your ED and help you get back to feeling like your old self.
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Stanton Honig, MD, a urologist and director of the Men’s Health Program at Yale Medicine, uses duplex Doppler ultrasound to evaluate penile blood vessels and assess whether a patient has early blood flow problems to the penis.
Talk to your doctor about how much physical activity you should incorporate into your daily and weekly routine.
The bark of the African evergreen yohimbe tree contains a compound called yohimbine, which has been traditionally used as an aphrodisiac.
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Clinically proven to help erections stay harder for longer, tadalafil gives you greater flexibility when planning to have sex. It lasts for 36 hours (9 times longer than sildenafil), so you can enjoy sex without needing to take a tablet immediately beforehand.
Do NOT take these medications if you are on nitroglycerin, taking medications with nitrates, or even have nitroglycerin at home. Ask your doctor if you have any questions about this.
This is usually caused by stress, tiredness, anxiety or drinking too much alcohol, and it's nothing to worry about.
“The social stigma is stronger,” says Dr. Walker. “Much of their identity is connected to their sexuality, and ED can have a profound effect on their relationships. They must admit to their partner that they have a problem and then they have to seek help. That’s intimidating.” While most partners are understanding, some react with feelings of inadequacy or even distrust. “I’ve had patients with ED say their girlfriend or wife thinks they’re cheating on them.”
If you think your medication might be causing ED, talk to your doctor, but don't discontinue using it on your own. Some medication must be tapered off under a doctor's supervision.
Prolonged erection (priapism) — This is an easily managed but potentially serious complication. If you ignore it, you could have severe pain and may need a small operation. It could even make you completely impotent (meaning you cannot respond to injections). Therefore, only make SMALL adjustments to your dose, if needed.
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Malleable implants are a pair of bendable rods placed inside the penis. You manually move your penis, and therefore rods, into a position suitable for sex. Such implants do not affect penis size.
Often known by the common brand name Cialis, tadalafil is a PDE-5 inhibitor that you take once per day to provide 18-36 hours of effectiveness. This significantly reduces the planning typically involved in using other treatments like sildenafil. That said, some users only take tadalafil as needed, and those dosages can sometimes be different. You and your doctor will decide what’s right for you.
A very rare but more serious visual complication is shared by all PDE5 inhibitors. This would be non-arteritic anterior ischemic optic neuropathy (NAION). A number of cases have been reported and generally risk factors for this very rare form of blindness are severe cardiovascular conditions. In summary, men at high-risk for cardiovascular disease with congestive heart failure or unstable angina should not receive treatment for sexual dysfunction until their cardiac condition has stabilized. The FDA advises patients to stop taking these medicines and call a doctor immediately, if they experience sudden or decrease vision loss in one or both eyes. Furthermore, patients taking or considering taking these products should inform their healthcare professionals if they have ever had severe loss of vision, which may reflect a prior episode of NAION. Such patients are at an increased risk of developing NAION again.