Got a Rocephin Shot and Started Getting Erections Again

Overview

Dr. Drogo Montague discusses treatment options for erectile dysfunction.

What is erectile dysfunction (ED)?

Erectile dysfunction (ED) is the inability to go and keep an erection firm plenty for sexual intercourse. Estimates suggest that one of every ten men volition suffer from ED at some point during his lifetime. Information technology is important to understand that in nearly cases, ED is a symptom of another, underlying problem. ED is not considered normal at any age, and may be associated with other problems that interfere with sexual intercourse, such as lack of want and bug with orgasm and ejaculation.

How mutual is erectile dysfunction?

Approximately one in 10 adult males will endure from ED on a long-term basis.

Many men practise feel occasional failure to accomplish erection, which can occur for a variety of reasons, such as drinking as well much alcohol, stress, relationship problems, or from being extremely tired.

The failure to get an erection less than 20% of the time is not unusual and typically does not require treatment. However, the failure to achieve an erection more than 50% of the fourth dimension more often than not ways that at that place is a trouble and treatment is needed.

ED does not have to be a function of getting older. While information technology is true that some older men may need more stimulation, they should still exist able to achieve an erection and enjoy intercourse.

Symptoms and Causes

What causes erectile dysfunction (ED)?

ED tin can be caused by a number of factors, including:

• Vascular disease: Blood supply to the penis can become blocked or narrowed equally a result of vascular disease such as atherosclerosis (hardening of the arteries).
• Neurological disorders (such every bit multiple sclerosis): Nerves that ship impulses to the penis can become damaged from stroke, diabetes, or other causes.
• Psychological states: These include stress, depression, lack of stimulus from the brain and functioning anxiety.
• Trauma: An injury could contribute to symptoms of ED.

Chronic disease, certain medications, and a condition called Peyronie'south disease tin can besides cause ED. Operations for the prostate, bladder, and colon cancer may besides be contributing factors.

What medications could cause erectile dysfunction (ED)?

Erectile dysfunction (ED) is a common side upshot of a number of prescription drugs. While these medications may care for a disease or condition, in doing so they can affect a man's hormones, nerves or blood circulation, resulting in ED or increasing the adventure of ED.

If you experience ED and think that it may exist a outcome of the medication yous are using, practise non end taking the medication. If the problem persists, contact your md and he or she may be able to prescribe a different medication. Mutual medications that may list ED equally a potential side effect include:

• Diuretics (pills that cause increment urine flow).
• Antihypertensives (high blood pressure drugs).
• Antihistamines.
• Antidepressants.
• Parkinson's affliction drugs.
• Antiarrhythmics (drug for irregular heart activeness).
• Tranquilizers.
• Muscle relaxants.
• Nonsteroidal anti-inflammatory drugs.
• Histamine H2-receptor antagonists.
• Hormones.
• Chemotherapy medications.
• Prostate cancer drugs.
• Anti-seizure medications.

Other substances or drugs that can crusade or lead to ED include these recreational and frequently abused drugs:

• Alcohol.
• Amphetamines.
• Barbiturates.
• Cocaine.
• Marijuana.
• Methadone.
• Nicotine.
• Opiates.

These drugs not simply affect and often suppress the central nervous arrangement, but can likewise cause serious damage to the blood vessels, leading to permanent ED.

What prescription drugs may cause erectile dysfunction?

Erectile dysfunction (ED) is a common side effect of a number of prescription drugs. While these medications may treat a affliction or condition, in doing so they tin can affect a homo's hormones, nerves or blood circulation. The result may be ED or an increase in the risk of ED.

If you have ED and think that information technology may be a result of the medication you are using, practice not stop taking the medication. If the problem persists, contact your doctor and he or she may be able to prescribe a unlike medication. Mutual medications that may list ED as a potential side effect include:

• Diuretics (pills that cause an increment in urine period).
• Antihypertensives (medication for high claret pressure).
• Antihistamines.
• Antidepressants.
• Parkinson'due south affliction drugs.
• Antiarrhythmics (medication for irregular centre activeness).
• Tranquilizers.
• Muscle relaxants.
• Not-steroidal anti-inflammatory drugs.
• Histamine H2-receptor antagonists.
• Hormones.
• Chemotherapy medications.
• Prostate cancer drugs.
• Anti-seizure medications.

