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Side effects of PDE-5 inhibitors include:.
Alprostadil can cause the following side effects: changes in your blood pressure, dizziness, headache, pain in your penis, urethral burning or bleeding, reactions at the site of the injection, such as swelling. You should always read the patient information leaflet.
If your doctor thinks that your erectile dysfunction is related to your hormones, chances are you will be referred to a hormone specialist (an endocrinologist) who will look to rebalance your hormone levels (probably with a series of hormone injections.)
Surgery is a last resort for treating impotence. It is normally only recommended for younger men who have seriously injured their pelvic area or men who have an anatomical problem with their penis.
It used to be the case that if a man had a blockage in the blood vessels leading to the penis, then surgery could be used as a way to unblock these to allow the blood to flow again. However, evidence shows that this surgery is often not successful in the longer term, so it is now rarely used to treat this problem.
Penile implants are another type of surgery. This is not normally available on the NHS, but about 75% of men who have it are satisfied with it.
Erectile dysfunction can also be the result of psychological causes like depression and anxiety. Emotional issues can also affect whether you feel physically able to get and keep an erection. If you are having relationship problems or starting a new relationship, if you feel like you don’t know what you’re doing when it comes to sex, if you have had sexual issues in the past or have experienced sexual abuse, then you may find that you are experiencing erectile dysfunction. Counselling can help to resolve these issues.
It is possible to get erectile dysfunction that is caused by both physical and psychological factors. An example might be, if you have multiple sclerosis and find it difficult to get an erection, you may then be worried about this. The two factors together can lead to an episode of ED.
If you drink alcohol heavily, take illegal drugs like heroin, cocaine or cannabis, or if you are very tired, this can result in erectile dysfunction, too.