Erectile Dysfunction (ED) – Proactive Men’s Medical

Erectile dysfunction, also known as ED, is a serious men’s sexual health issue that 

affects more men than you might think.

If you suffer from this condition, the specialized ED doctors at Proactive Men’s Medical Center can provide you with a wide array of quality treatment options.

We understand that normal sexual function is important to you and your partner, and the inability to achieve and maintain an erection can cause difficulties in even the best relationships. With your overall health in-mind, we want to provide you with only the safest and most effective treatment solutions, so you can regain the sex life you desire. There are numerous treatments offered at Proactive Men’s Medical Center of Cincinnati, and our primary focus is always finding the right one that works for your specific medical needs.

In order to effectively treat erectile dysfunction, it is important to understand ED, including its causes, symptoms.

What is Erectile Dysfunction (ED)?

In simple terms, Erectile Dysfunction (ED) is the inability to obtain an erection, or the inability to maintain an erection and reach climax (ejaculation). Some men who have ED are able to reach a partial erection, but struggle to reach a full erection. Men who have ED may also find that symptoms are sporadic, so erection issues may not always be present. However, for many men, symptoms occur on a regular basis.

Physiological Causes of Erectile Dysfunction

When a normal erection occurs, the brain provides a signal to the spinal cord, telling it to provide more blood flow to the pelvic region. The penis will then fill with blood, which creates the erection. When the blood does not flow properly, ED occurs. Causes of ED are often centered around conditions that affect the nerves or vessels that carry blood throughout the body.

Common Causes Can Include:

• Abuse of alcohol or drugs
• Blood vessel injuries or diseases
• Diabetes
• Hormone level issues, like low testosterone
• Neurological system injuries
• Pelvic area injuries
• Medications that are used for neurological function or blood flow altering
• Exposure of pelvic region to radiation
• Psychological problems like anxiety, depression or self-esteem

When you visit Proactive Men’s Medical Center, our doctors focus on the determining the underlying cause of your ED. Whatever the case may be, our professionally trained physicians and medical staff will develop a customized treatment plan that works for you, regardless of age or medical history!
The prescribed treatments will provide you with the most effective results and allow you to maintain an erection for 30, 60, 90 minutes or longer.

Our treatments are safe and effective with a 98% success rate and it is centered on restoring your sexual health.

Many Men Suffering from ED Also Experience Premature Ejaculation (PE)

Along with our ED treatment options, we also focus on men who have problems with premature ejaculation. While this issue is not generally as prevalent as erectile dysfunction, it can be a serious concern for those who suffer from it. There are a number of factors that can contribute to PE, and our physicians specialize in determining the underlying cause behind the condition. After getting to the bottom of the issue, we focus on providing a safe and effective treatment plan that offers immediate results.

We understand that both erectile dysfunction and premature ejaculation are sensitive topics. With this in mind, our staff practices the utmost discretion and professionalism when discussing these men’s sexual health topics. If you have an issue with ED or PE, don’t wait any longer. You can start taking control of your sex life today!

Take the first step towards regaining the sexual health you once had! Contact us to schedule a consultation with our expert medical staff today.

How to Cure Venous Leakage (6 Treatment Options)

December
22
2022

Table of Contents

Erectile dysfunction is the bane of any sexually active man. It can cause great distress to them and their partners, severely limiting the sexual component of a relationship.

Erectile dysfunction, being a highly prevalent disease, can be classified under different subtypes. This is due to the multifactorial tendencies of this type of sexual dysfunction.

One specific condition to be talked about in this article is venous leakage-related erectile dysfunction.

Also known as venogenic erectile dysfunction or penile venous insufficiency, a venous leakage is one of the underlying reasons behind soft erections.

The majority of affected men are either born with it or acquire it during their formative years. If left untreated, this ailment can persist for the rest of a man’s life.

However—with the right treatment—erectile dysfunction caused by venous leakage is treatable. Here’s more information about venous leakage and the treatment options you can get.

What is Venous Leakage?

A venous leakage is a disorder wherein your veins become unable to constrict adequately, resulting in a blood leakage that prevents erections.

Your erections are induced by the presence of blood in the spongy penile tissues. But if the blood vessels are unable to constrict and trap the blood, an erection won’t happen or fade away immediately.

Venogenic erectile dysfunction, therefore, is caused by a blood retention insufficiency induced by a venous leakage.

According to a study, 80% of men with vasculogenic impotence (venogenic ED) report failure to store blood in their corpora cavernosa, the chamber in the penis where blood is stored.

