Herbal Remedies For Erectile Dysfunction
While many herbs and supplements claim to treat ED, none have been scientifically proven to work. Some of them are not safe.
A patient’s medical or sexual history can help distinguish problems with erection, ejaculation and orgasm (climax). Oral medications that increase blood flow in the penis include vardenafil, sildenafil and Tadalafil. Injections or a suppository of alprostadil can also be used.
Causes
Erectile dysfunction affects many men, particularly as they age. It can be embarrassing and can lead to a loss of sexual desire. This can affect relationships. It is important to discuss the symptoms with your healthcare provider and determine the cause.
ED is caused by conditions that interfere with blood flow to your penis. Some of these include diabetes, heart disease, vascular problems (such as peripheral neuropathy) and some medications. Depression can also be a factor in a decreased libido.
A psychological approach to ED involves changing the patient’s perspective on sex, and helping them change their behaviours that perpetuate sexual difficulties. Psychosexual therapy can have a positive impact on the wellbeing of both the patient and their partner. Medications that act as PDE5 inhibitors can be very effective in treating ED, particularly when combined with behavioural changes. However, if initial treatment fails to restore erections, the underlying cause should be investigated.
Symptoms
Men with ED have difficulty maintaining an erection that is firm enough to engage in sexual activity. It affects their quality of life, often resulting in strained relationships and feelings of embarrassment, shame or guilt. They may find it difficult to seek help.
A person with erectile dysfunction is more likely than others to suffer from other health issues, such as diabetes or heart disease. ED is one of the first symptoms that these conditions may be causing problems with the blood flow to the genital area.
When diagnosing ED, your doctor will ask you questions about your medical history and your sex life. These questions may be embarrassing or private, but are necessary to determine the cause and treatment of your problem. Your doctor may also order lab tests, perform a physical examination and/or refer to a Urologist. The most common treatments for ED are PDE5 inhibitors, oral medications that can improve blood flow to the penis. Other options include vacuum constriction and surgical insertion a penile prothesis.
Diagnosis
To diagnose erectile dysfunction, your doctor will ask about your sexual history and examine you. Your doctor may ask your partner about their experiences. Your doctor will perform tests to determine if the symptoms you are experiencing are due to an underlying problem such as diabetes, high blood pressure, heart disease or low testosterone.
The injection test uses a medication to stimulate an erection and evaluate how long it lasts. The penile ultrasound tests measures blood flow. Blood tests can show the levels of certain hormones, such as testosterone and phosphorous. A urine test can look for a health problem that may cause ED, such as diabetes and high blood sugar.
Medications that reduce blood flow to the penis, such as blood pressure medicines and antidepressants, can cause erectile dysfunction. You can improve your symptoms by changing medications or reducing alcohol and other substances. Treatment for psychological issues can also help.
Treatment
Depending on the cause, severity and your personal preferences, your doctor will discuss various treatment options. Some treatments enhance erections by increasing blood flow to the penis, while others reduce the symptoms of ED.
Your doctor will start with a physical exam of your genital area, checking your testicles and the nerves in the penis. Your doctor may also want to know your family history of erectile dysfunction. He or she will also ask about your sexual history, and how your symptoms changed over time.
Your doctor will also ask you about any medications, including over-the-counter drugs and supplements. He or she will also want to know about any medical conditions, such as heart disease, diabetes, and low testosterone. He or she will also ask whether you have any emotional problems, such as depression or anxiety. He or she may suggest you visit a therapist. He or she may recommend that you exercise, eat healthily and avoid substances which can cause erectile malfunction.