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Using medicines that are injected or inserted into the penis.

These devices have a tube that you place around the penis. You pump the device to create a vacuum that leads to an erection. Some men try complementary therapies for erection problems. If you don't want to use medicine, or if medicine doesn't work for you, you may want to talk with your doctor about some of these options.

Most of these treatments need more research before doctors can know for sure if they work.

It's important to involve your partner in your

decision

If you’re having difficulty getting or maintaining an erection, this is called erectile dysfunction. It’s not a disease, but a symptom of another problem, which might be physical, psychological, or a mixture of both.

An Australian survey showed that at least one in five men over the age of 40 has an erection problem, and about one in ten men are unable to have erections. It’s common for a healthy older man and his sildenafil 20 mg price walgreens partner to still want to have sex, but as you get older, muscle tone in the penis reduces, so erectile problems become more common.

Understanding what’s normal as you get older is important to avoid frustration and concern. There’s no age when you’re sildenafil 100mg walgreens ‘too old’ to get help with your erection or other sexual problems. Many things can affect your ability to get and keep an erection. When erectile dysfunction happens, there might be several contributing issues, and it’s usually a combination of physical and psychological factors. Sometimes, there’s no clear reason for erectile dysfunction. However, in most cases there’s a physical problem behind it. Psychosocial problems, such as performance anxiety, stress, mental health issues, and relationship problems.

Reduced blood-flow, sometimes resulting from a narrowing of the arteries.

Urological problems, such as Peyronie’s disease and pelvic trauma. Use of drugs, alcohol and some medicines, including those used to treat high blood pressure, high cholesterol, depression, and prostate cancer.

Interference with nerve function caused by spinal cord trauma, multiple sclerosis, diabetic neuropathy, pelvic surgery, Parkinson’s disease, and Alzheimer’s disease.

Problems with blood vessel function, including diabetes, high blood pressure, high cholesterol, smoking, and sleep apnoea.

Hypogonadism, such as Klinefelter syndrome, which is a condition where the testes are not able to make enough testosterone or sperm. Additional problems that can cause erectile dysfunction include thyroid disease, growth hormone conditions, and an excess of cortisone. If you’re having erection problems, your local doctor or sexual health clinic are good first

points

It’s

important

Even if you don’t want to have sex, erectile dysfunction might be a symptom of a medical condition, so it’s a good idea to seek professional advice.

For many, this is a sensitive issue to discuss, but based on the stats above, you won’t be the first patient to appear in a doctor’s rooms needing help with erection problems. A doctor will most likely talk to you about maintaining good general health. This means paying attention to things like body weight, exercise, and smoking. Other common causes include anxiety or relationship problems, so for some men it can help to talk through these issues with a trained counsellor.

Lifestyle changes such as sensible eating and regular exercise can help prevent problems like heart disease and diabetes that cause erectile dysfunction. Early diagnosis and treatment of associated conditions like diabetes, hypertension and high cholesterol may prevent or delay erectile dysfunction, or stop the problem from getting more serious. Usually there won’t be one specific treatment that helps. For some men, there’s a reversible underlying cause that can be treated. For others, erectile dysfunction can’t be cured, but it can be managed.

There are a variety of treatments available to help you get and maintain erections.

Some treatments include tablet medicines, external devices or penile injections.

Oral medication, such as Viagra, is often helpful, although it can have possible side effects.

For men who don’t have success with these treatments, surgery may be an option.

What treatment options are available for erectile dysfunction?

Could counselling or sex therapy help treat my condition?

How often can you not have sex due to an unsatisfactory erection?

Have you recently had any other health problems or started any new medication?

Erectile dysfunction: giving patients more choice and better treatments. Erectile dysfunction affects around 50% of

men

Many studies have found that sales of Viagra (sildenafil), a tablet used to treat erectile dysfunction in men, surge around Valentine’s Day.

This has contributed to 14 February also being designated as UK National Impotence sildenafil 20 mg price walgreens Day in previous years, and this year as Thinking about Sex Day, by the Sexual Advice Association (SAA). Erectile dysfunction is very common; it affects around half of men aged between 40 and 70 years old, according to the SAA.