Symptoms of Venous Leakage

Venous leakage is characterized by a few prominent symptoms, namely:

• Inability to achieve a fully erect penis under any circumstance
• No early morning erections or nocturnal erections
• Soft erections which do not support penetration
• Shortening or bending of your penis (Peyronie’s disease)
• Soft glans in the penis during erection

Furthermore, there’s a key difference between ED caused by arterial insufficiency and venous leak erectile dysfunction.

ED by blood flow insufficiency causes a lack of blood to enter the penis, while a venous leakage prevents blood from staying in the erectile chambers. However, both can occur at the same time.

If you experience erections that fade away soon or soft erections, consult your doctor for further evaluation.

Causes of Venous Leakage

Erectile dysfunction, which affects over 150 million men over the world, is caused by a myriad of factors. As such, treating erectile dysfunction is highly dependent on the cause.

To diagnose venous leakage, doctors look for the following symptoms:

• Diabetes
• Vascular disease
• Neuro deficiencies
• Stress or anxiety
• Trauma
• Testosterone deficiency
• Side effects of certain medications

The risk of venous leakage increases with pre-existing health conditions. Remember, you can avoid most health conditions by following a healthy diet and exercising regularly.

Similarly, stress and psychological issues may also affect your sex life, causing psychogenic erectile dysfunction. A psychotherapist may be helpful if you suffer from such cases.

How to Cure Venous Leakage

There are many ways you can manage and treat symptoms of venous leakage.

A few treatment options that doctors may recommend to you, according to your symptoms, include the following:

1. Oral ED Medication

ED medications like Viagra, Levitra, and Stendra work even if you are afflicted with venous leakage. PDE5 medications work by widening your blood vessels, allowing blood to flow in faster than it leaks out.

It’s important to note that erections due to ED pills are merely temporary and can cause significant side effects. This is especially true in men with severe venous leakage.

Additionally, these medications are not suitable for men with low blood pressure or men who are on nitrate medications. So be sure to check in with a local erectile dysfunction specialist before trying out prescription oral medications.

2. Acoustic Wave Therapy

Shockwave therapy or acoustic wave therapy, a new and promising treatment for ED, can also help venous leakage by enabling the restoration and regeneration of blood vessels.

With the help of low-intensity acoustic waves, your body is stimulated to develop and repair new blood vessels in the targeted areas.

With a success percentage of 82% and long-lasting results for up to 2 years, shockwave therapy is one of the most effective ED treatments available.

3. Ablation

Ablation is another way to cure venous leakage. It’s a process that utilizes multiple catheters that are inserted inside a vein and heated or frozen up. This procedure patches up abnormal pathways and helps restore erectile function.

According to a study, ablation via Polidocanol, a local anesthetic sclerosing agent, was reported to have short-term success in more than 80% of the 96 patients with venous leaks.

4. Venous Ligation Surgery

Vein ligation surgery remains the most popular and effective method of intervention for venogenic dysfunction.

While it’s well-received by a handful of patients, ligation surgery also comes with a 9% to 43% chance of penile shortening.

Oftentimes, side effects may also become present, including:

• Hypoaesthesia
• Penile deviation
• Wound infection
• Priapism

With that in mind, make sure you know the risks and benefits before opting for any surgery. You may ask your doctor for an evaluation of whether you’re eligible for this treatment.

5. Vacuum Erectile Devices

A vacuum erectile device is an apparatus that acts like a vacuum, pulling blood into the penis and creating a manual erection.

Blood leakages halt due to the presence of a rubber ring, known as a constricting ring, placed at the bottom of the penis.

VEDs have almost no significant risks, except for patients on blood thinners, and a success percentage of 90%.

However, these devices may be cumbersome to use and would need a thorough briefing from a medical professional before use.

6. Penile Injections

Penile injections are a form of treatment that shoots vasodilator medications into the shaft of the penis, aiding men in attaining an erection.

While this injection isn’t as painful as it sounds, it’s best performed under a doctor’s supervision. Speak to your healthcare practitioner before opting for any treatment.

Consult Cincinnati’s Top Men’s Clinic for a Venous Leakage Diagnosis and Treatment Options

Vascular diseases are the leading cause of erectile dysfunction (ED) in men, with 50% to 70% of cases being affected by it. And venous leak is one of these vascular diseases.

Fortunately, patients have a plethora of treatment options to choose from, including surgery, ablation, vacuum devices, and a painless shockwave therapy.

