Erectile Dysfunction

Erectile dysfunction (ED) is a common condition that affects many men, impacting their ability to achieve or maintain an erection sufficient for sexual intercourse. This condition can have significant effects on a man’s self-esteem, relationships, and overall quality of life.


Our specialized team at Maiden Lane Medical in NYC is here to offer you the best possible treatment options for erectile dysfunction. We are committed to helping you regain confidence and improve your sexual health. Contact us today to schedule a consultation and start your journey toward effective management and recovery.

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What is Erectile Dysfunction?

Erectile dysfunction is the inability to develop or sustain an erection during sexual activity. It is a condition that can affect men of all ages, but it is more common as men get older.

Occasional ED is not unusual; many men experience it due to stress, anxiety, or fatigue. However, frequent ED can be a sign of health problems that need treatment.

Types of Erectile Dysfunction

Erectile dysfunction can be characterized according to the causes. The following are some of the causes of ED.

  • Vascular erectile dysfunction: This type of ED is caused by problems with the blood vessels or valves involved in getting and maintaining an erection. This is the most common type of ED.
  • Neurogenic erectile dysfunction. Neurogenic ED is caused by nerve problems. This can be as a result of trauma, surgery, or conditions that affect the nerves, such as stroke or multiple sclerosis.
  • Hormonal erectile dysfunction. This type of ED is usually a result of low testosterone levels.
  • Psychogenic erectile dysfunction. Psychogenic ED has underlying psychological causes, such as your thoughts, feelings, or behavior.
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    How Common is ED?

    Erectile dysfunction is a widespread condition. According to studies, about 30 million men in the United States are affected by ED. The prevalence increases with age, affecting approximately 40% of men by age 40 and nearly 70% of men by age 70. However, ED is not an inevitable part of aging, and treatments are available to help.

    Causes and Risk Factors

    Erectile dysfunction can result from various factors, often a combination of physical and psychological issues:

    Physical Causes

    Some physical causes of ED include the following:

    • Cardiovascular diseases: Poor blood flow to the penis can impede erection.
    • Diabetes: Can cause nerve and blood vessel damage..
    • Obesity: Associated with vascular disease and diabetes..
    • Hormonal imbalances: Low testosterone levels.
    • Medications: Some prescription drugs can cause ED as a side effect, including medication for prostate cancer.
    • Substance abuse: Alcohol, tobacco, and illegal drugs..

    Psychological Causes

    Psychological causes include the following:

    • Stress and anxiety: Can interfere with sexual performance..
    • Depression: Affects libido and can lead to ED..
    • Relationship problems: Emotional strain with a partner..
    • Performance Anxiety: Past performance issues result in overwhelming anxiety during current sexual relations, resulting in failed erections. .

    Risk Factors

    Additional risk factors that can lead to ED include the following:
    • Age: Risk increases with age..
    • Health conditions: Especially heart-related diseases such as high blood pressure.
    • Lifestyle choices: Smoking, lack of physical activity, and poor diet..
    • Psychological conditions: Mental health issues and emotional stress..

    Erectile Dysfunction Symptoms

    The primary symptom of erectile dysfunction is the inability to get or keep an erection. Other symptoms may include:

    • Reduced sexual desire or libido.
    • Trouble getting an erection.
    • Trouble keeping an erection during sexual activities.

    If you experience any of these symptoms regularly, it’s important to seek medical advice.

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    How is Erectile Dysfunction Diagnosed?

    Your doctor may use the following to diagnose erectile dysfunction:

    • Medical and Sexual History: Understanding your medical history and sexual activity can provide clues..
    • Physical Examination: Checking for underlying health issues..
    • Blood Tests: To check for conditions like diabetes, heart disease, or low testosterone..
    • Urinalysis: To look for signs of diabetes and other underlying health conditions..
    • Ultrasound: To examine blood flow to the penis..
    • Psychological Exam: To determine if depression or anxiety is a factor..

    Erectile Dysfunction Treatment and Management

    At Maiden Lane Medical, we recommend several options to treat ED:

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    Medications

    The following medications can be used to treat ED:

    • Oral medications: Such as Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil)..
    • Penile injection therapy: You can be taught where to inject a vasodilator to stimulate blood flow to the penis, resulting in an excellent erectile response. .
    • Hormone therapy: If low testosterone is the cause, testosterone replacement therapy can help.

    Other Treatments

    The following alternative treatments have had success in treating ED.

    • Shockwave Therapy: A non-invasive way to fix erectile dysfunction. Pulses are applied to the penis to help blood flow and tissue remodeling..
    • PRP Therapy: A concentrated injection of platelets is given to make tissues and blood vessels in the penis healthier..

    Lifestyle Changes

    Changes to your lifestyle have also proved to be an effective way to manage ED. Consider including some of the following changes to manage ED:

    • Exercise: Regular physical activity can improve blood flow..
    • Diet: A healthy diet can help manage underlying conditions..
    • Quit Smoking and Limit Alcohol: Both can improve erectile function..

    A word of caution: We do not recommend dietary supplements as they often cause side effects and may not mix well with other medicines.

    Contact Our Specialists Today

    If you or a loved one is struggling with erectile dysfunction, don’t wait to seek help. Contact us at Maiden Lane Medical today to schedule your consultation. Our experienced and compassionate team is here to support you on your journey to better sexual health. Book your visit now to learn more about our services and how we can help you regain control of your sexual health.

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