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 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 be embarrassing and can lead to a loss of sexual desire. This 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 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. If the initial treatment does not restore erections then the underlying cause must be investigated.
Symptoms
Men with ED have difficulty maintaining an erection that is firm enough to engage in sexual activity. 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 than others to suffer from other health issues, such as diabetes or heart disease. 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
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 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 be used to check for a health issue that could cause ED such as diabetes or 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. 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 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 may also ask if you have emotional problems such as depression or anxiousness. 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.