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 medicines that increase blood flow to the penis include sildenafil, vardenafil and tadalafil. Injections or a suppository of alprostadil can also be used.
Causes
Erectile dysfunction affects many men, particularly as they age. It can cause embarrassment and may lead to a lack of sexual desire, which can affect relationships. It is important to discuss your symptoms with your doctor and determine the cause.
ED is caused when conditions interfere with the blood flow to your genitals. Some of these include diabetes, heart disease, vascular problems (such as peripheral neuropathy) and some medications. Depression is also associated with a decrease in libido and can be a contributing factor.
A psychological approach to ED involves revising the patient’s perspective and expectations around sex and helping them to gradually change behaviours that maintain 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 can affect their quality of living, causing strained relationships, feelings of shame, and guilt. They may have difficulty seeking help.
A person with erectile dysfunction is more likely to have other health problems, such as heart disease or diabetes. ED is one of the first symptoms that these conditions may be causing problems with the blood flow to the genital area.
Your doctor will ask questions about your medical background and your sex history when diagnosing ED. 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. PDE5 inhibitors are the most common treatment for ED. These oral medications can improve blood circulation to the penis. Other options include vacuum constriction devices and surgical insertion of a penile prosthesis.
Diagnosis
Your doctor will examine you and ask about your sexual history to diagnose erectile dysfunction. Your doctor may ask your partner about their experiences. Your doctor will do tests to see if your symptoms are caused by an underlying health problem, such as diabetes, heart disease, low testosterone or high blood pressure.
The injection test involves injecting a medication into the penile area to induce an erection. It is then measured how long it lasted. The penile ultrasound test measures blood flow in the area. Blood tests can reveal the levels of hormones such as testosterone andphosphorous. A urine test can be used to check for a health issue that could cause ED such as diabetes or high blood sugar.
Medications that reduce blood flow to the penis, such as blood pressure medicines and antidepressants, can cause erectile dysfunction. Changing medications or cutting back on alcohol and other substances can improve your symptoms. Treatment for psychological issues can also help.
Treatment
Your doctor will discuss the various treatment options available to you based on your symptoms, severity, and personal preferences. 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 want to know about your family history of erectile disorder. He or she will also ask about your sexual history, and how your symptoms changed over time.
Your doctor will ask about all medications, including supplements and over-the-counter medicines. 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.