Erectile Dysfunction Journal Of Sexual Medicine

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 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 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 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. PDE5 inhibitors are very effective at treating ED. This is especially true when combined with behavioural change. 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 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 will also give you a physical exam, order lab tests and/or refer you 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

Your doctor will examine you and ask about your sexual history to diagnose erectile dysfunction. 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.

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 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 may also ask if you have emotional problems such as depression or anxiousness. He or she might suggest that you see a therapist. He or she may recommend that you exercise, eat healthily and avoid substances which can cause erectile malfunction.