Health and ED History
by Admin
Posted on 04-03-2023 12:13 PM
The type of medical specialist who treats ed will depend on the cause of the problem.
Based on your family's medical history, as well as your own medical history and current health, your doctor may treat you with oral medications (viagra®, levitra®, cialis®). If these options fail, you may be referred to a urologist who can assist with other non-surgical options such as vacuum device or injections or surgical treatment options. If needed, your doctor may also refer you to a psychologist specializing in sexual dysfunction.
Validated questionnaires quantify ed severity and the consequences of ed (e. G. , bother, sexual satisfaction, relationship impact). These instruments, or incorporation of their content as part of history and follow-up interviews, are useful to measure treatment effectiveness and to adjust management plans based on outcomes over time. They can be used to quantify unassisted erectile function compared to erectile function with treatment or across treatments (e. G. , at a different medication doses). Questionnaires also can provide an opportunity to initiate a conversation about ed when sexual concerns are not the presenting issue. Note that questionnaires will not generate a valid score for the man who is not sexually active.
Effectively treating ed is highly dependent on finding the root cause of the disorder. Some providers use a questionnaire to supplement their medical history and physical exam. Questionnaires may rate your ability to initiate and keep erections, gauge your satisfaction with sex, and help identify any problems with orgasm. Your healthcare provider may also order blood tests and collect a urine sample to look for health problems that may cause ed. Gathering this information will help your provider determine the best and most specific treatments for your erectile dysfunction . If the root of your ed is physical, your doctor or another healthcare provider may point out certain lifestyle-related risk factors like smoking or an unhealthy diet that you can change.
What Questions Will the Health Care Provider Ask?
For most men, erectile dysfunction can be successfully treated with medications or use of a penis pump (vacuum constriction device).
You might consider penile implants if you aren't a candidate for other treatments or you can't get an erection sufficient for sexual activity by using other methods. Penile implants can also be used to treat severe cases of a condition that causes scarring inside the penis, leading to curved, painful erections (peyronie's disease). Penile implants aren't for everyone. Your health care provider might caution against penile implants if you have:
an infection, such as a pulmonary infection or urinary tract infection
diabetes that isn't well controlled or significant heart disease.
If you have any medical questions or concerns, please talk to your healthcare provider. The articles on health guide are underpinned by peer-reviewed research and information drawn from medical societies and governmental agencies. However, they are not a substitute for professional medical advice, diagnosis, or treatment. Getting (and maintaining) an erection requires a surprising amount of things to go right. Your brain sends signals through your nerves and hormones, which have to communicate with your blood vessels and muscles before an erection can happen. If one thing goes wrong in that complicated exchange between your cardiovascular and nervous systems—not to mention your hormone levels, blood vessels, and mood—the result can be erectile dysfunction (ed).
Fact: many options are available to treat erectile dysfunction. Medications work for some men, but others benefit from simple mechanical devices, surgery or counseling. Learn more about erectile dysfunction treatment options. Erectile dysfunction can become a source of stress for a man and his partner. If you experience erectile dysfunction occasionally, try not to assume that you have a permanent problem or expect it to happen again. If you have more frequent difficulties, talk with your primary care provider. Working together, you and your health care team can determine the cause of your symptoms and explore treatment options for a satisfying sexual life.
Treatment for an erection problem depends on the cause of the problem. The cause may be mental or physical. Or it might be a mix of both. Treatment can include having you: avoid tobacco and drugs and limit alcohol. Talk about the issue with your partner, do sensual exercises, and get counseling. Ask your doctor about changing any medicines that may be causing the problem. In some cases, you may be able to use a different medicine. Take testosterone or another treatment to fix a hormone problem, such as low testosterone, if tests show that you have one. Take pills that help you get an erection.
A person with ed can take a group of drugs called pde-5 (phosphodiesterase-5) inhibitors. Most of these pills are taken 30 to 60 minutes before sex, the best known being the blue-colored pill sildenafil ( viagra ). Other options are: vardenafil (levitra) tadalafil (taken on demand, or as a once-daily pill called cialis) avanafil (stendra) pde-5 inhibitors are only available by prescription. A doctor will check for heart conditions and ask about other medications a person is taking before prescribing them. Side-effects associated with pde-5 inhibitors include: flushing drug options include prostaglandin e1, which is applied locally by either injecting it into the penis or inserting it down the opening of the urethra.
The pde5 inhibitors sildenafil (viagra), vardenafil (levitra) and tadalafil (cialis) are prescription drugs which are taken by mouth. :20–21 as of 2018, sildenafil is available in the uk without a prescription. Additionally, a cream combining alprostadil with the permeation enhancer ddaip has been approved in canada as a first line treatment for ed. Penile injections, on the other hand, can involve one of the following medications: papaverine , phentolamine , and prostaglandin e1 , also known as alprostadil. In addition to injections, there is an alprostadil suppository that can be inserted into the urethra. Once inserted, an erection can begin within 10 minutes and last up to an hour.