Erectile Dysfunction Specialist in Gilbert AZ

Your urologist may recommend changing a medication that acts as a diuretic (increases urine production) or drinking fewer diuretic liquids (such as coffee) if they may be causing your ED. Write down questions to ask your doctor. In particular, these include the following: Each treatment is pain free and is completed in as short as 20 minutes without any restrictions or downtime following treatment! Most recognizable as a curvature of the penis, Peyronie’s disease is caused by fibrous scar tissue that usually develops from some type of trauma.

The medical history can reveal diseases and treatments that lead to ED. Its mechanism of action is believed to be the promotion of intracellular accumulation of cyclic adenosine monophosphate, thereby causing decreased intracellular accumulation of calcium and resulting smooth muscle relaxation. You might need to work with your doctor to find the right medication and dosage for you. In some cases, nocturnal penile tumescence monitoring is conducted to evaluate the quality of the patient’s nocturnal erections. If you are concerned about your erectile dysfunction or other sexual health problems, a specialist at Ogden Clinic in Utah can review and treat your symptoms. You may have erectile dysfunction if you have trouble becoming or staying erect during sex.

Muscle relaxants. If you don't see your doctor, these problems will go untreated. Treatment for erectile dysfunction begins with an evaluation with Dr. The most common side effect of ICI therapy is a prolonged erection. Antidepressants. An inflatable prosthetic device inserted directly into the penis to provide an erection suitable for intercourse. Men with connective tissue disorders are at particular risk for this condition. Other approaches also can help, including:

  • This new-found openness, coupled with the introduction of medications such as Viagra, is encouraging more and more men to seek medical treatment for erectile dysfunction.
  • Prostheses require no further treatment after implantation, and there is no external equipment, which might have negative connotations to the partner.
  • If he has trouble talking about sexual issues with you, ask him to refer you to a urologist.


Self-contained inflatable prostheses consist of a pair of inflatable tubes inserted into the penis with a pump attached to the end of the implant and a reservoir located in the shaft of the penis. Talk to your doctor or consult a mental health provider to address these issues. Male sexual dysfunctions sometimes occur with no clear cause but can be linked to certain sexual situations, depression, anxiety, guilt and smoking.

The good news is recent medical advances have made ED more treatable than ever. Tranquilizers. An endocrinologist is a doctor that specializes in the endocrine system. The benadryl molecule, , amphetamines, barbiturates, cocaine, marijuana, opiates) Analgesics (e. “We find that with a combination approach, using a mental health therapist with medicinal therapies, patients are more satisfied and understand better what’s going on,” explains Wayne Hellstrom, MD, professor of urology at the Tulane University School of Medicine in New Orleans. If you have questions about an erectile dysfunction medicine you have been prescribed or any other drugs you’re taking, talk to your pharmacist. Implantation of a penile prosthesis is one of several options available for the treatment of erectile dysfunction. In addition to your prepared questions, don't hesitate to ask additional questions during your appointment.

Does it ever come back?


A painful erection that lasts longer than two to three hours is called priapism and may occur with injection therapy. Common medications that may list ED as a potential side effect include: Sometimes the cause is actually a combination of these different factors, like a physical problem causing a psychological one. Oral sildenafil in the treatment of erectile dysfunction. Though your urologist will likely ask many of the same questions as your PCP, a urologist has more in-depth training to treat complicated erection problems, including those that need surgery. How prostatitis and other prostate problems can ruin your sex life. Our fellowship-trained physicians will create an individualized treatment plan to help you restore sexual function and achieve an intimate relationship with your partner. This is important because men normally have multiple erections during various phases of the sleep cycle, and if there is a significant decrease then the erectile dysfunction is more likely to be organic than psychogenic.

Many men who do not respond to oral PDE5 inhibitors can be ‘rescued' with ICI.

Achieving and maintaining an erection involves physical and psychological factors that must all be in proper balance in order for an erection to occur.

What Is A Penile Implant?

