Why Erectile Dysfunction age 40, Erectile dysfunction (“ED”) is the inability to develop and maintain an erection and is commonly called “impotence.” The clinical guidelines for erectile dysfunction being a serious disorder, is when it lasts longer than 3 months. Researchers report that erectile dysfunction increases in men the older they become. At age 40, about 40% of men develop ED and the rate increases to about 70% as they near the age of 70. Erectile dysfunction affects 30 million men in the United States. ED can occur at any age, but the older a man gets, the greater the chance that he will have a health problem that results in ED. The National Institutes of Health reports, that approximately 5% of 40-year-old men and between 15 and 25% of 65-year-old men experience ED on a long-term basis.
New statistics are now reporting problems with men under 40 who are experience ED. Men aged 40 and over are associated with other common cause erections, like low testosterone levels, body mass index, hypertension, surgery and illnesses. However, the reasons why men younger than 40 are experiencing ED problems are sets of different issues than their father and grandfathers. Even though psychological factors like anxiety or depression do play a role in men under 40′s sexual problems, other factors like early porn, drugs, excessive smoking, bad dietary habits, and illnesses all form a basis for erectile dysfunction to affect 1 out of 4 men under 40′s. Erectile dysfunction in men under 40, use to be a rare occurrence, especially when there were no preexisting health issues. Young men are now suffering from ED at rates higher than what was previously indicated as normal. Young men who are seeking treatment for this and other sexual problems seems to be increasing in numbers. The use of male enhancement medications, like those advertised on TV, has increased by 312% among men aged 18-45, since the year of 2008.
Underlying Causes of ED In Young Men
Another factor that is causing great concern for men under age 40 who are experiencing ED, is enlisted military men. Young men under 40 in this category are not just suffering from ED, but they are being reported as experiencing severe erectile dysfunction. Unfortunately, the overall rate of ED in military men is three times higher than the rate of ED in civilian males of same or similar age. The clinical study rate of ED in the 36 to 40 year age group is 10% more than civilian men. Whenever a medical condition is ruled out in libido meter of men by age, who are being treated for ED, the only other conditions associated with ED are bad lifestyle habits. Toxic habits do affect hormone balance levels and blood vessel flow which contributes to the penile area and causes ED. Other factors that bring about ED for young men under 40 are stress, neurological problems like depression, certain medications, metabolic conditions that blog blood vessels, and illnesses like diabetes.
For young men under 40, there are a number of physical or psychological reasons for erectile dysfunction, a majority of causes which are temporary. Treatment for erectile dysfunction has improved a great deal over the last 10 years. If a young man’s ED problem is related to health conditions, he can receive treatment so that his ED problem could go away. If medication is causing ED problems, then your doctor can start you on alternative medication. Simple, but permanent lifestyle changes also attribute to a young man beginning to function normally. Cost Effective Penile Implant in India and Other treatments are available in the form of vacuum pumps; PDE-5 inhibitors; an injection or a small pellet of Alprostadil; hormone therapy; surgery due to injuries; Shockwave Therapy or Ed1000; sensate focus which is a type of sex therapy; psychosexual counselling which is a form of relationship therapy; pelvic floor exercises, and other types of complementary therapies, like acupuncture.
Erectile dysfunction in young men under 40, can have many causes, both psychological and physiological. Plus, it is a devastating topic, but you are not alone, there are millions of other young men who are also dealing with this issue. What’s so important, is that young men can be treated as identified above. Talking to urologists and other healthcare professionals is a solution that can lead to treatment options that are readily available. There are no more myths, which are surrounding the sexual health of men of all ages and there are no preconceived guesses about men and erectile dysfunction. Young men are asked to see their medical professional so that the correct cause can be identified and treatment.
Most men take pride in their ability to have solid erections and keep them lasting, but once a man discovers he has erectile dysfunction, sometimes that makes it so he doesn’t want to talk to anyone about it: their family, their significant other, or even their doctor. 15 to 30 million men in America alone have been diagnosed with erectile dysfunction, and 75% of them choose not to seek treatment.
Why Men Should Seek Treatment
In Dallas, Texas, an economic erectile dysfunction treatment has been discovered. It is convenient for all lifestyles, all ages, all weights, for any man who is suffering from erectile dysfunction. Despite this advancement in erectile dysfunction treatment, most men who suffer from erectile dysfunction still don’t seek medical help. Instead of medical help, most men seek temporary solutions, such as lotions, pills, and various types of over-the-counter medication. These solutions are a temporary, quick fix, but they do not battle the underlying cause. The only rational step a man can take to cure his erectile dysfunction, is to drop his pride for a short period of time and seek medical help from a urologist, that is, if he wants to conquer his erectile dysfunction permanently.
