Prostate enlargement – benign prostatic hyperplasia (BPH) is growth of the prostate. There is no cure for BPH and once it starts, it often continues unless medical therapy is started. The prostate grows in two different ways. In one type of growth, cells multiply around the urethra and squeeze it, much like a straw. The second type of growth is middle-lobe prostate growth in which cells grow into the urethra and the bladder outlet area. This type of growth typically requires surgery. According to the National Institutes of Health (NIH), BPH affects more than 50% of men over age 60 and as many as 90% of men over the age of 70. Prostate or testicular cancer treatments, e.g., radiation or chemotherapy, or prostate cancer-related estrogen, antiandrogen (flutamide,Viagra Uk), or Lupron. Prostatitis – an inflammation of the prostate gland can be either acute (usually caused by a bacterial infection,Viagra Uk) or chronic (usually not caused by an infectious agent). Symptoms include pain during urination, more frequent urination, and— possibly—a discharge from the penis or fever. Severe prostatitis can cause erectile dysfunction directly. In milder forms, the condition can produce painful ejaculation, which can certainly interfere with sexual pleasure and may lead to erectile dysfunction. Your doctor may prescribe antibiotics to treat the problem, but it can take several weeks for the infection to clear and for normal erections to return. Prostate or bladder surgery (especially prostate, bladder, or rectal surgery for cancer) can injure nerves and arteries near the penis, causing ED. Injury to the penis, spinal cord, prostate, bladder, and pelvis c lead to ED by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. Other surgeries known to cause ED: an o (seed implants,Viagra Uk) for prostate cancer o Aortoiliac or aortofemoral bypass o Abdominal perineal resection o Proctocolectomy o Radical prostatectomy o Radiation therapy for prostate cancer as well as for other cancers, such as bladder cancer, colon cancer, or rectal cancer Cryosurgery of the prostate o Cystectomy (removal of the u Pre r ribed drugs are known to t sc iption Medications - Over 200 commonly presc cause or contribute to impotence, including drugs for high blood pressure, hear medications, antidepressants, tranquilizers, and sedatives. Stroke – A stroke that damages nerves responsible for erectile function can a cause ED, but typically, the incidence of ED is indicative of increased risk for stroke. r damage, e.g., venous leakage from penile veins, resulting in an inability Vascula to hold blood in the penis to maintain an erection. e most e g is to e edications and Other Drugs as Causes of ED ver 200 commonly prescribed drugs are known to cause or contribute to impotence, d to Vascular disease — th frequent physical causes of erectile dysfunction are vascular (blood vessel) diseases. Vascular diseas may cause problems involvin blood flow into the penis to make it erect. Atheroscleros (hardening/blocking of the arteries) which supply blood the penis hardening of the arteri system are risk factors for erectile dysfunction. s and other diseases that affect the vascular M O including drugs for high blood pressure, heart medications, antidepressants, tranquilizers, and sedatives. Some over-the-counter medications also can lea impotence. Long-term use of alcohol and illicit drugs may affect the vascular and nervous systems and are associated with erectile dysfunction.
Examples of medicines that may cause ED are listed in the following pages. Please your omplications and side-effects from the use and abuse of these drugs are generally r you experience ED and think that it may be a result of medication you are taking, DO E note that it is not a comprehensive list. Please check with your doctor about all medications you are taking to rule out any as a possible cause or contributor to ED. C well-known; their possible contribution to ED is not often mentioned. However, use of these drugs can cause ED. These drugs affect the central nervous system and vascula systems, both critical to erectile function. If NOT STOP TAKING THE MEDICATION without first consulting your doctor. If the problem persists, your doctor may be able to prescribe a different medication.
Behavioral & Lifestyle Causes
Alcohol use and abuse – Short-term, but excessive alcohol consumption has been known to cause “Brewer’s Droop”, an urban slang term for an inability to achieve a sufficient erection for sexual activity. A similar reference, “Whiskey Dick”, is the inability to achieve ejaculation (Viagra,more recent urban slang usage equates it to “Brewer’s Droop”). The chronic use of alcohol is associated with ED through several mechanisms including peripheral neuropathy, testicular dysfunction (low testosterone) and liver dysfunction. In small amounts, alcohol may enhance sexual arousal slightly, primarily by reducing inhibitions that would otherwise cause anxiety. Bicycling – Yes, bicycling. The Massachusetts Male Aging Study found that in certain circumstances, bicycle riding can damage nerves and compress arteries in the penis, possibly leading to erectile problems. The study found that the risk was highest among men who cycled more than three hours a week. The seat (known in bicycle circles as a saddle) puts pressure on the perineum, the area between the genitals and anus. This pressure can harm nerves and temporarily impede blood flow, causing tingling or numbness in the penis and, eventually, leading to erectile dysfunction. Studies further documented that sitting on a conventional triangular shaped bicycle seat with just 12% of the rider’s weight
