Herbal Remedies For Erectile Dysfunction
While many herbal and supplement products claim to treat ED in some way, they have not been scientifically proven. Some of them are not 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 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 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 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. 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 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.
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. 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. And he or she will recommend you exercise, eat healthy foods and avoid substances that can cause erectile dysfunction.