The Early Signs of ED

Regardless of age, erectile dysfunction is a reality for many men around the world. Though there are many causes of ED and methods of prevention, it’s important to know what the early signs are to be able to detect and catch the diagnosis before the issue  progresses.

According to Men’s Health, there are some clear signs that may be telling — even if everything is working just fine at the moment. For starters, if you’ve been thinking about sex less than usual, that could lead to trouble getting an erection when you do have sex. This can stem from stress or trouble sleeping, but still worth looking into if your sex drive is usually high. Another prompt that there could be something wrong is no longer waking up erect, which according to the article happens “because your brain releases less noradrenaline—a hormone that keeps erections from happening non stop—during sleep.” If you haven’t experienced an early morning erection in awhile, this could mean that there’s an issue with blood flow to your penis.

Other health signs that something could be wrong down there include high cholesterol or blood pressure, starting new prescription medications that lower blood pressure, or even swollen gums. According to the International Society for Sexual Medicine, issues like gum disease may affect blood vessels in the penis, since overall blood flow in the body is an important part of an erection. Though these signs don’t always have a direct correlation to ED, they’re worth looking into if they seem out of the ordinary and are paired with lack of sexual desire, difficulty staying erect for a long time, and lack of sleeping.

If you’re experiencing any of these symptoms and have trouble getting or staying erect, speak with one of Upscript’s U.S. licensed physicians to see if sildenafil is right for you.

It’s All In Your Head. Or Is It?

Erectile dysfunction can be the consequence of several factors including physical health, lifestyle habits, and even psychological diagnoses. According to the Good Men Project, there is a correlation between psychological factors such as stress or anxiety and the inability to keep an erection. These factors can further worsen existing symptoms of ED, leading to a vicious cycle that’s hard to understand or control.

According to the article, “psychological factors account for approximately 15% of all causes of ED”. If you’re suffering from one of the following, you’re not alone — and it may just be the root of your diagnosis:

  • Stress — We know all too well that stress from your job, financial situation, or romantic relationships can affect other parts of your life. Unsurprisingly so, it is common for men who suffer from severe stress to also have difficulty getting or staying erect.
  • Depression — There is a big correlation between depression and signs of ED. Not only can it be an initial trigger of ED in men, it can worsen the problems for men who already suffer with it. According to Healthline, “men are also more likely to lose interest in activities during depression. This could also mean that men might not find sex as appealing.” Depression can manifest itself as guilt or low self-esteem, both of which are common in men who suffer with erectile dysfunction.
  • Anxiety — Anxiety can be a trigger, but can also come from experiencing ED. This can stem from a fear of not satisfying your partner or yourself during sex, known as “performance anxiety”. Continued poor performance may only increase anxiety, causing low-self esteem and guilt.
  • Low Self-Esteem — A sign of depression, low self-esteem can cause ED, creating a negative perception of one’s own sexual performance. In turn, experiencing episodes of ED can lower self-esteem, creating a vicious cycle of pain and emotional suffering. Experiencing ED during sexual activity may create a sense of guilt for a man that feels he is unable to satisfy his partner.

Although these are common factors, they are not the only causes of erectile dysfunction. Be sure to speak with your doctor to find out what medication is best for your ED, and see if Teva’s sildenafil is right for you:

Get Moving

We all know that exercising is essential for a healthy lifestyle, but staying active can also help fight erectile dysfunction for many men. A new study published in the Official Journal of The International Society for Sexual Medicine suggests that men who are overweight or have high blood pressure for example, and suffer with erectile dysfunction, will see improvements when adding physical activity into their otherwise “sedentary lifestyle”.

Though it may seem obvious that physical activity can improve the lifestyle in someone who is overweight, has diabetes, or suffers from atherosclerosis, researchers have found that working out will benefit ED symptoms. According to ScienceNordic, there are two supported theories that can explain the link between physical activity and erectile dysfunction:

  1. “Physical activity makes the blood vessels more elastic, allowing more blood to flow to the sex organs.
  2. Physical activity stimulates the body’s production of nitrogen oxide, allowing the blood vessels to expand. This is essentially just what the popular medicine, Viagra, does.” 

The conclusions were based on both patient’s self-evaluation of improvement, as well as measurable standards such as circulation through the penis. Though exercise will not solve all cases of erectile dysfunction, it is worth implementing into your lifestyle if you are suffering from any of the medical conditions mentioned in the study. As noted in the article, doctors “expect this new recommendation to ease the symptoms of impotency, such that men who suffer severe erectile dysfunction can expect to see an improvement, while the problem could disappear entirely among men who suffer only mild problems.” Always consult with your doctor before implementing a new exercise regimen or to find out what options will work best for you.

Find out what your best option is, and if sildenafil is the right medication for you here:

Real Talk: Erectile Dysfunction and Depression

It’s no surprise that being diagnosed with erectile dysfunction can have an effect on a man’s confidence or attitude, causing stress, low self-esteem and anxiety. But what if it could lead to clinical depression, or even suicidal thoughts?

