Erectile Dysfunction can be described as erection that is not sufficient to achieve or maintain the desired performance for a satisfactory sexual experience. Men suffering from low testosterone will often complain of weak erections, or the lack of morning erections, or the inability to maintain an erection.
Sometimes ED can be due to psychosomatic issues and this can lead to vasoconstriction ED which can have many causes, testosterone deficiency can be one of them but not the only reason for it and testosterone on its own does not always improve erectile dysfunction.
Medications called PDE5 inhibitors like (tadalafil(cialis®), or sildenafil(viagra®) can help relax the smooth muscle in the penis by vasodilating those blood vessels causing you to achieve an erection.
Having erectile dysfunction is actually very common around there are estimated to be around 15-30 million men who suffer from it. As you age erectile dysfunction becomes more common and on average 15-25% of men over the age of 65 experience problems maintaining an erection.
Symptoms of Erectile Dysfunction
Unable to get an erection with stimulation
Weak or soft erections
Short lasting erections lead to unsatisfactory sexual experience
Change in Angle of erection
Penis has decreased sensitivity (feels like you are wearing 5 condoms)
Erections are less girthy
Causes of Erectile Dysfunction
There are many men suffering from ED in the world, and the reasons behind ED are wide and varied. Below we have listed the more common causes for suffering from ED.
Cardiovascular disease affecting the flow of blood to the penis
Nerve damage affecting the penis
Smoking, alcohol abuse, lack of exercise
Diabetes
High Blood Pressure
Certain medications including SSRIs, and beta-blockers
Stress
Depression
Performance Anxiety- Psychosomatic
Low Testosterone
Hormone imbalance
Damage to the penis
Peyronie’s disease (plaques causing a curvature of the penis)
Nerve
Sleep disorders or sleep apnea
Damage to pelvic area
Obesity
High cholesterol
Kidney disease
Anxiety
Loss of Penile Sensitivity and erections due to excessive aromatisation inhibition
Stress
Erectile Dysfunction Treatments
Testosterone
PDE5 Inhibitors
Prostaglandin Analogues injected into the penis before sexual activity (alprostadil, caverject)
Prostaglandin Analogues inserted into the urethra with insertion device (aloprostadil Muse device)
Stem Cells- (unapproved use as not approved by regulatory agencies but data to demonstrate effectiveness in small studies)
Bremelanotide, sold under the brand name Vyleesie for women(unapproved use and difficult to titrate) also can improve sexual desire (libido).
Shockwave therapy at clinic
The Rocket- home shockwave therapy device (pending approval, CE)
PDE5 inhibitors and low testosterone
If you have low testosterone and you have tried viagra and cialis, chances are it may not have worked for you. PED5 inhibitors work best with an adequate amount of free testosterone.
PDE5 Inhibitors with Testosterone
Some men who have tried PDE5s like cialis or viagra who are unable to maintain a desired erection with testosterone alone will often dismiss adding a PDE5 to treatment because of treatment failures in the past when they have had low testosterone. As mentioned earlier PDE5s work best when there is an optimal amount of testosterone present. So you may want to reconsider and ask your doctor if adding a PDE5 is right for you.
The Phoenix – World’s First Home Use Acoustic Wave Device
ED can be caused by several factors as described above, if you would like us to check your testosterone levels please use the form below to get in touch with us.
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Balance My Hormones helps customers restore their hormones to optimal levels through bespoke TRT and HRT treatment plans. We use modern American treatment methods and have over 25 years of experience in hormonal health which is backed up by our very own GPhC pharmacy.
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