Who Has Erectile Dysfunction
Around 30 million U.S. men have ED. The prevalence of ED increases with age. It’s estimated that mild or moderate ED affects 10 percent more men each decade of life (60 percent of men in their sixties, for example). However, ED can also occur among younger men.
One study found that 1 in 4 men seeking their first treatment for ED were under 40 years old. A stronger correlation between smoking, drug use, and ED was observed in these men when compared with older men. This suggests that lifestyle choices are an important factor for ED in younger men.
Although the risk of ED increases with age, ED isn’t inevitable. In general, the healthier you are, the better your sexual function. Learn more about aging and ED.
What is Erectile Dysfunction
Erectile dysfunction is the inability to get an erection even when you are stimulated. For example, you may be getting a blowjob or a hand job (from your favorite person) but your penis will not get hard. You may even close your eyes and imagine your nastiest fantasy but get no response.
Erectile dysfunction is also defined by the inability to stay hard. This means you can get an erection but it goes down before you have a chance to perform or it does not last long enough to satisfy your partner.
Occasional ED isn’t uncommon. Many men experience it during times of stress. Frequent ED, however, can be a sign of health problems that need treatment. It can also be a sign of emotional or relationship difficulties that may need to be addressed by a professional.
Erectile dysfunction is not premature ejaculation, which means you can get an erection but your climax too fast to enjoy the experience or satisfy your partner.
Erectile Dysfunction Causes
ED can occur because of problems at any stage of the erection process. An erection is the result of increased blood flow into your penis. Blood flow is usually stimulated by either sexual thoughts or direct contact with your penis.
When a man is sexually excited, muscles in the penis relax. This allows for increased blood flow through the penile arteries, filling two chambers inside the penis. As the chambers fill with blood, the penis grows rigid.
An erection ends when the muscles contract and the accumulated blood can flow out through the penile veins.
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.
Physical causes of erectile dysfunction
In many 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
- Certain prescription medications
- Tobacco use
- Peyronie’s disease — development of scar tissue inside the penis
- 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
- Low testosterone
Psychological causes of erectile dysfunction
The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include:
- Depression, anxiety or other mental health conditions
- Relationship problems due to stress, poor communication or other concerns
Erectile Dysfunction Symptoms
Erectile dysfunction symptoms might include persistent:
- Trouble getting an erection
- Trouble keeping an erection
- Reduced sexual desire
Complications resulting from erectile dysfunction can include:
- An unsatisfactory sex life
- Stress or anxiety
- Embarrassment or low self-esteem
- Relationship problems
Erectile Dysfunction Treatment
Oral medications are a successful erectile dysfunction treatment for many men. They include:
- Sildenafil (Viagra)
- Tadalafil (Adcirca, Cialis)
- Vardenafil (Levitra, Staxyn)
- Avanafil (Stendra)
All four medications enhance the effects of nitric oxide — a natural chemical your body produces that relaxes muscles in the penis. This increases blood flow and allows you to get an erection in response to sexual stimulation.
Taking one of these tablets will not automatically produce an erection. Sexual stimulation is needed first to cause the release of nitric oxide from your penile nerves. These medications amplify that signal, allowing normal penile function in some people. Oral erectile dysfunction medications are not aphrodisiacs, will not cause excitement and are not needed in people who get normal erections.
The medications vary in dosage, how long they work and side effects. Possible side effects include flushing, nasal congestion, headache, visual changes, backache and stomach upset.
How to Cure Erectile Dysfunction At Home
Research has found that some natural options can improve ED symptoms. Here are a few options that we have found to be very effective:
Wonderful Honey: This amazing honey is a youth serum for your cock. It gives you bigger harder erections and makes your cock think it’s 18. Experience an instant source of energy and enhancement of male vitality. Our pure honey is fortiﬁed with a select mixture of rainforest herbs including Tongkat Ali and Ginseng. (Works in about 30 minutes and lasts all night)
Miracle Honey: relaxes the walls of your blood vessels and lets blood flow more easily into the parts of your penis that cause an erection. (Works in about 30 minutes and may last 48 hours)
Pro Quality Vacuum Penis Pump With Pistol Grip: Pro quality extra strong suction and pistol grip pump for precision control. Manual pressure gauge for accurate measurement with graduated cylinder to monitor progress. Designed for men who value results over gadgets. Comes with free penis rings.
Water Vacuum Penis Pump: Water based vacuum for the ultimate in suction. Power control to select gentle or aggressive suction. Bubbles massage penis while sucking blood into penis for an instant boost in size and girth. Feels similar to a blow job while enlarging your penis. Can add cold or warm water for amazing sensation
Erectile dysfunction foods
ED is often related to problems with blood flow. Maintaining your blood vessel health may be beneficial in both preventing and treating ED. This can be achieved through making certain lifestyle choices, such as eating a healthy diet.
Take these simple steps to help reduce your risk of developing ED:
Focus on eating whole grains, vegetables, and fruits.
Limit your consumption of red meats, full-fat dairy, and processed sugars.
Drink alcohol in moderation.
