What is ED (Erectile Dysfunction, Erectile Dysfunction)?
40 mg, so you can cut it in half or quarters and use it for a good price.
ED (erectile dysfunction, erectile dysfunction) is a condition in which a man is unable to achieve a normal erection. In Japan, the total number of severe and occasional moderate cases of inability to achieve an erection is 11.3 million, and the number increases further when minor cases are included. In a survey of approximately 2,000 couples, about 30% reported experiencing ED, indicating that this is a common phenomenon.
It is estimated that one in three people suffer from ED, and the incidence increases with age, with one in two people over the age of 60 suffering from ED. Formerly called “impotence,” the term was renamed “erectile dysfunction” due to its discriminatory connotations, and in English it is written as Erectile Dysfunction (ED).
ED refers to “the inability to achieve or maintain an erection sufficient for satisfactory sexual activity,” and those suffering from this condition experience increased breakthroughs and decreased erectile hardness. It may be treated with erectile dysfunction medications.
Importantly, it is important to understand that ED is not something to be ashamed of; rather, it is a common problem. Erectile dysfunction has also been found to be the cause of 30% of male infertility, and its treatment is part of health care.
EDs are classified as either functional, in which there is no physical problem, or organic, in which there is a problem. Functional includes psychogenic and psychotic, and organic includes vascular, neurogenic, endocrine, and penile, although psychological factors and physical disorders may overlap. HIRO Clinic offers a comprehensive approach to EDs through patient understanding and support.
The Japanese Society for Sexual Function / The Japanese Urological Association|Practice Guidelines
Causes of ED (Erectile Dysfunction, Erectile Dysfunction)
ED (Erectile Dysfunction, Erectile Dysfunction) is a problem that affects the physical and mental health of men and has a wide range of causes. ED stands for “Erectile Dysfunction” and is becoming widely known in Japan. It is important to note that ED should be considered as part of a systemic disease, not just a local problem. The major causes include aging, diabetes, obesity and inactivity, cardiovascular disease and hypertension, smoking, low testosterone, chronic kidney disease and lower urinary tract symptoms, neurological disease, trauma and surgery, psychological and psychiatric factors, and sleep apnea. ED may also be caused by side effects from medications being taken.
Looking more closely at these causes, aging and lifestyle-related diseases (especially metabolic syndrome) are the primary causes of ED. Patients with cardiovascular disease may be aware of ED, with data showing that 41.6% of patients with hypertension, 42% with diabetes mellitus, and 20% with hyperlipidemia had ED. ED can be a precursor to other systemic diseases and requires attention. Early urologic consultation is the first step toward appropriate treatment.
- 【Main Causes】Physical causes of erectile dysfunction (ED) can encompass a variety of factors, including penile deformities, disorders of the nervous system, lack of blood flow due to narrowing of blood vessels, and disorders of hormone-secreting organs. Aging is also a contributing factor, with a gradual decline in erection and ejaculatory ability. Psychological causes may include a lack of sexual knowledge, failure in sexual activity, or premature ejaculation during the newlywed period, which can cause trauma and make the patient feel anxious during insertion, even if they have sexual desire. In today’s information-overloaded society, erroneous information can also lead to erectile dysfunction due to low self-esteem and loss of self-confidence. Intense stress can affect the parasympathetic nervous system and hormone secretion, which can inhibit sexual desire.
- 【Mechanism of Erection】Two factors are involved in erection: the nerves, which transmit the erection command, and the blood vessels, which cause the erection. Problems with either of these can result in an unsatisfactory erection or difficulty in maintaining an erection.
- 【Type of ED】Organic ED is caused by arteriosclerosis of the blood and is due to aging and lifestyle-related diseases. Lifestyle-related diseases such as diabetes, hypertension, and hyperlipidemia cause arteriosclerosis to progress, resulting in ED. Neuropathy Stroke, brain tumor, spinal cord injury, etc. cause nerve damage, resulting in ED. Psychogenic ED Mental stress and trauma interfere with nerve transmission, causing ED.
Data provided by the Ministry of Health, Labor and Welfare
According to data provided by the Ministry of Health, Labour and Welfare, ED (erectile dysfunction) is deeply related to aging and lifestyle-related diseases, and is recognized as one of the most important health issues among Japanese men. As the population ages, the incidence of ED is also increasing, and it has been noted that ED is particularly strongly associated with lifestyle-related diseases such as diabetes, hypertension, and obesity.
In addition, based on statistics from the National Health and Nutrition Examination Survey and other surveys, lifestyle-related diseases are reported as factors that increase the risk of EDs. This data suggests that lifestyle modification and appropriate medical intervention are effective in the prevention and treatment of EDs.
ED is not just a physiological problem; it also has psychological and social consequences and increasingly requires treatment and support. The Ministry of Health, Labour and Welfare (MHLW) is also promoting awareness and treatment of EDs
Detailed data and survey results can be found on the official website of the Ministry of Health, Labor and Welfare.
https://www.ejim.ncgg.go.jp/pro/overseas/c05/21.html
https://www.mhlw.go.jp/web/t_doc?dataId=00tc6607&dataType=1&pageNo=1
Information provided by the Japanese Urological Association
The Japanese Urological Association provides information on ED (erectile dysfunction), with particular attention given to its ED Practice Guidelines. These guidelines clearly state the standard process from diagnosis to treatment of ED, and serve as a guideline for healthcare professionals to provide appropriate treatment. In addition, the risk of developing ED increases with age, especially in men over the age of 40.