What other substances or drugs may cause erectile dysfunction?

Other substances or drugs that can crusade or lead to ED include these recreational and ofttimes abused drugs:

• Booze.
• Amphetamines.
• Barbiturates.
• Cocaine.
• Marijuana.
• Methadone.
• Nicotine.
• Opiates.

Aside from the well-known complications that the use and corruption of these drugs can cause, ED is not oft mentioned. However, use of these drugs is a risk gene for ED. These drugs not only affect and ofttimes times irksome downwardly the central nervous system, only tin can also cause serious impairment to the claret vessels, leading to permanent ED.

How are low and erectile dysfunction related?

For some men, depression can accompany the condition of erectile dysfunction (ED). Information technology is mutual for men with ED to feel angry, frustrated, sad, unsure of themselves, or even less "manly." Such feelings may lead to a lack of self-esteem and, in astringent cases, to depression.

Depression that accompanies ED is treatable. The outset step in addressing your concerns nearly ED-related depression is to be honest with yourself, your partner, and your md. After low has been brought out into the open up, coping with it volition be easier and less stressful.

Diagnosis and Tests

How is erectile dysfunction (ED) diagnosed?

Because there are a variety of causes for ED, there are several different tests your doctor may use to diagnose the condition and determine its cause. Only afterwards the crusade of ED is determined can it be effectively treated.

Before ordering any tests, your doctor will review your medical history and perform a thorough physical test. The doctor will also "interview" you about your personal and sexual history. Some of these questions will be very personal and may experience intrusive. However, information technology is important that you reply these questions honestly. The questions asked may include:

• What medications or drugs are you currently using? This includes prescription drugs, over-the-counter drugs, herbals, dietary supplements and illegal drugs.
• Have you had whatever psychological problems such as stress, anxiety and depression?
• When did you offset notice symptoms of ED?
• What are the frequency, quality and duration of whatsoever erections you accept had?
• What are the specifics of the circumstances nether which ED first occurred?
• Do/did you experience erections at night or during the morning time?
• What sexual techniques exercise you lot use?
• Are there issues in your current relationship?

The doctor may also wish to interview your sexual partner since your partner may exist able to offer in sight nearly the underlying causes.

After your concrete test and discussion, your doc may so order whatsoever i of the following tests to further diagnose your condition:

• Complete blood count (CBC): This is a set of blood tests that, amidst other things, can discover the presence of anemia. Anemia is caused past a low blood-red blood cell count and tin cause fatigue, which in plow tin cause ED.
• Liver and kidney office tests: These blood tests may indicate whether ED may be due to your kidneys or liver performance improperly.
• Lipid profile: This blood test measures the level of lipids (fats), like cholesterol. High levels may indicate atherosclerosis (hardening of the arteries), which can affect blood circulation in the penis.
• Thyroid function test: One of the thyroid hormones' functions is to regulate the production of sex hormones, and a deficiency in these hormones may contribute to or crusade ED.
• Blood hormone studies: Testosterone and/or prolactin levels in the blood may exist measured to run across if abnormalities in either of these sex hormones are nowadays.
• Urinalysis: Analysis of urine tin provide a wealth of information, including information on protein, sugar and testosterone levels. Aberrant measurements of these substances tin can indicate diabetes, kidney affliction or a testosterone deficiency, all which tin can crusade ED.
• Duplex ultrasound: This is perchance the all-time test for evaluating ED. An ultrasound uses high-frequency sound waves to accept "pictures" of the body's tissues. For people with ED, an ultrasound may be used to evaluate blood flow and check for signs of a venous leak, atherosclerosis (hardening of arteries) or tissue scarring. This test is performed both while the penis is erect (usually induced by an injection of a drug that stimulates erection) and also while information technology is soft.
• Bulbocavernosus reflex: This test evaluates nerve awareness in the penis. During the test, your doc will squeeze the head of your penis, which should immediately cause your anus to contract. If nervus function is abnormal, in that location will be a delay in response time.
• Nocturnal penile tumescence (NPT): This exam measures a man'south erectile function while he is sleeping. Normally, a man will accept five or six erections while asleep. A lack of these erections may betoken there is a trouble with nerve office or circulation to the penis. The test uses 2 methods, the snap guess method and the strain gauge method. The snap guess method is performed past wrapping three plastic bands of varying force effectually the penis. Erectile function is and so measured based on which of the three bands breaks. The strain gauge method works by placing elastic bands around the tip and base of the penis. If the penis becomes cock during the night, the bands stretch, measuring the changes in penile circumference.
• Penile biothesiometry: This test involves the utilize of electromagnetic vibration to make up one's mind sensitivity and nerve function. A decreased sensitivity to these vibrations may indicate nerve damage.
• Vasoactive injection: During this test, an erection is produced past injecting special solutions that cause the blood vessels to amplify (enlarge) allowing blood to enter the penis.
• Dynamic infusion cavernosometry: This exam is used for men with ED who take a venous leak. During this test, fluid is pumped into the penis at a predetermined rate. By measuring the rate at which fluid must be pumped to achieve a rigid erection, doctors tin can determine the severity of the venous leak.
• Cavernosography: Used in conjunction with the dynamic infusion cavernosometry, this test involves injecting a dye into the penis. The penis is then X-rayed so that the venous leak can be seen.
• Arteriography: This test is given to people who are candidates for vascular reconstructive surgery. A dye is injected into the artery believed to exist damaged and X-rays will be taken.

