How do older men keep an erection?

Treatments eating a healthful diet. engaging in regular physical exercise. losing weight if a person has overweight or obesity. stopping smoking. limiting or avoiding alcohol. managing any underlying health conditions, such as high blood pressure or diabetes. improving sleep habits.

medicalnewstoday.com - Erectile dysfunction cures for older adults - Medical News Today

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Erectile dysfunction (ED) is the inability to achieve or maintain an erection. Cures for erectile dysfunction can include medication, surgery, lifestyle changes, or managing underlying health conditions. The Massachusetts Male Aging Study was one of the first studies to report the epidemiology of ED in United States males. Overall, the research found that the condition affects 52% of males aged 40–70 years. The Boston Area Community Health Survey also states that ED occurs in 10% of males aged 30–39 years, increasing to 59% of males aged 70–79 years. This article defines what ED is and outlines some of the reasons for its increased prevalence in older men. Finally, we explore some lifestyle tips and medical treatments that could help restore sexual function in older people. Treatments When treating ED, doctors often recommend a combination of lifestyle changes and medications. Healthful habits The following lifestyle changes may help to treat or prevent ED: eating a healthful diet

engaging in regular physical exercise

losing weight if a person has overweight or obesity

stopping smoking

limiting or avoiding alcohol

managing any underlying health conditions, such as high blood pressure or diabetes

improving sleep habits A lack of sexual desire can also influence ED in older males. According to a 2020 review, an estimated 82.4% of males aged 80 and above report a lack of sexual desire. Seeking treatment from a sex therapist is one option that could improve sexual desire and reduce ED symptoms. Medications In addition to lifestyle measures, doctors can also prescribe medications for ED. Most are safe for older adults, though a medical professional will need to check they are compatible with other medicines that a person takes. Below are some medications a doctor may prescribe to treat ED. Phosphodiesterase-5 inhibitors One of the most common medical treatments for ED in older people is a class of drugs called phosphodiesterase-5 (PDE 5) inhibitors. These drugs relax and widen the blood vessels, improving blood flow to the penis. According to a 2017 review , PDE 5 inhibitors are generally safe in older people, including those with cardiovascular diseases. However, they are not suitable for people who take nitrates for heart conditions. Some examples of PDE 5 inhibitors include: avanafil (Stendra)

sildenafil (Viagra)

tadalafil (Cialis)

vardenafil (Levitra, Staxyn) Testosterone replacement therapy If an older male has low testosterone levels, a doctor may prescribe testosterone replacement therapy (TRT). This will involve regularly administering testosterone via injections, gel, or a skin patch. However, TRT will not address some of the more common causes of ED in older adults, such as reduced blood flow or nerve damage. Intracavernosal injections Alprostadil is an injectable medication or penile suppository that some people may use to achieve an erection. It quickly expands blood vessels in the penis, helping a person gain an erection within 8–10 minutes . Injectable alprostadil medications include: Caverject

Edex

Prostin VR Alprostadil is one example of intracavernosal injection, but doctors may use a mixture of three drugs called Trimix, which includes alprostadil, phentolamine, and papaverine. Doctors may also prescribe an injectable suppository known as a medicated urethral system for erection. Surgery Surgery is a possible treatment for males with refractory ED, where other treatments have not been effective. Penile implant surgery has the highest patient and partner satisfaction of all ED treatments, including oral PDE-5 inhibitors and penile injections.

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urology.uci.edu - What is the main cause of prostate enlargement? Does an enlarged ...

The main cause of prostate enlargement is primarily a function of genetics and time. If there is family history of prostate enlargement it is more likely you will experience symptoms related to prostate enlargement. Those over 60 years old are more likely to experience symptoms related to prostate enlargement, though some can experience symptoms as early as their 40s. Usually prostate enlargement happens very gradually as you get older. The prostate is a gland that sits at the bottom of the bladder and wraps around the urethra. The urethra is like a tube, where urine exits through from the bladder to the outside of the body. The prostate glands are part of the male reproductive system. They produce portions of semen (ejaculate) and surround the ducts that carry semen into the urethra during orgasm/ejaculation.

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