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Welcome to Fifth Avenue Urology, the practice of Dr. Yaniv M. Larish. We are located in Manhattan, in New York City’s beautiful Upper East Side. We offer the most advanced state of the art diagnosis and treatment for all problems of the male and female urological and reproductive systems.

Dr. Larish served as the former chief resident of Urology at Lenox Hill Hospital. Drs. Larish is focused on providing exceptional, detail oriented, unrushed, and compassionate urological care to men and women of all ages. At Fifth Avenue Urology, we view the ability to practice medicine as a privilege, not a right. They treat their patients with respect, professionalism and compassion.

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212-675-3186

Yaniv M. Larish, M.D.

dr-yaniv-larish-fifth-avenue-urology2 Dr. Larish is a urologist and surgeon treating women and men with a variety of urological conditions. His expertise is in treating complex kidney stones, enlarged prostates (BPH), incontinence, erectile dysfunction, infertility, and urological oncology (prostate, bladder, kidney, and adrenal cancers). He is an expert in general urology and is often consulted for second opinions.

Dr. Larish’s dedication to patients and their families drives his belief in prompt evaluation and care. He treats all his patients like family. As such, same day appointments are available for urgent issues and house calls can be made in select cases.

See our Main Site at www.FifthAvenueUrology.com

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Category Archives: Erectile Dysfunction

The Current State of Erectile Dysfunction & Treatment

What is the current state of erectile dysfunction and treatment? More than 30 million men complain about the inability to keep and even get an erection. People who encounter such issues often have erectile dysfunction. ED is a common condition that men develop for many reasons.

Erectile Dysfunction & Treatment Urologist NYC

You don’t necessarily have erectile dysfunction if you develop an erection problem less than 20% of the time. But, when it progressively and routinely happens or occurs 50% of the time, you should visit a urologist for treatment. You may develop ED for these common reasons:

The limited blood supply in the penis
Damaged nerves
Emotional and stress work and life routine

Also, ED is an early symptom for serious health conditions such as:

Heart disease
High blood sugar
High blood pressure
Atherosclerosis

When you visit the doctor for erectile dysfunction, they will evaluate your overall well-being to find an underlying condition. As a rule, if your heart is healthy and you’re in good physical condition, then your sexual health is good.

Prevalence of Erectile Dysfunction

Experts suggest that erectile dysfunction is more common in elder men than younger men. It’s because with growing age, the risks of ED increase. Some studies claim that ED is a common type of sexual dysfunction in men.

In a 2018 review, experts suggest that about a third of men develop erectile dysfunction. Another study about ED, conducted in 2019 found that the current state of ED starts from 3% to 76.5%.

A study, performed by Massachusetts Male Aging experts concluded that about 52% of men undergo erectile dysfunction. Furthermore, about 5% to 15% of men suffer from ED ages between 40 and 70. This indicates that the risk of ED increases with the growing age. That said young men can develop erectile dysfunction as well. Another study, conducted by the Journal of Sexual Medicine suggested that about 26% of men develop ED below 40 years of age.

Considering the above-mentioned studies and others, doctors suggest that ED is a common condition and occurs in a large population of men. But, the statistics may differ because different institutions measure erection issues differently.

However, if you are unable to get or keep your penis erectile 50% of the time, you should visit an experienced urologist. The doctor will evaluate ED and suggest an effective treatment plan.

Treatment for Erectile Dysfunction

You can treat erectile dysfunction by improving your vascular and heart condition. Visit a doctor and share the problems you encounter. They will diagnose the condition and share risk factors, so you can receive proper treatment.

The doctor might ask to increase workouts, stop smoking, and eat healthily. Also, they might ask you to quit the use of alcohol or drugs. They will prescribe alternative and less harmful drugs instead.

Sometimes, emotional problems can cause erectile dysfunction. This happens due to depression, life’s stressors, relationship conflicts, or anxiety. In such conditions, the doctor will ask you to seek emotional support. Once you treat your anxiety or depression, you will cure ED.

ED Erectile Dysfunction & Treatment Doctor New York

The doctor will suggest the treatment depending upon the underlying condition. They will start the treatment process with non-invasive treatments. Most ED treatments are effective and safe. Still, you should ask the urologist about side effects. The common treatments for erectile dysfunction are:

Oral Drugs such as Levitra, Cialis, Viagra, and Stendra. These prescribed drugs are called phosphodiesterase type-5 inhibitors. These erectile dysfunction treatments are common in the US. These medications improve blood flow to the penis.
Penile Implants
Penile Injections such as Intracavernosal Alprostadil or ICI
Testosterone Therapy, especially when you have low testosterone in the body. The doctor will suggest blood testing to check testosterone levels.
Vacuum Erection Devices
Intraurethral medication such as Alprostadil or IU
Surgery, if you had severe pelvic trauma in your life. This condition helps bypass penile artery damage. Urologists commonly recommend this treatment to young men. Since older men have hardened arteries, this treatment is not suitable for them.