Before you are given whatever of these tests, your doctor will explicate what is involved. If you have any questions, do not hesitate to ask your doctor.

Direction and Treatment

What doctors treat erectile dysfunction?

The type of medical specialist who treats ED volition depend on the crusade of the problem. Based on your family's medical history, as well as your own medical history and electric current health, your physician may treat you with oral medications (Viagra®, Levitra®, Cialis®).

If these options fail, you may be referred to a urologist who tin help with other non-surgical options such as vacuum device or injections or surgical treatment options. If needed, your doctor may besides refer yous to a psychologist specializing in sexual dysfunction.

How is erectile dysfunction treated?

ED tin be treated in many ways, including:

• Oral medications.
• Sex therapy.
• Penile injections.
• Vacuum devices.
• Intraurethral medication.
• Surgery (penile implant).

Each type has its ain pros and cons. Hash out your options with your md to determine the best handling for you.

The first step to treating ED is to notice the underlying cause. Then the appropriate treatment can begin. At that place are a number of non-surgical and surgical options that can help a man regain normal sexual office.

What non-surgical treatments are there for erectile dysfunction (ED)?

Education and communication

Education nearly sexual practice, sexual behaviors, and sexual responses may help a homo overcome his anxieties about sexual dysfunction.

Talking honestly with your partner almost your needs and concerns may besides help to overcome many barriers to a good for you sex activity life.

Medication

Medications such as sildenafil (Viagra®), vardenafil (Levitra®), or tadalafil (Cialis®) may help improve sexual part in men by increasing claret flow to the penis. Men who are on medicines that incorporate nitrates such equally nitroglycerine should non have oral ED medications. The combination of nitrates and these specific medications can cause low blood force per unit area (hypotension).

The most common side effects of these medications are indigestion, nasal congestion, flushing, headaches and a temporary visual disturbance.

Mechanical aids

Aids such equally vacuum devices and penile constriction rings serve as erectile aids for some men.

A vacuum constriction device (higher up) is a cylinder that is placed over the penis. The air is pumped out of the cylinder, which draws blood into the penis and causes an erection. The erection is maintained by slipping a ring off of the base of the cylinder and onto the base of the penis. The ring can stay in place for upwardly to 30 minutes. The vacuum device tin can exist safely used to treat most causes of erectile failure. Lack of spontaneity, discomfort, and cumbersomeness of the device seem to exist the biggest concerns of patients.

Penile injection therapy (intracavernosal injection therapy)

Men are taught how to inject medications straight into the erection chambers of the penis to create an erection. Injection therapy is effective in treating a wide variety of erection issues caused by blood vessel, nerve and psychological weather.

Using a tiny needle and syringe, the homo injects a small amount of medicine into the side of his penis. The medicine relaxes the claret vessels, allowing blood to flow into the penis. This treatment has been widely used and accepted since the early 1980s. The three well-nigh mutual medicines are prostaglandin E1 (alprostadil), papaverine (Papacon®), and phentolamine (Regitine®).