Some of the physical conditions known to cause ED include: This condition may cause permanent impotence if not treated. Then your doctor may refer you to a specialist if more information is needed. They will likely conduct a physical exam as well. Cardiopulmonary examination to help evaluate the patient's fitness for future treatment options. If you are uncertain or embarrassed about seeking treatment, please rest assured that we treat every patient with the utmost respect and complete confidentiality.

The medications vary in dosage, how long they work and side effects. ED becomes more common as you get older. Drugs used to treat these risk factors listed above may also lead to or worsen ED. These include intracavernous injection therapy, vacuum constriction devices, intraurethral therapy, and possible surgery. How do doctors diagnose erectile dysfunction? The simplest kind of implant is made from two easy-to-bend rods that are most often made of silicone. Alprostadil self-injection. Most men with penile implants and their partners say that they're satisfied with the results, and they return to more spontaneous intimacy.

These questions can help uncover issues in your life that may be causing you stress or interpersonal problems that could be contributing to your ED. Some patients may experience side effects, including: Before taking any medication for erectile dysfunction, including over-the-counter supplements and herbal remedies, get your doctor's OK. Adherence and barriers to penile rehabilitation over 2 years following radical prostatectomy. Erectile dysfunction (ED) is a common condition that no man should be embarrased about.

Although placement of a penile implant is a surgery which carries risks, they have the highest rates of success and satisfaction among ED treatment options.


Bruising of the penis is a possible side effect, and ejaculation will be restricted by the band. With proper training, 75 out of 100 men can get a working erection using a vacuum erection device. We use a minimally invasive technique through a small incision which allows quicker return to normal activity. Using a tiny needle and syringe, the man injects a small amount of medicine into the side of his penis. This will include your penis and prostate.

Prostate Cancer | Pros & Cons of PSA Testing

Chemotherapy medications. If other methods of ED treatment prove ineffective, penile implants are an effective way to restore sexual functions. Ed and alcoholism, multiple sclerosis (MS) and other degenerative diseases of the nervous system, such as Parkinson’s disease, can damage the nerves involved in erections. If you include an alternative medicine practitioner on your treatment team, make sure to let all your doctors know what medications, supplements, and erectile dysfunction treatment approaches you are trying.

When you visit his clinic in The Woodlands, he will carefully assess your degree of erectile dysfunction (ED) and address any concerns you may have.

Emotional Causes of ED

It helps with gaining muscles, facial hair, and a deeper voice. Given the large number of treatment options now available—with more on the way—virtually all men can be successfully treated, regardless of how long they have been sexually inactive. While all men have difficulties with erections from time to time, men who have frequent and more severe problems may suffer from erectile dysfunction, or ED. If you have erectile dysfunction, you may experience the following symptoms: For example, Peyronie’s disease causes the penis to bend or curve when erect. He not only addresses the symptoms but also the underlying cause of male impotence.


One of the treatment options for erectile dysfunction is the placement of prosthetic inner tubes within the penis to mimic the inflation process and create an erection. Complications following surgery are not common, but primarily include infection and mechanical device failure. Once questions related to the specific erectile complaint have been reviewed, additional questions relating to medical history and psychosocial factors need to be evaluated. Diabetes and male sexual function, atherosclerosis makes it difficult for blood to enter the penis. Treatment does not involve surgery and is minimally painful in most patients.

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13 The Sexual Health Inventory for Men is a short-form, 5-item questionnaire developed to monitor treatment progress. These men suffer and so do their partners. Sexual health is a complex business, involving muscles, nerves, hormones, blood vessels, and the brain. You may also have ED for psychological reasons, which don’t have to be directly related to sex. Extracorporeal shock wave therapy (ESWT) - low-intensity shock waves that aim to fix the erectile tissues and help restore natural erections. There are relatively few contraindications to the use of vacuum devices. Various treatment options exist.

An early diagnosis is the key to dealing with erectile dysfunction. Interactions between drugs for erectile dysfunction and drugs for cardiovascular disease. Reach out to our practice to learn more about your ED treatment options by calling (281) 351-5174. 3 out of 4 of these men are over the age The effects of ED can range from minor to severe depending on individual cases. What are the treatment options for erectile dysfunction? Oral medications are an effective way of treating erectile dysfunction.