Treatment options related to ED include PDE5 inhibitors (drug therapy such as Viagra), as well as psychotherapy and surgical treatment.The Japanese Urological Association provides a wealth of information for medical professionals and patients, including the latest research on these treatments and updated treatment guidelines.
More information and guidelines can be found at the official website below
https://www.urol.or.jp/public/symptom/15.html
https://www.urol.or.jp/lib/files/other/guideline/26_ed_v3.pdf
Diagnosis of ED (Erectile Dysfunction, Erectile Dysfunction)
The International Index of Erectile Function Score (IIEF) and other measures are used to carefully diagnose the disease.
Based on the IIEF (International Index of Erectile Function) score, the severity of ED (Erectile Dysfunction) can be classified. Erectile Function” to evaluate the severity of ED.
IIEF-5 (simplified version) score classification
The IIEF-5, a simplified version of the IIEF, consists of five questions, with a score of 1 to 5 given for each question. The total score ranges from 5 to 25, and the severity of ED is classified based on the score.
Below is the severity classification of EDs based on the IIEF-5 score.
- Severe ED (Severe ED)
- Score: 5 to 7
- The patient is unable to maintain an erection for little or no time.
- Moderate ED (Moderate ED)
- Score: 8-11
- There is significant difficulty in maintaining an erection, and sexual intercourse is often difficult.
- Mild to Moderate ED (Mild to Moderate ED)
- Score: 12-16
- Sometimes intercourse is possible, although there are some difficulties in maintaining an erection.
- Mild ED (Mild ED)
- Score: 17-21
- Intercourse is usually possible, although there is some difficulty in maintaining an erection.
- EDなし（No ED）
- Score: 22-25
- There are few problems with erectile function, and intercourse is normal.
| 0 points | 1 points | 2 points | 3 points | 4 points | 5 points | |
|---|---|---|---|---|---|---|
| 1 What was your own degree of maintaining an erection ? | Very low | low (position) | ordinary | high | Very high | |
| 2 During intercourse, after insertion How many times were you able to maintain an erection? | Not once sexually stimulated. | None at all or Almost none | Occasionally (much less than half the time) | Sometimes (about half) | Almost every time (much more than half the time) | Every time or Almost every time |
| 3 During intercourse, how difficult was it for you to maintain an erection until you ended intercourse ? | Not once sexually stimulated. | Almost difficult | Quite difficult | difficulty | Somewhat difficult | not difficult |
| 4 When you attempted intercourse, how many times were you satisfied? | Not a single attempt at intercourse. | None at all or Almost none | Occasionally (much less than half the time) | Sometimes (about half) | Almost every time (much more than half the time) | Every time or Almost every time |
Characteristics of ED (Erectile Dysfunction, Erectile Dysfunction) Drugs
At Hiro Clinic Urology, we are committed to men’s sexual health and prescribe the major ED drugs approved by the Ministry of Health, Labor and Welfare. In Japan, Viagra, Levitra, and Cialis are the three approved drugs, and generic drugs containing these active ingredients also exist.
In the past, treating ED was very difficult and effective treatments that could be taken internally were limited. Spongiosa injections, negative pressure erection aids, and penile prosthesis insertion were only offered by a few medical institutions. However, with the advent of the ED drug Viagra, treatment became easier, and today Viagra, Levitra, and Cialis (and their respective generics) are widely used. These medications generally have an efficacy rate of 70 to 80%, but this varies from person to person.
| characterization | Tadalafil (Cialis) | Sildenafil (Viagra) | Vardenafil (Levitra) |
| Half-life (hours) | Approx. 17.5 hours | Approx. 4-5 hours | Approx. 4-5 hours |
| Duration of action (hours) | Maximum 36 hours | Approx. 4-5 hours | Approx. 4-5 hours |
| Timing of Dosage | 30 minutes to 1 hour before intercourse | 30 minutes to 1 hour before intercourse | 1 hour before intercourse |
| Dietary Influences | Dietary influences are minimal. | Susceptible to dietary influences (especially high-fat diets) | Susceptible to dietary influences (especially high-fat diets) |
| Main indications | ED, pulmonary hypertension | ED | ED |
| Major Side Effects | Headaches, indigestion, back pain, tendon pains | Headache, face red tide, indigestion, vision abnormalities | Headache, face red tide, indigestion, vision abnormalities |
Prices for ED (erectile dysfunction, erectile dysfunction) medications.
| diagnostic material | free |
| Sildenafil 50 mg (Viagra) | 1,000 yen/tablet (tax included) |
|---|---|
| Vardenafil 10mg (Levitra) | 1,300 yen/tablet (tax included) |
| Vardenafil 20 mg (Levitra) | 1,500 yen/tablet (tax included) |
| Tadalafil 10mg (Cialis) | 1,500 yen/tablet (tax included) |
| Tadalafil 20 mg (Cialis) | 1,700yen/tablet (tax) |
| Tadalafil 40mg (Made in India) NEW | First-time bulk purchase set of 10 tablets equivalent to 495 yen/tablet (including tax) |
It can be delivered as soon as the next day after diagnosis.
How do I get a checkup?
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