What is available for impotency (erectile dysfunction)?
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Erectile dysfunction (ED) is a common disorder impacting up to 40% of 40 year old men. The physical causes of ED are cardiovascular disease, diabetes, surgery on the prostate, colon, or bladder, neurological diseases such as disc disease, stroke, or MS, or hormonal (testosterone) deficiency. Psychological causes of ED include excess alcohol consumption, depression, anxiety, fatigue, or marital discord. Evaluation of a man with ED is quite simple, consisting of history and physical examination and a limited number of blood and urine tests. 路Treatment options for ED include: 路Testosterone replacement (topical gel or injection) 路Oral medication (Viagra, Cialis, or Levitra) 路Urethral suppositories (MUSE) 路Penile injections (Caverject) 路Vacuum erection devices 路Inflatable penile prosthesis implants Most insurance companies, including Medicare, will cover the evaluation and treatment of impotence.