Sexual Health/Erectile dysfunction

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Men may not like to talk about it, but erectile dysfunction is prevalent. Millions of men experience erectile dysfunction, and it is one of the most frequently reported sexual health issues we deal with here at Everwell. Why else do you think there are so many Viagra commercials?

What is Erectile Dysfunction?

Erectile dysfunction (ED) is defined as difficulty obtaining and maintaining an erection sufficient to have sex. Men with erectile dysfunction may also have delayed or premature ejaculation. In some cases, erectile dysfunction signals a health condition in the body or is a side effect of a specific condition, including having low testosterone levels, high blood pressure, or heart disease.

What is the Physiologic Process of and Erection?

An erection arises from increased blood flow through your penis. Blood flow is typically triggered by erotic thoughts or direct penis contact. The muscles of the penis relax when a man is sexually aroused. Sexual arousals increase blood flow into the penile blood vessels and fill the penis’s two chambers. The penis becomes erect as the blood flow pours into the chambers. Consequently, penile muscle contraction stops an erection stops, and the excess blood will travel into the penile blood vessels. Problems at any point of the erectile function process can cause erection problems.

What are the Causes of Erectile Dysfunction?

There are many numerous causes of ED, including both emotional and physical conditions. Common causes are atherosclerosis, cardiovascular disease, diabetes, high blood pressure, high cholesterol, obesity, low testosterone levels, kidney disease, increased age, a side-effect of certain medications, such as those used to treat high blood pressure or antidepressants, Peyronie’s disease (causes scar tissue in the penis), prostate cancer treatment (radiation therapy), any trauma to the spinal cord, Parkinson’s disease, multiple sclerosis (MS), and series of mental conditions like stress, anxiety, and depression.

What are Risk Factors Associated with Erectile Dysfunction?

Erections may take more time to develop as you age, and they even may not be as firm. Therefore, consistent direct penile touching might be needed to keep your erection going. However, patients with sexual dysfunction accompanying the above-mentioned health conditions, especially tobacco use, heart disease, obesity, antidepressant consumption, drug or alcohol abuse, and mental conditions, are recommended to seek professional urology consult.

How Does Sexual Dysfunction Affect Your Life?

Erectile dysfunction may lead to unsatisfactory sexual performance, stress or anxiety, feeling ashamed or guilty, relationship issues, and the inability to impregnate your partner. These complications can seriously harm men’s health, especially their mental health and self-esteem.

What are Erectile Dysfunction Treatment Options?

Finding the best erectile dysfunction treatment for you relies on the underlying etiology. A combination of different therapy methods may be used to achieve better outcomes.


Your physician might prescribe medications to help you control erectile dysfunction symptoms. These drugs work by increasing the blood flow of the penis. You might have to try a few of them before you find one that is right for you. Some of the oral medications include avanafil (Stendra), sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra, Staxyn). Testosterone replacement therapy may also be relevant in those with low sex hormone levels.


In cases of psychological erectile dysfunction, therapy sessions are recommended. Your therapist will investigate significant stress or anxiety causes, thoughts on sexual intercourse, mental health, and any problems you might have with your partner affecting your sexual desire.

Diet and Exercises

You might want to consider eating whole grains, fruits, and veggies, limiting your red meat, refined sugars, high-fat dairy, and alcohol intake. These lifestyle changes prevent vascular disease and are known to reduce erectile dysfunction development. Kegel exercises, aerobic activities, and Yoga helps you establish significant lifestyle changes and lead to sexual performance enhancement.


Surgical treatment options may be considered by your doctor when oral medications are not working. Surgical treatments for erectile dysfunction include: 1)A penile implant, AKA penis prosthesis, can be placed in the penis to make your penis either larger or manually adjust its position. 2)Vascular surgery restores the occluded blood vessel and enables adequate blood flow to the penis.

How Can Everwell Help?

Everwell’s medical experts have a variety of erectile dysfunction solutions, including the use of FDA-approved medications.

Our treatment options for erectile dysfunction include:

Suppose you are concerned about erectile dysfunction. In that case, you can talk to our experts here at Everwell’s urology clinic. They will listen to you and address concerns about your sex life in a completely private area.