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However, there’s evidence that suggests that once adequate blood pressure control is regained – even for those on medication – ED becomes less likely.

Hyperglycemia can have a negative impact on several aspects of erectile function. Complications and changes associated with diabetes can compromise macrovascular and microvascular structures, the nervous system, and blood vessel linings. One study indicated that intensive glycemic control might decrease the chances of ED in diabetic men.

In response, a number of erectile dysfunction treatments have been developed, with varying efficacy and side effects.

ED Medications: Among the most popular treatment options for erectile dysfunction are pharmaceuticals. Drugs such as Viagra (Sildenafil), Levitra (Vardenafil), and Cialis (Tadalafil) are popular and boast an 80% success rate.

These drugs are classified as phosphodiesterase-5 inhibitors (PDE-5) – which enable an erection, temporarily, but are not the best for maintaining an erection over time.

Prescriptions are heavily relied upon, having to be taken 15 minutes to 36 hours before sexual activity is initiated – not only reducing the spontaneity of one’s sex life but oftentimes fostering dependence. This route typically isn’t recommended for men taking nitrate drugs or alpha-blockers, and all medications, including over-the-counter herbs and supplements, should be shared with your doctor to prevent negative interactions.

The commonly reported potential side effects of phosphodiesterase-5 inhibitors include headache, flushing, runny nose, stomach pain, back pain, indigestion, vision changes, and dizziness.

Treatment options for erectile dysfunction don’t have to be so much work. GAINSWave Treats the Root Cause of ED: GAINSWave®, the clinically proven, non-invasive therapy, was specifically developed for men seeking an erectile dysfunction treatment that would improve their sexual performance. The pulsating waves of GAINSWave improves blood flow to the penis by dissolving plaque build-up and stimulating the growth of new blood vessels.

The improvement results in stronger, harder, and more sustainable erections.

The pulsating waves also trigger a healing response that “wakes-up” dormant stem cells and growth factors in the penis for an overall rejuvenation of male erectile tissue. With this alternative ED treatment, there are no expensive prescriptions to remember to take or refill, and no penile implants or surgery.

There are none of the harmful side effects with this ED treatment as with oral drugs. GAINSWave therapy is effective and safe for men who cannot take oral ED medicine, such as those with heart disease, diabetes, or high blood pressure.

GAINSWave can be used to treat Peyronie’s Disease, which Viagra and other oral ED drugs cannot.

Board-certified Scottsdale, AZ plastic surgeon works with men to help them overcome erectile dysfunction (known as ED). Men who experience ED, which is the inability to achieve or maintain an erection, can experience stress and feel embarrassed by a situation they cannot usually control. This is a common condition and there are solutions.

If you suffer from erectile dysfunction, A nonsurgical treatment is offered at our Scottsdale office that may help you by stimulating blood circulation to help achieve and maintain an erection. Safe and effective to use for most men, this treatment uses sound waves to stimulate blood circulation, while at the same time encourages the growth of new blood vessels in the genitals. Mata uses this treatment successfully on his patients and discusses recent clinical studies, which shows that it was able to successfully treat over 75% of patients. We invite you to learn more by calling our Scottsdale, AZ plastic surgery center. The nonsurgical treatment can also be used for women to help with sensitivity and lubrication.

Ideal candidates for stromal vascular fraction should be in overall good health, have excess fatty tissue to be harvested for use, and have a viable body region for cell regeneration.

Mata can discuss whether or not a stromal vascular fraction is a viable option for your specific case.

He can also explain in detail how the process works, risks, benefits, and more.

Erectile dysfunction is common among middle-aged and older men. Those who have ED often have trouble achieving and maintaining an erection that is suitable (hard enough) for intercourse.

There are many reasons why one may have ED, including age, lifestyle choices (i.e.

obesity, drugs, excessive drinking, steroids), or for others, a medical condition may exist that can also contribute to the symptoms of ED. Kidney disease, multiple sclerosis, diabetes, and high blood pressure are examples of this. Regardless of why someone experiences ED, in most cases, it is caused by insufficient blood flow to the penis. Psychological factors such as anxiety, depression, and stress can also be contributors.

