Many may feel ashamed or uncomfortable talking with their doctors about erectile dysfunction (ED), yet ED often serves as an early indicator of more serious health conditions.
Your doctor will perform a physical exam, including inspecting your penis and testicles, blood, and urine tests may also be ordered to look for health conditions that could contribute to ED.
Prescription Medication
Men who suffer from erectile dysfunction should seek assistance from their physician to obtain an accurate diagnosis and find effective treatments. Exercise, eating a nutritious diet and refraining from drinking and using drugs may all help alleviate ED symptoms; should there be psychological causes, consulting a therapist can also be useful.
Physical exams typically focus on both the genitals and pelvis to detect any signs of pelvic disease. Blood tests may also be recommended in order to check for potential health problems that can contribute to ED such as diabetes, high cholesterol and blood pressure, or hormone abnormalities caused by cancer treatment.
Pills taken orally such as sildenafil (Viagra), vardenafil (Levitra and Staxyn), or tadalafil (Adcirca) can help treat erectile dysfunction by increasing penile blood flow. These drugs, called PDE type-5 inhibitors, are the only FDA-approved oral medications for treating this issue; natural remedies like ginkgo biloba, ginseng and yohimbine may be sold to assist in treating this disorder; however they should never be combined with any prescribed medicines including heart medications like nitrates used for cardiac conditions.
Self-Injection
Many drugs used to treat erectile dysfunction require injections, although some medications such as Levitra (Levitra, Staxyn) and Sildenafil Citrate (Viagra) may also come as pills. Such drugs only work when sexual stimulation takes place and must therefore be taken prior to any sexual encounters taking place.
Some patients may be afraid of needles, and this fear could prevent them from taking shots on a consistent basis. Noncompliance could impede treatment efficacy; qualitative research methodologies like ethnographic studies can assist researchers in understanding potential barriers to adherence and devise solutions for shadi course.
One strategy to make it easier for patients to inject is providing them with educational materials and training. Injection kits containing empty syringes and practice pens may also make patients more familiar with the process; additionally, applying ice to the injection site and cleaning it with alcohol may ease pain relief; some doctors even employ numbing creams applied directly onto skin before injections.
Surgery
Erectile dysfunction (ED) is a widespread issue affecting men and those assigned as male at birth, and can have devastating repercussions in terms of relationships and health risks, such as heart disease and diabetes.
If medication fails to improve your condition, surgery may be the next step. Your physician will perform a preop checkup to make sure you are healthy enough for surgery and that there are no other underlying conditions; they may suggest seeing a cardiologist, endocrinologist or hematologist depending on your medical history.
Surgery typically entails making a small cut above or under the penis where it attaches to either body tissue, or under it where it connects with scrotum tissue, and inserting an implant to restore firm erections - usually 3-piece inflatable prostheses, though other implants might also work (46). Li-ESW therapy offers promising new hope by restoring endothelial function of corpora cavernosa tissue.
Other Options
Numerous supplements, medications and herbal remedies claim to boost sexual drive and testosterone levels, but before trying anything it is wise to speak with your physician first as ED could be an indication of an underlying medical issue such as diabetes or heart disease.
Some medications prescribed for high blood pressure or depression can also contribute to ED by restricting blood flow to the penis. When this happens, safer and more effective alternatives should often be sought out and taken instead.
If the source of ED is emotional or mental, treatment options include seeing a therapist specialized in sexual issues; men can also find comfort from speaking to other couples experiencing sexual problems; some insurance policies cover costs of sex therapists. Experimental treatments for ED such as magnetic field therapy, low-intensity extracorporeal shock wave therapy and stem cell intracavernosal injections may also prove helpful; however research into their benefits has yet to be mardana kamzori ka ilaj.
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