Erectile Dysfunction ED & Treatment: Conclusion

Erectile Dysfunction is not a life-threatening condition, but it can be a symptom of a serious disorder. If you experience erectile dysfunction, you should visit a urologist for diagnosis and treatment. An experienced urologist evaluates the patient for ED to find the actual cause behind the problem. Once a urologist diagnoses the condition, they suggest the best treatment for that underlying problem.

If you need to consult a professional urologist in the New York City area, then call Dr. Yaniv Larish. Dr. Larish is a highly experienced urologist in New York City and provides detail oriented, exceptional, and compassionate urological care to both men and women.

For a consultation or to schedule an appointment, contact us today:

FIFTH AVENUE UROLOGY
Dr. Yaniv Larish
4 East 76th Street
New York, NY 10021

212-675-3186

What are the Main Causes of Erectile Dysfunction?

What are the main causes of erectile dysfunction? ED refers to not being able to hold, maintain, or form a penile erection. Sometimes, a person may feel unable to maintain the erection firm enough to have sex. The condition erectile dysfunction (impotence) is a serious concern that can be devastating for a male’s personal life and psychological health.

Causes of Erectile Dysfunction

Apart from being unable to enjoy sex, men start to feel self-conscious and go through various psychological effects such as losing confidence. What’s more, it can be devastating to experience erectile dysfunction in a relationship as it can leave you and your partner unsatisfied.

How Does an Erection Work?

When sexual arousal occurs, the nerves in the body release chemicals that increase the blood flow to the penis. The blood then flows into the two hollow chambers of the penis. The spongy tissues that make up the hollow chambers trap the blood in the penis and cause a firm erection.

Similarly, when a man reaches climax, another set of nerve signals instructs the muscular tissues to contract in the penis. Hence, it causes a firm blood circulation which causes the erection. Moreover, you might be aware that when there is no sexual arousal, the penis appears limp and soft. Further, the size of the penis can vary due to many factors, including cold, warmth, or worry. It depends on the blood circulation that takes place in the penis.

What are the Symptoms of Erectile Dysfunction (ED)?

The main symptom of ED is that a male might not be able to get an erection or maintain it firm enough for sex. Further, there are some other symptoms that may hint towards ED:

Loss of sexual desires
Less interest in sexual activity
Premature ejaculation
Delayed ejaculation
Erection problems that you may think link with your other health conditions such as heart disease or diabetes

Main Causes of Erectile Dysfunction

Prostate Diseases

Prostate cancer doesn’t directly cause erectile dysfunction. In fact, the treatments that help with removing prostate cancer, such as radiation therapy, chemotherapy, and so on, can cause erectile dysfunction. Treating benign conditions such as any non-cancerous prostate disease can also possibly cause ED.

Psychological Issues

In case of lack of any anatomical deformity, the causes of ED can be purely psychological. This is because a man might have experienced ED at some point in life and failed to maintain an erection. It is also a condition, i.e., primary ED. Here are some psychological factors that affect a man’s erection and cause ED.

Severe Anxiety
Severe Depression
Guilt
Fear of Intimacy

Most of the ED cases are secondary, which refers to problematic erections. In reality, certain common psychological factors may cause ED, such as emotional stress, work stress, body fatigue, anxiety, etc. Additionally, there can be an overlap of several factors which may cause a persistent condition of ED.

For example, obesity affects blood circulation, which can cause erectile dysfunction and the inability to maintain an erection. On the other hand, the person who is obese may also be suffering from low self-esteem, which may impact erectile function (i.e., psychosocial cause).

Causes of Erectile Dysfunction
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Other Factors and Causes of ED

While psychological conditions and states affect a man’s erectile function, various other reasons can cause temporary or persistent ED conditions. Certain health conditions can alter the way a man’s penis might function. These can be some of the major factors that contribute to ED condition:

Diabetes
Parkinson’s Disease
Obesity
Metabolic Disorders
Sclerosis (multiple)
Surgical Implications
Hormonal Disorders
Radiation Therapies
Smoking/Substance Abuse
Alcoholism
Blood Vessels Disorder

Moreover, certain prescription drugs can cause ED due to their effect on blood circulation, blood vessels, heart rate, and more. These drugs might be treatment options for various medical issues, including diabetes and heart disorders. However, consult your urologist or general healthcare provider before making serious assumptions about your erectile function.

Ways to Prevent Erectile Dysfunction

While there are many risk factors associated with erectile dysfunction, it might also occur due to aging as the body weakens over time. Therefore, you should know some of the best preventative measures to avoid experiencing ED. Here’s what you can do as part of your daily life:

Regular exercise
Reduce stress through talking, walking, and other minimal effort activities
Consult the best doctors to handle health conditions that might link with erectile function disorders (ED)
Avoid smoking/alcohol/substance abuse
Take help and therapies for mental issues such as anxiety, depression, stress disorders, etc.

