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. Alprostadil is also available as an injection or suppository.
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 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. If the initial treatment does not restore erections then the underlying cause must 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 to have other health problems, such as heart disease or diabetes. ED can be one of the first signs that these conditions are causing problems with blood flow to the penis.
When diagnosing ED, your doctor will ask you questions about your medical history and your sex life. The questions may seem private or embarrassing, but they are necessary to find the cause and treatment for 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 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 show the levels of certain hormones, such as testosterone and phosphorous. 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. Getting treatment for psychological problems can help, too.
Treatment
Depending on the cause, severity and your personal preferences, your doctor will discuss various treatment options. Some treatments increase erections through increased blood flow to the penis while others reduce 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 may also ask if you have emotional problems such as depression or anxiousness. 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.