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.
The patient’s medical history or sexual history will help to distinguish between problems with erection (climax), ejaculation, and orgasm. 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 cause embarrassment and may lead to a lack of sexual desire, which 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. 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 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 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 find it difficult to seek 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. 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 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 tests measures blood flow. 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
Your doctor will discuss the various treatment options available to you based on your symptoms, severity, and personal preferences. 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 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. He or she may recommend that you exercise, eat healthily and avoid substances which can cause erectile malfunction.