Erectile Dysfunction: AUA Guideline (2018)

"Relationship between age and erectile dysfunction diagnosis or treatment using real-world observational data in the USA". "Can low-intensity extracorporeal shockwave therapy improve erectile function? A 6-month follow-up pilot study in patients with organic erectile dysfunction". ^ "Shockwave Therapy for Erectile Dysfunction ED Clinics". Archived from the original on 23 September 2021.

Erectile Dysfunction Injections

^ a b Encyclopedia of Reproduction vigora 200 mg - 2nd Edition. Archived from the original on 2019-08-05. Archived from the original on 22 February 2021. "New Topical Erectile Dysfunction Drug Vitaros Approved in Canada; Approved Topical Drug Testim Proves Helpful for Erectile Dysfunction". Archived from the original on 13 May 2011. ^ "International Index of Erectile Function (IIEF): Guidelines on Clinical Application of IIEF patient Questionnaire" (PDF). Hills Road, Cambridge, CB2 0QQ: Addenbrooke's Hospital. Archived from the original (PDF) on 2021-10-26.

"Low-intensity Extracorporeal Shock Wave Therapy for Erectile Dysfunction: A Systematic Review and Meta-analysis". "Effects of Low-Intensity Extracorporeal Shockwave Therapy on Erectile Dysfunction: A Systematic Review and Meta-Analysis".

• Age-related ED factors
• Testosterone decline with age
• Vascular changes in aging
• Neurological changes over time
• Managing expectations with age
• Treatment options for older men
• Safety of meds in elderly
• Adjusting dosages for age
• Lifestyle adjustments for seniors
• Quality of life improvements
• Acceptance and adaptation

US Centers for Disease Control and Prevention. "Innovative trends and perspectives for erectile dysfunction treatment: A systematic review". "Application of Sex Aids in Men With Sexual Dysfunction: A Review".

• PDE5 inhibitors are effective but may cause side effects like headaches and flushing.
• Smoking cessation improves blood vessel health, enhancing erectile function.
• Weight management helps reduce the risk factors associated with ED.
• Pelvic floor exercises can strengthen muscles involved in erection and urination.
• Counseling may help men with ED related to psychological or emotional issues.
• Hormonal treatments are suitable for those with hormonal imbalances.
• Surgical interventions are typically reserved for cases unresponsive to other treatments.

"Improved erectile function after focal muscle vibrations therapy in a patient with neurogenic erectile dysfunction: a case report".

"319 Penile vibratory stimulation in penile rehabilitation after radical prostatectomy: a randomized, controlled trial". Proceedings of the 21st World Meeting on Sexual Medicine. ^ Gryniewicz CM, Reepmeyer JC, Kauffman JF, Buhse LF (2009). "Detection of undeclared erectile dysfunction drugs and analogues in dietary supplements by ion mobility spectrometry". "Determination of analogs of sildenafil and vardenafil in foods by column liquid chromatography with a photodiode array detector, mass spectrometry, and nuclear magnetic resonance spectrometry". "Use of liquid chromatography-mass spectrometry and a chemical cleavage reaction for the structure elucidation of a new sildenafil analogue detected as an adulterant in an herbal dietary supplement". Archived from the original on 2020-01-28.

Seek care right away

Research indicates that ED is common, and it is suggested that approximately 40% of males experience symptoms compatible with ED, at least occasionally. [95] The condition is also on occasion called phallic impotence. [96] Its antonym, or opposite condition, is priapism. doi:10.5152/tud.2017.70482 (inactive 1 July 2025). {{cite journal}}: CS1 maint: DOI inactive as of July 2025 (link) ^ a b c Shamloul R, Bella AJ (2014-03-01).

Maintain a healthy weight

Archived from the original on 2023-01-10. Essentials for the Canadian Medical Licensing Exam: Review and Prep for MCCQE Part I. Archived from the original on 2021-02-22. ^ a b "Can Your Diet Cause Erectile Dysfunction?". Archived from the original on 4 January 2022.

3.7 320-Detector row dynamic volume CT (4D-CTA)

"Erectile dysfunction in chronic kidney disease: From pathophysiology to management". Guidelines on Male Sexual Dysfunction: Erectile dysfunction and premature ejaculation. European Association of Urology 2013: 6, 18–19 Archived from the original on 21 July 2021. ^ a b c d "Treatment for erectile dysfunction ". US National Institute of Diabetes and Digestive and Kidney Diseases. ^ Reepmeyer JC, Woodruff JT, d'Avignon DA (2007). "Structure elucidation of a novel analogue of sildenafil detected as an adulterant in an herbal dietary supplement". Archived from the original on 2021-10-09. ^ Enforcement Report for June 30, 2010 Archived June 25, 2016, at the Wayback Machine, United States Food and Drug Administration ^ Hidden Risks of Erectile Dysfunction "Treatments" Sold Online Archived 2019-04-23 at the Wayback Machine, United States Food and Drug Administration, February 21, 2009 ^ Lee HW, Lee MS, Kim TH, Alraek T, Zaslawski C, Kim JW, et al. Bonk: The Curious Coupling of Science and Sex.

Trial by Impotence: Virility and Marriage in Pre-Revolutionary France.

"Sexual behaviour and its medicalisation: in sickness and in health". Archived from the original on 2023-12-23. "The medicalization of sexuality: Conceptual, normative, and professional issues".

• Diabetes management
• High blood pressure control
• Cholesterol lowering
• Avoiding drug abuse
• Limiting sedentary lifestyle
• Regular health screenings
• Treating hormonal disorders
• Managing autoimmune conditions
• Reducing obesity risks
• Avoiding smoking and alcohol
• Prostate health maintenance

"The history of the medicalisation of rapid ejaculation—A reflection of the rising importance of female pleasure in a phallocentric world".