A new editorial published by the BBC recalls the experience of a young man named Benn, who had been struggling to stay erect since the age of 16. The problem got worse and worse, making sex nearly impossible and eating at his emotional state. After illegally ordering Viagra from India, doing drugs, and even injecting shots into his penis, he thought that chances of finding a solution were slim. The now 25 year-old even contemplated suicide if the problem couldn’t be resolved by age 30, as he was running out of options.

Benn was diagnosed with a venous leak, rare for his age. He describes that the stress from hiding his secret had grown worse, causing relationships to end and ultimately breaking him down inside. Eventually, Benn found an answer in the form of a penis implant, and can now enjoy sex comfortably. His advice to those struggling? “Find someone you can talk to honestly about it before taking any treatment. And, if you can, find a supportive partner you feel comfortable with. Definitely don’t sneak around secretly popping Viagra like I did,” he says.

If you’re struggling with impotence and want to learn more about your options, speak to your physician or with one of our U.S. licensed physicians to see if Upscript is right for you.

For Her: How to Deal with Your Partner’s Erectile Dysfunction

Relationships are always hard work. Whether it’s communicating, being honest, or accepting moments of vulnerability, relationships are a two-way street. So when your sexual relationship is affected in the most intimate of moments, it can be tough to work through.

For the ladies whose significant other is diagnosed with erectile dysfunction, this isn’t the end of your relationship, both sexual and emotional. Like every bump in the road when going through a relationship, dealing with your partner’s ED requires patience, communication, and understanding. Most importantly, remember that the problem isn’t you. ED is a common issue that many men experience, so don’t blame yourself for your partner’s inability to have or hold an erection. There are many health issues that can lead to an ED diagnosis, none of which include your partner not finding you sexy or attractive.

Your role is to be supportive, but sensitive. Your partner may not want to admit that he has a problem, or is too embarrassed to talk about it. As an equal in the relationship, find the courage and confidence to talk to your partner about it, and talk about different solutions together. Not only can medication like sildenafil help, but couple’s counseling or experimentation in the bedroom can bring back that spark you may be longing for. According to Everyday Health, “a good therapist can help couples identity the cause of erectile dysfunction and work through the emotional issues that surround ED.”

There is a light at the end of the tunnel, even if it seems far too distant at first. As long as there is communication, trust, and a willingness to try, ED will be no match for your love.

Find out if sildenafil is right for your partner with Upscript:

World Health Day 2018: Take Care of Yourself and Others

Taking care of your health is an important part of life. Unfortunately, it’s not always easy. Health care can be confusing and expensive, leaving many people without the coverage they need to live a happy and healthy life. At Upscript, we take pride in helping men find an affordable and easy option for the medication they need. Our goal is simple — give patients access to medications through simple experiences that work for them. Less hassle and more care is the name of the game.

Today we celebrate World Health Day and recognize the hundreds of thousands of people around the world who lack access to health care essentials such as immunizations, antibiotics, or even the ability to speak with a doctor.

According to the World Health Organization, over “half of the world’s population still does not have full coverage of essential health services”. Consequently, millions of those people are being pushed into extreme poverty due to rising health care costs, and millions more are spending a significant amount of their income to pay for health care necessities. Today, on World Health Day, we recognize the work WHO is doing to ensure universal health coverage in the future.

Upscript strives to make lives easier, creating experiences with physicians that are simple, unique, and affordable for our patients. But how can you play your part? Start a conversation in your community or on social media to see what is being done on the local level to ensure health coverage for all. Communicate with local lawmakers to see what they are doing for your community, and get informed on what organizations like WHO are doing to work towards universal health care, worldwide. Take care of you and make change along the way.

Learn more about Upscript and all that we do here:

ED Myths: Debunked!


When it comes to medical concerns, the internet can be overwhelmingly filled with myths and inaccurate information. You may think that difficulty having an erection a few times means you’re doomed, or maybe you aren’t too worried just yet because you just aren’t old enough to have erectile dysfunction. Whatever your concern or question, it can be daunting to find the answers. Lucky for you, we’re here to debunk some of these common ED myths.

MYTH #1: It’s all mental.

Not quite. Your erectile dysfunction is most likely a physical problem, usually due to blood vessels that aren’t sending enough blood flow to your penis. However, the more you stress about it can in fact make it worse. Your best bet? See your doctor and take a deep breath. Nothing to stress about here.

MYTH #2: If you can’t get an erection once, you have ED.

Definitely not. A not so successful night in the bedroom is totally normal, and many factors can contribute. Read more here to learn about some common reasons why you may struggle to have an erection that isn’t due to ED.

MYTH #3: You’re too young to have erectile dysfunction.

Sorry guys, we’re debunking this one too. According to Everyday Health, about 5% of those affected by ED are between the ages of 20 and 39. Though it’s less likely, it is absolutely possible and shouldn’t be ruled out if you’re having consistent trouble down there.

MYTH #4: Every older man has to deal with ED at some point.

No way. Erectile dysfunction is definitely more common in older men, but many can still get erections and perform regularly even into their later years. Don’t fear for the future just yet.

MYTH #5: Once you have ED, it’s too late.

