Erectile Dysfunction
  What We Treat at Men’s Focus of Las Vegas:  

Erectile Dysfunction
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Erectile dysfunction is extremely common, affecting more than 30-million men in the United States. While it can be intermittent, or experienced as an infrequent occurrence, there are cases in which chronic ED manifests and begins to radically disrupt a man’s sex life.

What is Erectile Dysfunction?
Erectile dysfunction is a condition which makes it difficult for men to achieve or maintain an erection during physical intimacy. This can be extremely frustrating, embarrassing, and upsetting to both men and their partners, as it can lead to questions about attraction, masculinity, and sexuality.

Erectile dysfunction is not abnormal; in fact, it will affect most men at some point throughout their adult lives. When it becomes a nuisance, however, and ongoing ED begins to create problems in your sex life, it’s time to seek help from a medical professional.

At Men’s Focus, we feel it’s important for men to realize that erectile dysfunction does not dictate masculinity, or sexual virility. It can be caused by a number of factors outside of your control, and is easily treatable.

What Are the Symptoms of Erectile Dysfunction?
Symptoms of erectile dysfunction include:

Low sexual drive: Men with erectile dysfunction will also find that their desire for sexual intimacy has decreased as well. Most men with ED find it difficult to get excited, or maintain excitement during sex. This is not a reflection on yourself or your partner, but usually to do with a physical or mental change in your body.

The inability to achieve erection: The most common indicator of ED is the inability to achieve an erection at all, even during stimulation, alone or with a partner.

The inability to maintain an erection: Sometimes an erection is achieved, but disappears shortly after intercourse begins. Other times, an erection may be too soft to proceed with intercourse.

Delayed ejaculation: When a man can achieve erection, and intercourse reaches completion, men who suffer from chronic or intermittent ED sometimes find it difficult to orgasm. Delayed, or non-existing ejaculation is a sign of erectile dysfunction.

What Causes Erectile Dysfunction?
Your physical response to sexual arousal involves more than just the penis, it relies on hormones, signals from the brain, nerve responses, muscles, blood vessels, and even your mental or emotional state of mind.

Medical Conditions play a huge role in sexual health, and sometimes your doctor will treat these conditions rather than the erectile dysfunction in the hopes of improving sexual responses. Heart disease which impacts blood vessels leading to the penis, obesity, diabetes, and metabolic syndrome has the same effect. Disorders of the central nervous system, such as Parkinson’s disease and multiple sclerosis may also negatively impact a man’s ability to achieve erection.

Sometimes physical issues which result in ED have to do with past trauma to the penis. Scar tissue leftover from previous surgeries and treatments, or past injuries to the penis and testicles can impede proper sexual function.
Aside from physical disorders, the use of drugs, alcohol, and prescription medications cause delayed sexual response in men.

A lack of sleep, depression, stress, and anxiety, also have reported negative effects. Your current emotional relationship with a partner could also be the root of the erectile dysfunction. For example, if you are in an argument with your spouse, or are feeling distant from a sexual partner emotionally, it can impact your physical response to that person.

What Medications Are Used for ED?
Before your doctor begins treatment, he or she will suggest routine testing to narrow down the underlying cause of the ED. This might include urine and blood tests, a physical exam, ultrasound, and a psychological evaluation. It’s important that your physician understand what is causing your erectile dysfunction to properly treat it. Sometimes, treating the root of the problem can get rid of the problem, itself.

If your doctor determines that erectile dysfunction is evident, and it requires treatment, he or she will prescribe an oral medication. The most common medications prescribed for ED are:

Sildenafil: Marketed under the brand name Viagra, sildenafil is taken as a tablet or liquid suspension, and works by inhibiting an enzyme called cGMP-specific phosphodiesterase type 5. Phosphodiesterase 5 causes a messenger nucleotide in your body (cGMP) to stop working properly. This limits blood flow to the penis, causing erectile dysfunction. By inhibiting Phosphodiesterase 5, your body can begin to regulate blood flow again and erection becomes achievable.

Vardenafil: Sold under the name Levitra, vardenafil is another cGMP-specific phosphodiesterase type 5 inhibitor, working to regulate natural blood flow to the penis. It is made very similarly to Sildenafil with a few differences in the chemical structure.
 
Avanafil: A third cGMP-specific phosphodiesterase type 5 inhibitor, avanafil is often marketed under the names Stendra or Spedra. It is taken orally, and absorbs quickly. Those who use avanafil describe results occurring within 15-20 minutes of administration.

Tadalafil: Also known as Cialis, tadalafil is yet another cGMP-specific phosphodiesterase type 5 inhibitor medication for the regulation of blood flow to the penis. Tablets are taken orally as needed, not exceeding doctor’s recommendations.

Sometimes the prevention of erectile dysfunction is possible, by treating root issues before symptoms of ED become overwhelming. Medical issues, such as diabetes, high blood pressure, and obesity, can be managed to regulate better blood flow to the penis. If you are experiencing stress, anxiety, sleep problems, or depression, express concern to your doctor early so that you can begin managing these emotional issues before ED manifests or worsens.

If you are currently experiencing erectile dysfunction symptoms, or are concerned that erectile dysfunction may become an issue in the future, don’t be afraid to seek help. Early treatment for erectile dysfunction will provide the best and lasting results. For more information on ED, premature ejaculation, low testosterone, and other sexual disorders, contact us at Men’s Focus.