It is now known to be caused by both psychological and physical causes, such as vasculogenic conditions affecting the blood flow to the penis, neurogenic conditions and hormonal conditions.

In addition to its own effects on a patient’s health and well-being, erectile dysfunction is an indicator of other serious conditions, such as diabetes and heart disease, making discussions about the condition itself and the availability of efficacious and practical treatments for erectile dysfunction even more important. Issues with existing erectile dysfunction treatments. As well as lifestyle changes dependent on the causes of an individual’s erectile dysfunction, those suffering with erectile dysfunction have access to a range of first line therapies called phosphodiesterase type 5 (PDE5) inhibitors, which include Viagra, as well as Cialis (tadalafil), Levitra (vardenafil) and Spedra (avanafil).

Although these therapies have an approximately 70% success rate, PDE5 inhibitors have to be taken between 30 minutes and two hours before sexual activity leading a lack of spontaneity in the sex lives of those taking the drugs. Viagra, Levitra and

Spedra

any

Second line therapies

for

injections

For these therapies, aprostadil, which is the same chemical produced by an erect penis, is injected into the shaft of the penis to help blood flow. Ralph noted this treatment can cause scarring to patient’s penises; the SAA also states it can be very painful. There are other therapies where alprostadil in pellet form is administered into the urethra, however, Ralph comments that efficacy is not as good as the injectable form.

A third line of therapy for severe cases are penile prosthesis and surgical removal of the prostates.

Moving towards the ideal treatment for erectile dysfunction.

Since oral agents introduced in the 1990s are the most recent major innovation in the erectile dysfunction field, there is a lot of patient expectation for more high-quality treatment options.

In his presentation, Ralph described the ideal treatment

for

MED2005 builds upon recent developments in creating creams for erectile dysfunction.

An example is Takeda’s Vitaros, a topical cream formulation of alprostadil, which incorporates a skin-permeation enhancer that aids absorption after application to the meatus of the penis. Futura Medical’s topical gel enables the targeted and rapid delivery of glyceryl trinitrate (GTN), a drug originally developed to treat angina, into the glans penis.

Phase I and II trials showed that MED2005 was efficacious compared to placebo becoming effective within ten minutes, was not impacted by alcohol or food and caused few adverse events for either the male participants or their partners. Latest report from Browse over 50,000 other reports on our store.

The company also noted that in the pharmacodynamics Phase II trial in one third of cases the female partner applied the gel; it is common with existing therapies for partners to be largely excluded from treatment.

The ongoing European Phase III trial aims to evaluate the efficacy of the drug, as well as focusing more closely on measuring time of onset and duration of action by using a range of parameters. Futura Medical is optimistic about the outcome of this trial; it expects results to be published at the end of 2019 and for regulatory filings to follow in the second half of 2020.

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Abiogen Pharma is a well-established pharmaceutical company headquartered just outside of Pisa, Italy, that develops and markets medical solutions in primary care and rare diseases across international markets.

Erectile dysfunction is the inability to achieve or maintain an erection of the penis during sexual activity.

Erectile dysfunction (ED), sometimes called impotence, is a common symptom for men with MS. Although there are drugs that can help with the physical symptom, effective treatment involves looking at psychological and emotional factors that may be contributing. There are a number of possible causes for erectile dysfunction in men with multiple sclerosis. Arousal and erection require a complicated interaction of nerve messages. When MS damages these nerve pathways, messages from the brain can be delayed or blocked meaning that the erection doesn't last long or, in some cases, may not occur at all. Several MS symptoms can make it difficult to get or keep an erection.

If you have pain or numbness in the genital area, potentially pleasurable sensations can become uncomfortable. Depression or reduced attention span or concentration can lead to distraction.

For example worry that sexual activity will cause spasms or fatigue, or that you might wet the bed or soil yourself. If MS has dented your self-confidence or self-image, or affected how you think partners see you, this may undermine your ability to enjoy sex and make erections harder to maintain.

Problems with erections are relatively common in the general population and the cause of your symptoms may be unrelated to MS.

Factors

that

Side effects of medication, such as from some anti-depressants or anti-spasticity drugs. Ageing - difficulties with erections are more frequent in older men.

