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Innermost Secrets / Innermost Living / Body Clock
Skip Navigation LinksMale Sexual Problems
Page modified at: 05/08/2010

50 percent

More than 50% of men between the ages of 40 and 70 years experience ED to some degree. And millions of men are doing something about it


On OffEvery once in a while, men can have problems getting or maintaining an erection that is hard enough for sexual intercourse. With ED (erectile dysfunction), erection problems keep happening.

If you have ED or think you may have it, you are not alone.

ED isn't just about being tired or stressed. Chances are that your ED may have a physical cause, such as another health condition or a side effect of a medicine that you may be taking. For that reason, ED may not just go away on its own. However, it can be effectively treated in most men.


What Is ED?
EDWhen a man has ED (erectile dysfunction), he may not be able to get an erection that's hard enough for sexual intercourse. Or he may have difficulty keeping an erection until the end of sexual intercourse. ED is sometimes called impotence. Many men have erection problems every once in a while. But with ED, problems happen again and again.

ED can range from frequently not being able to get or keep an erection to never being able to achieve one or keep one.

To get and maintain an erection that is firm enough for sexual intercourse, a sequence of events must occur in the body. Sexual stimulation triggers the brain to send nerve messages to the penis. This signals blood to flow into the penis, which causes the penis to get hard. Blood stays trapped in the penis until sexual activity is completed. ED can happen when any one of these events is disturbed.

How can ED affect a man or his partner?

ED CoupleED can affect more than just your body.
It may also affect how you feel about yourself

Cause depression and stress

Cause guilt or anxiety about not being able to have sex when you and your partner want to

Affect your partner and your relationship with your partner

When does ED occur?
ED can happen at any age.
As men age, ED becomes more common. But simply getting older does not cause ED. ED may be caused by health problems that can happen with age, such as diabetes or high blood pressure.

How common is ED?
More than 30 million men older than 50 in the United States are affected by some degree of ED (erectile dysfunction). And nearly 70% of these cases of ED have physical causes. These causes can include health conditions, injury, and medicine side effects. Psychological factors can also play a role in causing ED.

What causes ED?

Possible Physical Causes of ED
High blood pressure (also called hypertension)
High blood pressure can lead to damage to the blood vessels, which results in decreased blood flow. Not enough blood flows into the penis to get a firm erection.

Diabetes (high blood sugar)
Diabetes can increase the risk for having ED. Over time, high blood sugar can damage blood vessels and nerves in the penis.

High blood cholesterol
Over time, high blood cholesterol can cause blood vessels in the penis to narrow. Not enough blood flows into the penis to give a firm erection.

Nerve diseases
Men with diseases that affect the nerves, such as Parkinson’s disease and multiple sclerosis, are at a higher risk for having ED. The penis does not receive nerve messages from the brain or spinal cord. Without the nerve messages, blood does not flow into the penis.

Injuries or surgery to the pelvic area
Injuries or surgery to the pelvic area (especially prostate and rectal surgery) can damage nerves or blood vessels in the penis.

Low hormone levels
Low male hormone levels (such as testosterone) can decrease a man’s desire for sex and affect his ability to get an erection. Men with thyroid hormone levels that are too low or too high can also have ED.

ED as a possible side effect of medicine
Taking certain medicines may cause ED as a side effect. Medicines that can cause ED include: Some medicines that treat high blood pressure, depression, or psychiatric conditions and Antihistamines

Be sure to tell your doctor about all the medicines you take, including herbal supplements. And always talk with your doctor before you stop taking any medicines that your doctor has prescribed.

Lifestyle factors
Certain lifestyle factors may increase the risk for getting ED, such as:
Smoking
Being overweight
Drinking too much alcohol
Not being physically active
Using recreational drugs, such as marijuana, cocaine, or heroin

Psychological Causes of ED
About 10% to 20% of all cases of ED may be caused by emotional or personal issues, such as:
Depression
Stress at work, at home, or in social life
Anxiety about sexual performance
Relationship problems
Men with a physical cause for ED may also develop these problems.

Can ED be treated?
In most men, ED is treatable whether the cause is physical or psychological. When you make the decision to talk with your doctor about ED, you are taking an important step toward better sexual health. Because ED may be an early warning sign of other health conditions, such as cardiovascular disease, high blood pressure, or hypothyroidism, it is important to tell your doctor if you think you might have ED.


