How Do Erectile Dysfunction Drugs Work

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. 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 the symptoms with your healthcare provider 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 is also associated with a decrease in libido and can be a contributing factor.

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. Medications that act as PDE5 inhibitors can be very effective in treating ED, particularly when combined with behavioural changes. 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 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.

When diagnosing ED, your doctor will ask you questions about your medical history and your sex life. 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 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 ask your partner about their experiences. 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 reveal the levels of hormones such as testosterone andphosphorous. 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. 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 also want to know your family history of erectile dysfunction. And he or she will ask questions about your sexual history and how your symptoms have 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. And he or she will recommend you exercise, eat healthy foods and avoid substances that can cause erectile dysfunction.