After a thorough exam and obtaining your full medical history, Dr. Mata will be able to suggest if it is an appropriate treatment. It may be a good choice if you want to treat your ED without medications or surgery . Compared to other erectile dysfunction treatments, it has fewer side effects and is safe for most men, even if they have other medical conditions.

We offer this treatment in a private setting in our Scottsdale, AZ office. Men who have even the earliest symptoms of ED may also benefit from this treatment if they wish to improve their stamina or sexual performance.

Our Nonsurgical treatments are not recommended for men who: Have active prostate cancer. Have severe heart disease, which has made it not safe for them to participate in sexual activity.

The nonsurgical treatment is performed in our Scottsdale, AZ office. Although the treatment does not cause pain, we will apply a numbing ointment to help with any discomfort.

The patient will lie back on our comfortable treatment table. Using the handheld device, the low-intensity sound waves are passed over the penis and genital area. Most men are able to continue a normal day right after the procedure. Mata will recommend multiple treatments over the course of a number of weeks. In most cases, a common treatment plan would include 6 – 12 treatments. In clinical studies, 75% of men showed to be satisfied with their results .

Mata does have his patients return so he can collect information on how the treatment is working or if additional sessions are needed. After a series of treatments, an improvement of your ED can last up to several years.

Most men notice better erections and increased sensitivity to their penis. Additionally, many men reported better orgasms, improved sexual performance, and harder, more spontaneous erections. Results do vary based on age and overall condition and health. Each Nonsurgical treatment for Erectile Dysfunction is $800/session, which takes 20 to 30 minutes and is performed by either Dr.

Mata and/or a trained medical staff member with advanced training in sexual wellness.

It is also performed in correlation with

the

Penis (Priapus Shot), which is only done by Dr.

Package Deals: 6 sessions: $3,000 ($4,500 with Penis Shot) 12 sessions: $6,000 ($9,000 with 2 Penis Shots) Maintenance sessions are $450 each.

Treatment Sessions: Mild to moderate erectile dysfunction or who are looking to optimize sexual performance: We recommend 6 treatments, 1 to 2 per week and then 1 treatment every 4 to 6 months maintenance. Severe erectile dysfunction: We recommend 12 sessions, 1 to 2 per week and then 1 treatment every 2 to 3 months maintenance. Additional enhancements: We also recommend 1 to 2 Penis Shots (Priapus Shot), where platelet-rich plasma is injected into the penis. Penis Shots can improve sexual performance by recruiting growth factors to improve blood and nerve supply to the penis.

Who is a good candidate for Nonsurgical ED treatment in Scottsdale, AZ?

Generally, any man or woman seeking optimization in sexual performance. If you want to be your best in the bedroom or anywhere else and to gratify your partner like never before, then Nonsurgical ED treatment is what you're looking for. It has been shown to help men of all ages with sexual performance.

Erectile dysfunction, otherwise known as ED or impotence, is the condition of being unable to get or maintain an erection. [1] It is a common condition that most males will experience at some stage in their life, though it is most prevalent in older men.

ED is usually temporary rather than permanent, although it can also be recurring, depending on whether the cause is short-term and treatable, or ongoing.

Physical causes of ED include aging, high blood pressure, conditions which affect the blood vessels and/or nerves associated with the penis, and nerve damage to the area which occurs due to injuries, or certain surgeries such as prostate surgery.

Psychological causes of ED include depression, anxiety and relationship issues.

In most cases, erectile dysfunction can be successfully managed, with treatment options depending on the root cause of the disorder.

[1] Treatment may involve forms of sex therapy and counseling, exercises and lifestyle changes, ED drugs, including pills and topical medications, pumps and ‒ in more severe cases ‒ prosthetics.

The symptoms of erectile dysfunction may include: An inability to get an erection An inability to maintain an erection during sexual activity. These symptoms may come and go over time or be situational, for example not present during masturbation but present with a partner. [2] If symptoms occur regularly or semi-regularly, visiting a doctor is advised. The onset of ED may be different, depending on whether it is caused by physical or psychological factors: If the causes of erectile dysfunction are physical in origin, the condition is more likely to appear gradually, with the problem occurring intermittently before becoming more frequent. A person’s sex drive is unlikely to be affected, unless the root cause is hormonal in nature.

