An early diagnosis is the key to dealing with erectile dysfunction. A urologist can prescribe medications to treat your ED, as well as offer other treatments like surgery and implants. Stimulation is required for these medications to work. We use the latest research and the least invasive procedures to help you feel better and recover more quickly. This drug comes in two forms, based on how it is to be used: The erection usually starts within 10 minutes and, when effective, lasts between 30 and 60 minutes.

In some patients where psychologic causes are not the originating problem but have become a significant factor, counseling may be necessary during the difficult rehabilitation period. This will determine whether or not lack of blood flow is causing the problem. Alprostadil self-injection. You will be trained by your health professional on how to inject, how much to inject and how to safely raise the drug's dosage if necessary.

While it is more common among older men, it can occur at any age. Patients suffering from erectile dysfunction often experience negative psychological side effects. What are surgical treatment options for erectile dysfunction (ED)? A patient will either go home on the same day or spend one night in the hospital. Start with your primary care physician. Please remember that this information should not substitute for a visit or a consultation with a healthcare provider. Counseling may help patients whose ED has resulted from anxiety or depression. “The drugs work well in these patients because once they get their erectile function back, their confidence improves, their performance anxiety gets better, and they get better,” Dr.

Specialists for erectile dysfunction Your doctor should be your first stop for ED diagnosis. Oral erectile dysfunction medications are not aphrodisiacs, will not cause excitement and are not needed in men who get normal erections. “When young men have erectile dysfunction, we can more purely see that as a marker for potential heart problems,” Dr. If your doctor suspects you have an underlying condition causing your impotence, you may need further tests. Blood loss is typically small. Approximately 95% of penile implant surgeries are successful in producing erections that enable men to have sexual intercourse. Side effects can include pain, minor bleeding in the urethra and formation of fibrous tissue inside your penis. When inflated, the prosthesis makes the penis stiff and thick, which is very similar to a natural erection.

  • They also help treat these conditions.
  • If you need more tests, he may send you to an urologist.

Ejaculation Disorders Treatments

PlushCare only employs doctors who are graduates of top 50 U. But you’re also not alone in your course of treatment. The duration of effect is approximately 30 to 60 minutes, but the actual duration will vary from patient to patient. This can cause anxiety, which might make erectile dysfunction worse.

This multidisciplinary team of urologists, radiation and medical oncologists, nurse practitioners, and urology nurses and technicians work together to provide the most accurate diagnoses and effective treatment options available for male and female adult and pediatric patients. Talking honestly with your partner about your needs and concerns may also help to overcome many barriers to a healthy sex life. Do you have any brochures or recommendations for websites to educate myself about ED?

  • If you have heart disease or heart disease risk factors, a cardiologist, a specialist in the care of your heart and your blood system, will likely be play an important role.
  • Your PCP will likely ask some questions about your symptoms and medical history.
  • A sample of your blood might be sent to a lab to check for signs of heart disease, diabetes, low testosterone levels and other health conditions.
  • If oral drugs don't work, the drug Alprostadil is approved for use in men with ED.
  • Because the needle used is very fine, pain from the injection site is usually minor.
  • Your physician can help you decide which treatment is best for you.
  • Because penile vascular surgery is not recommended for aging males who have failed oral PDE5 inhibitors, ICI or IU therapies, implants are the next step for these patients.

How Penile Implants Work

A safe, reliable and effective treatment for erectile dysfunction (ED) and Peyronie’s Disease. Physician assistant. Once diagnosed, Dr. ED has many potential causes, so you may need a comprehensive physical examination to diagnose it. Blood flow then increases to the erectile tissue of the penis.

If you are experiencing ED, it is important to speak with your doctor, because ED can be indicative of other health problems such as clogged blood vessels or nerve damage. In addition to your prepared questions, don't hesitate to ask additional questions during your appointment. Many are certified through the American Association of Sexuality Educators, Counselors, and Therapists. Ensuring that the patient has realistic expectations prior to proceeding with implant surgery is essential to ensuring high postoperative satisfaction profiles. The malleable rods keep your penis firm but bendable.

  • If you have low testosterone levels, an endocrinologist may start you on hormone replacement therapy.
  • The doctor needs this information to know how to treat you.


These can include: About 7 out of 10 men do well and have better erections. Most men will feel pain and will feel better with a narcotic pain-relief drug for one to two weeks. Men lose 1 percent of testosterone every year as they age. You can see the price for each treatment by visiting the Services page - the price will be listed next to each service. The most common side effects reported after using MUSE are aching in the penis, testicles, legs and in the area between the scrotum and the rectum; warmth or burning sensation in the urethra; redness of the penis due to increased blood flow; and minor urethral bleeding or spotting due to improper administration. The causes of ED may include: Are there any brochures or other printed material that I can take home with me?

A health professional trained in alternative and complementary approaches, such as herbal supplements, acupuncture, or biofeedback, may help you find non-traditional ways to treat your erection difficulties. Does it ever come back? The treatments below are available to treat ED directly. Before taking any medication for erectile dysfunction, including over-the-counter supplements and herbal remedies, get your doctor's OK. The reported side effects include pain and dizziness. When the pump is engaged, pressure in the cylinders inflate the penis and makes it stiff.

