Erectile dysfunction (ED), is a medical condition that results in the inability to erection or maintains a satisfactory level of sexual performance. This condition affects mostly men over 40 age and increases in prevalence with age. The common causes include chronic illness, excessive medication, poor blood circulation to the pelvic region, and unhealthy habits like excessive drinking or smoking.
- Erectile dysfunction is temporary problem that can be caused by medication usage, anxiety or stress issues. It may also be caused by other medical conditions, such as heart problems, depression, diabetes, high cholesterol, or heart disease. It is necessary to have a specialist intervene in these cases. Because most men find it embarrassing to talk about their problems with their doctor is embarrassing, they resort to self-treatment which can lead to more severe problems and even harm their overall health. Tadalafil: Vidalista 20 is more stable than other drugs in its class, according to studies. The majority of men who use this medication report that they experience erections within 4 to 6 hours (slow absorption). Although, patient can experience Tadalafil effects up to 24 hours after comsumption.
Symptoms of Erectile Dysfunction
Erectile dysfunction is characterized by the inability to an erection.
The cause of impotence can be either organic / non-organic, or psychogenic. Other symptoms that may occur include:
Symptoms and treatment for psychogenic ED
- Sudden erection issues
- Intermittent dysfunction (variability, situational)
- Loss of sustaining capacity
- Nocturnal erection
- Excellent response to PDE-5 inhibitors
Symptoms and treatments for organic ED
- Gradual onset
- Often progressive
- Inhibitors of phosphodiesterase type 5- Consistently poor responses
- Poor nocturnal erection
- In cases of venous leakage, symptoms are more apparent when you stand than when you lie down.
How can ED be diagnosed?
These are some of the possible diagnostic procedures for ED:
- Diagonse sexual or medical history of patient: This can reveal medical or sexual conditions that may lead to impotence. It also helps distinguish between problems with erection or ejaculation or sexual desire.
- Physical examination
- If the penis responds differently to certain touches, it could be a problem with the nervous system.
- Secondary sex characteristics such as hair color or hairstyle can indicate hormonal problems that affect the endocrine systems.
- An aneurysm could indicate circulatory problems.
- The impotence could be caused by unusual characteristics in the penis.
- Laboratory tests. These include blood counts, urine, lipid profile, measurements of creatinine, liver enzymes, and blood counts. Men with ED often have testosterone measured in their blood, particularly if they have a history of low libido and diabetes.
- Psychosocial examination. This helps to identify psychological factors that could be impacting performance. To determine sexual expectations and perceptions, the sexual partner might also be interviewed.
Different Available ED treatment options
After proper diagnosis and analysze all the patient’s medical history, your physician will let you know about the best ED treatment options to you.
- Your health history, age, and overall health.
- The extent of the disease
- Tolerance of specific drugs, procedures, and therapies
- What are the expectations for the progression of the disease?
- Your opinion or preference
ED can be treated with the following treatments:
Medical treatment:
- Sildenafil. This comes into the oral medications category. The Cenforce 100 drug is best taken with food. Many men experience a sex increase within 30-60 minutes of taking it. Sildenafil citrate’s best effectiveness requires sexual stimulation.
- Vardenafil: This drug is similar in chemical structure to sildenafil citrate, and it works in the same way.
- Fildena 100 mg
- Avanafil
The FDA advises men to take precautions before they start taking medication for ED. Due to its medication interactions, all ED drug is not advisable to the men taking medications having nitrates such as nitroglycerin. Combining nitrates and one of these medications can cause blood pressure to drop too much. Men who are prescribed Fildena 100 by their doctor should take alpha-blockers carefully and only as directed by them. This could cause hypotension (abnormally low blood sugar). Experts recommend that men undergo a thorough medical history and physical exam to rule out ED. Men should inform their doctor about any medications they take, even over-the-counter.
Men with liver disease or retina diseases, such as macular or retinitis pigmentosa or macular degeneration, may not be allowed to take these medications or need to be on the lowest dose.
Women and children should not use these medical treatments. These medical treatments can have side effects that may be more noticeable in older men.
Psychological counseling
Counselling is a good option for treating erectile dysfunction that can be caused by psychological factors. A psychologist, psychiatrist, or another counsellor who is trained to treat sexual issues may be available for you or your partner.
Often, short-term education therapy can be most beneficial. One technique focuses more on pleasure and physical sensation than performance. The goal is to reduce self-evaluation as well as performance anxiety. This method is often successful, especially if the partners are open-minded and cooperative.
Testosterone Replacement Therapy
Testosterone replacement therapy may be prescribed by a healthcare provider if a man has a low testosterone level and other symptoms such as low libido or ED.
ED is not usually caused by testosterone deficiency. Your healthcare provider will test you to confirm that you have testosterone deficiency before you start taking it.
Other Prevention and self-care
While most men experience erectile problems from time to time it is possible to reduce the chances of this happening by:
- Avoiding alcohol or drugs.
Drugs and alcohol can reduce blood flow to the penis, and also interfere with brain messengers during arousal. Alcohol consumption can also lead to a decrease in testosterone levels over time.
- No smoking or use of tobacco products.
Plaque can build up in the arteries and cause damage to the heart. This will responsible for the poor supply of the blood towards the penis.
- Diabetes management.
Elevated blood sugar can cause nerve and vessel damage that significantly impacts the ability to erect.
- Help for anxiety and depression.
Depression, stress, anxiety, or fatigue can all lead to erectile dysfunction.