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Erectile Dysfunction

Erectile dysfunction, or male impotence, is defined as the persistent inability to maintain or to achieve an erection of sufficient rigidity to have satisfying sex. It is one of the most commonly untreated medical disorders in the world. Approximately 30 million men in the U.S. have problems achieving or maintaining an erection, and the frequency of ED increases with age. It is a Medical issue and in spite of Jokes it is not fun to experience.

Only one in twenty of these men seek treatment. Men are often embarrassed about being impotent, and prefer to avoid sex rather than seek help. This is unfortunate, because consistent loss of erection is not normal at any age. In addition, loss of erection can be a symptom of a serious medical illness, such as coronary disease or advanced vascular disease. Finally, there are many treatment modalities for men for this difficult condition.

There are many causes for this condition besides a serious medical condition. It can be caused by prescriptions, lifestyle and diet, and obesity can contribute to it.

Don't suffer with ED. There are simple answers.

Having erection trouble from time to time isn't necessarily a cause for concern. If erectile dysfunction is an ongoing issue, however, it can be a sign of a serious illness and cause stress, affect your self-confidence and contribute to relationship problems.

If you're concerned about ED, talk to our Clinician. We review some of the obvious contributors and can discuss the options. Sometimes, it may be related to overall hormone imbalance. Even if the answer is a prescription, there is no reason to end up paying $9.00 a pill when our compounding pharmacies produce simpler and better scripted solutions for $1.50 a pill.

Causes of Erectile Dysfunction

Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Likewise, stress and mental health concerns can cause or worsen erectile dysfunction.

Sometimes a combination of physical and psychological issues causes erectile dysfunction. For instance, a minor physical condition that slows your sexual response might cause anxiety about maintaining an erection. The resulting anxiety can lead to or worsen erectile dysfunction.

Physical causes of erectile dysfunction

In many cases, erectile dysfunction is caused by something physical. Common causes include:

  • Heart disease
  • Clogged blood vessels (atherosclerosis)
  • Prescriptions

Psychological causes of erectile dysfunction

The brain plays a key role in triggering the series of physical events that cause an erection, starting with feelings of sexual excitement. A number of things can interfere with sexual feelings and cause or worsen erectile dysfunction. These include:

  • Depression, anxiety or other mental health conditions
  • Stress
  • Relationship problems due to stress, poor communication or other concerns

Erectile Dysfunction Treatment: Testosterone replacement therapy

A diagnosis of low testosterone and erectile dysfunction by a medical professional is the essential first step in any treatment program. If you are diagnosed as having low testosterone with erectile dysfunction symptoms, testosterone replacement therapy may be recommended. There are several types of delivery systems to increase testosterone levels in men, along with treating erectile dysfunction. A consultation to discuss symptoms, lab results and treatment options by our MD is the best first step in overcoming symptoms and achieving optimal results.

What can causes testosterone loss?

As a man ages, the amount of testosterone in his body gradually declines. This natural decline starts after age 30 and continues throughout life. Other causes of lowered testosterone levels include:

  • Testicle loss, infection or injury
  • Chemotherapy
  • Genetic abnormalities
  • Excessive iron in the body
  • Pituitary gland dysfunction
  • Inflammatory diseases
  • Certain medications
  • Some illnesses that are chronic
  • Disease of the kidneys
  • Cirrhosis of the liver
  • Stress
  • Excessive alcohol use
  • Low testosterone in men may cause a decrease or loss of sex drive, difficulty in achieving and keeping an erection, symptoms of depression, a decreased sense of well-being and difficulty concentrating.

What changes occur in the body due to testosterone deficiency?

  • Decrease in muscle mass, with increased body fat
  • Decrease in haemoglobin
  • Osteoporosis or fragile bones
  • Decrease in body hair
  • Changes in cholesterol levels

How do I find out if I have a testosterone deficiency?

The only accurate way to detect the condition is to have your doctor measure the amount of testosterone in your blood. Because testosterone levels fluctuate throughout the day, several measurements will need to be taken to detect a deficiency. Doctors prefer, if possible, to test levels early in the morning since this is when testosterone levels are at their highest.

How is testosterone deficiency treated?

  • Intramuscular injections, generally weekly to two weeks
  • Pellets
  • Testosterone gel

Each of these options provides adequate levels of hormone replacement. However, they all have different advantages and disadvantages. Talk to our doctor to see which treatment approach may be right for you.

Successful treatment of Erectile Dysfunction from Low Testosterone requires a thorough assessment by a medical professional highly trained and experienced in the diagnosis and treatment of Low T in men. This is one of our specialties and Physicians Age Management Centers is the oldest clinic of its kind in the RDU area, this is what we do, every day. Call us today for a free consultation at 919-850-0880.

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I am playing with guys that are 10 years younger than me.  My recovery time from workouts I can go in 6 days a week instead of 4.

-John V's Story, age 42
There is no guarantee of specific results. Results can vary.

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It was like turning on a switch that just started moving everything backwards. I just started doing it for a year now. I’ve lost 26 pounds, 2 belt sizes, I’m back in the gym, working out

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