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 medications that increase blood flow in the penis include vardenafil, sildenafil 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 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. If the initial treatment does not restore erections then the underlying cause must 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 to have other health problems, such as heart disease or diabetes. ED is one of the first symptoms that these conditions may be causing problems with the blood flow to the genital area.
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 and surgical insertion a penile prothesis.
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 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 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. 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 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. 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 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.