Erectile Dysfunction Treatment in Rochester NY

Sexual activities can be a very pleasurable experience for most people unless any of the people are experiencing a long-term lack of desire and/or pleasure during sexual activities.  These issues can create stressful situations for the people involved. People tend to become self-conscience and/or sad. This article will help people determine exactly what is ED, how men can get it and some of the effective solutions.

What is sexual dysfunction?

Sexual dysfunction is a problem that can happen during any phase of the sexual response cycle, preventing people from experiencing satisfaction from sexual activity. It is estimated that 43% of women and 31% of men report some degree of sexual dysfunction (Cleveland Clinic) It prevents people from experiencing satisfaction from sexual activity. There are several types of sexual dysfunctions: desire disorders, arousal disorders, orgasm disorders, and pain disorders. It has been estimated that the worldwide prevalence of ED will be 322 million cases by the year 2025 (NCBI) Men that arent able to maintain an erection, have early, or premature, ejaculation are considered to be experiencing sexual dysfunction. Medical professionals consider these disorders common though most of them present in patients after the age of 40 because of declining health associated with the aging process.

What is Erectile Dysfunction?

ED is a form of sexual dysfunction – it is the inability for a male to maintain an erection long enough for sexual intercourse. ED is very common. It affects about 30 million men in the United States.

Symptoms of ED?

Symptoms of ED are relatively common unless it happens for a long period of time and/or accompanies other symptoms of underlying physical and mental conditions.

What are the complications of erectile dysfunction?

There are many compounding complications of ED. Some people experience, an unfulfilled sex life a loss of intimacy between you and a partner, resulting in a strained relationship depression, anxiety and low self-esteem, and being unable to get a partner pregnant. It is important to seek medical attention if one of these complications become an issue long term.

How does an erection work?

The mechanism that causes a penis to become, and stay, erect includes several key components. The cause of an erection is arousal, which stimulates the release of nitric oxide from nerve terminals and blood vessels. That increases the amount of blood that flows into the erectile tissue. As the erectile tissue fills with blood, the veins that drain the blood out of the penis collapse. That prevents blood from leaving the erectile tissue and keeps the penis erect (University of Iowa Hospital and Clinics). It’s usually difficult for a man to get another erection right away. The length of the interval between erections varies, depending on a man’s age, his health, and whether he is sexually active on a regular basis. A young, sexually active man in good health may be able to get an erection after just a few minutes, whereas a man in his 50s or older may have to wait 24 hours. One reason may be that nerve function slows with age (Harvard Health)

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What causes a weak erection?

There are many contributing factors that can cause ED. For most males, it is an obstruction of the blood vessels.  Anyone who is experiencing ED for long periods of time, one should seek medical advice as ED can be a symptom of a bigger problem and life-threatening disease.

Diseases - These are some of the most common diseases that can cause ED

Lifestyle choices

ED can be caused for a variety of lifestyle choices. Anyone who participates in heavy drinking/drugs, heaving smoking, overeating (that leads to obesity), lives a sedentary life should consider living a healthier lifestyle by exercising more and giving up unhealthy habits.

Mental Issues

Once a medical professional has determined there is no physical condition causing ED, it will be helpful to look at the level of anxiety and stress a person has in their life, to determine if ED is being caused by psychological reasons.

Age

ED is increasingly prevalent with age: approximately 40% of men are affected at age 40 and nearly 70% of men are affected at age 70. The prevalence of complete ED increased from 5% at age 40 to 15% at age 70.2 Age was the variable most strongly associated with ED (Cleveland Clinic).

What are some treatment options?

There are a variety of options available for people experiencing ED. It is important to note that not all treatments will be perfect for everyone. Talk to a medical professional to see what is best for your lifestyle and potential underlying conditions.

Prescription Pills

There are several prescription medications that can treat ED. Specifically, Viagra, avanafil (Stendra), tadalafil (Cialis) and vardenafil (Levitra). The cost to patients for ED drug therapy varies considerably, depending on the pharmacy price, co-pays, and your level of health plan coverage (if any).

