What can cause erectile dysfunction?
by Admin
Posted on 21-03-2023 11:53 PM
An estimated 30 to 50 million men in the united states have erectile dysfunction (ed), a condition defined by an inability to achieve or maintain an erection firm enough for sexual intercourse. Although not a deadly condition, it often has a drastic effect on a person’s quality of life, leading many men with ed to seek treatment.
It is important to note that because the prevalence of ed increases with age, it is common for those affected to have other comorbidities or treatment regimens. Many of the medications used in the treatment of ed have interactions with other medications, so it is crucial for pharmacists to carefully examine patient profiles to optimize therapy and ensure safety.
There’s certainly no shortage of medications, supplements , and herbal remedies that claim to boost testosterone levels and sex drive. Especially if you have been recently experiencing performance issues in the bedroom, you might even be considering some of these alternatives. But there’s a lot more to sexual health than just stamina or performance. If someone experiences difficulty having an erection, many of these products (despite their spectacular claims) are rarely effective, particularly when a more direct and scientifically researched treatment is needed to treat issues like erectile dysfunction. Here, we break down seven of the best ed medications and everything you need to know about taking them.
Presentation with erectile dysfunction should prompt assessment and screening for cardiovascular disease and diabetes. In the management of acute myocardial infarction, men should be specifically asked if they are taking drugs for erectile dysfunction. A medication review should be carried out as certain medicines can precipitate erectile dysfunction, e. G. Antihypertensive drugs. Examination of the patient is important to check for anatomical abnormalities and peyronie’s disease which may need referral to urology. Erectile dysfunction usually responds well to a combination of lifestyle changes and drug treatment. Advise, where applicable, that he should lose weight , stop smoking, reduce alcohol consumption, and increase exercise.
Erectile dysfunction (ed) is when someone cannot achieve a firm erection or loses their erection before or during sexual activity. Losing an erection can happen sometimes and shouldn’t be a major cause for concern every once in a while. But if it starts occurring several times a week and over a period of four or more weeks, it may be an indicator of ed. Contrary to popular belief, ed isn’t a condition that just affects older males. Young males can experience ed too — and it’s actually more common than some people might realize. The urology care foundation estimates that this condition affects approximately 30 million men in the united states.
How do erectile dysfunction medications work?
The systematic review and meta-analysis by mykoniatis et al 1 compared the literature on combination therapy vs monotherapy for the treatment of erectile dysfunction (ed). The authors found that combination therapy with phosphodiesterase type 5 (pde5) inhibitors in conjunction with other accepted treatment modalities, including tadalafil, low-intensity extracorporeal shockwave therapy (li-eswt), vacuum erectile device, or antioxidants, was associated with statistically significant improvements in symptoms as measured by the international index of erectile function (iief) score, with no increase in adverse effects. However, certain limitations exist in this review and should be considered when interpreting the its conclusions. Since the first pde5 inhibitor, sildenafil citrate, was approved by the us food and drug administration in 1998, 2 this class of medications has revolutionized the management of ed.
Shows that phosphodiesterase type 5 (pde5) inhibitors can effectively treat ed, together with other medications, such as injections. These drugs impede the functioning of pde5, an enzyme within the blood vessel walls that helps control blood flow. Following arousal, the body releases enzymes that cause blood vessels in the smooth muscles to relax, allowing for more blood flow. Pde5 inhibitors block the degradation of these enzymes, increasing blood flow and resulting in an erection. It is important to note that a person needs to be aroused for a pde5 inhibitor to help with ed. This article focuses on pde5 inhibitors.
Early-stage prostate cancer does not cause ed, but advanced forms of prostate cancer can. Prostate surgery to remove tumors and radiation therapy to treat prostate cancer can cause ed. Some medications for prostate cancer may also result in ed. For example, hormone therapies can lower a person’s libido, and by association lead to ed. Research has shown that the medication finasteride may cause sexual dysfunction in men. The good news is that there are many treatments for ed, and most people will find a solution that works for them.
For many of the 30 million americans affected by erectile dysfunction, viagra, levitra, and cialis are the first line of ed treatment — and they’re successful for about 80 percent of men. These drugs, called phosphodiesterase-5 inhibitors, are approved by the u. S. Food and drug administration (fda) and work by increasing blood flow to an erection. Common side effects include nasal congestion and headache. Note: if you take nitroglycerin pills for heart disease, you won’t be able to take ed pills , as they can cause a dangerous drop in blood pressure.
Comparing popular ED medications
Phosphodiesterase5-inhibitors (pde5-is) like viagra are the recommended treatment for ed, but these medications won’t be effective in 40% of patients, according to the journal of urology. Alternative treatments include injections, vacuum devices, and penile implants. Only a quarter of men with ed actually receive treatment. (the journal of sexual medicine, 2014) 1 in 4 men who seek ed treatment is younger than 40. (the journal of sexual medicine, 2013) spending for the three most popular ed drugs (viagra, levitra, and cialis) is over $1 billion worldwide every year. (clinical pharmacology and therapeutics, 2011) while pde5-is only make up 37% of the total annual costs of all ed related services.
Erectile dysfunction can have a range of causes, both physical and psychological. It is usually a combination of both. Sometimes there is no clear cause. Physical factors that can cause erectile dysfunction include: general ageing erectile dysfunction is most often treated with erection medications such as viagra (sildenafil), cialis (tadalafil), levitra (vardenafil) and spedra (avanafil). These erection pills work by helping to relax the blood vessels in the penis, allowing blood to flow into the penis, causing an erection. This can increase both the number and duration of erections. However, they are not aphrodisiacs and do not increase libido (interest in sex).
Erectile dysfunction can be caused by impaired blood flow, problems with the nerves in and around the penis, or nervous system changes that may affect sexual desire. Sometimes, erectile dysfunction can occur as a side effect of taking some medications , including: antidepressants antihypertensives.
Over the last few decades medications have revolutionised the treatment of erectile dysfunction. These medications work by enhancing the natural reaction to stimulation, improving the blood flow needed for erections. Other treatments for ed include topical applications, injections into the penis, surgical devices, and counselling.