Dr. Dean Edell: High blood pressure, diabetes, and smoking all increase a man's risk of heart and vascular disease. Dr. Jeffrey Brady: It affects the vessels to the heart. Dr. Dean Edell: Sometimes, these conditions can go undetected for many years until a man comes to the doctor complaining of erectile dysfunction. Dr. Anthony Douglas: A lot of them are diagnosed with diabetes, a lot of them are diagnosed with underlying high blood pressure and high cholesterol. Dr. Dean Edell: Doctors call these conditions comorbidities. Treating them is important to overall health as well as sexual function. Dr. Jeffrey Brady: There is a significant benefit to treating and controlling hypertension to maintain erectile dysfunction you have. Dr. Dean Edell: And selecting the right drug for hypertension can help keep the patient from suffering side effects like ED. Dr. Jeffrey Brady: Can we work with primary care physician, shift their medicines to see if they can have an antihypertensive that doesn't have the side-effect of erectile dysfunction. Dr. Dean Edell: Plus, there are the well-known ED drugs. Dr. Randall Meacham: All these medications are doing is they're increasing the amount of substance within the penis which naturally occurs allowing an erection. Dr. Dean Edell: For patients whose sexual dysfunction comes after prostate removal, prosthetic devices are the most common remedy. Dr. Jeffrey Brady: Currently we are using either vacuum erection devices, injection therapy or penile prosthesis or combinations of oral therapies and there is other options. Dr. Dean Edell: Patient, advocate Walter Hayes urges men to seek help, no matter what causes their sexual dysfunction. Walter Hayes: If you still have to got a libido and you are interested in intimacy, with today's science, you don't have to get it up, you don't have to think it's all over, it's not. Dr. Dean Edell: I'm Dr. Dean Edell.