When Should Men Seek Treatment
Right when erectile dysfunction begins to take a toll on one’s sexual performance and affects one’s psychological factors, or affects one’s partner’s physical and emotional satisfaction, is when one should seek medical assistance.
What Treatments Are Available?
If the case of erectile dysfunction isn’t severe, most doctors will suggest that patients do one or more of these 7 things:
Stop smoking recreational drugs
Learn how to manage stress
Sleep for at least 7 hours at night
Limit alcohol usage
Get medication for anxiety or depression
Reduce or quit smoking
But when cases of erectile dysfunction are severe, doctors normally provide more extensive treatment. For mental health cases, when one’s mental health stops them from having an erection, usually doctors suggest that they seek help from psychological services and usually refer them to a psychologist.
For physical issues, a wide variety of treatments are available for use, including medications such as Viagra. Sometimes, men can even receive hormone therapy to help balance their testosterone levels and therefore fix their erectile dysfunction, or penile prosthesis to help them get erections.
Viagra Steps Up
Most timid men are afraid to consult their doctors about erectile dysfunction, and most of these men would want Viagra to be prescribed to them. Now, Viagra has agreed to begin to sell their pills online (for quite a sum of money, though) so the pills can reach men who are too afraid to speak to their doctors. Most online drugs that a man sees popping up in advertisements on the side of their page are counterfeit pills 77% of the time.
Viagra, although their pills are authentic and are proven to work, will be offering their pills for up to $25.00 per pill through online sales. This could either frustrate men, or cause them to try and seek treatment for their erectile dysfunction to avoid the high price. When getting the prescription pill, 65% of men with medical insurance were 100% covered on all costs when receiving their prescription for Viagra. It’s either embarrassment or more money spent for men who shy away from erectile dysfunction treatment.
Why Do Some Men Go To The Doctor, but Still Not Receive Treatment?
A year-round study conducted from June 2010 through July 2011 conducted by Dr. Brian Helfand, an assistant clinical professor of urology the University of Chicago and Northshore University Health System, proved that only 25% of men suffering from erectile dysfunction are actually treated. Helfand examined nearly 6.2 million medical records of men who had erectile dysfunction, and discovered that:
Only 18% of men ages 65 or older had received treatment.
Some men may not be bothered by the idea of going to the doctor and getting treatment for their erectile dysfunction, but instead, some doctors may be under treating their patients and not offering them any sort of medication. Patients could also be receiving prescriptions, but not going to the pharmacy to fill them, due to embarrassment. The cost of the pills if a man isn’t insured or doesn’t have insurance that covers the cost, could also prevent men from receiving medication for their erectile dysfunction.
Sexual Health of Teens – Today’s teens aren’t alien to an active sex life. But it’s important for them to be equipped with the right information.
Does the social stigma attached to sex, keep you from discussing the problems related to it, openly? Are you a teenager with an active sex life but don’t visit a gynaecologist for regular check ups? If your answer is a yes to either of these questions, read on. “Teenager” and “sex” mentioned together raise eyebrows. “But the fact is that many teenagers have an active sex life today and it’s imperative to discuss with them sex-related problems, especially sexually transmitted diseases (STD). Most of them have doubts and misconceptions regarding sexual health,” informs sexologist Doneparthi. We bridge the gap by getting experts to discuss common sex-related problems.
Masturbation and Intercourse
Myths related to sex shroud the practice of masturbation. Despite health journals informing that masturbation is normal, many teenagers are wary of it, especially girls who think it’s meant only for men. Sexologist Venkat Ramana states, “Masturbation is a normal practice that makes one comfortable with one’s sexuality and makes one better prepared to face a partner in future. Physically, it’s very safe, but can be unhealthy, psychologically, often leading to addiction. I have witnessed cases among teenagers where masturbation has led to a complete lack of concentration. However, that should not stop anyone from seeking pleasure through controlled masturbating” Masturbation alleviates stress and releases endorphin (the pleasure hormones), making you more relaxed.
STDs and HIV
“The most common sexually transmitted diseases (STD) are Herpes, Syphilis, Gonorrhea and Non-gonococcal urethritis (NGU) familiar as Chlamydia. All of them are passed on from one person to another by unprotected intercourse or oral sex,” reveals Dr Ramana. There is no treatment for Herpes. “People suffering from herpes are treated only to ease the symptoms. Later, they take medicines to build up their immunity against future breakouts. As for the other STDs, they are easily curable with administration of widely available drugs,” she points out. “Today, most teenagers are aware of HIV, but they give in to that weak moment and indulge in unsafe sex. Those with multiple partners should make it a point to always use a condom. It might sound embarrassing, but small moves like this can be a life-saver,” says Dr Ramana.
