Prostate Restored
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Older research estimates that about 70 percent of men ages 70 and older report being “sometimes able” or “never able” to achieve an erection adequate for satisfactory intercourse, compared with just 30 percent of older men who report being “usually able” or “always or almost always able.”
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Read More »Erectile dysfunction (ED) is very common. Although it can affect men of all ages, it occurs more often in older adults and those with certain medical conditions, like diabetes. Older research estimates that about 70 percent of men ages 70 and older report being “sometimes able” or “never able” to achieve an erection adequate for satisfactory intercourse, compared with just 30 percent of older men who report being “usually able” or “always or almost always able.” Though it isn’t inevitable for everyone, ED is considered a normal part of aging as its risk factors include conditions common among older adults, such as: cardiovascular disease
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Read More »prostaglandin E1 (PGE1) or alprostadil (Caverject, Edex, MUSE) To use these, you inject the medication into the penis with a syringe before intercourse. While this approach often results in some minor, temporary pain, research shows that about 90 percent of men who used alprostadil were satisfied with the results. These medications are often used in combination with other treatments and require dosing adjustments. Your first injection should be done in your doctor’s office so they can make sure you do it correctly and safely. Who shouldn’t use these Older adults who feel they or their partner can’t carefully administer an injection should consider other options, whether due to lack of dexterity or other reasons. Taking blood thinner medications is another reason to avoid injectables. Inflatable prosthesis If oral or injected medications can’t be used or don’t provide desired results, another ED treatment is an inflatable prosthesis surgically implanted in the penis. In a 2012 study of men ages 71 to 86, researchers found that an inflatable penile prosthesis was well tolerated and largely effective in treating ED. Because it’s a surgical procedure, it carries the slight risks of infection or other complications. It’s important to go over all the risks and benefits of this treatment approach with your doctor. Together you can decide whether your overall health makes you a good candidate for the procedure. It’s also important to note that an implant is permanent. It would only be removed under certain circumstances, such as infection or malfunction. Once you have a penile implant, it permanently alters the penile anatomy. This means other treatments can’t be used after it’s placed. Lifestyle changes While not a specific treatment, making some changes in your day to day can make a noticeable difference in erectile function. Some helpful strategies include: quitting smoking
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Read More »ED medications don’t cause erections. Sexual stimulation is still required to become aroused. As you get older, you may require more stimulation to become aroused than you did when you were younger. An erection triggered by a penile injection may occur within 15 minutes, though sexual stimulation may still be required for the medication to work. Recovery from inflatable penile prosthesis surgery can take 4 to 6 weeks. This means no sexual activity or great physical exertion should take place during that time. Once you’re free to engage in intercourse, the prosthesis takes only minutes to be inflated. Lifestyle changes, such as strategies that boost cardiovascular health and weight management, have also been proven to be effective . Is it safe? ED medications can be taken safely with most other medications, though they shouldn’t be used if you take nitrates or alpha-blockers. The combination of PDE5 inhibitors and these medications could cause a dangerous drop in blood pressure. People with heart disease or kidney disease should discuss the use of PDE5 inhibitors with their doctor. They may prescribe a lower dose, which may or may not help you achieve the results you want. Injections pose different risks than oral medications as it may be possible to hit a blood vessel or nerve with the syringe. Also, scarring is possible. It’s best to make the injections in different places each time to reduce scarring. Implant surgery is generally safe, and the technology is constantly improving. It’s important to find a surgeon who has ample experience with this procedure. When to see a doctor You can often chalk up occasional episodes of ED to stress, fatigue, relationship conflicts, or other temporary conditions. They don’t necessarily indicate a problem that needs medical attention. But frequent problems with ED can point to the need for medical attention, especially if the ED is affecting relationships, self-esteem, and quality of life. Talk with your doctor or a urologist if this is the case for you. Having that conversation is also important because ED can sometimes be an early symptom of diabetes or cardiovascular disease. Your doctor may want to order blood tests and other screenings to check for these underlying conditions.
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