Treatment of Erectile Dysfunction

Overview

Erectile Dysfunction is a type of male sexual dysfunction where the person is not able to keep the erection firm for a longer period during sexual intercourse.

The erection problem or impotency is not as serious and regarded as a reflection of a poor physical or mental condition. It is common phenomenon but it might cause a great deal of discomfort, stress or may affect self-confidence. It could contribute to a poor marital and sexual relationship between the husband and wife. Male sexual dysfunction treatment is related to an underlying health condition.

Symptoms of Erectile Dysfunction (ED)

1. Getting occasional erection during sexual intercourse
2. You may get the erection but not having the erection for a longer period
3. Not able to get the erection whenever you feel the urge
4. It can be an indication of underlying health issues.

Causes of Erectile Dysfunction

• Heart disease
• High cholesterol and High BP
• Diabetes & Obesity
• Clogged blood vessels or atherosclerosis
• Metabolic syndrome — a condition involving increased blood pressure, high insulin levels, body fat around the waist and high cholesterol.
• Alzheimer

Diagnosis

For many people, a manual physical examination and answering questions related to the patient’s medical history are needed for the doctor to diagnose erectile dysfunction and recommend customized treatment. If you have any chronic health condition, the doctor could suspect for an underlying condition that may need further tests or consultation with a specialist. Tests for the underlying condition include:

• Physical exam: This involves careful examination of the penis and testicles and checking the nerves of sensation.
• Blood Tests: A blood sample might be sent to the lab for checking on the signs of heart disease, low testosterone levels, diabetes, and other health conditions.
• Urine tests (urinalysis): Urine tests are conducted for finding the signs of diabetes and other root level health conditions.
• Ultrasound: This test is usually done by a specialist in the lab using a wand-like device held over the blood vessels that supply the penis. It creates a video image to see if you have blood flow problems. Sometimes, it is done in combination with an injection of medications.
• Psychological exam: The doctor might ask questions for screening that could be for depression and other psychological causes of erectile dysfunction.

Treatment

The treatment for erectile dysfunction starts with taking care of the heart and vascular health. The doctor could advise for lifestyle changes and change of food habits, no smoking and alcohol intake, or reasonable workouts. Then, the doctor may suggest treating emotional problems that could be arising out of the tense marital relationship and other things.  First, Non-invasive treatments are tried.

• Oral medications or drugs and pills (Viagra, Cialis, Levitra, Stendra)
• Testosterone Therapy (when low testosterone is found from testing)
• Penile Injections (ICI and intracavernosal Alprostadil)
• Intraurethral medication (IU and Alprostadil)
• Vacuum Erection Devices
• Penile Implants
• Surgery to bypass penile artery damage
• Oral Drugs (PDE5 inhibitors)

Surgical Treatment

The main surgical treatment of ED is the insertion of a penile implant (penile prostheses). Implants are the next step for aged patients. Although the penile implant is a surgery that carries risks, they carry high success rates. 𝐌𝐚𝐚𝐲𝐚 𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐢𝐭𝐲 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥𝐬 offers the best male sexual dysfunction treatment in Chennai.

• Penis pumps: The penile or vacuum erection device is a hollow tube, hand-powered or battery-powered that is placed over your penis and the pump is used for sucking out the air inside the tube. This process brings a vacuum and pulls blood into the penis. This is a good treatment for a few that the doctor might prescribe.
• Penile Implants: In this treatment, the devices are placed on both sides of the penis surgically. These devices could be inflatable or malleable (bendable) rods. Penile implants are very complex procedures and won’t be performed until all other methods have been tried.