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All You Need to Know About Erectile Dysfunction

All You Need to Know About Erectile Dysfunction Hormone Replacement Therapy

Physical intimacy: the connection, closeness, and confession of love.

Physical intercourse plays a significant part in every couple’s life. However, sometimes you may face a few frustrating and challenging issues. Your heart is ready to be united with all the desire, but your body is not giving your side. One such frustrating issue is Erectile dysfunction.

Erectile dysfunction, aka ED, is the incapability of getting or sustaining a firm erection to perform physical intercourse. Not only it instigates feelings of guilt, anxiety, and inadequacy in a man’s heart, but it also brings strain and stress in the couple’s life.

However, you aren’t the only one with this condition. Around 30 million men in the U.S. are also with you in the boat. So ditch the guilt and read the rest for all you need to know about erectile dysfunction.

What Is Erectile Dysfunction?

Erectile dysfunction (ED) occurs when you can’t have or sustain an erection. Infrequent ED isn’t uncommon, as anyone can experience stressful times. However, persistent ED may indicate a sign of health problems or emotional or relationship difficulties. In this case, you need professional aid and treatment.

Erectile dysfunction can arise at any time during arousal. However, what causes an erection? An erection arises for increasing blood flow into your penis, filling the two chambers inside: corpora cavernosa. This high flowing blood expands your penis, making it firm and rigid.

Two processes can trigger blood flow into your penis: sexual thoughts or sensory stimulation(physical touch). An erection usually ends when your muscles contract and the inserted blood flows out through the penis veins. However, why does erectile dysfunction happen? Simply put, when your penis does not have sufficient blood flow, erectile dysfunction occurs.

Reasons for Erectile Dysfunction

An erection is a complex process where your brain, hormones, muscles, blood vessels, nerves, and emotions work significantly. Therefore, your physical and psychological state are both responsible for ED.

Physical Reasons

Physical reasons for your erection dysfunction include:

  • Heart disease
  • Clogged blood vessels
  • High cholesterol
  • High blood pressure
  • Diabetes
  • Obesity
  • Low testosterone
  • Metabolic syndrome
  • Parkinson’s disease
  • Increased age
  • Tobacco usage
  • Alcoholism
  • Peyronie’s disease (development of scar tissue inside the penis)
  • Treatments for prostate cancer or enlarged prostate
  • Surgeries or injuries that harm the pelvic area or spinal cord
  • Sleep disorders
  • Certain Medicational effect

Psychological Reasons

Your brain works amazingly by triggering the sequence of physical phenomena with sexual excitement that causes an erection. However, it can be hampered for several reasons.

  • Depression
  • Anxiety
  • Stress
  • Relationship problems

Symptoms of Erectile Dysfunction

Erectile dysfunction symptoms usually include:

  • Trouble getting an erection
  • Struggle to keep an erection during sexual intercourse
  • Reduced sexual interest
  • Early ejaculation
  • Anorgasmia or inability to achieve orgasm after sufficient stimulation

Consult your doctor if you notice any of these symptoms, especially for more than 3 months.

Treatment of Erectile Dysfunction

If you have erectile dysfunction, your doctor may suggest medication with a combination of psychological therapy and lifestyle changes. However, what is the latest treatment for erectile dysfunction? Below, in the article, let’s explore all you need to know about erectile dysfunction treatments.

Treatment of Erectile Dysfunction - Hormone Replacement Therapy


Before your doctor starts your medication, he will opt for a physical examination and medical history. If the doctor detects any underlying health issue, he may recommend some tests that include:

  • Physical Exam
  • Blood test
  • Urine Test
  • Ultrasound
  • Injection test
  • Psychological Exam


Depending on your physical exam, question-answer session, and tests (if any), your doctor may suggest various treatment options. In terms of treatment, your preference, as well as your partner’s preference, is necessary.

Oral medications are proven successful in treating erectile dysfunction in many as they help stimulate sufficient blood flow to your penis. The oral medicines are:

  • Avanafil (Stendra)
  • Sildenafil (Viagra)
  • Tadalafil (Cialis)
  • Vardenafil (Levitra, Staxyn)

Alprostadil self-injection is another effective treatment where the doctor uses a fine needle to inject alprostadil (Caverject, Edex) into the base or side of your penis. You can also use it as a penile suppository.

Each injection or suppository dose can create an erection that may last almost an hour. You may encounter mild bleeding from the injection, burning, prolonged erection, and formation of fibrous tissue at the injection site, which is quite rare. Doctors may also suggest testosterone therapy for erectile dysfunction if you have a low level of the hormone testosterone.