Need further assistance? Contact Proactive Men’s Medical Center in Cincinnati for professional diagnosis and treatment information.

You can overcome sexual health conditions with various other methods and men’s health treatments, which includes ED therapy, premature ejaculation therapy, acoustic wave therapy, testosterone treatment, and much more.

Don’t miss out on any opportunities you can find to get the proper treatment and achieve a happy and fulfilling sex life. Give our team a call today to schedule your appointment.

Speak to a Pro: (877) 644-5147

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Is it possible to treat ED with natural remedies?

Some medicinal herbs are believed to help in the treatment of erectile dysfunction. Before deciding to accept them, please read the following information.

Erectile dysfunction – the inability to achieve and maintain an erection sufficient for sexual intercourse – is a fairly common problem. You’ve probably seen ads promoting herbal medicines or dietary supplements for erectile dysfunction that “enhance your sexual potential.” Could these resources be helpful to you?

Various supplements and natural remedies for the treatment of impotence have a long history of use in the cultures of China, Africa and other countries. However, unlike prescription medications such as sildenafil (Viagra), vardenafil (Levitra, Staxin), tadalafil (Cialis), and avanafil (Stendra), herbs and nutritional supplements designed to address this problem have not thorough research or testing. Some of them cause unwanted reactions or interact badly with other drugs. At the same time, the amount of active substance can vary significantly in different batches of the same preparation.

The following is a guide to herbs and dietary supplements used to treat erectile dysfunction:

Substances that have been studied in humans with positive results and generally found to be safe
9 0003 Medicinal plant or food supplement	Is there an effect?	Safety
Substances that have been tested in humans with positive results and generally found to be safe
men.	DHEA is highly likely to be safe at low doses. May cause acne.
L-arginine	There is evidence that high doses help with erectile dysfunction by increasing the lumen of blood vessels, thereby increasing blood flow.	Side effects include nausea, cramps and diarrhea. Should not be taken at the same time as Viagra.
Ginseng	In one study, ginseng (Panax ginseng) was found to improve sexual function in men with erection problems. The drug in the form of a cream is used for premature ejaculation.	Ginseng (Panax ginseng) contains many active ingredients. Its short-term use with a high degree of probability can be considered safe. The most common adverse reaction is insomnia.
Propionyl-L-carnitine	Studies have shown that the simultaneous use of propionyl-L-carnitine and Viagra helps with erectile dysfunction to a greater extent than the use of sildenafil alone.	Propionyl-L-carnitine appears to be safe when used under medical supervision.

Substances that have been studied in humans with positive results but are considered to be associated with risks
Medicinal plant or dietary supplement	Is there an effect?	Safety
Substances that have been studied in humans with positive results but are considered to be associated with risks
9000 3
Yohimbe	In a number of clinical studies the primary component of the bark of this African tree has been shown to improve sexual dysfunction associated with a drug used to treat depression.	The use of this herbal component can cause a number of adverse reactions, including high blood pressure, rapid or irregular heartbeat, and anxiety. Do not use yohimbe without medical supervision.

Substances not tested in humans or with negative results
Medicinal plant or dietary supplement	Is there an effect?	Safety
Substances not tested in humans or with negative results
Ginkgo	Ginkgo promotes blood flow to the penis. However, there is no evidence of its use in the treatment of erectile dysfunction.	Ginkgo may increase the risk of bleeding.
Horny Goat Weed (Epimedium)	A substance found in the leaves of this herb has been used to improve sexual function, but this substance has not been studied in humans.	Potential for cardiac effects.

Advertisements for a number of herbal preparations declare that they are analogues of Viagra. Some of these products contain unspecified amounts of ingredients similar to those found in prescription drugs, and this can cause dangerous side effects. Some products do contain certain medicinal substances that are allowed to be used only as directed by a doctor. Although the Food and Drug Administration has banned many of these drugs, some potentially dangerous drugs for the treatment of erectile dysfunction are still on the market.

Claiming that a drug is of natural origin does not guarantee that the drug is safe. Many medicinal plants and nutritional supplements can cause adverse reactions and be dangerous when interacting with other drugs. Before you decide to use alternative treatments, you should consult your doctor – especially if you are already taking any medications or suffer from chronic diseases such as heart disease or diabetes.

