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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 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 and the surrounding air pumped out, causing an erection.

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 manís satisfaction with his sex life, as well as that of his partnerís. 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 sildenafil tablets online 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 manís 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 treatments for ED. In addition to administering treatment, our staff provide patients with detailed and practical education for each treatment option.

Treatment for Erection sildenafil teva 50 mg cena Problems: When you need testosterone treatment and when you donít. Most men have problems with erections from time to time.

This is when it is hard lady era 100mg cvs to get or keep an erection thatís firm enough for sexual intercourse.

If you have ED, you may think that testosterone treatment will help.

After age 50, menís 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.

Hereís 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 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 youíve 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, 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 Dysfunction And Enhanced Sexual Performance Now Available At Colorado Urology.

- Axol Softwave Therapy is a new treatment for erectile dysfunction (ED) and for men who want enhanced sexual performance.

- 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. Most patients can get the quality, goodrx sildenafil 100 mg rigid erections they once had with Axol Therapy's gentle acoustic pulse treatment within just six office visits.

Incremental improvement in erectile function may be seen after just a few sessions. There are a number of significant benefits to Axol Therapy.

For men who are candidates for this treatment option, a future without erectile dysfunction is perhaps the biggest one.

The restoration of a man's vitality and spontaneous active sex life are also major benefits of this exciting new treatment. Learn more about Axol Softwave Therapy, the benefits, and how to schedule a consultation. Visit https://www.coloradouro.com/specialties/axol-softwave-therapy/ or call 888-401-7149.

Colorado Urology, an affiliate of United Urology Group, is Eastern Colorado's premier urology practice, which was formed when Advanced Urology, Alpine Urology, and Foothills Urology became one urology group in April 2019.

The group provides a broad array of urologic services, and its integrated approach to urologic care provides patients with access to experienced specialists, a comprehensive support team of healthcare professionals, innovative diagnostic tools, and highly advanced treatments and therapies.

Colorado Urology operates 12 medical offices throughout the Denver metro and Boulder area, has 18 urologists, 9 advanced practice providers, and more than 130 employees.

United Urology Group is a national management services organization whose member groups of urology practices include : Arizona Urology Specialists with locations across the greater Phoenix area; Chesapeake Urology, with offices located throughout Maryland and Delaware ; Tennessee Urology, based in Knoxville, TN ; and Colorado Urology, located in the greater Denver , Boulder and Front Range areas.

United Urology Group members' collective staff today number more than 1,400 employees, including 150 physicians .

United Urology's vision is to support the creation of a national network of urology affiliates, which will enable urologists to better meet the needs of their patients and provide the highest level of urological care. Media Contact: Patricia Schnably , Senior Vice President, Marketing & Communications United Urology Group 25 Crossroads Drive, Suite 306, Owings Mills, MD 21117 443-738-8107 [email protected] Erectile Dysfunction (ED, Impotence) Medical Author: Pamela I. Ellsworth, MD Medical Editor: Melissa Conrad Stoppler, MD.

Erectile dysfunction (ED), also known as impotence, is the persistent inability to have an erection that is hard enough for penetration and/or a hard erection that lasts long enough for completion of sexual activity. ED may have a significant effect on the sex life of a man and his partner. Symptoms of erectile dysfunction include lack of an erection hard enough for penetration and/or lasting long enough for completion of sexual activity.

ED may occur with or without other sexual dysfunction, including decreased libido (decreased interest in sexual activity), orgasmic dysfunction (troubles achieving an orgasm/climax), and ejaculatory dysfunction (problems with the fluid released during sex, including lack of ejaculation [anejaculation], small volume ejaculate, ejaculation that occurs too quickly [premature ejaculation], ejaculate that goes backward into the bladder [retrograde ejaculation] and pain with ejaculation). Erectile dysfunction is common, and the risk of developing ED increases with age. Experts have estimated that erectile dysfunction affects 30 million men in the United States.

The causes of erectile dysfunction include aging, high blood pressure, diabetes mellitus, cigarette smoking, atherosclerosis (hardening of the arteries), depression, nerve or spinal cord damage, medication side effects, alcoholism or other substance (drug) abuse, pelvic surgery including radical prostatectomy, pelvic radiation, penile/perineal/pelvic trauma such as pelvic fracture, Peyronie's disease (a disorder that causes curvature of the penis and sometimes painful erections), and low testosterone levels.

Erectile dysfunction is treatable in all age groups. Treatments include psychotherapy, adopting a healthy lifestyle, oral phosphodiesterase type V (PDE5) inhibitors (Viagra, Levitra, Cialis, Stendra, and Staxyn), intraurethral prostaglandin E1 (MUSE), intracavernosal injections (prostaglandin E1 [Caverject, Edex], Bimix and Trimix), vacuum devices, penile prosthesis and vascular surgery, and (in some cases) changes in medications when appropriate.

Discuss over-the-counter products and/or supplements with a doctor before using them. New research is ongoing in the field of erectile dysfunction to find improved and effective therapies.

No matter what erectile dysfunction treatment or treatments (whether herbal remedies or not) a man ultimately decides upon, experts say it's important to eat healthily and to avoid sildenafil 100mg teva smoking and heavy drinking. Moreover, adequate exercise, stress reduction, and sleep can improve erectile dysfunction in many. Erectile dysfunction (ED), also known as impotence, is the inability to achieve or sustain a hard enough erection for satisfactory completion of sexual activity.

Erectile dysfunction is different from other health conditions that interfere with male sexual function, such as lack of sexual desire (decreased libido) and problems with ejaculation release of the fluid from the penis (ejaculatory dysfunction) and orgasm/climax (orgasmic dysfunction), and penile curvature (Peyronie's disease), although these problems may also be present.

This article focuses on the evaluation and treatment of erectile dysfunction.

The penis contains three cylinders, the two corpora cavernosa, which are on the top of the penis (see figure 1 below).

The third cylinder contains the urethra, the tube that the urine and ejaculate passes through, runs along the underside of the penis. Spongy tissue that has muscles, fibrous tissues, veins, and arteries within it makes up the corpora cavernosa. The inside of the corpora cavernosa is like a sponge, with potential spaces that can fill with blood and distend (known as sinusoids). A layer of tissue that is like Saran Wrap, called the tunica albuginea, surrounds the corpora. Veins located just under the tunica albuginea drain blood out of the penis.

Erectile dysfunction (ED, impotence) varies in severity; some cannot have an erection at all, whereas other men sometimes have troubles getting a hard erection, and others get a hard erection but it only lasts for a short period of time. Approximately 50% of men over the age of 40 have troubles with erectile dysfunction. While erectile dysfunction can occur at any age, the risk of developing erectile dysfunction increases with age.

According to the Massachusetts Male Aging Study, the prevalence of erectile dysfunction was 52% in men 40-70 years of age.

The prevalence of complete erectile dysfunction increases from 5% at 40 years of age to 15% among men 70 years of age and older.

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