Causes of Erectile Dysfunction: Conclusion

Do you often or occasionally experience erectile dysfunction? If so, visit Fifth Avenue Urology and meet with a top urologist who specialized in ED. They can help you with treatment and care, as well as provide you the opportunity to learn about your urological health.

Call us at 212-675-3186 to schedule an appointment with an expert urologist at Fifth Avenue Urology today.

Reference Links

https://www.webmd.com/erectile-dysfunction/ss/erectile-dysfunction
https://www.niddk.nih.gov/health-information/urologic-diseases/erectile-dysfunction
https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776
https://www.urologyhealth.org/urology-a-z/e/erectile-dysfunction-(ed)

Suffering from Erectile Dysfunction? Causes and Treatment

What are the causes and treatment for Erectile Dysfunction (ED)? ED simply refers to the inability of getting or maintaining an erection. This happens to men as they age, but may sometimes happen to younger men. There are a variety of reasons for erectile dysfunction.

Causes of Erectile Dysfunction

Stress, anxiety, or fatigue often leads to men losing sexual drive resulting in impotency (erectile dysfunction). These and other mental problems can occur due to work, social or even personal life issues with your spouse.

Health conditions such as diabetes, heart diseases, weakening of arteries and veins, or weakening of the heart muscles, etc are among a few issues that can cause or worsen ED in men.

Drugs can also weaken the arteries and veins, causing erectile dysfunction. Sometimes, the medications used for treating various health conditions such as prostate conditions, high BP or even pain can cause ED.

Damage and/or injuries to arteries or veins responsible for carrying blood to the penis for firm erection can lead to erectile dysfunction. Damage can be severe or minor. However, minor injuries reciprocate through proper medication and even surgeries.

As for as older men go, most of them tendency to remain sexually functional till their 60s or even their 80s. Therefore, old age isn’t necessarily the only reason behind ED.

Erectile Dysfunction Treatment NYC
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Symptoms

Here are some common symptoms that people with ED face:

Trouble maintaining an erection during sex
Trouble getting an erection due to lack of blood flow to the penis (chronic)
Soft erection throughout the sex
Reduced sex drive

These common symptoms of ED are persistent throughout men who experience ED. Nonetheless, there are natural as well as traditional medicines that can help you treat erectile dysfunction. Depending on the state of ED you can contact a doctor or urology expert like Dr. Larish at Fifth Avenue Urology who can help you through the treatment and provide you with the best measures to prevent ED. Visit Fifth Avenue Urology’s website here for more info on Urology by Dr. Larish.

Treatments & Prevention of Erectile Dysfunction

ED treatments generally depend on its causes. Therefore, you might have to start with a combination of treatments which might consist of physical and mental therapy. You can work with a professional like Dr. Larish at Fifth Avenue Urology to help identify the cause of ED and choose the proper treatments.

As mentioned before, emotional treatments could be vital for men suffering from ED due to emotional or mental effects. Emotional problems can consist of anxiety, stress, depression, or lack of mental stimuli during sex. Many professionals prefer talk therapies and counseling to work out any mental issues such as fatigue, stress, or anxiety.

Other problems such as conflict in relationships or the lack of stimulation in certain sexual criteria are also the point of discussion during these therapies. With a healthy relationship with your spouse and by resolving mental and emotional issues causing strain on the sexual performance, you can move past the barriers of erectile dysfunction and enjoy a happy and satisfying sexual life.

Top Erectile Dysfunction ED Treatment NY
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Many physical treatments are restricted to oral medications, injections and some checkups at your doctor’s. Your doctor could also ask you to stop taking your old medications that affect your sexual performance. Instead, he or she might prescribe you to take medicines such as Viagra, Cialis or Stendra. These medications promote healthy blood flow to your penis by relaxing hardened arteries and veins that leads to a firm erection.

Moreover, your doctor might prescribe you Alprostadil to inject to the base or side of the penis. This will also enable a firm erection through healthy blood flow. Further, there are various other techniques to overcome the difficulties of ED:

You can use penile implants
Vacuums to pump blood into the penis for firm erection
Surgeries (laser) to vaporize excess tissue on the prostates
Vascular repair inside the penis that will prevent blockage to blood flow

There are also some preventative measures you can take to avoid going “down” the ED road.

Stop alcohol consumption
Stop smoking
Do cardio exercises
Maintain a healthy sleep routine and diet
Avoid taking unnecessary stress
Avoid conflicts with your spouse

Consult Fifth Avenue Urology for Problems with Erectile Dysfunction

Dr. Larish at Fifth Avenue Urology can help you with ED. With years of expertise in urology, he provides compassionate and effective care to his patients.

Book an Appointment: 212-675-3186

Fifth Avenue Urology
4 East 76^th Street
New York, NY
10021

Visit our main website for more information.

References:

Impotence and Erectile Dysfunction: Modern Treatments

In men, impotence and erectile dysfunction are challenging conditions that some struggle with. Erectile dysfunction refers to a condition in which men are unable to have sex because they can’t maintain an erection. The condition doesn’t necessarily mean that you cannot have erections, but rather that your erections may not last long enough to have sex. This is a chronic condition and grows severe with age. Numerous traditional treatments are available to cure impotency due to erectile dysfunction. However, these procedures may not work for everyone in the same way.