Several specific foods, from cocoa to watermelon, may help with ED. Find out what other foods you may want to add to your grocery cart.
Acupuncture is a type of traditional Chinese medicine in which needles are inserted into the skin at specific locations, or acupoints. Acupuncture is believed to work through nerve stimulation, which then has an effect on the release of neurotransmitters.
It’s unclear how acupuncture works to treat ED. Studies on its efficacy are limited, and the ones that do exist are often inconclusive. Some evidence from a 2019 review indicates that acupuncture may help to treat psychological ED.
When choosing an acupuncturist, look for a certified practitioner who uses disposable needles and follows Food and Drug Administration (FDA) guidelines for needle disposal and sterilization. Learn more about the use of acupuncture in treating ED.
During prostatic massage, a practitioner will massage the tissues in and around the groin to promote blood flow to your penis. You may need to undergo a massage several times a week. The length of massage treatment depends on your symptoms.
So far, there have only been limited studies on prostatic massage and its effectiveness. Get tips on finding a practitioner, and more, with the help of this short guide.
If medications aren’t effective or appropriate in your case, your doctor might recommend a different treatment. Other treatments include:
Penis pumps. A penis pump (vacuum erection device) is a hollow tube with a hand-powered or battery-powered pump. The tube is placed over your penis, and then the pump is used to suck out the air inside the tube. This creates a vacuum that pulls blood into your penis.
Once you get an erection, you slip a tension ring around the base of your penis to hold in the blood and keep it firm. You then remove the vacuum device.
The erection typically lasts long enough for a couple to have sex. You remove the tension ring after intercourse. Bruising of the penis is a possible side effect, and ejaculation will be restricted by the band. Your penis might feel cold to the touch.
If a penis pump is a good treatment choice for you, your doctor might recommend or prescribe a specific model. That way, you can be sure it suits your needs and that it’s made by a reputable manufacturer.
Erectile dysfunction exercises
Certain exercises can also help with ED.
Kegel exercises are simple movements you can do to strengthen your pelvic floor muscles. Here’s how:
- Identify your pelvic floor muscles. To do this, stop peeing midstream. The muscles you use to do this are your pelvic floor muscles.
- Now that you know where these muscles are, contract them for 3 seconds. Then release them.
Repeat this exercise 10 to 20 times in a row, three times a day.
- A small 2005 study compared two groups of men with ED. The first group of men performed regular pelvic floor muscle exercises with a physiotherapist. They also received biofeedback and advice on lifestyle changes. The second group only received advice on lifestyle changes.
Men in the first group saw their penile function improve significantly after 3 months of regular pelvic floor muscles exercises. Men in the second group saw little improvement after 3 months.
For the next 3 months, all participants were given at-home exercises to perform. After 6 months in total had elapsed, 40 percent of all participants (including some men who had belonged to the second group) had regained normal erectile function.
A 2019 literature review also concluded that pelvic floor exercises were effective at treating both ED and premature ejaculation. However, the ideal exercise plan (in terms of conditions such as frequency and intensity) wasn’t identified.
You may find that it’s easier initially to do Kegels while lying down. Eventually, you can start trying them when you’re sitting or standing.
Moderate to vigorous exercise is not only good for your overall health, but also can increase blood flow, possibly helping with ED. Examples include running and swimming.
A review of 10 studies examined the effect of aerobic exercise on ED. From their review, investigators concluded that 160 minutes of weekly exercise for 6 months could lead to a decrease in erectile problems.
Another study examined physical fitness and testosterone levels in 87 men with ED. Researchers found that testosterone levels were negatively correlated with levels of body fat and abdominal fat. This suggests that exercise may increase testosterone in addition to reducing body fat.
Before you start a new exercise plan, you should always discuss it with your doctor. This is particularly important for people with heart disease or another underlying condition that could be aggravated by vigorous activity. Learn more about exercise and ED.
Yoga can help to relax your mind and body. Since stress or anxiety can cause or contribute to ED, practicing yoga may be an effective way to ease ED symptoms.
In fact, a 2010 study of 65 men between 24 and 60 years old found that sexual function increased significantly after a 12-week program of yoga sessions. Discover five yoga poses that could help with ED
If your erectile dysfunction is caused by stress, anxiety or depression — or the condition is creating stress and relationship tension — your doctor might suggest that you, or you and your partner, visit a psychologist or counselor.
Lifestyle and home remedies
For many people, 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 counseling if you’re having trouble improving communication with your partner or working through problems on your own.
In many cases, you can improve your ED symptoms. Many medications and treatments are available. Certain devices, such as vacuum pumps, can also help you temporarily manage your symptoms so that you can continue to engage in sexual intercourse.
Your treatment plan will depend on a variety of factors, including the severity of your ED and whether it’s caused by a specific health condition. Your doctor will work closely with you to explain the benefits and risks associated with each type of treatment.
It’s important to remember that ED is a common condition. If you’re experiencing symptoms of ED, you should discuss them with your doctor as soon as possible. That way, they can rule out underlying causes and begin a treatment plan.