Venous leak - a physical condition in which the extra blood in the penis is not retained during an erection.

The cause of your symptom may involve several factors, some related to MS and others not.

Effective management requires a thorough assessment of all the possible contributing issues. It is estimated that nearly one in five men in the general population has a problem with achieving an erection at some point, either every now and again or more consistently over a prolonged period of time. Erectile dysfunction is thought to be more common amongst men with MS and research suggests anything from one quarter to two thirds of men with MS may be affected at some point.

The most important and most powerful starting point for managing sexual issues is a willingness to talk about them. Although there are treatments available that can restore the ability to achieve an erection, the effective management of the symptom requires an assessment of the whole person.

For example, if fatigue is affecting your sexual performance, a pill that makes it easier to achieve an erection is not going to resolve the problem of physical stamina.

Similarly, medication alone won't resolve feelings of being unattractive or sexually less desirable that can come from living with a long-term condition.

As well as considering medication, treatment may involve counselling and finding new ways of being intimate that are better suited to the your situation. Erectile dysfunction can be treated with a class of drugs known as PDE5 inhibitors.

Sildenafil citrate - Viagra is perhaps the most well-known brand of sildenafil citrate, but a number of cheaper versions have been licensed in the last few years Vardenafil (Levitra) Tadalafil (Cialis) Avanafil (Spedra) If these first line drugs are not effective, there are other approaches that can be tried.

Alprostadil (Caverject, Viridal Duo, MUSE and Vitaros) - a different type of drug that is applied directly to the penis either as an injection, as a pellet or as a cream Vacuum constriction devices (VCDs) - the penis is inserted into a tube and the surrounding air pumped out, causing an erection.

A tight band is placed around the base of the penis, trapping the blood and maintaining the erection for up to 30 minutes Surgical implants (prosthesis) - implants create erections mechanically using flexible rods or pouches that are filled with fluid. This is usually only considered when other options have not been successful. Erectile dysfunction (ED) is characterized by reduced rigidity and/or duration of erections.

It can therefore impact heavily on a man’s satisfaction with his sex life, as well as that of his partner’s. The penis contains long cylinders of erectile tissue (corpora cavernosa), which can expand with increased blood flow.

These cylinders are surrounded by fibrous tissue (tunica albuginea).

When enough blood flows into the erectile cylinders, the fibrous tissue prevents further expansion but creates the rigidity of an erection. Normal erections require sexual arousal, nerve stimulation of the erectile tissue, dilation of the inflowing blood vessels of the penis, and prevention of outflowing blood. ED can occur at any age from puberty onwards, but is most commonly associated with ageing. There are various causes of ED, and whilst further investigation into the cause is sometimes required, ED is now usually treated once an initial assessment has been made.

One of the most common causes of ED is atherosclerosis (hardening of the arteries) of the small arteries supplying the penis, which is often also present in arteries elsewhere in the body, such as the coronary arteries (supplying the heart muscle).

This is more common in patients with conditions sucha as Diabetes. It is important to note that in some patients, ED may therefore represent a warning sign of cardiovascular disease, which may require further assessment by the man’s GP or cardiologist.

Treatment of ED has been revolutionized by the discovery of certain blood vessel-dilating drugs, which are often highly effective.

However, in some instances, particularly after local treatment for prostate cancer , these medications fail to improve erections sufficiently.

Alternatives treatments, which can achieve excellent results, may then be required. These include intracavernous (into the erectile tissue) injections (of blood vessel-dilating medication), vacuum pump devices and insertion of an inflatable penile prosthesis.

Our urologists and nursing staff are trained and experienced in all treatments for ED. In addition to administering treatment, our staff provide patients with detailed and practical education for each treatment option.

Treatment for Erection Problems: When you need testosterone treatment and when you don’t.

Most men have problems with erections from time to time. This is when it is hard to get or keep an erection that’s firm enough for sexual intercourse.

If you have ED, you may think that testosterone treatment will help. After age 50, men’s levels of testosterone slowly go down and ED becomes more common. But unless you have other signs and symptoms of low testosterone, you should think twice about the treatment. Here’s why: Testosterone treatment is not necessarily helpful for ED.

