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. Alprostadil is also available as an injection or suppository.
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 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 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 has a positive effect on both the patient and the 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 typically have problems getting and keeping an erection firm enough for sexual intercourse. It affects their quality of life, often resulting in strained relationships and feelings of embarrassment, shame or guilt. They may have difficulty seeking 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.
Your doctor will ask questions about your medical background and your sex history when diagnosing ED. 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 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 also ask your sexual partner about their experience. 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 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. You can improve your symptoms by changing medications or reducing alcohol and other substances. 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. And he or she will ask questions about your sexual history and how your symptoms have changed over time.
Your doctor will also ask you about any medications, including over-the-counter drugs and supplements. And he or she will want to know what medical conditions you have, especially heart disease, diabetes and low testosterone levels. 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. And he or she will recommend you exercise, eat healthy foods and avoid substances that can cause erectile dysfunction.