Living with Erectile Dysfunction

^ a b c American Psychiatric Association, ed. Diagnostic and statistical manual of mental disorders: DSM-5-TR™ (Fifth edition, text revision ed.). Archived from the original on 2025-04-22. PMID 30202130.CC BY 4.0 license "Intraoperative Neurophysiological Monitoring of the Sacral Nervous System". Neurophysiology in Neurosurgery, A Modern Intraoperative Approach: 153–165. ^ Hoyland K, Vasdev N, Adshead J (2013). "The use of vacuum erection devices in erectile dysfunction after radical prostatectomy". "How (not) to communicate new scientific information: a memoir of the famous Brindley lecture".

What Tests Will a Urologist Do if I Have ED?

), "Biothesiometry", Atlas of Office Based Andrology Procedures, Cham: Springer International Publishing, pp. 9–14, doi:10.1007/978-3-319-42178-0_2, ISBN 978-3-319-42176-6, retrieved 2022-02-27{{citation}}: CS1 maint: work parameter with ISBN (link) doi:10.1136/bmj.312.7035.902. "Erection hardness score for the evaluation of erectile dysfunction: further psychometric assessment in patients treated by intracavernous prostaglandins injections after radical prostatectomy". ^ a b "Wonderful Medicine Free / Manhood Restored / The Great Hudyan". Archived from the original on April 30, 2020. Archived from the original on 2022-02-03.

Self-care and prevention

"The impact of vascular risk factors on erectile function". "The Link Between Cigarette Smoking and Erectile Dysfunction: A Systematic Review". "Addressing male sexual and reproductive health in the wake of COVID-19 outbreak". "Evaluating the impact of COVID-19 on male reproduction". "Sexual function before and after mesh repair of inguinal hernia".

A healthy diet

"Bicycle riding and erectile dysfunction: a review". "Bicycle riding and erectile dysfunction: an increase in interest (and concern)". "Porn-Induced Sexual Dysfunction: A Growing Problem". "Pornography Addiction: An Exploration of the Association Between Use, Perceived Addiction, Erectile Dysfunction, Premature (Early) Ejaculation, and Sexual Satisfaction in Males Aged 18-44 Years". There was no evidence for an association between internet pornography use with erectile dysfunction, premature ejaculation, or sexual satisfaction.

Bahaa Sami Malaeb, MD

However, there were small to moderate positive correlations between self-perceived internet pornography addiction and erectile dysfunction, premature ejaculation or sexual dissatisfaction. "Is Pornography Use Related to Erectile Functioning? Results From Cross-Sectional and Latent Growth Curve Analyses". S2CID 58592884. there was evidence of a positive, cross-sectional association between self-reported problematic use and ED, but no consistent association between mere use itself and ED. "The medicalisation of sex: a barrier to intercourse?". ^ Gurevich M, Cormier N, Leedham U, Brown-Bowers A (August 2018). Sexuopharmaceutical use by men as prevention and proficiency".

Why Choose University of Utah Health?

"Phosphodiesterase inhibitors for erectile dysfunction in patients with diabetes mellitus". "Epidemiology and etiologies of male sexual dysfunction". "Chapter 1: The management of erectile dysfunction: an AUA update". "Undertreatment of erectile dysfunction: claims analysis of 6.2 million patients". John Wiley & Sons on behalf of the International Society for Sexual Medicine: 2546–53.

Quit smoking

"Association of Diet With Erectile Dysfunction Among Men in the Health Professionals Follow-up Study". "The association between plant-based diet and erectile dysfunction in Chinese men". "Relationship between Dietary Patterns with Benign Prostatic Hyperplasia and Erectile Dysfunction: A Collaborative Review". MDPI on behalf of the EAU-YAU Sexual and Reproductive Health Group: 4148. doi:10.3390/nu13114148.

Oral medicines

"Sexual functioning assessed in 4 double-blind placebo- and paroxetine-controlled trials of duloxetine for major depressive disorder". ^ "8 Substances That May be Killing Your Erection". Archived from the original on 9 December 2022. Archived from the original on 2007-10-09. "The effects of smoking on the reproductive health of men". Archived from the original on 2023-12-13. "A new view of women's sexual problems: Why new? "Role of Medical Anthropology in Understanding Cultural Differences in Sexuality". Cultural Differences and the Practice of Sexual Medicine.

What Causes An Erection?

"Is Pornography Use Associated with Sexual Difficulties and Dysfunctions among Younger Heterosexual Men?". "Porn addiction is ruining lives, but scientists aren't convinced it's real". Archived from the original on 3 November 2021. "Is online pornography consumption linked to offline sexual dysfunction in young men? A multivariate analysis based on an international web-based survey".

Horny goat weed

JMIR Publications Inc. doi:10.2196/32542. Conclusions: This prevalence of ED in young men is alarmingly high and the results of presented study suggest a significant association with PPC. "Pornography Consumption and Male Sexual Dysfunction: A Systematic Review". "Post-finasteride syndrome and post-SSRI sexual dysfunction: two sides of the same coin?".

ED and Psychological Factors

"Use of nocturnal penile tumescence and rigidity in the evaluation of male erectile dysfunction". WebMD, Inc. Archived from the original on 2018-03-08. Archived from the original on 25 April 2025. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) features the most current text updates based on scientific literature with contributions from more than 200 subject matter experts. Archived from the original on 3 February 2022. "Prevalence of erectile dysfunction and its treatment in a Mexican population: distinguishing between erectile function change and dysfunction". "Erectile dysfunction in the community: trends over time in incidence, prevalence, GP consultation and medication use – the Krimpen study: trends in ED".