Causes Erectile Dysfunction

Can beet juice help treat erectile dysfunction?

 

There is currently no strong scientific evidence to support the claim that beet juice is good for ED.

In spite of this, many men say regularly drinking beet juice helps them get or keep an erection. There may be a few reasons for this.

Erectile dysfunction occurs when a man has trouble getting or keeping an erection during sexual activity. Can drinking beet juice help a man get and keep an erection?

https://www.medicalnewstoday.com/articles/320675.php

 

This video is a must watch… Want to understand about the causes of erectile dysfunction?

Join UCLA urologist Caroline Wallner, MD, as she discusses erectile dysfunction, including risk factors to develop the condition, as well as targeted therapies and surgical treatments.
 

 

Video Transcript

hi my name is dr. Caroline Wallner and I'm a urologist at UCLA at the North Ridge campus and I'm here today to give to you a webinar discussing erectile dysfunction so if you'd like to join the conversation you can find us on twitter using hashtag UCLA md chat so erectile dysfunction 101 is the name of the presentation what we'll go over is how wrecked-tile dysfunction or IDI occurs what the risks are for developing erectile dysfunction followed by the non-surgical treatments and then these surgical treatments for erectile dysfunction so how IDI occurs well let's start off with a definition so erectile dysfunction is the inability to attain or maintain a penile erection sufficient for satisfactory sexual performance now it doesn't mean that if you have trouble with erections from time to time that you have necessarily erectile dysfunction it's more when this becomes an ongoing problem it's starting to affect your confidence your stress level or your relationship that's when erectile dysfunction can be problematic so the graph below is from the Massachusetts male aging study and this basically shows us that as you age your risk of erectile dysfunction increases so aging is the single greatest risk factor next moving on to the anatomy of the penis what we see here are the paired corporal cavernosa right here which are the erectile bodies under the influence of neurotransmitters that cause nitric oxide release and smooth muscle relaxation these bodies fill with blood as these corporal bodies fill with blood the tunica albuginea which is kind of the rigid structure around it can compress the small veins that drain the penis and thus the penis becomes elongated and more rigid achieving a full erection after orgasm the smooth muscle then contracts and the blood is allowed to leave the penis and the penis then decreases in length and girth until it becomes flaccid so different types of erections there's psychogenic erection which has to do with audio-visual arousal reflects so genic when there's stimulation by touch and then finally nocturnal when during rapid eye movement sleep there are erections the bottom screen part of the screen shows the neurotransmitter cascade so this just tells us how nitric oxide is released from the cavernosa nerves and how it increases cyclic GMP then to increase the smooth muscle relaxation that guides and drives corporal body filling for erections so you know there are multiple risks for developing erectile dysfunction and that has to do because arousal is very complex process that involves your brain your hormones your nerves your blood vessels and even your penis and anatomy so it can be affected from a variety of reasons and so we'll review these first is psychosocial erectile dysfunction so if a man is having troubles with his relationship or if there is performance anxiety stress depression or anxiety as well as psychiatric disorders these things can affect the ability to achieve an erection and sustain an erection next neurological causes for erectile dysfunction include Parkinson's disease stroke and dementia vascular genic erectile dysfunction has to do with poor arterial blood flow to fill the penis also known as arterial insufficiency and then there can be also a problem where the blood is not allowed to sustain the erection and there's venous leak that contributes to erection trouble next there are several drugs that are notorious for causing erectile dysfunction the first and foremost is our blood pressure medications diuretics and beta blockers both are known to cause problems with erections next class of drugs includes the antidepressants or antipsychotic medications listed here and then additionally medications that are used to suppress the test turn levels things like loop relied for advanced prostate cancer treatment or even finasteride to shrink the prostate can affect erectile function also alcohol and tobacco smoking also can cause erectile dysfunction here are some lists of some traumatic causes for erectile dysfunction pelvic fracture penile fracture pelvic radiation these things can affect either the blood vessels or the nerves that control erections priapism is a situation where you have a sustained erection lasting more than four hours that is painful by having a prism there can be endothelial damage to the blood vessels that control erections you can have a spinal cord injury as well as neuropathy from chronic bicycle riding can affect your ability to have erections the final category are surgeries associated with the wrecked-tile dysfunction that includes radical retro pubic prostatectomy as well as a or tech iliac vascular surgery and proctocolectomy now here are some endocrine or hormonal reasons for erectile dysfunction the first one is low testosterone or hypogonadism as well as thyroid disorders in hyperprolactinemia both of these influence the testosterone secretion and therefore cause erection trouble other diseases diabetes atherosclerosis chronic renal failure and chronic liver failure all are related to edie so some of the tests that your physician may do to diagnose erectile dysfunction first and foremost is a physical exam inspecting the genitalia looking for any history of trauma next could be blood tests that are ordered not only to investigate for low testosterone but also to search for other comorbidities that may be influencing the development of erectile dysfunction oftentimes by reversing say uncontrolled but diabetes or after strata Chris come times erectile dysfunction can be treated an ultrasound may be performed this is to look at the blood flow to the penis as well as an overnight erection test and the overnight erection test is to understand whether there are erections that are happening at night this may show us that the penis is functional and that other causes for erectile dysfunction may be psychologic in or in origin so let's move on to the more interesting treatments so we'll start off with non-surgical treatments there are many oral medications that you've probably seen a whole host of commercials on the T television they are pde5 inhibitors that's their class and the names of the medications include sildenafil or viagra or denna fill or levitra and to dala fill or cialis these drugs augment