Virginia Erectile Dysfunction Medicine

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 the symptoms with your healthcare provider 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 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. 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 affects their quality of life, often resulting in strained relationships and feelings of embarrassment, shame or guilt. They may have difficulty seeking help.

A person with erectile dysfunction is more likely than others to suffer from other health issues, such as diabetes or heart disease. 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. The questions may seem private or embarrassing, but they are necessary to find the cause and treatment for 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 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 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. Treatment for psychological issues can also help.

Treatment

Your doctor will discuss the various treatment options available to you based on your symptoms, severity, and personal preferences. Some treatments increase erections through increased blood flow to the penis while others reduce symptoms of ED.

Your doctor will begin with a physical examination of your genital region, checking the testicles and nerves in your 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 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.