Psychological causes typically result in the sudden onset of the condition.

If a person is able to get and maintain a healthy erection sometimes, for example when masturbating or on waking, it may be a sign that their erectile dysfunction is psychological in origin. If you are affected by unexplained ED, you can get a free symptom assessment at any time by downloading the Ada app. Finding a treatment approach that can cure erectile dysfunction usually depends on identifying its root cause.

Erectile dysfunction can be caused by a variety of physical and psychological factors: [1] Physical causes of ED. Most cases of erectile dysfunction are caused by physical factors.

The most common cause for erectile dysfunction is reduced blood flow to the penis. This happens as a result of a narrowing of the arteries in the penis.

Conditions which can lead to the development of erectile dysfunction include: [3] [4] [5] [6] Diabetes, which can affect the function of the blood vessels and nerves Parkinson’s disease, either as a side-effect of medication or due to the condition itself Multiple sclerosis, a condition

associated

with progressive damage of the nerves, including those associated with getting and maintaining erections Stroke. Other factors which are recognised as physical causes of erectile dysfunction include: Excessive intake of alcohol or drugs, which can impair the ability to get or maintain an erection. Medications which cause ED as a side-effect,

such

as certain kinds of antidepressants, beta blockers and some diuretics A lack of certain hormones, particularly testosterone. (ED caused by hormone deficiencies is uncommon.) Damage to the nerves in the penis as a result of surgery to nearby areas, such as prostate surgery, or from an injury, such as a spinal cord injury.

Erectile dysfunction after prostatectomy (prostate surgery) All prostate surgery procedures disrupt the nerves and blood vessels that control the way erections form. For this reason, all prostatectomies will compromise erectile function, at least initially.

Up to 50 percent of men who have had a successful nerve-sparing procedure, i.e. the nerves were left untouched as planned during the procedure, regain their pre-prostatectomy erectile functionality during recovery, within one year.

For men who have not had nerve-sparing procedures, it is usually still possible to recover most or the entire extent of their pre-treatment erectile capability. In cases where spontaneous erections are no longer possible, there are several possible treatment options which may help with overcoming erectile dysfunction after a prostatectomy.

These include: [7] [8] [9] Oral medications, such as Viagra® Topical medications, such as Vitaros© Vacuum pumps Implants. All of these medications work by increasing blood flow to the penis, causing an erection . (For more information about remedies for ED after having a prostatectomy, see treatment.) Psychological causes of ED.

A range of mental health issues can lead to the development of erectile dysfunction, including: Depression Stress/pressure Anxiety Relationship issues. Purely psychological causes for erectile dysfunction are less common, limited to approximately 10 percent of cases.

It is suspected that there is a hereditary component to ED in around one third of cases.

[11] A 2018 study has proven the link for the first time, finding that certain variations in some people’s genetic structure increase their risk of developing erectile dysfunction. [11] This discovery paves the way for the development of new treatments to help relieve ED in cases where its cause may be genetic. Risk factors for erectile dysfunction include: Aging ‒ the older a person is, the greater the risk of developing ED High blood pressure High cholesterol The use of tobacco products Injuries to the groin or surgery, such as prostatectomy, which affects the nerves responsible for erections.

Risk factors for ED after a prostatectomy – surgical removal of part or all of the prostate. Following a prostatectomy, the risk of erectile dysfunction is influenced by factors including: [12] The skill of the urologist or urological surgeon.

The greater their surgical experience and success rate at preserving sexual function, the more likely a given procedure is to conclude with this outcome. Younger men are more likely than older men to keep or regain their erectile abilities.

The greater a man’s ability to produce erections before the procedure, the more likely he is to keep or regain it after the procedure.

If both bundles of nerves responsible for erections are sufficiently damaged, it may no longer be possible for a man to have spontaneous erections without the aid of devices or medications that assist the bodily process. (For more information about remedies for ED after having a prostatectomy, see treatment.) Diagnosis of erectile dysfunction.

The first step in treating ED is getting a diagnosis of the root cause by visiting a doctor, who will typically begin with questions regarding: [13] The symptoms experienced The length of time symptoms have been present General physical and mental health Levels of alcohol and drug intake Whether any other medication is also being taken.