All specialists

useful products for erectile dysfunction

03/24/2022

5-7 minutes

1510

Contents

• The role of nutrition in reducing potency in men
• Use of diets for the treatment of erectile dysfunction in men
• Diet for erectile dysfunction and dyslipidaemia
• Nutrition rules for erectile dysfunction due to obesity
• Diet to increase testosterone levels in men

Erectile dysfunction is diagnosed when erectile dysfunction lasts more than 3 months. At the same time, the man is not capable of sexual intercourse due to the lack of an erection or its insufficient duration. This negatively affects the quality of his life, physical and mental health. ¹ Erectile dysfunction is a very common disease, among the risk factors for its occurrence, malnutrition plays an important role. Obesity leads to dyslipidemia and hypertension, diabetes mellitus and depression, which are common causes of impotence.

A diet for erectile dysfunction in men allows you to increase testosterone levels, correct metabolic disorders, reduce body weight and thereby improve blood circulation in the penis, normalize the patient’s psycho-emotional status and significantly increase the effect of the treatment. ²

The role of nutrition in reducing potency in men

Erection is a complex physiological process influenced by various factors. The main ones are:

vascular;

hormonal;

neurogenic.

Unhealthy food with a predominance of transgenic fats and carbohydrates leads to metabolic disorders, which creates conditions for the activation of vascular mechanisms for the development of erectile dysfunction. ³ Overweight and beriberi may be complicated by various somatic diseases (arterial hypertension, diabetes mellitus, coronary heart disease).

At the same time, erectile dysfunction is often the first manifestation of the disease or a harbinger of complications in patients with diabetes mellitus ⁴ , and also serves as an early symptom of diseases of the cardiovascular system of atherosclerotic origin (heart attack, stroke). ⁵

Low testosterone, which is the cause of erectile dysfunction, also leads to an increase in total cholesterol, low-density lipoproteins (“bad” cholesterol fraction) and activation of the synthesis of inflammatory mediators. ³ On the other hand, obesity, accompanied by an increase in insulin, glucose, CRP and a decrease in the level of testosterone in the blood ⁴ , leads to secondary hypogonadism, a syndrome associated with a low level of sex hormone.

All this determines the importance of proper nutrition to maintain men’s health and diet as an effective non-drug method of erectile dysfunction.

The use of diets for the treatment of erectile dysfunction in men

Food components, as well as their metabolites, affect the synthesis of various substances, including enzymes involved in metabolic processes. Improper nutrition leads to metabolic disorders, disruption of adaptive, compensatory mechanisms and, as a result, to the development of diseases of various systems, including erectile dysfunction. The diet allows you to normalize the level of glucose, cholesterol, testosterone and remove the causes of the disease due to the general healing effect.

Dieting and sufficient physical activity are indicated for all types of erectile dysfunction. With psychogenic, they are able to increase resistance to stress, with organic, they can reduce the severity of vascular disorders.

Diet is of particular importance when erectile dysfunction is combined with the following conditions:

The type of diet used should correspond to the condition of the patient’s body, the presence of concomitant diseases, food allergies. To provide a therapeutic effect, it must be individual, correspond to energy costs and not be stressful for the body, include all the necessary vitamins and trace elements.

Diet in combination of erectile dysfunction with dyslipidemia

In case of violation of lipid metabolism, resulting in atherosclerosis, it is recommended to follow a hypocholesterol diet with a restriction of salt content in products. The diet should be rich in dietary fiber and polyunsaturated fatty acids to increase the concentration of high density lipoproteins (good cholesterol). ⁶ It is also important to keep track of the calorie content of food. In the absence of physical activity, the calorie content should not exceed 2500 kcal, in the presence of excess weight – even less.

It is recommended to exclude all types of animal and hydrogenated fats containing cholesterol or contributing to its deposition on vessels. You should limit the intake of fatty meats, margarine, butter, offal pates, sausages, sausages, fatty dairy products, fried potatoes, mayonnaise, sweets and muffins.

Preference should be given to lean meats (chicken, turkey, veal, rabbit), fish, especially sea, fermented milk products. You can eat eggs, but limit their number, especially yolks. From fruits and vegetables, grapes and dates rich in glucose are not recommended.

