Erectile Dysfunction Treatment Aafp

Herbal Remedies For Erectile Dysfunction

While many herbal and supplement products claim to treat ED in some way, they have not been scientifically proven. 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. Injections or a suppository of alprostadil can also be used.

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 the symptoms with your healthcare provider 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. 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. The questions may seem private or embarrassing, but they are necessary to find the cause and treatment for 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 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 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.

Erectile dysfunction can be caused by medications that reduce blood flow in the penis. These include blood pressure medications and antidepressants. You can improve your symptoms by changing medications or reducing alcohol and other substances. Getting treatment for psychological problems can help, too.

Treatment

Your doctor will discuss the various treatment options available to you based on your symptoms, severity, and personal preferences. 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 might suggest that you see a therapist. And he or she will recommend you exercise, eat healthy foods and avoid substances that can cause erectile dysfunction.