It may also be necessary for a person to answer questions about their sex life.

These may include: Details of current and past sexual relationships Information about sexual orientation Whether the dysfunction occurs all the time, intermittently or only in certain situations Whether ejaculation is possible Libido, i.e.

As narrowed blood vessels are the

most

common cause of erectile dysfunction, a doctor will usually examine a person’s cardiovascular condition as part of the diagnosis.

This may involve testing for high blood pressure, checking for heart irregularities, as well as evaluating their weight or overall level of health.

Blood tests may also be ordered to check for underlying medical conditions that may be causing the condition.

In most cases, doctors will be able to suggest and prescribe treatment options.

Treatment methods will depend on the underlying cause of the problem, meaning the chosen method will differ from case to case. Common treatment options for erectile dysfunction include: Treatment of underlying conditions.

If an underlying condition is causing erectile dysfunction, treating it will generally be the first step towards resolving erectile dysfunction.

If medications used to treat other conditions are thought to be causing erectile dysfunction, a doctor may be able to prescribe alternatives.

[14] Good to know: Use of prescribed medication should never be discontinued without supervision by a doctor. A range of lifestyle changes can help treat erectile dysfunction, including: Losing weight Reducing stress Quitting smoking Reducing alcohol and drug intake or giving them up completely Getting regular exercise.

There are a number of exercises that may help to treat ED. These include: Pelvic floor exercises: Exercises designed to strengthen the pelvic floor muscles, such as Kegel exercises, can be effective in treating or preventing erectile dysfunction. Yoga: Can be effective in reducing stress and anxiety, psychological problems that can cause erectile dysfunction. Swimming: A good exercise for improving overall health, which can in turn help treat erectile dysfunction. Counseling, sex therapy and relationship counseling.

If stress, anxiety or depression are causing erectile dysfunction, counseling may be an effective treatment. If relationship issues are the cause, some form of sex therapy or relationship counseling may prove successful. Sensate focus, a type of sex therapy, focuses on building intimacy between partners. It involves totally abstaining from sex and intimate touching for a set period of time, then gradually reintroducing it.

The method can be effective in overcoming the psychological issues behind erectile dysfunction.

[15] Relationship counseling, in which partners are prompted to explore the physical and psychological issues behind their sexual problems, may also be an effective method of overcoming erectile dysfunction. Partners are encouraged to become more aware of each other’s needs, allowing them to reach a solution which works for them both.

Oral medications which are used to treat erectile dysfunction come in the form of tablets or pills.

The drugs most commonly used to treat ED are called phosphodiesterase-5 (PDE-5) inhibitors. These medications work by counteracting phosphodiesterase-5 (PDE-5), a chemical naturally occurring in the body, thereby increasing blood flow to the penis during sexual stimulation. PDE-5 inhibitors are the most commonly prescribed medication for treating erectile dysfunction. The most common types are: Sildenafil: Brand name, Viagra® Tadalafil: Brand name, Cialis Vardenafil: Brand name, Levitra Avanafil: Brand name, Spedra. These medications work by artificially dilating the blood vessels in the penis, enabling improved blood flow.

The effects of tadalafil last for up to 36 hours, while the other three varieties generally last for around 10 hours.

Each should be taken 30 to 60 minutes before engaging in sexual activity and will only take effect when one is sexually aroused.

[14] A doctor will be able to advise about which type of PDE-5 is most suitable for each person and the health risks and side effects that come with them. Good to know: Following a prostatectomy, if one, rather than both, sets of the nerve bundles responsible for erections has been damaged (a unilateral nerve-sparing prostatectomy), it is possible to use PDE-5 inhibitors to stimulate an erection. [16] PDE-5 inhibitors are associated with several side-effects including headaches, a runny nose, hot flushes, an upset stomach and light sensitivity. In some cases, they can cause more severe vision problems: a temporary or permanent blindness which may be a sign of non–arteritic anterior ischemic optic neuropathy (NAION). This eye condition has been linked to all brands of PDE-5 inhibitors. Recent research indicates that there is an approximate two-fold increase in the risk of NAION in men over 50 who have recently used PDE-5 inhibitors, compared to those who have not. [16] However, the overall risk of PDE-5 inhibitors causing NAION is low, with a risk estimate of 2.27 percent in a 30 day period and 3.52 percent in a 12 month period. [17] PDE-5 inhibitors are not recommended for people who have already been affected by NAION, or who have a family history of retinal degenerative disorders. These medications are also known to react with nitrate-containing drugs used to treat heart disease, so it is important to discuss possible interactions with the doctor in cases where PDE-5 inhibitors may be taken in combination with other medications, especially heart medications. An efficient medication for assisting erectile function is thought to be alprostadil, a man-made version of prostaglandin E1, a substance naturally made in the body to help produce erections.