“If a condom is properly used, it can offer up to 98 per cent protection against STDs, HIV and unwanted pregnancies. But teens often come up with problems where negligent use of a condom has led to their partner taking pills. Such emergency contraceptives are not advisable, as they have numerous side-effects like nausea, irregular vaginal bleeding and aren’t a fool-proof safeguard against pregnancy. Like in the west, young women in the city should consult a trusted physician before making a choice of contraceptives,” advises Dr. Ramana.
Pregnancy and Abortion
Dr. Doneparthi says, “The methods of contraception used should be reliable enough to avoid unwanted pregnancy, that can prove traumatic. Apart from a physician, one must visit a gynaecologist after taking contraceptives, before the next menstrual cycle” He continues, “Unwanted pregnancies are not rare nowadays, even among educated teenagers. Abortions quietly take place in private nursing homes and the matter is hushed up until after marriage, when women face problems conceiving due to neglect of post-abortion healing.”
“A routine check-up is a must for all those young adults who have had sex at least once in their life. The procedure is simple. First you need to honestly divulge the history of your sex life. Based on which we make a case study and assess risk factors, if any. Accordingly, we prescribe tests, even for HIV. In case the tests show any trace of STDs, the patient is given a mandatory counselling. Thereafter, he or she may consult the doctor when required,” concludes Dr. Ramana.
As per a number of research studies, the ailment called erectile dysfunction has a negative impact on both a man and woman alike. It can be a vital source of distress for both the sexes. Also, a number of erectile dysfunction medications work the best with tacks sexual arousal. However, relationship problems can hamper the drug effectiveness. Involving both your partners in your issue of erectile dysfunction treatment can help you in restoring the sexual active thing back in your life.
For example, your partner might:
Help you Discuss your doctor. Your partner can forget anything, which you can remember while discussing to your doctor on issues like erectile dysfunction and the various aspects surrounding the same.
Better offer your doctor the right perspective on your relationship. Your partner will make the doctor understand about the issues you have in your relationship as a couple, such as mutual communication problems or some other sexual problems.
Benefit you gain from your doctor. Discussing your problems with your doctor about the physiology and psychology of your sexual functions & intimacy can really help you and your partner very well understand why the ailment of erectile dysfunction happens. Your partner can even benefit you the best from learning about your various treatment options, and the role he or she has to play along with checking the treatment expectations.
Help you the best with your therapy. Your partner can give certain feedback and input about your treatment options and thus can help you to adhere to given therapy.
If you are keen to involve your partner in this Erectile Dysfunction Treatment in India make sure you talk to your doctor. He or she might can even recommend you that you and your partner better see a good sexual and relationship therapist.
Penile implants can restore erectile function. Explore your choices and find out what to expect from this procedure. Penile implants are artificial devices implanted inside the penis that allow men with erectile dysfunction (ED) to achieve an erection. They’re also sometimes used to treat Peyronie’s disease, a disorder that causes bent or painful erections. There are two basic designs:
Inflatable. Also called hydraulic, inflatable implants can be pumped up to create an erection and then deflated. Semirigid. These implants are always somewhat firm.
First introduced in the 1970s, penile implants were the most reliable treatment for erectile dysfunction until the 1980s when medications injected into the penis became available. In the 1990s, oral agents such as sildenafil (Viagra) were introduced. These medications have since become the most popular erectile dysfunction treatment, but they don’t work for all men with erectile problems. About two-thirds of men with ED will respond to oral medications — but some men can’t take them, or the medications don’t produce satisfactory results. For these men, penile implants are an additional option.
Penile implants require complex and permanent surgery, and there is a risk of infection and a risk that the device will malfunction. But, since these devices were first introduced, new materials, designs and surgical procedures have greatly improved outcomes for penile implants. Most men who have the procedure and their partners say they’re satisfied with the results.
Penile implant surgery can be costly but may be covered by Medicare and other types of insurance.
Who is it for? Erectile dysfunction can be caused by a number of health problems and injuries, and can be a complication of certain surgeries. Depending on the cause of erection problems, implants may be the best treatment choice. Penile implants are a good option for men with erectile dysfunction who can’t take medications or for whom medications don’t work. Some men make the personal choice to receive an implant rather than using alternative means to restore sexual function.