The most mutual side effects are pain and penile scarring (fibrosis). In extremely rare cases, patients with cerebral and vascular disease or severe cardiovascular diseases might not be able to tolerate the dizziness and high blood pressure occasionally acquired past injection therapy.

A painful erection that lasts longer than two to iii hours is called priapism and may occur with injection therapy. This can be lessened with proper dosing and by following the handling guidelines.

Psychology and sex therapies

Psychological causes may contribute to erectile failure even when in that location is a clear organic cause.

Therapy with a trained counselor can assistance a person address feelings of anxiety, fearfulness or guilt that may have an bear on on sexual dysfunction.

Sex therapy can be beneficial to almost men when counseling is provided by a skilled sex therapist. Sex activity therapy as well helps a man'due south partner take and cope with the problems.

A patient whose ED has a articulate psychological cause should receive sex therapy counseling before whatever invasive treatments are pursued.

Hormone

Depression hormone levels may play a role in ED. Hormone replacement in the form of topical gels, creams, patches, injections and pellets are only used subsequently dr. evaluation.

What are surgical treatment options for erectile dysfunction (ED)?

Penile prosthesis surgery

Inflatable penile prostheses are implanted during outpatient surgery. In one case they are part of a man's body, they enable him to have an erection whenever he desires. The use of a prosthesis preserves penile sensation, orgasm and ejaculation for most men.

The most commonly used penile implant consists of a pair of inflatable cylinders that are surgically implanted in the erection chambers of the penis. The cylinders are connected through tubing to a reservoir of fluid under the lower abdominal muscles, and to a pump inside the scrotal sac.

To inflate the penile prosthesis, the man compresses the pump a number of times to transfer fluid from the reservoir to the cylinders. This causes the penis to become erect. When inflated, the prosthesis makes the penis potent and thick, which is very similar to a natural erection.

A penile prosthesis does not change the sensation on the pare of the penis or a man's ability to achieve orgasm or ejaculate. Pressing on a deflation valve attached to the pump returns the fluid to the reservoir, which returns the penis to a flaccid state.

The surgical procedure is performed through one or two small incisions that are by and large well hidden. Other people will be unable to tell that a human being has an inflatable penile prosthesis. Complications post-obit surgery are not common, merely primarily include infection and mechanical device failure.

Approximately 95% of penile implant surgeries are successful in producing erections that enable men to have sexual intercourse. Moreover, patient satisfaction questionnaires show that upwardly to xc% of men who accept undergone penile implants say they would choose the surgery again, and overall satisfaction ratings are higher than those reported by men using oral medication or penile injection therapy.

Prevention

Can erectile dysfunction (ED) be prevented?

For people who are at risk of developing ED due to personal beliefs, steps may be taken to try to foreclose its occurrence. Withal, other causes may not be preventable.

A number of studies now suggest a link betwixt ED and obesity, high cholesterol, hypertension, diabetes and heart disease.

The following recommendations may help forestall ED or improve the trouble if it is already present:

• Eat a salubrious nutrition. A diet that limits saturated fatty intake and includes several portions of fruits, vegetables and whole grains can benefit men with ED.
• Reduce cholesterol. High cholesterol can harden, narrow or block the arteries (atherosclerosis) leading to the penis. Men can lower cholesterol through diet, exercise and medication.
• Maintain a healthy weight.
• Practise regularly. Regular exercise may reduce the risk of ED. Cull exercises that you lot enjoy and will make a regular role of your solar day. In addition to reducing the risk of ED, practice also can aid you manage stress. Check with your doctor earlier starting any practice plan.

Living With

What should I practise if I am having bug achieving/keeping an erection?

If yous doubtable you lot accept erectile dysfunction, please see your primary intendance medico or a urologist. He or she can perform tests to find out what is causing your problem and refer yous to a specialist if needed. Once the cause is identified, there are several treatment options to choose from.

Does insurance cover erectile dysfunction (ED) handling?

Insurance coverage for ED depends on the type of treatment prescribed and whether your insurance covers sexual dysfunction at all. Speak with your insurance provider to determine if the choice you are considering will exist covered.

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Source: https://my.clevelandclinic.org/health/diseases/10035-erectile-dysfunction

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