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Is erectile dysfunction a natural part of aging?

ED is often associated with getting older. Although ED's frequency does increase with age, it's treatable regardless of your age and isn't as inevitable as you might think. In fact, ED can have many causes not associated with aging.

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Is erectile dysfunction inevitable? Erectile dysfunction (ED) is the inability to get or keep an erection firm enough to have sexual intercourse. Some people may assume ED increases with age. The fact is that the inability to maintain an erection isn’t always age-related. Aging doesn’t necessarily mean you’re destined to develop ED indefinitely. While age can raise the risk for ED, there are ways to treat it. Learn more about the risks and treatment options. What is erectile dysfunction? Male sexual arousal may seem simple, but it depends on a precise, complex sequence of events inside the body. The brain activates nerves in the penis to relax muscles in the spongy tissues that run the length of the penis. When these muscles relax, blood can flow in from arteries to fill open spaces in the spongy tissue. Increased blood pressure expands the penis. Membranes around the spongy tissue sustain the erection. Anything interrupting this sequence can result in the inability to have or keep an erection long enough for sexual intercourse. Hope, no matter your age ED is often associated with getting older. Although ED’s frequency does increase with age, it’s treatable regardless of your age and isn’t as inevitable as you might think. In fact, ED can have many causes not associated with aging. Other causes of ED ED isn’t necessarily related to age or chronic illnesses. Other common causes include: heavy alcohol consumption

tobacco use

prescription medications

anxiety

depression Alcohol slows nerve communications within the brain and throughout the body, which can affect arousal signals and physical coordination. Tobacco not only restricts blood flow, but can lead to serious diseases that may further impair sexual function. Medications can also affect people differently. A drug that decreases sexual performance in one person might not in another. Common types of drugs that may lead to sexual dysfunctions include: antihistamines

calcium channel blockers

high blood pressure medications

hormone therapy

antidepressants Psychological and emotional stressors can also inhibit sexual arousal. Nervous about tomorrow’s sales presentation at work? Grieving a parent’s death? Angry or hurt by arguments with your spouse? Any of these can interfere with your feelings of sexual desire. Plus, not having or sustaining an erection — even once, for any reason — can spiral into greater anxiety and perhaps doubts about your sexual abilities and self-esteem. Lifestyle changes and other treatments The good news is that you can manage most of the physical and emotional causes of ED. For example, you can: lose weight

quit smoking

try to improve your relationship or communicate better with your sexual partner

practice healthy responses to stress Such strategies might take a little research and trial and error to discover what works best for you. Be sure to talk to your doctor to address any potential causes of your ED. Here are some tips to talk to your partner about sex.

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Why do prostate symptoms come and go?

Some types of prostatitis are caused by a bacterial infection. This typically happens when urine that contains bacteria leaks into the prostate. Acute bacterial prostatitis comes on very quickly, and symptoms are usually severe. Chronic bacterial prostatitis has a slower onset, and the symptoms may come and go.

rossmoskowitzmd.com - Prostatitis - Dr. Ross Moskowitz

Before beginning treatment, it’s important to try to identify the cause of the inflammation. You may undergo urine testing, blood work, or imaging tests to check for a bacterial infection or for damage to the prostate and the urinary system. When prostatitis is caused by bacteria, antibiotics are the typical treatment. Most patients can be treated with oral antibiotics, but severe cases of prostatitis may require IV antibiotic treatment. Chronic prostatitis usually needs a longer course of antibiotics than acute prostatitis. Doctors can also prescribe medication to alleviate symptoms. Alpha blockers can relax the muscles around the bladder and prostate, which makes urinating less painful. Anti-inflammatory medications can help with pain and discomfort. Many people find that sitz baths are an effective home treatment to relieve burning, soreness, and inflammation. If the prostatitis isn’t caused by bacteria, it can be more difficult to treat with medications. Lifestyle changes and dietary modifications can reduce inflammation and ease the discomfort, though. For example, doctors recommend drinking lots of fluids, reducing caffeine intake, and avoiding spicy foods. Pelvic muscle relaxation exercises can help as well. If you’ve had prostatitis before, you’re more likely to develop the infection again. Being aware of the signs and symptoms of the condition will help you recognize it early, so you can seek treatment before the symptoms take a toll on your quality of life.

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