Impotence and Erectile Dysfunction Doctor

It’s understandable that men hesitate to try these treatments because they fear the side effects. This prompts researchers to explore new techniques and procedures as a means to treat erectile dysfunctions and impotence. In this article, we will discuss some modern and effective treatments for impotence and erectile dysfunction. But, before that, you should understand the causes of erectile dysfunction for better understanding.

Causes of Erectile Dysfunction & Impotence

You may develop erectile dysfunction for numerous reasons, including emotional issues, health problems, and both. Here are some risk factors for erectile dysfunction:

High blood pressure
High blood sugar
Cardiovascular diseases
Age factor
Excessive Smoking
High cholesterol
Obesity
Lack of exercise
Drinking alcohol and using drugs

Increasing age is a common cause of erectile dysfunction. However, in some conditions, men remain sexually functional during their 80s. Erectile dysfunction can cause numerous health problems. Therefore, you should understand the actual cause and get treated at an early age. Expert urologists at Fifth Avenue Urology can diagnose erectile dysfunction and determine the actual cause for successful treatment.

Physical Causes of Erectile Dysfunction

Here are some causes of erectile dysfunction:

Insufficient blood flow to your penis. Health issues, such as high blood sugar, hardened arteries, and heart diseases, can affect blood flow to your penis.
High blood sugar can cause nerve damage and small vessel disease in the penis.
Various medications used to treat other health problems can cause erection problems. Consequently, it is essential to consult with a doctor before taking any medication.
Cancer treatments surrounding your pelvis may result in erectile dysfunction. Using radiations in the lower abdomen for the removal of cancer cells can lead to inability. If you are a cancer patient, you should identify the risks of developing erectile dysfunction by consulting a urologist.

Emotional Causes of Erectile Dysfunction

Normal sex requires the mind and body to function together. Facing relationship or emotional problems can be a cause of erectile dysfunction as well. Here are some emotion-related reasons that can cause erectile dysfunction:

Anxiety
Depression
Stress
Relationship conflicts

Future of Erectile Dysfunction & Impotence Treatments

For decades, researchers have conducted research and studies to introduce new and effective treatments to cure erectile dysfunction. These include:

1. Stem Cell Therapy

According to many researchers, stem cell therapy is an effective treatment for erectile dysfunction. In the procedure, the urologist will inject stem cells into the penis. Currently, there isn’t much evidence about the effectiveness of this technique. Scientists found promising results when using this procedure to treating the condition in animals. They also performed a phase I study in humans. If you are thinking about getting stem cell therapy for erectile dysfunction, you need to consult a professional urologist.

2. Platelet-rich Plasma

Platelets in your body help grow new blood vessels and heal wounds. According to some preclinical and clinical trials, you can treat erectile dysfunction using platelet-rich plasma treatment. In a 2020 review, researchers suggested that PRP therapy is a safe and potential treatment for sexual dysfunction in men. They also highlighted that there is a need for further research on this condition. This treatment is available for treating ED, but you need to consult an expert doctor before undergoing the procedure.

3. Vascular Stent

The vascular stent is similar to coronary stents for treating heart diseases. The urologists may also suggest this treatment for erectile dysfunction. Research does show that it provided good results for treating ED. However, researchers should focus on determining the long-term benefits of this condition for erectile dysfunction.

Urologist for impotence and erectile dysfunction

4. Penile Transplant

Johns Hopkins performed the first penile transplant in 2018. Since then, many people have trusted penis transplants. Doctors are learning new techniques for increasing the effectiveness of penile transplants. Qualified and experienced urologists will diagnose your condition and determine the success rate of the treatment.

5. Shockwave Therapy

Penile shockwave therapy is also an option for treating penile dysfunction. In this treatment, doctors will pass low-intensity sound waves to improve blood function. This will positively influence the growth of the blood vessels. Shockwave therapy is still not an approved technique for erectile dysfunction.

Impotence and Erectile Dysfunction: Conclusion

Suffering from erectile dysfunction? Contact us at 212-675-3186 and discuss your condition with a highly qualified urologist in NYC. Dr. Yaniv Larish will diagnose the severity of your erectile dysfunction and suggest a suitable and effective treatment.

FIFTH AVENUE UROLOGY
4 East 76th Street
New York, NY 10021
212-675-3186

Treatment of Erectile Dysfunction (ED)

Erectile Dysfunction (ED) is probably the most embarrassing condition men go through, and there are many reasons this problem may occur. They tend to leave this untreated because they find it difficult to talk about. Men with ED find it challenging to maintain an erection or, in some severe cases, can’t get an erection at all.

In short, the erection that men with this problem get is not strong enough to have intercourse. ED requires immediate attention and treatment so that it doesn’t become permanent.