Wrong! You’re not doomed for life if you have been diagnosed with ED. Medication does exist to treat symptoms and help return functionality. Despite medication and treatment being available, it can be costly. Luckily, there are options.

Speak to one of Upscript’s U.S. licensed physicians today to see if sildenafil is right for you and your ED. In just a few easy steps, you’ll be living confident and stress-free. It all starts here:

The Not So Serious Reasons You Can’t Get an Erection

We know you’ve been there. You’re unable to stay hard down there and your mind is running frantically trying to figure what could be going wrong. Whether it’s the embarrassment in the moment or the fear of a serious problem, no man wants to find themselves in that position. The good news is that in most situations, your inability to get hard or stay hard isn’t a serious problem and shouldn’t be equated to a possible ED diagnosis. More times than not, the reason is harmless.

One of the most common reasons is too much alcohol. Alcohol is a depressant, and when you’ve had too much of it, it can decrease the blood flow to your penis. So unsurprisingly, “heavy drinking proportionately increases your risk of erectile dysfunction,” according to Mens Fitness. If this happens often, you may want to consider cutting back on the drinks and staying hydrated while you’re out on the town. The effect alcohol has on your central nervous system will alter your ability to perform, but it can easily be avoided.

Don’t drink? The problem may be your medication. According to Mens Health, certain meds such as high blood pressure medications, like beta-blockers and diuretics can impact your nervous system and blood vessel walls in such a way that will decrease blood flow down there. Other health issues or lifestyle choices can also play a role in your inability to get hard, such as a vitamin D deficiency, diabetes, or if you smoke often.  

That’s not it? Recent masturbation could play a role. Most men need about 30 minutes to recuperate before going at it again. If you’ve taken care of yourself solo too soon before getting in bed with your partner, you may need to be patient before that next round. Above all, stress and exhaustion can be a massive factor in your difficulty getting an erection. Stress is exhausting both mentally and physically. If you’re head isn’t in the right place, your body will follow suit so take a breather if you’re feeling overwhelmed in your day to day life.

If none of these reasons sound like they could be your answer, consult with your doctor to see if there’s a more serious reason you can’t get an erection. Upscript’s U.S. licensed physicians are available to discuss your concerns with you and find out if sildenafil is right for you. Learn more here:

Signs You Need to Get Checked

A healthy man is a happy man, but that requires paying attention to your body and noticing if something isn’t going right down there. Besides erectile dysfunction, there are many other common men’s health issues to think about, such as STDs and testicular cancer that could be life-altering if not caught early. The hardest part? Sometimes there are no symptoms at all.

So how can you tell that there might be an issue? For the most part, you’ll be able to spot if something isn’t quite right. Common STDs like HPV and Genital Herpes will usually result as blisters, rashes, pain while urinating, or visible open sores. Signs can be easily overlooked, so if you see that something isn’t right, see a doctor right away.

Often overlooked is regular self-examination. The best way to stay vigilant in spotting signs of testicular cancer is to check for yourself. Random lumps (which can be painless), heaviness or firmness in a testicle, or swelling in the leg could be signs of an early case of cancer. According to the American Cancer Society, 1 in every 263 men will develop this form of cancer in their life, so be smart and check yourself down there. Not sure how? Pariah Underwear, a line of men’s underwear, includes instructions on how to do a self-exam (plus, half of the proceeds go towards funding research for testicular cancer) so you’re reminded when you get dressed to stay on top of your health.

It doesn’t stop there. If you’re over the age of 50, weird activity downstairs could even be a sign of prostate cancer. Urinating often, burning sensations, or blood in your urine are red flags.

Keep an eye out for signs like these to make sure that you’re the healthiest you in 2018. Scheduling routine examinations with your doctor is the best way to make sure everything is working how it’s supposed to.

Maintaining A Healthy and Steamy Relationship While Living With ED

An erectile dysfunction diagnosis can affect more than just you and your penis. The reality is that ED can play a big role in your relationship and completely change your sex life. As Valentine’s Day draws near, you may be asking how you can keep your relationship and romance alive while living with ED. It may be difficult at times, but you and your partner can work together in continuing to grow and maintain your relationship, both physically and emotionally.

Beyond the physical implications of impotence, there can be emotional and psychological consequences as well. Whether it’s believing that you can’t provide sexually for your partner, or that your masculinity is at risk, ED can bring down your self-esteem and confidence. Fortunately, your relationship doesn’t have to end or suffer indefinitely. Even though it isn’t easy to talk about, the first step is clear: communicate with your partner. Let them know what’s going on, what treatment is available, and lay out all of your options.

Other reassuring tips are to let your partner know that they aren’t the problem, and look into treatment options or even sex therapy together. Additionally, it’s crucial to remember that ED is common. Many couples go through this struggle and tackle it in different ways. According to Mark L. Held, PhD, a clinical psychologist in the Denver,  “Almost all men have ED at some point… it’s how they deal with it that counts”. At the very least, try focusing more on the deeper connection with your partner while being intimate. The moment is about both of you, so feel free to get steamy this Valentine’s Day, with or without ED.