Erectile | Erectile Dysfunction Remedies

Erectile dysfunction refers to an inability to achieve or maintain adequate erection throughout the course of intercourse. The prevalence of erectile dysfunction varies with age. According to the statistics (2) reported by National Institute of Health, the prevalence is as high as 15 to 25% in elderly males (above 65 years) and approximately 5% in general population (younger than 50 years).

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What Are Pathological Causes of Erectile Dysfunction?

Erectile dysfunction can be caused by a variety of medical conditions (especially any condition that compromise the blood flow to penile region such as atherosclerosis). Most commonly encountered causes are:

• Advanced age or circulatory disorders like uncontrolled hypertension may lead to atherosclerosis a condition that is marked by loss of elasticity of blood vessels resulting in compromised blood circulation. Approximately 67% of all patients who develop ischemic heart disease report erectile dysfunction as an early symptom (1).
• Any disease that affects the integrity of peripheral nerves (such as multiple sclerosis or advanced syphilis).
• Injury/ trauma or congenital deformities of penis.
• Psychological conditions (such as extreme dislike for the partner, disgust for the act of sexual intercourse, performance anxiety, depression or similar conditions).
• Localized diseases of penis such as Peyronie's disease (scarring of penile tissue).
• Chronic and uncontrolled metabolic or medical diseases such as poorly managed diabetes (2).

Chronic intake of certain medications, as an erectile dysfunction remedy, can also lead to erectile dysfunction. If you are experiencing erectile dysfunction after initiating these drugs; speak to your healthcare provider for alternative options or a proper erectile dysfunction remedies.

• Diuretics, antihypertensive medications (particularly beta blockers and calcium channel blockers).
• Drugs for the management of psychological condition (such as anti anxiety drugs, antidepressants, antiepileptics, drugs to manage Parkinson’s disease symptoms.
• Chemotherapeutic drugs.
• Drugs to manage allergies (particularly antihistamines).
• Muscle relaxants.

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What Are Physiological Causes of Erectile Dysfunction?

Although, erectile dysfunction is not normal at any age, some normal males may develop transient erectile dysfunction in certain situations like:

• Extreme mental or physical fatigue.
• Alcohol intoxication.

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How To Manage Erectile Dysfunction?

Before seeking any erectile dysfunction remedies or treatment for ED, it is important to know that experiencing an erectile dysfunction 20% times is normal and does not necessarily require treatment; however, if your frequency is higher or your symptoms are deteriorating over time, it is highly recommended to seek medical advice or choose the proper erectile dysfunction remedies.

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Most Frequently Employed Treatment Options For Erectile Dysfunction Are (3):

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Oral Medications:

Oral medications that increase the blood flow to penile tissue are usually the first choice in most individuals. So far only 5 drugs have been approved by FDA that are available as over-the counter medications ,as an erectile dysfunction remedy, in most parts of the world. The drugs (Viagra, Cialis, Stendra, Levitra and Staxyn) are all phosphodiesterase inhibitors as an erectile dysfunction remedy.It is highly recommended to read the instructions on the label and follow the advice of your healthcare provider to minimize the risk of complications (such as priapism, allergies or drug interactions)Sex Therapy:

Sex therapy involves sexual education, counseling, communication tactics and stress relieving exercises to improve sexual performance. Ideally, it is recommended that both male and female partner attend the sessions together for better results. Generally 5 to 20 sessions are helpful in resolving ED in approximately 70% cases.

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Penile Injections Or Suppositories:

Certain local pharmacological agents are more effective and less risky as compared to systemic drugs like Viagra,as one of the erectile dysfunction remedies, that is contraindicated in patients with cardiac illness, arrhythmia, stroke or similar ailments. Alprostadil is usually administered via local injections or suppositories to manage erectile dysfunction in 40 to 80% of the males.It is contraindicated in certain food and drug allergies, history of penile implants, history of prolonged erection (or priapism) and in blood disorders.

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Surgical Intervention:

In vast majority of cases lifestyle modifications and pharmacological interventions are effective at alleviating erectile dysfunction remedies; however, in certain situations when the underlying cause is more vascular (such as trauma or injury to a vessel as a result of assault or accident), surgical intervention can be employed with success in approximately 60% of the cases.Latest statistics report that approximately 50% males experience some sort of erectile dysfunction remedies after the age of 40; yet only 10% seek medical advice (3), due to mild symptomatology. If your ED is affecting your relationships or quality of life, do not delay in seeking the proper erectile dysfunction remedies and treatments.References:

1. Montorsi, F., Briganti, A., Salonia, A., Rigatti, P., Margonato, A., Macchi, A., ... & Montorsi, P. (2003). Erectile dysfunction prevalence, time of onset and association with risk factors in 300 consecutive patients with acute chest pain and angiographically documented coronary artery disease. European urology, 44(3), 360-365.
2. Montorsi, F., Briganti, A., Salonia, A., Rigatti, P., Margonato, A., Macchi, A., ... & Montorsi, P. (2003). Erectile dysfunction prevalence, time of onset and association with risk factors in 300 consecutive patients with acute chest pain and angiographically documented coronary artery disease. European urology, 44(3), 360-365.
3. Mulhall, J. P., Stahl, P. J., & Stember, D. S. (2014). Erectile Dysfunction: Treatment. In Clinical Care Pathways in Andrology (pp. 57-66). Springer New York.