Erectile Dysfunction ED Treatment
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Now, let’s discuss why this condition may occur in men. Erectile dysfunction may happen due to the following reasons.

When the blood flow in the penis is not normal
Damaged nerves that stop the blood from flowing properly
Stress and emotional reasons may cause it
Performance anxiety may lead to erectile dysfunction before intercourse
Some diseases like high blood pressure and diabetes can affect the blood flow

How Erection Occurs

When a man is sexually aroused, the nerves release a chemical that increases the blood flow into the penis. This blood flows into two chambers that assist with erections. These chambers are made of spongy muscle tissues.

While a man has an erection, this spongy tissue relaxes and locks in blood. The pressure that builds up in the chamber makes the erection solid and firm, resulting in a healthy and proper erection. During an orgasm, another set of nerve signals reaches the penis and causes the muscular tissues to contract in the penis, and the blood flows back into the body. After this, a man naturally loses his erection.

Risk Factors of ED

Erectile dysfunction can result from a variety of health issues, which include both physical and emotional problems. However, the following are the common risk factors.

Age (Usually above 50)
Having a high level of blood sugar (Diabetes)
High blood pressure
Cardiovascular diseases
Level of cholesterol is high
Smoking
Consumption of drugs and alcohol
Obesity
Missing exercise or being inactive

Even though the probability of erectile dysfunction increases as men age above 50, growing old is not always going to cause this condition. Some men stay sexually active even into their 80s. This type of dysfunction can be an early sign of a more serious health problem. Finding and treating the reason for ED is a vital first step.

Causes of Erectile Dysfunction

Physical Causes of ED

The flow of blood is not enough into the penis.

Many health problems can decrease the flow of blood into the penis, such as hardened arteries, heart disease, smoking, and high blood sugar (Diabetes).

A penis cannot catch blood during an erection

Man would not be able to keep an erection if the blood flow does not stay in the penis. Such a problem can take place at any age.

Nerve signals from the spinal cord or brain do not reach the penis.

Some injuries, diseases, or surgeries in the pelvic area possibly will harm nerves to the penis, due to which, it would be difficult for nerve signals to contact with the penis from the spinal cord.

Effects of diabetes on the nerves of the penis.

Diabetes can cause your body to have small vessel disease, and it can also damage the nerves that are connecting your brain with the penis.

Cancer treatments can affect the functioning of a penis.

Surgeries or the passage of radiation near the pelvis for treating cancer can cause erectile dysfunction. Colon-rectal tests can also result in the same.

Emotional Causes of Erectile Dysfunction

Many people suffer from emotional issues that may cause erectile dysfunction. Following are the emotional causes of erectile dysfunction.

Depression
Anxiety
Conflicts in a relationship
Stress at workplace or home
Pressure from cultural, religious, social conflicts
Anxiety related to sexual intercourse

Treatment of Erectile Dysfunction

There are several treatments for erectile dysfunction. Your doctor might recommend some oral medications, injected medications, topical medications, or penile implant surgery.

Erectile Dysfunction ED Treatment Doctor
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For hormonal imbalance, doctors can advise you to have testosterone supplementation, which you can have orally, through injections or topically. There are three types of medications that you can take orally to treat ED. These three medications include Cialis, Levitra, and Viagra.

These medicines do not give you an erection; instead, they make it easy for you to achieve an erection. The significant difference between these medicines is of the time their effects last for. When performing surgical treatments for erectile dysfunction, surgeons place a device in the penis.

Bottom Line

ED can take a hard emotional hit on you, especially if you are young. However, you don’t have to be depressed when there are solutions to the problem. If you or someone you know has ED, you can come to us for treatment. Our licensed and knowledgeable urologists, Dr Michael Brodherson and Dr Yaniv Larish, can help you determine the right treatment.

Call us right not at 212-675-3186 to discuss your issue and book an appointment.

Erectile Dysfunction: Causes and Treatments

What are the causes and treatments of erectile dysfunction? Erectile dysfunction is an ailment that can occur in men of all ages. While it is not very common among young boys, it becomes a lot more common among men over the age of 30. And while it is common for men to experience difficulty in getting an erection, Erectile Dysfunction is completely different. Erectile Dysfunction refers to not getting satisfactory sexual performance on a multitude of occasions over a long time, leaving you in a very awkward and embarrassing predicament.

However, Erectile Dysfunction is a much more recognized ailment, which has a cure as well. There is a wide range of treatment options from surgery to medication. Even if you can’t come to talking to your doctor about it, just know that they are well aware of this particular ailment and how common it is. You may be wondering how you got Erectile Dysfunction (ED) in the first place, well there are a number of reasons for why you have ED.

Causes of Erectile Dysfunction

Causes for Erectile Dysfunction can be very different for each person. There is no single cause for Erectile Dysfunction; rather there are multiple reasons why someone may be suffering from this predicament. So, let’s take a look at all of the different causes for ED, to know more about their treatments.

