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man and woman in bed upset because man has erectile dysfunction

Erectile Dysfunction (ED) Treatment

Erectile dysfunction is a problem that affects men of all ages, with a prevalence of 10% in men younger than 40 and greater than 50% in those older than 70. Men are often embarrassed to seek help, but they shouldn't be because it is a common condition, and there are effective treatments. We break down the physiology and available therapies below.

Erection physiology and ED

An erection occurs through the following steps:

illustration of erection formation While the actions above may seem straightforward, the formation of an erection is actually quite complex, relying on the interplay of psychologic, neurologic, endocrinologic, and vascular processes. Issues with one or a combination of these systems can cause ED. Risk factors for ED include the following: (1) Psychological - stress, trauma, guilt, relationship problems (2) Neurologic - neuropathy, prostatectomy, stroke, MS (3) Endocrinologic - low testosterone, diabetes, hypothyroidism (4) Vascular - advancing age, hypertension, obesity, smoking, atherosclerosis.

ED Treatment

ED is frustrating on many levels, but thankfully, there are effective treatments. Phosphodiesterase type 5 (PDE-5) inhibitors, first introduced in 1998 with the approval of Viagra, are highly effective at treating many forms of ED. Five PDE-5 inhibitors are now approved, and three have cheap generics. Another ED drug, alprostadil, is available as an injection and urethral suppository, but its use has fallen out of favor. A review of each drug is provided below.

Side effects - In general, PDE-5 inhibitors are well tolerated. Potential side effects include headache (7 - 21%), flushing (3 - 19%), nasal congestion (3 - 9%), and stomach upset (4 - 9%). Alprostadil side effects depend on the form used and can be significant.

man and woman in bed relaxed because erectile dysfunction drug worked

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