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 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 by conditions that interfere with blood flow to your penis. 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. 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 can be one of the first signs that these conditions are causing problems with blood flow to the penis.
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. 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 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 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. Treatment for psychological issues can also help.
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. 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. 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. And he or she will recommend you exercise, eat healthy foods and avoid substances that can cause erectile dysfunction.