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erectile dysfunction

By Anonymous February 1, 2016 - 9:14am
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I am 56 yrs. old and have had problems for the past 10 yrs. + . I've been in therapy and they said it is probably a physical issue. Viagra does not work well. A urologist suggested a pump. Do you have any alternatives? Please help.

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Hello Anonymous,

Welcome to EmpowHER and thank you for reaching out to our community for suggestions.

Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction.

Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction.

In most cases, erectile dysfunction is caused by something physical. Common causes include:

Heart disease
Clogged blood vessels (atherosclerosis)
High cholesterol
High blood pressure
Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol
Parkinson's disease
Multiple sclerosis
Peyronie's disease — development of scar tissue inside the penis
Certain prescription medications
Tobacco use
Alcoholism and other forms of substance abuse
Sleep disorders
Treatments for prostate cancer or enlarged prostate
Surgeries or injuries that affect the pelvic area or spinal cord
(Mayo Clinic)

Anonymous, has your physician addressed with you any of the above mentioned physical causes?

For many men, erectile dysfunction is caused or worsened by lifestyle choices. Here are some steps that might help:

If you smoke, quit. If you have trouble quitting, get help. Try nicotine replacement, such as over-the-counter gum or lozenges, or ask your doctor about a prescription medication that can help you quit.

Lose excess pounds. Being overweight can cause — or worsen — erectile dysfunction.
Include physical activity in your daily routine. Exercise can help with underlying conditions that play a part in erectile dysfunction in a number of ways, including reducing stress, helping you lose weight and increasing blood flow.

Get treatment for alcohol or drug problems. Drinking too much or taking certain illegal drugs can worsen erectile dysfunction directly or by causing long-term health problems.

Work through relationship issues. Consider couples or marriage counseling if you're having trouble improving communication with your partner or working through problems on your own.
( Mayo Clinic)

I hope these suggestions offer some help.

February 1, 2016 - 9:28am
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Erectile Dysfunction

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