Physical Causes

The physical causes imply that you may be having Erectile Dysfunction due to another disease, or another medical condition. They also include any physical trauma that you may endure on your genitals, or any other real world problem that is affecting your ability to sustain an erection. This includes:

Obesity
High blood pressure
High cholesterol
Smoking, substance abuse, or alcoholism
Parkinson’s disease
Diabetes
Heart disease
Hormonal disorders or imbalances

It is also possible that the ED may be a result of medication that you are taking in order to relieve other diseases or problems. These include:

Cancer medication
Opioid painkillers
Anxiety medication
Hormone drugs
Drugs for high blood pressure
Sleeping medication and other drugs that affect the central nervous system
Prostate treatment drugs

The physical causes are about 90% more likely to cause ED than psychological causes ever could. But that is not to say that they are not responsible.

Psychological Causes

Psychological causes are not as rampant, or as worry some as physical causes. Most people that suffer from ED often do so because of a physical cause, instead of a psychological one. That said, some of the psychological reasons for ED are:

Guilt
Anxiety
Depression
Fear of Intimacy

While these may seem like very menial limitations, these can be very frightening for the person suffering from this. So if you are having ED, maybe you need more psychological help than physical.

Treatments for Erectile Dysfunction

Treatments for Erectile Dysfunction come in a variety of forms. From temporary medication and solutions to permanent surgery and other medication, there is a lot for you to choose from.

Temporary treatments

When it comes to temporary medication, medicines like Viagra nitroglycerin work wonders for you. However, if you do not want to take these medications for any reason, temporary methods include using a vacuum-like device that pulls the blood to the penis and keeps it there with a band. That said, this can cause a lot of discomfort, so be sure to discuss with a physician before using this machine.

Permanent treatments

Permanent solution also makes use of medication, but also gives you the option to opt for surgery to help with the condition. There are two types of surgery that can rid you of erectile dysfunction: penile implants and vascular surgery.

Vascular surgery tries to correct some of the blood vessels that are causing the ED. On the other hand, penile implants are a last resort for people who have not had any success with any other form of treatment.

Conclusion

This guide obviously does not cover everything about erectile dysfunction, and it can’t. But, if you are looking for a good urologist that can help you get back on track, visit our website to find out more.

FIFTH AVENUE UROLOGY
212-675-3186

I have erectile dysfunction

Erectile Dysfunction: Treatment Options & Procedures

Many men who we see at our practice often opine, “I have erectile dysfunction.” We tell our patients that not having an erection once in a while should not bother them. We recommend the patients to consult our urologists only when they fail to have an erection consistently.

Our patients heave a sigh of relief when we make it clear to them that all types of ED can be cured. And Dr. Larish is thoroughly capable of dealing with both simple and complicated cases of ED. Treatment options for ED include topical medications, oral medicines, penile implant surgical procedure, and injectable medications.

Before we start treating, we carry out a thorough evaluation to determine and ensure the procedure that’ll be optimal for a particular patient. For a start, we try to bring the patient’s blood pressure and blood sugar under control. At the same time, we advise ED patients to completely stop smoking as the habit adversely affects one’s libido.

Medicinal Treatment

We suggest medicinal therapy as the first line of treatment, which can offer good results. Viagra, Levitra, Stendra, and Cialis are four PDE5 Inhibitors that are effective for more than 60% of men diagnosed with ED. Cialis is the most popular of all PDE5 Inhibitors as the medicine’s effects remain for nearly 36 hours and do not need to be taken on an empty stomach.

Nevertheless, we’ve seen from experience that these medicines do not work for more than 50% of men suffering from diabetes and ED. Alternatively

External Mechanisms

External mechanisms or devices like vacuum pumps medicated urethral options, and penile self-injection therapy rarely produces desired results in the long run. Very few men choose external devices for dealing with ED borne out by the extremely low replenishment and steep dropout rates.

The biggest reason why men choose to refrain from using external devices is the meticulous planning needed for such therapies.

Penile Implants

Men diagnosed with ED opt for penile implant procedure as a last resort when medications and external devices prove ineffective. For such men, we recommend IPP (internal penile pump), popularly referred to as ‘inflatable implant.’ Dr. Larish has the competency to install various kinds of penile implantation devices in men with ED.

The outpatient operative procedure takes about 45 minutes. Dr. Larish first makes a 1-inch cavity in the scrotum for inserting the penile pump. The patient needs to press the pump for pumping the semen into the genital organ (penis). Once the semen fills up the penis, the patient experiences an erection that endures.

Fifth Avenue Urology

Our team of urologists at Fifth Avenue Urology has been and continues to provide exceptional urological services to the young and old alike. Dr. Brodherson, who had a former Chief of Urology at Lenox Hill Hospital, and Dr. Yaniv M. Larish, erstwhile chief RMO in the urological department of the same hospital are committed to offering the best possible urological care.

Our urologists are capable of furnishing the best possible treatment for a wide gamut of complications affecting the urinary tract, including the kidneys, bladder, ureters, and urethra. We offer treatment and care for erectile dysfunction, prolapsed uterus, prostatitis, and a host of other urological complications. All men with erectile dysfunction who visit our clinic are referred to Dr. Larish, a surgeon, and urologist, who has extensive experience of treating erectile dysfunction.