Generally, due to the fact that it is a relatively new treatment with limited safety data, alprostadil will only be prescribed if other treatments, including counseling, lifestyle changes and PDE-5 inhibitors, have been ineffective or are unsuitable.

It is administered in three main forms: [18] As an injection, directly into the base of the penis As a small pellet, which is placed into the urethra, i.e.

the opening on the tip of the penis As a topical cream, applied to the urethra.

Doctors will advise on which form of alprostadil should be used and give instructions on how to properly administer it at home. After application, an erection can usually be achieved in around 15 minutes.

Alprostadil has significantly fewer and less severe side effects than most oral medications which can be used to treat erectile dysfunction. It works by widening the blood vessels and increasing the blood flow to the penis, causing an erection. If side effects occur, these are usually non-serious and are limited to prolonged erections, pain and dizziness.

[19] Another advantage of Alprostadil is that the dosage can be adjusted to determine the duration of an erection. A commonly prescribed topical medication for ED is Vitaros©, a prescription medicine in the form of a cream, containing the active ingredient alprostadil.

[7] Vitaros comes in a single-use container with a plunger, barrel and protective cap, containing either 200 or 300 micrograms of alprostadil in 100 mg of cream. [8] The appropriate dose strength for each person is decided in consultation with their doctor. Storage and application guidelines for Vitaros© include: [9] Vitaros should be stored in the fridge, but can be taken out before use in order to reach room temperature for ease of application.

If it is taken directly out of the fridge, it may need to be warmed up for use by massaging the tube in one’s hands. Urination after application will result in cream being expelled from the urethra, lessening its erectile effects.

Each tube of Vitaros contains the right amount of medication for a single dose, which should be applied, with clean hands by injecting it into the urethra, using the single-use applicator pump provided. The penis should then be kept upright for 30 seconds so that the cream can be absorbed. Any leftover cream can be rubbed in around the tip.

Vitaros will usually take effect in 5-30 minutes after application. It is not an aphrodisiac, and sexual stimulation will therefore be necessary to achieve an erection. For most people, the effects last between one and two hours.

A full, warm sensation in the penis is not a cause for concern, and may remain for several hours after use.

Vitaros should not be used more than once within any 24-hour period. Vacuum pumps can relieve the symptoms of erectile dysfunction. A specialized mechanical pump is used to cause an erection by placing it over the penis and sucking air out of the pump, drawing blood into the penis.

Erections created with the use of a vacuum device require a band to be applied to the base of the penis to trap the blood for the duration of the intercouse. For safety reasons, the rubber band should be removed within 30 minutes. Penile prosthesis is a surgical procedure in which a rod is implanted inside the penis in order to simulate an erection. Advanced procedures involve the insertion of an inflatable rod.

This is an uncommon treatment method for ED, used only in severe cases, but is generally effective. Though it may not always be possible to prevent erectile dysfunction, certain steps can be taken to reduce the risk of the condition. These include: [20] Staying healthy, with regular exercise and a balanced diet, including meeting the recommended daily intake of all vitamins and minerals Stopping using tobacco products Avoiding drugs and excessive amounts of alcohol Seeking treatment for conditions such as high blood pressure and diabetes. Complications associated with erectile dysfunction.

There are no serious physical complications associated with erectile dysfunction.However, the condition can negatively affect a person’s mental health, causing issues such as: Stress and anxiety Low self-esteem Embarrassment An unsatisfactory sex life Problems within a relationship.

A: The root cause of erectile dysfunction is insufficient blood flow to the penis, which makes it difficult to get or maintain an erection.



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