the sexual response so that you have to be sexually stimulated in order for the drugs to work they usually are effective one hour after taking the medication and they typically work for about four hours especially for sildenafil and vard NFL the last ones I Alice or steadily Phil has an extended half-life and so that allows for daily dosing some oral medications can be affected by the food you eat so it's important to not eat a greasy or fatty meal before taking sildenafil or VAR denna fill as this will decrease the efficacy of these drugs the side effects are listed here headache facial flushing stuffy nose upset stomach the important contraindication is if you are taking nitrates for angina or chest pain you cannot take these this class of medications because it could cause an unsafe dip in your blood pressure also if you are taking alpha blockers you should wait until you are stable in terms of your alpha blocker regimen before adding one of these pde5 inhibitors moving on to mechanical device here is the vacuum erection device and it's basically a hollow tube that's placed over the this can be hand powered or battery powered and what it does is actually to suck air out of the tube and that way the vacuum pulls blood filling the corporal bodies of the penis then the erection is held in place using a tension ring and then after sexual performance the tension ring is removed generally you can leave the ring in place for about 20 to 30 minutes otherwise you may have some side effects including penile numbness or coldness bruising or blocked ejaculation and it's important to wait you know at least an hour before using the vacuum erection device again next up is entry thrill suppositories the name of it is called I'll proceed ill or muse it's a suppository that's placed with a special applicator in the tip of the penis this is delivered about two inches into the penis and within about five to 20 minutes you can develop an erection the side effects are that it can cause pain inside the urethra with typically burning quality pain it can cause minor bleeding in the urethra as well as dizziness or formation of fibrous tissue inside the penis it's pretty effective about 70 percent successful next is the self-injection the I've listed here some of the medicines that are used to deliver inside the corpora cavernosa and you can see how a needle is used to directly administer the medication to the active area the first dose should be supervised with the physician and the things to watch out for that our side effects are prolonged erection or private ism lasting more than four hours as well as bleeding or the formation of fibrous tissue moving along to surgical treatments so there is the penile implant this is a surgically placed device that basically takes away all natural erections and instead you have a inflatable or a semi-rigid rod inside the corporal bodies the the device is made out of typically silicone or polyurethane and there are several different types of penile implants the first thing the one-piece malleable which just has the cylinders these cylinders are moldable or malleable so that you can point it up to the sky if when you need you know to have an erection or you know to the horizon when it's no longer needed it's more or less kind of like a pipe cleaner set of ball and socket joints that enables good malleability of the cylinder this other two inflatable devices there's a two-piece and a three-piece two-piece has a set of cylinders and a pump the three-piece also has a reservoir and you can see how the pump sits in the scrotum here and it's used to send water from a reservoir to fill the corporal cylinders and that causes an erection once the erection is through then there's a release mechanism that sends the water back to the reservoir to achieve a flaccid State this is great because it allows for spontaneity you don't need any erections you don't need any erection medicines or injections however it is a device and it does involve surgery as all the parts are internal the side effects are that there can be pain mechanical malfunctions such that the device may have to be replaced or individual parts repaired over time there can be a devastating infection which actually would necessitate the total removal of the device and in major surgery so what are some things that you can do about erectile dysfunction in the meantime it's important to quit smoking to lose weight to get regular exercise if you do have alcohol or drug problems to you know please get treatment for those work through any relationship issues that may be affecting the psychosocial aspects to erect to erection quality and then finally to contact your doctor and go in for an evaluation erectile dysfunction can be kind of an awkward subject but it is so important it's a part of every man's quality of life and so by contacting a doctor you may be able to discover other things wrong with your health that can be fixed or you can work through a strategy of finding one of these treatments that may be a solution for you so thank you for your attention so now we're going to take some questions okay so the first question is what are the symptoms of erectile dysfunction well the symptoms are that you have difficulty achieving erection where there can be a kind of a soft quality to the penis during erections or you may not have enough of rigidity to actually achieve sexual penetration those are the symptoms of erectile dysfunction the second question is can men under age 30 have erectile dysfunction actually yes they can and studies have shown about one in five men over the age of 20 can have erectile dysfunction so that includes the age group from 20 to 30 although it is more common as a man ages it definitely can happen starting at age 20 does erectile dysfunction mean that I am infertile is the next question that's a good question no it doesn't mean that you are necessarily infertile the production of sperm is separate from the erection of the penis and so you may have ejaculate that can be stimulated in the office or you may also be a candidate for other types of sperm retrieval techniques in order to make sure that your semen is fine next question is what are the natural treatments for erectile dysfunction well a lot of the natural treatments do have a thing called yohimbine it's a medicine that increases your libido and erection quality however placebo controlled studies have shown that the is really no different than a simple sugar pill so I would suggest not using herbal or over-the-counter remedies and instead seeing a qualified urologist or your medical provider about treatment is impotence the same thing as a rectal dysfunction yes they are the same name okay well that concludes our talk I think that that's those are the last of the questions so I appreciate your attention and I encourage you to find someone to talk about erectile dysfunction if it is bothering you you can find more information on the UCLA urology website and you can find a urology provider of your choice thank you

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