Conclusion

We suggest men suffering from ED to contact us as early as possible for an appointment with our urologists. Dr. Larish, who has several years of experience in successfully handling ED cases, is always willing to consult with patients on this issue.

FIFTH AVENUE UROLOGY
——–
4 East 76th Street
New York, NY 10021
——–
212-675-3186

References

The Effects of Erectile Dysfunction on the Lives of Men

erectile-dysfunction-infographic-top-specialists-nyc-01 The branch of medicine known as urology deals with a range of health problems and diseases, one of which is erectile dysfunction, also known simply as ED. This is a very common condition in men but, naturally, men that suffer from ED feel very alone and it can feel like they are the online ones going through the problem. The condition can have a huge negative impact on the lives of men, which is why it is important to seek assistance from experts if you do develop ED.

This is a condition that can affect any age group but is most common in men that are aged forty and over. For some men, the condition becomes so embarrassing that they refuse to talk about it or seek any treatment. Instead, they simply steer clear of potential or existing partners and keep the problem to themselves. However, this can lead to men becoming withdrawn and depressed, so taking action is very important for sufferers of ED.

What are the causes of ED?

Erectile Dysfunction can be caused by one or a combination of things. Some men think that if they fail to achieve an erection now and again they must have ED but this is not the case. In order to determine whether you actually do have the condition, a proper diagnosis needs to be made. Some of the possible causes of ED include:

Certain diseases such as kidney disease and diabetes
Your lifestyle choices, including excessive drinking and smoking
Surgery, including bladder and prostate surgery
Certain medications including antidepressants and appetite suppressants
Psychological issues such as stress, depression, and anxiety
Hormonal issues, such as low levels of testosterone

When you see an expert about your concerns over having ED, a diagnosis will need to be made. This involves going through your medical and sexual history, carrying out a physical examination, running laboratory tests, carrying out monitoring tests in relation to erectile function, and carrying out psychosocial tests.

Speak to an expert about your ED today

Men should never feel embarrassed about seeking help for their ED, as this is a common problem and action does need to be taken. For those that fail to seek help, the issue will simply continue and will carry on affecting your life.

If you would like to speak to an expert in confidence about your ED problems, get in touch with the best urologist in Manhattan today to arrange an initial consultation.

For more information, please visit our main website at: www.FifthAvenueUrology.com

The Most Common Causes of Erectile Dysfunction

What Are The Most Common Causes of Erectile Dysfunction?

causes-of-ed-men-nyc-urologist-specialists-01 Erectile dysfunction is a problem that affects most men from time to time, however, if it becomes an ongoing problem then it can be something that needs medical attention. Erectile dysfunction can be a symptom of a number of different conditions. In some cases, it should be taken seriously as an indicator that there may be a severe health problem such as diabetes.

So, what are the main causes of erectile dysfunction in men? Here we will look at some of them, but if you are experiencing erectile dysfunction that is occurring on a regular basis, then you should definitely see your doctor or urologist for a proper diagnosis.

Low Testosterone

One of the most common causes of erectile dysfunction in men is lowered testosterone levels as men age. This can begin to happen as early as 30, but men in their 40s tend to be the ones who experience the biggest drops in testosterone levels. Testosterone is very important for men as it promotes muscular growth and also sexual virulence. If you are experiencing other symptoms of low testosterone then this may well be the cause of your erectile dysfunction. To treat this, doctors usually prescribe testosterone supplements, which can usually help with the problem fairly quickly.

Depression

treatment-for-erectile-dysfunction-new-york-best-doctors-02 Some causes of erectile dysfunction are psychological rather than physical. This can mean that you need to treat the underlying problem rather than look to things like Viagra to address your erectile dysfunction. If you have depression or anxiety, they can cause you to have issues with getting or maintaining an erection. They can also affect your libido. It is a good idea to speak to your doctor or urologist and be open about other symptoms you may have had that might relate to a psychological rather than physical reason for your condition.

Urological Problems

Some urinary tract infections and other urological problems with, for example, the prostate can cause you to have erectile dysfunction too. If you are experiencing painful symptoms or other things that suggest that the urinary tract is the problem, for example, burning or pain when urinating, then this could well be something to do with why you are experiencing erectile dysfunction at this time. If you have any of these symptoms, it is always a good idea to contact a urologist.

Erectile dysfunction can also be attributed to other problems with your health in general. Some kinds of cancer, as well as chronic problems like diabetes, can give you erectile dysfunction as a secondary symptom. If you feel that your erectile dysfunction is linked to another health condition, then the course of treatment may be different.

Whatever your situation, it is always best to go and discuss it with a urologist rather than hope that it will go away by itself. Make an appointment today to see the best urologist in NYC.

Is Low Testosterone the Likely Cause of Your Erectile Dysfunction?