Implants are also used to treat some cases of Peyronie’s disease — a condition that causes internal scarring that can lead to a bending of the erect penis, painful erections and other problems with sexual function.
Most men with erectile dysfunction opt for a penile implant only after other less invasive methods prove ineffective — these include oral medications, medications injected into the penis with a needle or via the urethra (the tube that carries urine and semen through the penis), and use of a vacuum pump device.
A penile implant procedure may have a higher risk of failure if you have immune system problems, a chronic health condition such as diabetes or are at high risk of infections.
How do you prepare? Penile implant surgery is usually done at a surgery center or hospital by a urologist.
Most candidates for penile implant surgery are evaluated by their surgeon to determine the cause of their erectile dysfunction and to assess their risk of a surgical procedure. Once you and your doctor have determined that a penile implant may be a good choice for you, your doctor will help you understand the procedure, the risks and potential complications, and the type of implant that suits you best. Include your partner in the consultation with your doctor, if appropriate. Follow your doctor’s instructions about taking medications before and after your surgery. Often, during the two weeks before and after penile implant surgery, your doctor will tell you not to take medications that can alter the function of the platelets in your blood and can increase the risk of bleeding. Your surgeon should review your medications and suggest alternatives if you’re taking medications that might make the surgery riskier. Your surgeon might suggest that you bathe with antibiotic soap for three nights before your surgery to reduce the risk of infection. Do not shave the surgery site yourself. You may be dismissed the day of surgery or may stay overnight, depending on the circumstances. Arrange for someone to drive you home from the surgery center or hospital. How is it done?
Normally, spongy tissue inside the penis fills with blood to create an erection. To insert the penile implant, your doctor will stretch these tissue-filled chambers inside your penis (corpora cavernosa). After measurements are made and appropriately sized prostheses are selected, the cylinders (either inflatable or semirigid) are then inserted into the two chambers. With an inflatable implant, your doctor will also place a pump inside your scrotum, and possibly a fluid-filled reservoir in your lower abdomen, depending on the type of implant you receive.
There are two basic types of penile implants:
Inflatable implants There are two- and three-piece inflatable implants.
Three-piece implants use a fluid-filled reservoir implanted under the abdominal wall, a pump-and-release valve placed inside the scrotum, and two inflatable cylinders inside the penis. Before you have sex, you pump the fluid from the reservoir into the cylinders to cause an erection. After sex, you release the valve inside the scrotum to drain the fluid back into the reservoir. The two-piece model currently available in the United States works in a similar way to a three-piece design, but the fluid reservoir is part of the pump mechanism implanted in the scrotum. Semirigid rods This type of implant is always firm. The penis may be bent away from the body to have sex and toward the body to conceal the device.
In the United States, inflatable devices are the most common type of penile implant.
Three-piece inflatable devices are used in about 70 percent of penile implants. Two-piece inflatable devices are used about 20 percent of the time. Semirigid devices are the least used, accounting for about 10 percent of implants. Although less commonly used, semirigid devices are less complicated, easier to place and have less risk of mechanical failure. Inflatable devices are more costly than semirigid types are, but they’re more natural because they can be inflated to create an erection — and deflated at other times. Inflatable implants also reduce the possibility of damage to the inside of the penis due to constant pressure — which can be a problem for some men with semirigid implants.
Although semirigid implants are mechanically simpler — and early inflatable designs often had problems — improved design, materials and construction have made modern inflatable designs much more reliable.
The decision about which type of implant you should have is based on both your preference and your medical situation. Your doctor may advise one type of design over another based on factors including your age, risk of infection, and health conditions, injuries or medical treatments you have had in the past.
