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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider. Wake Forest Baptist Health, Medical Center Boulevard, Winston-Salem, NC 27157. All Rights Reserved. Request an Appointment Billing & Insurance MyChart Search Menu Request an Appointment Refer a Patient Request an Appointment Refer a Patient What Is Erectile Dysfunction? Quick Links + Erectile Dysfunction (ED) Injections: Trimix Penile Implant Vacuum Erection Device (VED) Shockwave Therapy for ED

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The pathogenesis of organic ED is related to dysfunction of the endothelium. Endothelial cells can become injured through a variety of mechanisms, most of which cause oxidative stress on the tissues. Many of these causes of oxidative stress are related to lifestyle issues which lead to hypertension, diabetes and dyslipidaemia (figure 1). Endothelial cell dysfunction results in reduction of endothelium-dependent vasorelaxation as well as increased adhesion of leukocytes to the endothelium. Endothelial cell injury then leads to a variety of sequelae, including ED, other types of vasoconstriction, atherosclerosis and thrombus formation.18
Pregnancy & BreastfeedingCan I take Viagra (Sildenafil (Injection)) if I’m pregnant or breastfeeding? .

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Sometimes, blood flow problems develop because of damage to the endothelium or penile smooth muscle – tissues in the penis that are important for normal erections. This damage may be the result of high blood pressure or smoking. It can also happen if a man has high cholesterol, triglyceride, or blood sugar levels.
30-50% of hypertensive men also suffer from ED. Hypertension can disrupt erectile tissue function. In addition, some prescriptions for the condition can cause ED. However, there’s evidence that suggests that once adequate blood pressure control is regained – even for those on medication – ED becomes less likely.

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Sexual Medicine Society of North America: SexHealthMatters: "Treating Erectile Dysfunction" and "Vacuum Devices: Erectile Dysfunction."
Rose essential oil works to fight stress and anxiety, two causes of erectile dysfunction. It’s also known to help balance sex hormones and improve libido. A 2015 double-blind, randomized and placebo-controlled clinical trial that was published in Neuropsychiatric Disease and Treatment found that rose essential oil was able to improve sexual function in males with SSRI-induced sexual dysfunction and major depressive disorder. Using rose oil improved the participant’s self-rated symptoms of depression and helped to improve sexual dysfunction that was caused by medication use. (30)

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They’re often used for penis rehabilitation, usually after prostate surgery. Your doctor will put you on a regimen designed to restore normal blood flow to the penis. This will allow you to get a spontaneous erection.

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If counseling alone does not help treat the psychological issue, medications through a qualified psychiatrist may be prescribed.

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    In recent years, there has been more and more research pertaining to the rise of pornography-related sexual dysfunction. Researchers believe that the unique properties of internet pornography, including its easy accessibility, limitlessness, variety and format, may be conditioning younger men’s sexual arousal to aspects of sexuality that do not easily transition to their real-life partners. It’s possible that for men who are constantly exposed to internet pornography, sexual activity with their real-life partners often doesn’t meet their expectations, which can lead to arousal declines.

    Erectile dysfunction (ED) is when a man cannot get or keep an erection. The condition prevents the man from having sex or finishing sex. This condition used to be called impotence. ED can occur at any age, but it is more common in men older than 75 years of age.
    Injection: The medication is put into the side of the penis by a needle. This raises your risk for dangerously prolonged erections and scarring.

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    Treatment options for ED have evolved considerably over the past decade to encompass psychological counseling; oral, topical, intraurethral, and intracavernosal vasoactive therapy; oral therapies with other or unknown mechanisms; hormone replacement; vacuum constriction devices; and surgery, including vascular bypass procedures and penile implants. The goal of treatment is to restore satisfactory erections with minimal adverse effects. Men have demonstrated a strong preference for oral treatments even if they have low efficacy.

    The stress of erectile dysfunction and its toll on self-confidence and/or a relationship can be hard to deal with. Speaking to a psychologist or counselor about how to cope emotionally can be of great benefit to some people.
    Harvard T. H. Chan School for Public Health, The Nutrition Source: “Nuts for the Heart.”

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    Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

    The most compelling new treatments being researched are acoustic wave and low-intensity shockwave therapies (LI-SWT). These treatments both use soundwaves, but the much faster-moving shockwaves appear to be more effective at stimulating blood flow and improving vascular performance in penile tissue.
    For ED, one systematic review concluded that red ginseng in particular may be effective in the treatment of ED. However, like most OTC ED remedies, additional research is required to provide conclusive evidence.

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    If you think you have ED, a good first step is to talk with your doctor. The treatment you need will depend on what’s causing it.

    Beginning in the 1990’s, researchers discovered that using therapeutic, ultrasound wave technology encourages angiogenesis, or the formation of new blood vessels, when searching for treatments for CAD and heart diseases.
    You can buy extract of the bark of the yohimbe tree – long used as an aphrodisiac in western Africa -- as a dietary supplement. Its promoters claim it can help erectile dysfunction. But the science shows mixed results.

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Both the 100mg and 200mg dosages take effect in about 15 minutes, which is even faster than BlueChew’s chewable sildenafil. It lasts about six hours, which is basically on par with sildenafil (and Viagra).

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6. Pull the needle out of the ampule and lay the syringe on the edge of a flat surface. Make sure the needle hangs over the edge to keep it from touching anything.

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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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