Erectile Dysfunction or ED in short is when one is unable to get or sustain an erection long enough for penetration.

No. Erectile Dysfunction is not the same as Premature Ejaculation (PE).

Premature ejaculation is when one is unable to control ejaculation and is usually defined as ejaculating within 1 min or less upon penetration.

However, Erectile Dysfunction can cause Premature Ejaculation (PE) or worsens PE as men who have difficulty getting or sustaining erection tend to try and thrust faster as they are afraid they the erection will go away/ Thus leading to faster ejaculation time.

• Is Premature Ejaculation a Problem

• 7 Ways to Last Longer in Bed – Premature Ejaculation 

• Does Penis Size Matter Sexual Confidence in Man

• Weak Erection & Erectile Dysfunction – Improve Erection without Pills

Most of the time, ED is usually caused by many factors which includes

• Age
• Hormonal abnormalities such as low testosterone levels
• Chronic medical conditions such as Diabetes, hypertension, high cholesterol
• Medications such as beta-blockers, some psychiatric medications
• Psychological factors such as stress, anxiety, depression

Sometimes maybe also be due to leakage of blood from veins in the penis.

If you find that you have difficulty getting an erection or sustaining the erection or you have difficulty penetrating your partner, it may be that you are suffering from Erectile Dysfunction.

Is Erectile Dysfunction link to other chronic conditions?

What are the other common chronic conditions

Diabetes can cause Erectile Dysfunction probably due to the damage of persistently high sugar levels in the blood on the lining of the blood vessels as well as the nerves. In addition, ED is associated with hypertension, high cholesterol and heart diseases as well. In addition, depression can also result in ED. Thus managing these chronic medical conditions concurrently will often give a much better outcome.

You can also use the below following questions to help yourself in determining whether you could possibly be suffering from Erectile Dysfunction:

1 – Almost never, (1 point)

2 –  A few times, (2 points)

3 – Sometimes, (3 points)

4 – Most times, (4 points)

5 – Almost always, (5 points)

Questions:

• How confident do you feel that you can get and keep an erection?
• When you have erections, how often are they hard enough for sex?
• Were you able to maintain your erection after penetration?
• Were you able to maintain your erection until orgasm?
• Are you satisfied with your sex life?

If you scored between 1-7 points, you likely have severe Erectile Dysfunction. 8-11 points moderate Erectile Dysfunction, 12-16 points are mild to moderate Erectile Dysfunction, 17-21 mild Erectile Dysfunction and lastly 21-25 points no Erectile Dysfunction.

A weak erection that prevents you from successful penetration or has difficulty penetrating is considered erectile dysfunction. Tag: viagra singapore

There are several treatment options available for ED and some options are more effective for particular causes of ED. In addition, improvements in your lifestyle, such as having a healthy diet, reducing alcohol intake, losing weight and increasing your exercise can have a positive impact on ED.

• Vacuum devices and ring constrictors – help with maintaining the erection by preventing blood from flowing out
• Phosphodiesterase 5 inhibitors – Viagra, Cialis or Levitra (tablets)
• Electroshockwave therapy – useful in cases where blood vessel abnormality may be the cause of the ED such as in cases of people having high blood pressure or diabetes or heart blockage
• Testosterone replacement – useful in cases of ED due to low testosterone. (See: Cause of Low Libido)
• Caverject injection
• Penile implants – surgery

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Viagra, Cialis or Levitra all belong to the same family of drugs called phospodisesterase 5 inhibitor. All of them are effective for ED. Their main differences are how long they take to have an effect and how long the effects last for. Viagra typically should be taken 15-30min before sexual encounters. Cialis and Levitra generally should be taken 30mins to 1 hour before sexual encounter. In addition, cialis should be taken on an empty stomach as taking it after a fatty meal or full stomach delays the onset of the medication to about 2-3 hours. There are some studies that also shows that levitra may be more useful in persons with diabetes.

Viagra typically lasts for several hours up to 8 hours. Cialis and levitra can typically last for 18-36 hours. Thus for some, because cialis or levitra is longer lasting they do not need to take another dose in the morning if they would still wish to have another encounter with their partner subsequently.

Also cialis is also available in a lower daily dose form which some people may prefer as they do not need to timed their sexual encounters as taking it daily provides a background boost to the erection.

In terms of side effects, all 3 drugs have the same side effects. The most common side effects are headache, dizziness and flushing of the face. Rare side effects include changes in vision or hearing and prolonged and painful erection that lasts >3hrs.

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Some people who are unable to tolerate some of the side effects of the medication or would prefer not to take medications may consider ESWT or penile rejuvenation as another treatment option for ED. ESWT or penile rejuvenation through the small repeated pulses to stimulate the area to produce new tiny blood vessels thus improving the overall blood supply to the area. Tag: viagra singapore

ED 1000 and other ED machines uses the same technology – low-intensity extracorporeal shock waves. The main reason why ED1000 is used in our clinics is that it is one of the machines which has been studied in many clinical studies, including double-blinded placebo studies which are considered by the scientific community as the best scientific evidence to show whether or not a treatment is effective or not. In addition, ED 1000 does not cause any pain unlike some other machines. Tag: viagra singapore

Typically, we suggest 6-12 sessions of ESWT for treatment of ED. Each session lasts for about 20 mins and there is no restriction of activities before or after each session which means that you can come from your office and do the treatment and go back to work after the session. WE normally suggest 1-2 sessions per week.

For Penile Rejuvenation, we normally suggest 1 session and you can repeat as and when you like to maintain your erectile function.

Also on DTAP: HIV Test Singapore, STD Test Singapore, Anonymous HIV Testing.