Erectile dysfunction is a problem that affects a lot of men and is something that most men will experience at some point in their lives. While it is usually something that goes away by itself and is just related to your mood and other factors on the day, you should not be experiencing erectile dysfunction on a chronic basis. If you do find that you have a persistent problem with erectile dysfunction, then it is definitely worth trying to identify what is causing it and getting some treatment.

A lot of the commercials on TV that talk about erectile dysfunction tend to attribute it to low testosterone. Low testosterone is a problem for a lot of men over a certain age, however, it is not the only thing that can cause erectile dysfunction.

Causes of Erectile Dysfunction

There are dozens of reasons why you may be experiencing erectile dysfunction. It can be a side effect of other health conditions such as diabetes, including mental health issues such as depression or anxiety. However, low testosterone is often the reason why men over the age of around 35 experience more regular erectile dysfunction, especially when it is accompanied by things like a loss of libido.

What Other Effects Does Low Testosterone Have on Men?

As well as being one of the primary causes of erectile dysfunction, low testosterone in men can cause other problems. Men who find that they are gaining weight as they age and losing muscle mass are usually experiencing this as a result of a fall in testosterone as they get older. This is a normal part of aging, but when it happens too drastically, it can be a big health problem, one that is easily resolved by seeing a doctor and taking some testosterone supplements. Having a lower sex drive is another thing that is common as people get older, but if it is affecting your life in a negative way, or you think that it is indicative of a wider health problem, you should see a doctor about getting some treatment for low testosterone.

If you have been experiencing erectile dysfunction recently and this is a new development for you, then it is always worth seeking the help of a professional rather than hoping that the problem will go away by itself. You may find that you do have low testosterone, which is easily treated with a supplement of hormones, or that you have some other underlying health condition that needs to be attended to.

For more information, speak to the best urologist in NYC today.

Call our offices today at 212-675-3186 to discuss the concern and to learn what solutions may be available to you.

Should I See A Urologist About My Erectile Dysfunction?

Erectile dysfunction is something that can have a big impact on your quality of life. You may start to worry that you are unable to satisfy your partner, or that you are going to experience these problems long-term. If you have experienced erectile dysfunction recently or have been seeing these symptoms on a regular basis,… Continue Reading

What is the Best Erectile Dysfunction Treatment?

Erectile dysfunction, or the inability to achieve an erection and sustain it, is a problem that men are finally starting to open up about. While erectile dysfunction can sometimes be related to lifestyle, you could be perfectly healthy before it begins to impact your lifestyle. The best way to treat erectile dysfunction can only be… Continue Reading

Is Low testosterone the Cause of Erectile Dysfunction?

Are you struggling with erectile dysfunction and you don’t know why? You are not alone. Many men have ED and many times this is one of the symptoms of low testosterone. You may have other symptoms as well including physical and emotional changes. Testosterone is also linked to arousal, making it one of the most… Continue Reading

Erectile Dysfunction

More Common than You Know Erectile dysfunction happens when a man cannot obtain or keep an erection during sexual activity. Erectile dysfunction is an ongoing problem which can cause stress and problems in your relationship and even affect your self-confidence. Why let erectile dysfunction take over your sex life, if you are experiencing any of… Continue Reading

Treatment for Erectile Dysfunction

What is Erectile Dysfunction? Erectile dysfunction happens when a man cannot obtain or keep an erection during sexual activity. Erectile dysfunction is an ongoing problem which can cause stress and problems in your relationship and even affect your self-confidence. Symptoms of Erectile Dysfunction The symptoms of erectile dysfunction may be: Inability to get an erection… Continue Reading

Erectile Dysfunction: Causes and Treatments

Erectile dysfunction, or ED, the inability to achieve or sustain an erection, troubles 18 million American men. The National Institutes of Health estimate that between 15% and 25% of 65 year old men experience erectile dysfunction on a chronic basis, interfering with their ability to enjoy sexual intercourse. Erectile dysfunction is not a problem with… Continue Reading

Penile implant surgery

Today penile prosthetic implants are highly successful treatments for men with ED who do not respond, or who do not want to use, other forms of therapy for ED. Typically men who have penile implants have their sense of lot manhood restored. That restored sense of manhood, of being capable at any time, may be… Continue Reading

Is Erectile Dysfunction Reversible?

One of the common questions is whether or not the ED is reversible? Unfortunately, with a few exceptions* the answer is NO. This makes it such that treatment is needed to resume intercourse. *The exceptions are Psychogenic ED Vascular ED Hormonal ED Smoking related ED Psychogenic ED: Is more common in younger men. Anxiety is… Continue Reading

What is Erectile Dysfunction? Top Urologist for ED in NYC, Drs. Brodherson and Larish

ED, or erectile dysfunction, is defined as the inability to obtain or maintain an erection of sufficient hardness and for a long enough time to satisfy your partner sexually. Erectile Dysfunction The effects of Erectile Dysfunction on the man and his partner go beyond the inability to have sex. Most men who have the problem… Continue Reading