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 is a common problem for men, especially 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 when conditions interfere with the blood flow to your genitals. Diabetes, heart disease, vascular issues (such as peripheral neuritis) and certain medications are some of the causes. Depression can also be a factor in a decreased libido.
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. PDE5 inhibitors are very effective at treating ED. This is especially true when combined with behavioural change. However, if initial treatment fails to restore erections, the underlying cause should be investigated.
Symptoms
Men with ED typically have problems getting and keeping an erection firm enough for sexual intercourse. 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 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. 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 devices and surgical insertion of a penile prosthesis.
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 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 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.
Erectile dysfunction can be caused by medications that reduce blood flow in the penis. These include blood pressure medications and antidepressants. 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 ask about all medications, including supplements and over-the-counter medicines. 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.