What are the treatment options for ED?

Lifestyle Changes
To help treat ED, your doctor or other healthcare professional may suggest you make some lifestyle changes, such as:

  • Quit smoking
  • Get to and stay at a healthy weight
  • Exercise regularly
  • Limit alcohol
  • Stop using recreational drugs (such as marijuana, cocaine, or heroin)

These changes may also help to improve health conditions that may be related to ED, such as diabetes, heart disease, and high blood pressure.


Counseling
To have a satisfying sexual experience, your mind and your body need to work together. When emotional or relationship problems get in the way, they can make ED worse. Sometimes a man or a couple can benefit from talking with a trained counselor to help resolve personal issues that might be interfering with sexual intimacy. Some of these issues might include anger, resentment, lack of trust, fear of not being able to perform sexually, or disappointment. Some doctors believe that a combination of medical treatment and counseling for ED may achieve the best results.


Other ED Treatment Options
Your doctor may recommend other ED treatment options, such as injection therapy or surgery. These options may be suggested if you cannot take an oral medicine because of a health condition or interactions with other medicines you are taking.


Oral Prescription Medicines
Oral prescription medicines (tablets) are the most common medical treatment for ED. These medicines are convenient to use. Prescription ED tablets work well for most men who have mild, moderate, or severe ED. These medicines can work even when ED is caused by another medical condition, such as diabetes or high blood pressure.


CIALIS
CialisCIALIS is one of three medicines in this class of prescription drugs. These ED medicines help increase blood flow in the penis when a man is sexually stimulated. The medicines help a man with ED get and keep an erection that is firm enough for sexual activity. Once sexual intercourse is completed, blood flow to the penis lessens, and the erection goes away.



All ED tablets are not exactly the same. They can differ in:

* Length of time a single dose of medicine works
* Possible side effects
* Food or medicine interactions

If one medicine does not work for you, another one may. To find the treatment that's right for you, talk with your doctor.

For most men, oral medicines work well to treat ED. Research shows that some men who do not respond to these medicines may not be taking the medicine the right way or taking the right dose. Because the medicines come in different dosages, your doctor can adjust the dosage to help find the right dose that works for you.



CIALIS for daily use

CIALIS for daily use is a low dose ED (erectile dysfunction) treatment that is taken every day that can improve erectile function. It can be a very effective option for men with a range of ED severity and other health problems.

  • When taken every day, it can help you be ready anytime between doses.
  • You no longer have to plan sex around taking a pill
  • It is a clinically proven low-dose ED treatment option
  • Side effects were similar to those seen with 36-hour CIALIS



Cialis 5mgCIALIS for daily use is available in 2 doses (2.5 mg and 5 mg) so it's easy for your doctor to adjust your dose. You and your doctor will determine the dose that works best for you. Your doctor may change your dose of CIALIS depending on your body's response to the medicine and on your medical condition.

Your doctor must know about all the medicines (both prescription and nonprescription), vitamins, and herbal supplements you take. CIALIS and other medicines may affect each other. Your doctor needs to be aware of any potential drug interactions.

 



Always check with your doctor before you start or stop any medicines.
It is especially important for your doctor to know if you take medicines called nitrates (often used for chest pain), medicines called alpha blockers (sometimes prescribed for prostate problems or high blood pressure), other blood pressure medicines, antifungals, or medicines for HIV.


CIALIS works only with sexual stimulation
You won't get an erection just by taking CIALIS for daily use. Sexual stimulation is needed to get an erection. When sexual activity is over and blood flow to the penis decreases, your erection will go away.


CIALIS for daily use is convenient to take

Because the absorption of CIALIS is not affected by food, you can take daily CIALIS anytime during the day or evening. You can eat and drink what you want. But do not drink alcohol in excess (to a level of intoxication) when taking CIALIS. Too much alcohol can increase your chances of:

  • Headache
  • Dizziness
  • A drop in blood pressure
  • Increased heart rate

Cialis is not for everyone

Only your doctor can decide if CIALIS is right for you. Before taking CIALIS, ask if you're healthy enough for sexual activity and be sure to tell your doctor about all your medical conditions and all medications. Don't take CIALIS if you take nitrates as the combination can cause a sudden, unsafe drop in blood pressure.