Nutrition rules for erectile dysfunction due to obesity

It has been proven that weight loss and especially a decrease in the manifestation of visceral obesity due to the elimination of metabolic imbalances with proper nutrition and sufficient physical activity have a beneficial effect on endothelial function and, accordingly, on erectile function in obese men. ^7.8

The optimal type of nutrition for overweight is a low-calorie diet. It should be safe, but effective for maintaining normal metabolism, weight management and healing of the body. ⁹ It is recommended to include foods with a high fiber content and a low glycemic index (low increase in blood glucose) in the diet. At the same time, such high-calorie carbohydrate foods as cereals, flour, chocolate, and alcohol are excluded. Meat products, fish, seafood, nuts, dairy products, vegetables and fruits are recommended for consumption. ⁶

Meals should be fractional, with a break of no more than 3-4 hours, the last recommended meal no later than 2 hours before bedtime. It is important to observe the drinking regimen and reduce the amount of salt in food as much as possible. The diet should be moderately calorie restricted. A strict diet is not acceptable, as it causes stress and leads to depression, which only aggravate the existing problems of men’s health.

Diet to increase testosterone levels in men

A diet that increases testosterone is the main treatment for secondary hypogonadism, and is also indicated in the presence of contraindications to testosterone replacement therapy (for prostate cancer, breast cancer in men, with severe chronic heart failure). At the same time, it is recommended to include in the diet products that contain large amounts of zinc (seafood, beef, beans, nuts), potassium (nuts, mushrooms, dried fruits), magnesium (chard, spinach), iron (meat, grains), vitamins, A ( milk, eggs), E, ​​C (vegetables and fruits), polyunsaturated fatty acids (olive oil). ¹⁰

The diet is often supplemented with the use of biologically active food supplements that affect the humoral factors in the regulation of metabolism. Such a natural herbal biologically active agent is Vuka Vuka ^® , which, without side effects, without causing addiction and withdrawal syndrome, can be used to improve erection. ¹¹

More

Thus, a healthy lifestyle, including a proper balanced diet, is an effective treatment for erectile dysfunction in men. Diet increases the effectiveness of other types of therapeutic treatment, and is also a prevention of complications of concomitant diseases. ¹² An integrated approach will allow a man to gain health and improve the quality of life.

References

1. Urology. Russian clinical guidelines / ed. SOUTH. Alyaeva, P.V. Glybochko, D.Yu. Pushkar. — M.: GEOTARMEDIA, 2016. — 496 s.
   https://mosgorzdrav.ru/uploads/imperavi/ru-RU/rkr%20urology%2009-2016%20r.pdf
2. Carson CC 3rd, Rosano G. Exogenous testosterone, cardiovascular events, and cardiovascular risk factors in elderly men: a review of trial data. J Sex Med. 2012 Jan;9(1): 54–67. doi: 10.1111/j.1743–6109.2011.02337. x. Epub 2011 Jun 15. PMID: 21676183.
   https://pubmed.ncbi.nlm.nih.gov/21676183/
3. O.I. APOLIKHIN, A.A. KAMALOV, D.A. GUSAKOVA, E.A. Efremov, D.A. OKHOBOTOV, Ya.I. MELNIK Research Institute of Urology of Rosmedtekhnologii, Effective pharmacotherapy in urology, 2009. No. 3: p. 16–22.
4. Babichev V.N., Yeltseva T.V. Vitamins and their role in the functioning of the reproductive system. Problems of Endocrinology. 1993;39(2): 51–55.
   https://www.probl-endojournals.ru/jour/article/view/11978?locale=ru_RU
5. Therapeutic (dietary) nutrition: textbook. -method. allowance / O.N. Zambrzytsky. – Minsk: BSMU, 2016. – 107 p.
   https://www.bsmu.by/downloads/kafedri/k_obchgig/2020-2/uch-mater-intern-8.pdf
6. Popov S.V., Orlov I.N., Grin E.A., Malevich S.M., Gulko A.M., Topuzov T.M., Kyzlasov P.S., Povelitsa E.A. New technologies and approaches in the diagnosis and treatment of erectile dysfunction. Bulletin of Urology. 2020;8(2): 78–92.
   https://www.urovest.ru/jour/article/view/333
7. Efremov Evgeny Alexandrovich, Melnik Yaroslav Igorevich, Ulbashev Azamat Mukhadinovich Erectile dysfunction as a manifestation of the metabolic syndrome // Vestnik RNTsRR. 2011. No. 11.
   https://cyberleninka.ru/article/n/erektilnaya-disfunktsiya-kak-proyavlenie-metabolicheskogo-sindroma
8. Erectile dysfunction as an early predictor of coronary heart disease / Ch.V. Khotsanyan, E.Z. Golukhova / Creative cardiology. 2016; 10 (1), p. 37–53.
9. Obesity and sexual dysfunction in men and women // Obesity and metabolism.