Erectile dysfunction can put strain on relationships. Early diagnosis and treatment may help ease its symptoms. Your doctor will discuss them with you, do a physical exam and may refer you to a specialist such as a urologist for further evaluation and treatment.
Viagra (and its generic sildenafil) and Cialis work by increasing nitric oxide production in your body, increasing blood flow to your penis and increasing penile blood flow. Your physician may also prescribe additional medications to increase penile blood flow.
Overnight erection test
There are various methods available to doctors for diagnosing erectile dysfunction. An overnight erection test, for instance, measures both how many and the strength of your erections while sleeping; most men experience three to five erections each night so this test helps pinpoint whether or not physical problems exist as it also measures duration of erections. Your physician may also perform injection tests measuring blood flow to the penis as well as Doppler ultrasound scans in order to make an accurate assessment.
Other tests may include the Nocturnal Penile Tumescence (NPT) Stamp Test which uses stamps to verify whether a man is having nighttime erections. It provides an easy alternative to placing paper strips around your penis for several nights; all lubricants, including water, must be eliminated prior to this test. Your doctor will also inquire into your diet and lifestyle habits; depression screening can contribute to ED; they may suggest talk therapy or pharmaceutical medication as treatments.
Medication
Medication that increases blood flow to the penis can often help with cases of erectile dysfunction. Popular choices are Viagra, Tadalafil (Cialis), and Vardenafil (Levitra); however they don't always work and may have side effects.
Doctors will perform a physical and medical exam to rule out any potential underlying conditions that could be contributing to the problem, such as atherosclerosis (the narrowing or clogging of arteries in the penis that reduces blood flow needed for erections), which causes narrowed arteries in the penis to prevent blood from flowing freely and produce an erection. A comprehensive history and physical exam will allow a doctor to make an accurate diagnosis and determine appropriate treatments.
Some doctors may prescribe alprostadil, an injectable medication with an 88% success rate in providing firm enough erections for sexual encounters. Patients typically learn self-injection at their office with lessons offered upon self-injection lessons being available as well as possible pill combinations to complement injection. Additional PDE-5 inhibitor medications such as oral tablets may be recommended in case the injection does not work effectively mardana kamzori ki medicine names.
Injections
Men with erectile dysfunction who find oral medications don't help can use injections to restore their erections, safely and effectively, under medical supervision. The injections contain mixtures of prostaglandins and other drugs tailored specifically to each individual patient's needs.
Making an appointment at the clinic for your initial injection appointment is vitally important to ensuring a proper diagnosis and dosage are prescribed, while teaching how to self-inject at home - typically only taking several tries!
An injection should be given into the penis just above the base of its shaft. Avoid injecting into blood vessels or the urethra as this could cause painful and long lasting erections known as priapism; injection into special tissue in the penis relaxes smooth muscles while increasing blood flow to produce an erection that feels natural.
Counselling
Men may find it challenging to open up about sexual issues, feeling embarrassed to do so. However, being honest with their doctor will ensure they can provide an accurate diagnosis and appropriate treatment.
If oral medication doesn't work, penile injections of alprostadil may help. They have an 85% success rate and work by increasing blood flow to your penis to stimulate an erection; however, side effects include burning ubqari shadi course.
Vacuum pumps may help users achieve an erection, though these aren't widely available on the NHS. Herbal supplements like Ginkgo biloba and Saw Palmetto may help, although their effectiveness has yet to be proven. Treating emotional problems causing ED symptoms - like relationship stress or performance anxiety - often improves symptoms; you could find one privately through services like Relate.