Herbal Remedies For Erectile Dysfunction
While many herbs and supplements claim to treat ED, none have been scientifically proven to work. Moreover, some of them may not be 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 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 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 revising the patient’s perspective and expectations around sex and helping them to gradually change behaviours that maintain 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 may also order lab tests, perform a physical examination and/or refer 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 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. You can improve your symptoms by changing medications or reducing alcohol and other substances. 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 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 also ask you about any medications, including over-the-counter drugs and supplements. And he or she will want to know what medical conditions you have, especially heart disease, diabetes and low testosterone levels. He or she will also ask whether you have any emotional problems, such as depression or anxiety. 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.