It seems that everyone and their uncle is an expert on erectile dysfunction (ED) which is probably why there is so much false information bouncing around the internet. For openers, most people think that ED is an “old guy’s” problem, but unfortunately, that’s simply not true. Maybe it’s because of the stress of dealing with the pandemic, or maybe it’s because guys are just more open to revealing their challenges, but it’s not unusual for guys in their twenties to have trouble getting hard, or staying hard. One thing that most everyone agrees upon is that the older you get the more likely erectile dysfunction becomes. If you live long enough, you’re number is going to come up, and you will become impotent.
What causes erectile dysfunction?
Any condition which reduces the amount of blood flow can contribute to ED. The most common conditions are:
1) Diabetes
2) Hypertension
3) Heart disease
4) Peripheral vascular disease
5) Neurological diseases including stroke, and Parkinson’s
6) Obesity
Is there anything that I can do on my own to help reverse ED?

What exactly happens when you get an erection? How come my erections are soft now?

The blood flow is controlled by complex neural mechanisms, and biochemical signals. The two most important biochemical signals are Nitric Oxide, and phosphodiesterase type 5. They have opposing roles.


In 30 years of urology practice I can’t tell you how many times I heard this. Many patients in this category benefit from some form of treatment. Obviously the majority of guys with mild ED used to take a pill- Viagra or Cialis- on demand. The other choices were much more cumbersome or invasive. Those draconian options included vacuum pumps, intraurethral pellets, injections into the penis, or surgery. Of course, these days many patients who just want a little tune up choose Low intensity Extracorporeal Shockwave Therapy (LiESWT.)
Does a major league baseball player hitting 280 have a problem? Maybe not. But that doesn’t mean he wouldn’t like to hit 300! If his name was Ted Williams, he might even want to hit 400 (and baseball fans know he did!)

Viagra is a sensational drug, and there’s a very good reason it alone has earned Pfizer tens of billions of dollars. Twenty years ago when it was introduced to the United States it was a recognized game-changer. It opened up free flowing discussion about ED, and helped invite patients to bring up a subject with their doctors which was often felt to be taboo. Viagra inhibits phosphodiesterase type 5, which is the erection killer. Most of the phosphodiesterase type 5 receptors are in the penis, but unfortunately, they are also found elsewhere in the body. With drugs there are always some side effects, and Viagra, Cialis, Levitra and Stendra are no different.
It’s no secret. Pde5 inhibitors may have some unpleasant side effects.


What about Testosterone? Does that have a role in treating ED.

Evidence suggests that many patients treated with low intensity shock wave therapy are cured, and are able regain erectile function without drugs.
Some men who previously failed drugs find themselves more responsive to pills after undergoing LIST. Others who may have noticed a mild decline in their performance, and are anxious to “keep the pipes open” may also benefit.
https://uroshock.com/scientific-data-aggregation
Low intensity shock waves are very safe, with few side effects. Patients don’t experience down time, and are able to resume normal activities right away. Now, men can treat themselves at home, without a doctor’s visit! Learn more at https://uroshock.com/