Type of implant Advantages Drawbacks Three-piece inflatable Creates a more natural erection than does a semirigid implant Creates a firmer erection than does a two-piece implant Can take pressure off the inside of the penis by deflating the implant when not in use, reducing the chance for injury Most costly of all implant types Has more parts that could malfunction than does any other design Requires the most extensive surgery of any implant design
Two-piece inflatable Creates a more natural erection than does a semirigid implant Mechanically simpler than a three-piece inflatable implant Less costly than a three-piece inflatable implant No need to implant a separate reservoir in the abdominal wall, as with a three-piece design Can take pressure off the inside of the penis by deflating the implant when not in use, reducing the chance for injury Requires more extensive surgery than does a semirigid implant Mechanically more complicated than a semirigid implant Results in a bulkier scrotum than with a three-piece device
Semirigid Requires the least extensive surgery of all penile implant types Less parts than any other design, so less of a chance of malfunction Least costly of all implant types Penis always semirigid — not entirely hard or entirely flaccid Less easy to conceal under clothing than other devices Constant pressure on the inside of the penis, causing injury in some men
What can you expect during the procedure? Immediately before surgery
Penile implant surgery is usually done under either spinal or general anesthesia administered by an anesthesiologist. Within a couple of hours before the surgery, you may be given antibiotics to reduce your risk of infection. A tube called a catheter may be placed into the bladder through your urethra to drain urine. In most cases, the urinary catheter is removed the in the first 24 hours after surgery. During surgery
Your surgeon will make an incision below the head of the penis, at the base of the penis, or in the lower abdomen. Next, your surgeon stretches the spongy tissues in the penis that would normally fill with blood during an erection. This tissue is inside the two hollow chambers called the corpora cavernosa. After flushing the area with antibiotic fluid to prevent infection, your surgeon will choose the correct size implant and seat the cylinders inside the penis. If your doctor is implanting a two-piece inflatable device, the pump and valve mechanism are placed inside the scrotum. For a three-piece device, your surgeon will also implant a fluid reservoir under the abdominal wall through an internal incision. Once the device is in place, your surgeon will sew the incisions closed. Recovery
Most men go home within 24 hours of surgery. You will need to take antibiotics as directed by your surgeon to prevent infection. Following surgery, wear loosefitting underwear and clothing. Men with an inflatable device will need to make sure the scrotal pump stays in place during healing. Most men can resume strenuous physical activity about a month after surgery. You can resume sexual activity four to six weeks after surgery depending on the type of implant you have and the instructions of your surgeon. Results New designs and surgical procedures have improved the function and safety of penile implants. Although implants are the most invasive and least often chosen treatment for erectile dysfunction, they have a very high satisfaction rate. About three-fourths of the men who have the procedure, and their partners, say they’re satisfied with the results. Many use the devices to have sex several times a week. Men with Peyronie’s disease who have the procedure report slightly lower satisfaction rates.
While most men are satisfied with their penile implant, there are some things men should know before choosing to have the procedure:
Implants cause an erection, but they don’t increase sexual desire or sensation. A penile implant will be shorter than the erection you had naturally. Some partners feel that sexual pleasure is diminished by their lack of involvement in creating an erection. This surgery is permanent. If your implant is removed, you will not be able to get an erection. Infection is a possibility, especially if you have diabetes or certain other health problems. An infected prosthesis has to be removed and replaced. You may have reduced sensation in the head of your penis. In some men, this improves when they also take phosphodiesterase type 5 inhibitors, such as sildenafil (Viagra), tadalafil (Cialis) and vardenafil (Levitra). Risks Infection Penile implants sometimes become infected. Surgery to replace the prosthesis is almost always necessary to treat an infection.
For men who are not already at higher risk of infection because of an underlying health condition, infection rates are low — about 1 percent to 3 percent. Men with diabetes are at higher risk, with an infection rate of about 8 percent. Men with a spinal cord injury have about 9 percent risk of infection. Men having revision surgery — surgery to adjust or replace an implant — have about a 10 percent risk of infection. Men with diabetes who have revision surgery are at higher risk. If an infection occurs, it’s usually not until weeks or more after surgery. In some cases, an infection occurs years later. Symptoms can include long-term pain, a component of the prosthesis sticking to the skin, or rarely, a component that breaks through the skin of the penis. With inflatable models, the entire prosthesis can also become infected.
More serious infections — which in most cases start within weeks of surgery — can cause swelling of the scrotum, drainage of pus and fever.
Malfunction Although new penile implant designs are very reliable and may last a lifetime, they can malfunction. For example, in some semirigid devices, internal parts can break down over time, leading to a prosthesis malfunction. In inflatable devices, fluid can leak or the valve or pump device can fail. Surgery is necessary to repair or replace a broken implant.
Looking ahead New implants coated with antibiotics have reduced the incidence of infection, but more studies are needed to determine how effective they are. Manufacturers recently released a three-piece inflatable implant with a lock-out device to prevent the device from accidentally inflating on its own. More research is needed to see how well this device works, but initial results are promising. Because some men who have their prostate removed to treat prostate cancer have erection problems, experts are studying whether implanting a penile prosthesis at the same time the prostate is removed is appropriate. The best solution to erectile dysfunction would be to repair the damaged tissue that caused the problem in the first place. Research is currently ongoing to devise injections of materials that would repair damaged penile tissue to allow natural erections to occur.