CIALIS for daily use remains in your body for as long as you take it. Tell your doctor about all medications, especially if you take nitrates (often used for chest pain) or medicines for blood pressure, alpha blockers, antifungals, or HIV, so your doctor can be aware of potential drug interactions.

Don't drink alcohol in excess (to a level of intoxication) with CIALIS, as this may increase your chances of getting dizzy or lowering your blood pressure. CIALIS does not protect against sexually transmitted diseases, including HIV. The most common side effects with CIALIS were headache and upset stomach. Backache and muscle ache were also reported, sometimes with delayed onset.

As with any ED tablet, in the rare event of an erection lasting more than 4 hours, seek immediate medical help to avoid long-term injury.

In rare instances, men taking prescription ED tablets (including CIALIS) reported a sudden decrease or loss of vision or hearing (sometimes with ringing in the ears and dizziness). It's not possible to determine if these events are related directly to the ED tablets or to other factors. If you have a sudden decrease or loss of vision or hearing, stop taking any ED tablet, including CIALIS and call your doctor right away.



Further Information and Support
The following can be helpful in various ways to ED sufferers and their partners:

Sexual Dysfunction Association (formerly The Impotence Association) Tel: 0870 7743571.

Institute of Psychosexual Medicine Tel: 020 7580 0631.

Family Planning Association (fpa)/Sexual Health Direct Tel: 0845 310 1334.

Brook Advisory Centres For Young People Tel: 08000 185 023.

Relate Tel: 0300 100 1234.

British Association for Sexual and Relationship Therapy (BASRT) Tel: 020 8543 2707.

Impotence, also known as erectile dysfunction, affects one in ten men. The causes of impotence are usually physical impotence or psychological impotence and it reportedly affects 2.3 million men in the UK. Impotence is caused when a man has difficulty obtaining or maintaining an erection and therefore cannot participate in penetrative sex.

Physical impotence or psychological impotence can be a problem which many men refuse to discuss with their doctor, as only one in ten men report it to a GP; therefore allowing this easily resolved sexual problem to ruin any sexual or personal relationships. However, you should not be ashamed to consult a doctor as almost every man will experience erectile dysfunction at some point in their lives. Here at innermost secrets, we can diagnose whether the cause of impotence is psychological impotence, physical impotence or possibly medical impotence caused by medication, and we can provide you with the appropriate solutions to allow you to participate in sexual activity.

Erectile dysfunction does not just ruin sexual performance but impotence causes stress, depression, anxiety and guilt and can damage masculinity. You may experience impotency if you are overweight or are suffering from stress of bereavement. To help eradicate this problem you should ensure you eat a balanced and healthy diet, and that you stop smoking, drinking excessive amounts of alcohol or the use of drugs which are not supplied by a doctor. Another way to help impotence problems is to do regular exercise. If you suffer from diabetes this can also be another cause of impotence.

However, there are impotence treatments which can help tackle this common sexual problem. Here at innermost secrets after discussing the issue with our patients, depending on their situation, we can supply them with an impotence treatment tablets called CIALIS which can be taken every day to help improve performance without having to wait for a pill to work. This is a low dose impotence help treatment and the doctor may change your dose depending on your health requirements.

Counselling may also help impotence as psychological impotence can be a cause of erectile dysfunction and speaking to a trained counsellor maybe the best impotence treatment available for you. These sessions can be taken alone or you can bring your partner to discuss what may be the cause of impotence. The cause of impotence may be due to the fact you do not trust your partner or that you feel guilty or angry towards them. Also, a combination of medical impotence treatment and counselling may be the best methods to help impotence.

Here at innermost secrets we are a qualified health practice that have experienced and professional doctors who are trained to deal with any health issues. If you require impotence help or would like to discuss the best method of dealing with your psychological impotence, then we can provide the professionals who can supply you with impotence treatment. There are many causes of impotence and there is no reason to be ashamed. It comes to all men at some point, and you can experience this sexual problem whether you are young or old. So, don't let impotence ruin your life, there are impotence treatments which can help. Browse our website and contact us today.

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