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Writer's picture Michael Kaplan MD

What Just Happened? Can A Twenty Year-Old Guy Really Have Erection Problems?


Recent reports suggest that up to 30% of men between the ages of 20 to 30 suffer from erectile dysfunction. Fortunately, for most of these strapping fellows the condition isn't permanent or hopeless. Many will get better on their own. Sadly, the condition will rob others of their confidence, and keep them from dating. It's hard enough for an older fellow to admit to a healthcare provider that their erections aren't getting the job done. That problem is infinitely harder for a guy in his twenties. And it's not really the kind of problem most guys can discuss freely with their buddies, so many will adapt by drawing inwards, just compounding the problem.


New Onset Erectile Dysfunction- What To Do.


Erectile dysfunction in older guys has different implications than for younger men, particularly those in their twenties. Since ED is commonly associated with endothelial dysfunction, it could be a harbinger of coronary artery or peripheral vascular disease. This is particularly true for men 40 and above, and they should at least consider having a general medical evaluation, with special attention to their cardiovascular status. Other conditions including diabetes and dislipidemia should be ruled out.

Traditionally, most men with early onset ED will be offered pde5-inhibitors, such as Viagra, Cialis, Levitra and Strendra. These days many patients prefer to avoid chronic prescription drugs which may have side effects, and require careful planning. Low intensity shock wave therapy has achieved a prominent role in the treatment of patients, although most of the governing bodies consider LiSWT to be investigational. Certainly all of the data isn't in yet, and it appears that most patients will require retreatment down the road, adding to the expense.

Fortunately, Uroshock has created a solution which is both affordable and safe, without requiring a visit to a doctor's office. Patients have the option of owning their own sleek, portable and discrete units for less than the cost of a single treatment in most doctor's offices.

What Should I Try First-Pills or Uroshock?


Plenty of guys would prefer to avoid any medication, and try non-invasive shock wave treatments at home first. If the results start to fade, they can simply treat themselves at home to stay at their peak. Most recently an investigator found that patients who were treated with a combination of both daily tadalafil and LiSWT did particularly well. Some patients will do best with shock waves, some with pde5-inhibitors, and some patients may require combination therapy with both shock waves and pills. https://www.sciencedirect.com/science/article/abs/pii/S1743609521007426


Shock wave therapy seems to be the wave of the future, but all of the answers aren't in yet. There are a variety of different types of machines, different treatment protocols, and questions regarding durability. Uroshock is an outstanding alternative particularly for those men with early onset ED, and those who are unhappy with side effects from pills. The role of other regenerative alternatives including mesenchymal stem cells, and PRP is also unclear at the time of this publication.

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