Penile implants are usually not recommended until other methods have been tried first. A mental health professional, such as a counselor, psychologist, or psychiatrist, can help determine if a psychological condition is causing your ED. Failure to undo priapism will lead to permanent penile damage and untreatable ED. Erectile dysfunction in fit and healthy young men: psychological or pathological? Don't ignore stress, anxiety or other mental health concerns. What will that cost, and will the visit be covered by my insurance? Specializing in male conditions, he is highly trained in the diagnosis of erectile dysfunction and its various methods of treatment. Erectile dysfunction is largely treatable. 1999; 11, 59-74, Penson D, et al.

How Common Is Erectile Dysfunction?

The vacuum erection device is a simple mechanical tool that creates an erection by temporarily trapping blood in the penis. Chronic erectile dysfunction affects approximately 5 percent of men in their 40s and 15 to 25 percent of men over the age of 65. Male arousal relies on a complex system of nerves, blood vessels, hormones, muscles, the brain, and emotions. Are there any brochures or other printed material that I can take home with me?

Not all patients respond to this type of treatment, but those who do should develop an erection that lasts anywhere from 30 to 120 minutes.

  • Erectile dysfunction (ED), also known as impotence, is the inability to achieve or maintain an erection that’s firm enough to have sexual intercourse.
  • Alprostadil can be delivered to the erectile tissue either via an intraurethral suppository that is massaged and then absorbed across the corpus spongiosum of the urethra to the corpora cavernosa, or directly injected into the corpora cavernosa.
  • Talk to your doctor if you have any side effect that bothers you.
  • What prescription drugs may cause erectile dysfunction?
  • Don’t wait if you suffer from erectile dysfunction.
  • This increases blood flow and allows you to get an erection in response to sexual stimulation.

Giving Back

Each night during deep sleep, a man normally has three to five erections. Erectile dysfunction can be reversed without medication, with reference to U. This test will determine whether depression, stress, or anxiety are causing the erectile dysfunction or making it worse. Do you think my ED is temporary, or will it last a long time? Call your doctor right away if you take one of these medications and have a prolonged erection that lasts 4 hours or longer.

Many men experience ED as a consequence of aging or some specific underlying medical condition. Innovative, expert urology care. Penile implants are surgical inserts that allow you to manually inflate your penis to achieve an erection. Oral medications.

Antihypertensive drugs, such as diuretics (eg, spironolactone, thiazides) and beta blockers, may be associated with ED. Semi-rigid prostheses involve the surgical implantation of a silicon-covered flexible metal rod that provides rigidity for intercourse. Starting a dialogue with Dr. These oral medications reversibly inhibit penile-specific PDE5 and enhance the nitric oxide–cGMP pathways of cavernous smooth muscle relaxation; that is, all prevent the breakdown of cGMP by PDE5.

Find & Review

NYU Langone doctors are also experienced in treating men with low testosterone levels, a common cause of erectile dysfunction. Our experienced urologists design a personalized treatment plan to give you the best possible results. Niemczyk online or by phone today. 13 in the country for 2020–2020 by U. The doctor will ask if you smoke, how much alcohol you drink, and whether or not you use recreational drugs. Pressing on a deflation valve attached to the pump returns the fluid to the reservoir, which returns the penis to a flaccid state.

However, millions of men of all ages experience this inability as a continuing problem. Implantation of penile prosthesis remains an important option for men with ED if medical treatment fails or is inappropriate. Urology of Indiana Men’s Health Center offers UWave – a revolutionary shock wave technology that can help patients achieve more satisfying, longer lasting erections without medications. Make personal performance a priority and reclaim the intimacy that you have come to cherish with your partner when you visit our Aventura office for an evaluation. How firm are your erections (use a scale of 1 to 10)? 31,32 For intracorporeal injection, typically alprostadil is tried alone, or compounded with papaverine (nonspecific phosphodiesterase inhibitor that increases intracellular cyclic adenosine monophosphate and cGMP) and/or phentolamine (competitive, non-selective alpha1- and alpha2-adrenoreceptor blocker). Psychological test:

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