Breaking the Silence - Common Erectile Dysfunction in Men
ED usually occurs because of problems with bloodrnflow to the penis. It can be due to conditions such as diabetes and hardeningrnof the arteries (atherosclerosis). Hormonal imbalances, certain operations andrnsome medicines may also cause it.
One such group is Breaking the Silence, whosernmembers collect testimonies of Israeli soldiers who served in the OccupiedrnTerritories. The organization is often accused of anti-Semitism.
Erectile Dysfunction
rnrnMen who have trouble getting or keeping an erectionrnduring sex should talk to their doctor. ED can affect the quality of a man’srnlife, but it is treatable. A primary care physician or urologist can help.rnTreatment may include oral medications such as Fildena 100 Tablet,rnas well as other non-surgical treatments and therapies. Sometimes resolving anrnunderlying medical condition will also help to relieve ED symptoms.
The causes of ED are wide ranging. Arterial ED, thernmost common cause, is usually due to atherosclerosis that leads to blockage ofrnthe blood flow to the penis. Controllable risk factors such as highrncholesterol, high blood pressure, and cigarette smoking can lead to vascularrnED. Neurologic causes, such as multiple sclerosis and nerve damage from spinalrncord injuries or pelvic surgery, are sometimes associated with erectilerndysfunction.
The first step in determining the cause of ED isrnfor the patient to be honest with his health care provider about his sexualrnhistory, including when problems began and how long they have been occurring.rnThis can be a difficult conversation, but it is important to get the diagnosisrnright so that the treatment can be successful.
Treatments
rnrnWhile it's not uncommon for men to experiencerntrouble getting and keeping erections firm enough for sex from time to time, itrnbecomes a health issue if it happens regularly. It can affect a man'srnself-image, cause stress and interfere with relationships, and it may also be arnsign of an underlying health problem that needs to be treated.
Treatment options vary depending on the underlyingrncondition. Medications that improve blood flow to the penis are oftenrneffective. The three most commonly used medications are prostaglandin E1 (alprostadil),rnpapaverine, and phentolamine. These medications are available in tablet and oralrnspray forms. Men who are taking drugs that reduce blood pressure, such asrnnitrates, should not take these medicines because they can increase the risk ofrnlow blood pressure (hypotension).
Other treatments include physical therapy and sexrntherapist counseling. Injections are another option for some men. Therninjections -- called erection enhancers, erectile restorers or cardiovascularrnrelaxants -- are medicines that relax the small blood vessels in the penis tornhelp create an erection. They can be given at home with a tiny needle andrnsyringe or in a doctor's office by a trained sex therapist.
Surgical treatment is sometimes needed. If nervesrnto the penis are damaged during prostate cancer surgery, a man might haverndifficulty regaining normal erections. If the prostate is removed surgically,rnthe patient might need a procedure called a radical prostatectomy or arnrobot-assisted laparoscopic prostatectomy to ensure that nerves that control anrnerection remain intact.
Symptoms
rnrnMen with ED usually have trouble getting or keepingrnan erection that is firm enough for sex. They may also have problems withrnarousal and orgasm (climax). Often, the symptoms appear slowly over time. Butrnsometimes they happen all at once. These symptoms can affect a man'srnself-esteem and the quality of his relationship with his sexual partner. It'srnimportant to talk about these issues with your doctor.
Your doctor will want to know about your health,rnany medications you take or have taken in the past, and your sex life. You mayrnfeel embarrassed talking about your sex problems, but you should remember thatrnyour doctor is a professional and it's his job to help you. Your honest answersrncan help him find the cause of your problem and give you the best treatment.
Many physical illnesses can cause ED. For example,rndiabetes can cause nerve damage that interferes with the nerves that controlrnerections. And some antidepressant medicines can cause ED.
In most cases, a doctor will prescribe medicine tornimprove blood flow to the penis and get an erection. These medicines include Fildena 200 Online.rnThey work only when you are sexually aroused. Your doctor can also insert orrninject medicine into your urethra or the tip of your penis to improve bloodrnflow.
Prevention
rnrnMen can take many steps to prevent ED. They shouldrneat a balanced diet, exercise regularly and avoid excess weight. They shouldrnalso avoid consuming alcohol, tobacco, and illegal drugs. Men should talk withrntheir healthcare providers if they notice changes in sexual desire orrnejaculation. Health conditions, including heart disease, may affect how wellrnthe penis fills with blood. In some cases, medications like high blood pressurernpills, heart medicines or even antidepressants can have this effect.
If a man is having trouble getting and keeping anrnerection, he should contact his primary care provider or urologist. Dependingrnon what is causing the problem, treatment options can include medicine thatrnhelps improve blood flow to the penis (such as sildenafil citrate, vardenafilrnor tadalafil), or a vacuum constriction device such as the Muse, which uses arncylinder and elastic ring to help keep an erection.
Many products are marketed with claims that theyrnwill increase sexual performance, but these supplements can contain dangerousrningredients or even be contaminated. The FDA recommends consulting a healthcarernprofessional before taking any product that claims to treat ED.