Pumps

A penis pump consists of a plastic tube that fits over the penis, a hand or battery-powered pump attached to the tube, and a band that fits around the base of the penis once it is erect (constriction ring). Although short term (and only when used) the majority of men can get an erection sufficient for sex if they use a pump correctly.

Surgery

Penile implants are devices placed inside the penis to allow men with erectile dysfunction (ED) to get an erection. Penile implants are typically recommended after other treatments for ED fail (Mayo Clinic)

Shockwave

Low-intensity shockwave therapy (LISWT) treatment is now being offered for men with erectile dysfunction (ED) caused by inadequate blood flow to the penis, called vasculogenic ED. Because most ED patients experience some blockage of their blood vessel, Shockwave therapy can be very effective for most people.

Shockwave Procedure

During the procedure, a medical professional will move a wand-like device around different areas of your penis, which emit gentle pulses that trigger increased blood flow. The entire treatment lasts approximately 15 minutes and each patient will need to have Shockwave Therapy, once a week for six weeks Most patients experience little to no pain and dont need to do anything before the procedure to prepare. Once the treatment is complete, the patient will able to safely drive themselves home. Medical professionals suggest that if your patients feel any pain, take over-the-counter (OTC) medications, such as acetaminophen or ibuprofen for pain relief. Most people can return to normal activity the following day after shockwave therapy, but your urologist will discuss whether you should restrict your activity for longer to recover.

Benefits of Shockwave Therapy in Rochester, NY

ED can be treated using Shockwave Therapy. Because this therapy is non-invasive patients experience little to no pain and dont experience side effects that usually are associated with prescription pills and surgery treatments. It is recommended that all Shockwave Therapy should be performed in a facility with a trained medical professional. This provides the highest amount of effectiveness and eliminates the risk that is normally associated with someone who uses an at-home device.

Is shockwave therapy effective?

Shockwave therapy significantly reduced the pain that accompanies tendinopathies and improves functionality and quality of life. It might be the first choice because of its effectiveness and safety.

Who is a good candidate for Shockwave Therapy in Rochester, NY?

Men with mild to moderate vasculogenic ED who have had some response to PDE5 inhibitors are ideal candidates for LISWT. Also, anyone who doesn’t respond well to other therapies like surgery and medications are perfect candidates for Shockwave Therapy.

Radial Wave Therapy vs. Shockwave Therapy

Radial Wave Therapy

There is no data to support claims that it can help with erectile dysfunction. It is not regulated by the FDA because it is a Class I medical device (the “energy” levels are lower than medical-grade devices). No medical license or professional training is required to administer this treatment, so it’s usually safe to use at home.

Shockwave Therapy

Data shows it can stimulate blood flow and potentially help grow new blood vessels. A licensed medical professional with professional training is required to administer this treatment. It is not yet approved by the Food and Drug Administration (FDA) for use in treating erectile dysfunction but it is being researched by medical professionals.

Research

In a recent meta-analysis of 10 randomized controlled trials involving a total of nearly 900 men with vasculogenic ED, researchers reported that, compared with sham treatment, LISWT (Shockwave Therapy) resulted in significant improvements in measures of erectile function and penile blood flow (Nature 2019)

Restorative therapies are a promising technology that represents a new frontier of treatment geared towards reversing disease pathology rather than just treating symptoms (Science Direct, 2021)

This study showed that penile electromagnetic shockwave therapy may improve erectile function, to a modest extent, on certain patients that do not respond to PDE5I; making it an alternative for vascular ED patients that reject more invasive therapies (Science Direct, 2021)

LI-ESWT applied to the corpora cavernosa showed a statistically significant improvement in the quality of erections in ED patients with or without oral or intracavernous treatment, without side effects (Hindawi, 2017)

Statistics

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