Penn Medicine Erectile Dysfunction

Herbal Remedies For Erectile Dysfunction

While many herbal and supplement products claim to treat ED in some way, they have not been scientifically proven. Moreover, some of them may not be 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 when conditions interfere with the blood flow to your genitals. 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. 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 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 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. 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. PDE5 inhibitors are the most common treatment for ED. These oral medications can improve blood circulation 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 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 involves injecting a medication into the penile area to induce an erection. It is then measured how long it lasted. 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.

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

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. 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 may suggest you visit a therapist. And he or she will recommend you exercise, eat healthy foods and avoid substances that can cause erectile dysfunction.