ERECTILE DYSFUNCTION 2018-04-03T17:56:24-05:00


Erectile Dysfunction

Why Does Erectile Dysfunction Occur?

Erectile dysfunction occurs when the penis is unable to develop or maintain an erection during sexual performance.  On the flip side, erectile dysfunction can also include priapism, which is where the penis painfully maintains an erection for 4 or more hours. An erection occurs when blood flows into the penis and is held there within sponge-like cells, and often results from sexual arousal.

More commonly, this dysfunction occurs from diabetes, cardiovascular disease, hormonal insufficiencies and drug side effects.  Psychologically, this may occur with feelings of inadequacy, and in this case, can be helped.

In a study in 2011, the Journal of Urology found that men who take non-steroidal anti-inflammatory drugs 3 times a day for 3 months are 22% more likely to get erectile dysfunction.

Treating Erectile Dysfunction

  • Oral Medications – Phosphodiesterase type 5 inhibitors (cAMP) and (cGMP)
  • Topical Medication – Alprostadil (Vitaros)
  • Penis Pump – Draws blood into the penis prior to sexual intercourse through applying negative pressure
  • Injected Medication – Drugs injected into the penis as therapy can include: papaverine, phentolamine, and prostaglandin E1
  • Alternative Medicine – Herbal Viagra or natural sexual enhancement products
  • Surgery -This should be the last resort, and may include a prosthetic implant into the penis

A promising solution to ED comes in the form of a non-invasive painless procedure using low-intensity sound waves (also referred to as acoustic sound therapy). The GAINSWave procedure works to dissolve plaque build up in the blood vessels and invites growth of new blood vessels in the penis. With an increase of blood flow to the penis, sexual function is improved. The procedure only takes 20-30 minutes. Depending on your level of dysfunction, your physician will determine the number of sessions needed, which could be anywhere from 6-12 visits. If you’re looking for an alternative to a pill, schedule an appointment with certified GAINSWave provider Dr. Maryann Prewitt at HealthWellnessMD to find out what plan is right for you.

Maintaining Intimacy With Erectile Dysfunction

Oftentimes, erectile dysfunction can cause barriers to sexual intimacy, but there are several ways to overcome them.  Talking about your feelings can help you feel closer to your partners and break down mental barriers to further a healthy relationship.  Couples are also brought closer together by sharing common interests and hobbies or staying active together. Experimenting with different sexual techniques can bring pleasure even when they don’t involve intercourse. Lastly, talking with a sex counselor may be a great resort to help resolve intimacy struggles.


A top-notch, experienced Urologist will have all the tools and training needed to get to the root of your problem and significantly improve your symptoms.

There are hundreds of Urologists to choose from; however, not all doctors are created equal. Urology takes the skill and finesse of an experienced Surgeon. That’s why we’ve selected your city’s best Urologists – to make the decision process easier for you and your family.

For your peace of mind, Top10MD Urologists’ credentials are validated yearly to verify medical licenses have no serious patient care sanctions, current Board Certifications in their given medical specialty, current DEA & DPS licenses, and malpractice insurance. A Top10MD has at least 5+ years experience or has performed 300+ procedures in their given specialty and a current Patient Satisfaction Score of 8.5 or higher.

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