Your doctor may also suggest a multivitamin with oral medication. However, what is the best multivitamin for erectile dysfunction? Vitamin D, red ginseng, L-arginine, L-carnitine are few supplements you may consider. A word of caution: ED medications may cause many side effects: headache, dizziness, vision changes, flushes, etc. If you experience any, consult your doctor.

Penis Pumps

A vacuum erection device or a penis pump is a hollow tube that you place over your penis to create a vacuum that pulls blood into your penis. There is a pump in the device that you use to draw out the air inside the tube.

When you get an erection, slip a tension ring around the base of your penis. It holds the blood in your penis and keeps it high and hard. Then, you can remove the device. The tension ring, however, you can remove after the sexual intercourse. Typically, an erection with a vacuum pump lasts long enough for your sexual intercourse. You may face some side effects like bruising and disrupted ejaculation.

7 Natural Treatments for Erectile Dysfunction

Do you want to know how to cure erectile dysfunction naturally and permanently? Here are a few natural treatments that can help you improve your arousal and sexual performance.

Healthy Diet

A healthy diet is excellent in every way. Not only can it maintain your life healthy but also keep the chance of ED at bay. However, which natural foods can cure erectile dysfunction? A study shows that men who follow a Mediterranean diet or Alternative Healthy Eating diet have less possibility of developing ED. These people usually eat less red or processed meat and fill their plate with-

  • Fruits
  • Vegetables
  • Whole grains
  • Legumes
  • Nuts
  • Fish

Another research suggests that eating fresh fruits and vegetables decreases the risk of ED, especially in men of 18 to 40 years. A healthy diet is one of the best home remedies for erectile dysfunction.

Regular Exercise

Exercise can do wonders, decreasing the chance of ED. According to one Harvard study, if you walk only 30 minutes a day, it can drop 41% risk for ED. In addition, research suggests that aerobics exercise for 40 minutes a day helps marvelously in reducing ED. Moreover, physical activity can improve cardiovascular diseases, obesity, testosterone level, etc. However, what are effective erectile dysfunction exercises?

The helpful exercises like:

  • Kegel exercise
  • Running
  • Walking
  • Bicycling
  • Swimming
  • Yoga

Stress Reduction and Sound Sleeping

Sufficient sound sleep and stress reduction can improve your ED massively.

Stress, anxiety, and depression are the triggering toys of developing ED. One study suggests that chronic stress can decrease your testosterone level and cause poor sleep. It can result in erectile dysfunction.

Another study shows that people who work the night shifts are at higher risk of developing ED for poor sleep quality. Moreover, insufficient sleep can also lower your testosterone level. Therefore, sleep properly and reduce stress.

Weight loss

Size matters. A slim waistline is one significant barrier against erectile dysfunction. A man who has a 42-inch waist is at more risk of developing ED than one with a slim waist. Obesity increases the chances of vascular disease and diabetes. These are the two major causes of ED. It can affect your hormonal balance too. Therefore, keep your weight in check by regular physical exercise and a healthy diet.

Alcohol and Smoking Reduction

Smoking and drinking alcohol increases the risk of developing ED. Study shows that nicotine and erectile dysfunction are linked. Smoking damages blood vessels, so your penis doesn’t get enough blood flow for an erection. Smoking may also reduce nitric oxide availability in the body, which is needed to cause involuntary muscle relaxation and increased blood flow that plays a role in erections.


Several psychological factors like stress, anxiety, depression, low self-esteem may cause erectile dysfunction. Psychological therapy or talk therapy may help reduce ED. Cognitive-behavioral therapy and mindfulness-focused group therapy are also effective in reducing ED.

Sex therapy or Couple Counseling

Anxiety during sexual intercourse is one reason for ED. Attending counseling with your partner where you can discuss your condition may help you solve the issue.

In addition, if ED negatively affects your relationship, seek a relationship counselor. It will improve your bonding and sexual stress.

nicotine and erectile dysfunction

Final Word

Erectile dysfunction is undoubtedly a life-affecting issue. This article hopefully enlightens you with all you need to know about erectile dysfunction.

Though stressful, in a good hand, ED can be decreased quickly. Contact the experts at Hormone Replacement Therapy LA. Dr. David Nazarian and his team of experts are happy to help you regain your regular sex life and live life to the fullest.

Get an Appointment

or Call us : +1 424-283-4273

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