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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 buy generic viagra tablets 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 can affect sexual response include: Lifestyle factors, such as drinking too much alcohol, taking drugs, being overweight or smoking.

Other medical conditions, such as heart disease, diabetes, high blood pressure or kidney problems. Worries, anxiety or stress about other aspects of your life.

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 buy female viagra pills 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

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 buy 10 viagra pills 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 buy female viagra pills 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 treatment can cause the body to retain too much fluid.

It can also cause acne, an enlarged prostate, and enlarged breasts.

Other side effects include lower fertility; an buy female viagra pills 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 testosterone gel. 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, buy female viagra pills 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 problems can cause ED or make it worse.

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

- 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. The pulsed acoustic waves are delivered through the skin into the tissue to open and repair aging blood vessels, stimulate new blood vessel growth, restore blood flow, and improve erectile quality.

Axol Therapy typically takes only 20 minutes, once a week, for a total of six sessions in the physician's office.

For men who are the right candidates, Axol Therapy is a safe and effective option without the side effects often experienced with oral medications.