Erectile dysfunction can be effectively managed with medication and lifestyle modifications, while many also find relief through ED devices or physical therapy sessions.
Viagra (sildenafil) and Cialis (tadalafil) are PDE5 inhibitors, helping two-thirds of men suffering from ED. They do not cause sexual stimulation.
Your doctor may perform an erectile tumescence test, in which you use a fine needle to self-inject alprostadil into either the base or side of your penis using alprostadil as instructed by a counselor.
Oral Medication
PDE type-5 inhibitors such as Viagra and its generic version sildenafil, Cialis with its generic form tadalafil or Levitra help increase penile blood flow. For best results take these pills on an empty stomach 30-60 minutes prior to sexual stimulation - these don't work with nitrates (nitroglycerin, etc.) or alpha blockers!
Your healthcare provider may ask questions about your sexual desire, erections and issues with orgasm (climax). While this can be embarrassing to discuss, discussing it will help your doctor diagnose what may be causing erectile dysfunction.
Your doctor will conduct a complete medical check-up and conduct a physical exam that includes special attention paid to the genital area. They may order tests such as blood and urine analyses to check for potential medical causes of ED; as well as discussing expectations and perceptions regarding intimacy between sexual partners; in addition they may suggest filling out questionnaires together or separately as suggested by your physician.
Injections
Men with erectile dysfunction who do not respond to oral medications may benefit from injections directly into their penis. Medication such as phentolamine, papaverine and prostaglandin have long been used successfully when administered directly into the corporal cavernosa region of the penis - such as our office's use of compounded mixture that is less painful than off label versions - our initial injection will be performed by Dr. Enid at our office to check response and assess dosage before giving patient instruction for self-injection at home under doctor supervision if required by physician guidance if required for future dose adjustments.
These injections work by relaxing blood vessels in the penis and increasing blood flow to produce an erection, typically within 15 minutes after administering medication. Finding an optimal dosage that provides firm enough erections long enough to allow sexual activity or orgasm may require multiple attempts before success is mardana takat.
Vacuum Erection Devices
Vacuum Erection Devices (VEDs) consist of a plastic cylinder which fits over the penis, along with either a hand or battery-operated pump to create a vacuum in it and draw blood into the penis, inducing an erection. Once an erection has been attained, a rubber tension ring may be slipped onto its base to maintain the erection during sexual intercourse.
VEDs won't treat erectile dysfunction directly, but they could help provide an erection firm enough for sexual encounter. You might need to combine VED with other treatments for your ED such as oral medications; always consult with your physician first if using one purchased online - these non-FDA approved products could cause penile injury; look for one with a pop-off valve which limits vacuum pressure to limit risk and avoid injury, and apply thick, water-based lubricant beforehand for smoother performance and greater results!
Lifestyle Changes
Men of all ages experience some form of erectile dysfunction from time to time, typically as the result of stress, fatigue or alcohol consumption, certain medications side effects or simply old age. If men experience regular episodes of ED it could be an indicator that something more serious needs to be treated immediately.
Lifestyle changes may help reduce or alleviate symptoms of ED, including eating more fruits and vegetables to increase blood flow to the penis; getting adequate rest; engaging in regular physical activities such as cycling; or even engaging in healthy hobbies like brisk walking to promote better circulation and stress relief.
Reducing alcohol intake and quitting smoking will both aid erectile dysfunction (ED). Achieve healthy weight by losing excess pounds is also helpful for managing this condition. Supplements, like red ginseng or pomegranate juice can aid with increasing nitric oxide production and blood flow; but before trying any new herbs consult with your namardi ka ilaj.