What Can I Do When Erectile Dysfunction Drugs Don’t Work

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. 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 when conditions interfere with the blood flow to your genitals. 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. 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 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.

Your doctor will ask questions about your medical background and your sex history when diagnosing ED. 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

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 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. 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 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. He or she will also ask about your sexual history, and how your symptoms 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.