Testosterone treatment does not improve erections in men with normal testosterone levels. And studies show that it does not always help men with low testosterone levels if ED is their only symptom.

ED is usually caused by low blood flow to the penis or a problem with the nerves that control erections.

This is a result of other conditions, such as hardening of the arteries, high blood pressure, and high cholesterol or diabetes. These conditions narrow the blood vessels and reduce blood flow to the penis or damage the erectile nerves.

Low testosterone may affect the desire for sex, but it usually does not cause ED.

Testosterone

Other side effects include lower fertility; an increase in the number of red blood cells, which can lead to heart disease; an increase in sleep apnea symptoms; and a higher risk of prostate cancer growing faster. Women and children should avoid touching unwashed or unclothed areas of skin where a man has

applied

When should you consider testosterone treatment for ED?

If you’ve had trouble having erections for three months, talk to your health care provider. Your health care provider will ask about all your symptoms and give you a physical exam. Symptoms or signs of low testosterone can include less of a sex drive, loss of body hair, breast growth, needing to shave less often, a drop in muscle size and strength, and bones that break more easily.

In some cases the testicles may be found to be smaller. If you have some of these symptoms, your health care provider may have you get a blood test to measure your testosterone levels.

It is best to do it in the morning when testosterone levels are highest. If the tests show that you have low testosterone levels, your health care provider should look for possible causes.

For example, the low levels might be caused by a problem in the pituitary glands. If no other cause is found, you can try testosterone treatment.

Talk with your health care provider about these steps: Look for medical causes . ED can be an early warning sign of a more serious condition, such as heart disease, high blood pressure, or diabetes.

Treating that condition can improve your overall health and your erections. ED can be a side effect of many medicines, including those to treat high blood pressure, depression, anxiety, heartburn, allergies, pain, seizures, and cancer.

If medicine is the cause of your ED, your health care provider may be able to change the dose you take or switch you to another medicine. Exercise regularly, lose extra weight, stop smoking, drink less, and do not abuse drugs. Certain medicines increase blood flow to the penis if taken an hour before sexual activity.

They are sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis).

Talk with your health care provider about the benefits and risks of these medicines. You should not take them if you take a nitrate medicine, such as nitroglycerin pills for heart problems. The combination can cause a sudden drop in blood pressure. Usually ED has a physical cause that can be treated. But depression, performance anxiety, and

relationship

Counseling, alone or with your partner, may be helpful.

Your health care provider can refer you to a specialist.

Breakthrough, Non-Invasive Treatment Called Axol Therapy For Erectile Dysfunction And Enhanced Sexual Performance Now Available At Colorado Urology.

- Axol Softwave Therapy is a new treatment for erectile dysfunction (ED) and for men who want enhanced sexual performance.

- The in-office treatment is non-invasive, safe, and effective with virtually no side effects. - Axol Therapy is an alternative to ED medications, surgical implants, penile pumps, and injections.

24, 2020 /PRNewswire/ -- The men's sexual health specialists at Colorado Urology now offer an exciting new treatment option for men living with erectile dysfunction (ED) called Axol Softwave Therapy. This safe and non-invasive treatment option is helping many men with ED achieve spontaneous and natural erections without the help of medications.

The therapy can also be used to enhance a man's sexual performance.

About 5 in 10 men experience erectile dysfunction (ED) at some point in their lives. First-line therapies often include oral medication to help men achieve an erection. Now, Axol Therapy is providing a safe and effective alternative.

This non-invasive procedure uses gentle full-spectrum, low-intensity sound waves that stimulate revascularization, a process in which new blood vessels form.

Axol Therapy promotes improved blood flow to the penis, reduces inflammation, and stimulates the migration of the body's stem cells for long-term healing.

The new treatment is helping men to achieve natural erections without ED medications, pumps, injections, or penile implants. Axol Therapy is a modern approach to healing the body by using four types of energy: Heat, Electrohydraulic, Acoustic, and Light (HEAL).

Unfocused acoustic waves are delivered to the shaft of the penis using a treatment wand that features a patented unfocused electrohydraulic acoustic wave.