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For best results, many doctors recommend combining some of these natural remedies with a prescription medication. Flexible cylinders are embedded in the penis. Most men with penile implants and their partners say that they're satisfied with the results, and they return to more spontaneous intimacy. What is Erectile Dysfunction? For example, you might begin with a urologist but learn that diabetes or heart disease is the cause of your ED, and therefore find a specialist in those areas. Stitches gather tissue along the longer side of the penis so that it matches the short side.

The most common side effects of these medications are indigestion, nasal congestion, flushing, headaches and a temporary visual disturbance. A therapist will ask about your personal life and relationships. In addition, we have established the eighth fellowship program in the nation dedicated solely to teaching physicians how to care for men’s health. The most common side effects are pain and penile scarring (fibrosis). Treatment depends on what causes your ED.

Each consultation or treatment that we offer costs a different amount, with most services costing around $25 or less. While medicines may “mask” the symptoms of ED, UWave can improve and eliminate erectile difficulties. Your urologist may order additional tests to help determine the extent and cause of the dysfunction, including: A pellet, the size of a grain of rice, is placed 1 inch into the urine channel following urination while the patient is standing. Your doctor will consider your particular situation to determine which medication might work best. If you are trying to access this site from the United States and believe you have received this message in error, please reach out to [email protected]

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Chronic erectile dysfunction affects approximately 5 percent of men in their 40s and 15 to 25 percent of men over the age of 65. Recommendations for erection problems may include: There is generally no change to a man's feeling or orgasm. However, supplements have not been tested to see how well they work or if they are a safe treatment for ED. The injections are relatively painless and are easily taught to the patient in one or two visits with the doctor. If a man is on blood thinners, then he may need to talk with a medical expert about stopping the medications for elective surgery and healing. Reviewing your sexual activity can help your doctor diagnose problems with sexual desire, erection, climax, or ejaculation.

Causes of Erectile Dysfunction:

Consequently, it’s not at all uncommon to experience challenges along the way, but just because you experience an issue at a certain point in your life doesn’t mean you won’t enjoy sex again. Managing other health conditions and making the necessary lifestyle changes are important to help overcome erectile dysfunction. What tests do I need? For example, a man who has a history of decreased sex drive may have deficient production of the male hormone testosterone. Complications following surgery are not common, but primarily include infection and mechanical device failure. It's of great value to have the first shot in the doctor's office before doing this on your own. Regardless of your reasons for discussing ED with your doctor, he or she can recommend a variety of treatment approaches to not only address your erectile dysfunction but to also help treat the underlying — potentially serious — men’s health problems.

What doctor can help with erectile dysfunction?


ED is difficulty getting and keeping an erection. Examples include papaverine, alprostadil and phentolamine. Your PCP may refer you to a urologist if assistance is needed with diagnosis or treatment. There’s a broad range of non-invasive treatment options for men experiencing erectile dysfunction. Like ICI therapy, IU Alprostadil should be tested in the office, before home usage.

Associated Procedures

Prolonged erections (>1 hour) can be reversed by a second injection (antidote) in the office. A related but generally less effective treatment, intraurethral therapy, works in much the same way, but men insert pellets of alpostradil into the urethra. Most of the best-known treatments for ED work well and are safe. Testosterone deficiency : This condition may cause permanent impotence if not treated. Include physical activity in your daily routine. The surgeon or health care expert in the surgeon's office will talk about how to inflate and deflate the implant.

Get directions and maps. We can even help men who have not succeeded with prescription medications (such as Cialis® and Viagra®). Youtube, note that the numbers in parentheses (1, 2, etc.). While counseling is the best option for psychogenic impotence, there are a variety of non-surgical and surgical erectile dysfunction treatments for men dealing with organic impotence. Most work by relaxing blood vessels for increased blood flow.

Related Institutes & Services

Men most often start having sex with their penile implants by eight weeks after surgery. If medications, injections, and other non-surgical therapies are not successful in resolving ED — and psychological causes are not suspected — Dr. This gives physicians and patients more flexibility in choosing the best type of medication to suit individual needs. The doctor may also do blood and other lab tests to check for things like diabetes or heart disease.

Some men will be found to have psychogenic impotence and will be referred for counseling. If you would like to schedule an erectile dysfunction test, contact Ogden Clinic in Utah today. Tests for underlying conditions might include: Education about sex, sexual behaviors, and sexual responses may help a man overcome his anxieties about sexual dysfunction. Our experienced urologists design a personalized treatment plan to give you the best possible results. Nowadays, there are several oral products which differ in time needed to achieve erection, effects of food intake on activity, and daily or on-demand use. That said, many men seek medical advice to identify the underlying cause of their erectile dysfunction, which allows them to start the most effective treatment.

The tube is placed over your penis, and then the pump is used to suck out the air inside the tube. We encourage you to do what hundreds of men have done before you: Our specialists work with you to create a treatment plan that best suits your needs and lifestyle, taking into consideration any health conditions that may be contributing to your symptoms. As experts in the field of ED, we offer a full range of treatment options. Compared to many other societies, America is still embarrassed and bashful about sex—but that is changing. A trained medical provider who can practice medicine under the supervision of a physician, a physician assistant (PA) can help a doctor care for more patients.