Erectile Dysfunction
Erectile dysfunction (ED) is a common problem for men over 40. ED is the inability to get or maintain an erection firm enough for sexual intercourse. There are several causes of ED, including stress, anxiety, depression, low testosterone levels, and atherosclerosis (hardening of the arteries).
You can do several things to prevent ED, including:
- Exercising regularly
- Managing stress
- Eating a healthy diet
- Keeping away from cigarettes
- Avoiding excessive alcohol consumption
If you’re already experiencing ED, there are treatments available that can help. These include oral medications such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), as well as injectable medications such as alprostadil (Caverject Impulse). Vacuum devices and penile implants are also effective treatments for ED.
Premature Ejaculation
Premature ejaculation (PE) is another common sexual problem in men. PE is when you ejaculate before or soon after sexual penetration. It can occur with little sexual stimulation and may prevent a man from satisfying his partner. PE can result from psychological factors such as anxiety, depression, or stress. Physical factors such as diabetes, high blood pressure, or nerve damage can also cause PE.
Stress management, avoiding tobacco and excessive alcohol consumption, and practicing relaxation techniques can help prevent PE. Treatments are available if you are already experiencing PE. These include behavioral therapies such as the Stop-Start technique or the Squeeze technique, oral medications such as tramadol (Ultram) or paroxetine (Paxil), and topical anesthetics such as prilocaine-lidocaine cream (EMLA cream).
Low Testosterone Levels
Testosterone is a hormone that plays a key role in male sexual function. Low testosterone levels can cause ED and low libido. Age naturally lowers testosterone levels, but obesity, type 2 diabetes, and sleep apnea can also cause low testosterone levels.
Exercise regularly, lose weight if you’re overweight or obese, and treat underlying conditions such as type 2 diabetes or sleep apnea to prevent low testosterone levels. You can get help if you already have low testosterone levels. These include testosterone replacement therapy (TRT), which consists of injections, gels, patches, or implants.
We proudly provide Men’s Health services to Springfield, OR, Bend, OR, and surrounding areas through Oregon Man Clinics (OMC). Please contact our Springfield or Bend offices at 541-508-4858 or 541-505-8773 to schedule an appointment.
