Tag Archives: erectile dysfunction

How is erectile dysfunction diagnosed?

Chances are your doctor starts asking you some questions and realizing you a physical exam. It is possible to analyze samples of blood and urine tests to detect diseases and disorders. You may also further tests are necessary. Your doctor will determine which tests are right for you.

How is erectile dysfunction treated?

Treatment of erectile dysfunction depends on what the causes are. After your medical checkup to detect medical problems and medications that may cause erectile dysfunction, it may make you try a medicine to help treat erectile dysfunction. Sildenafil (brand name: Viagra), tadalafil and vardenafil are drugs taken by mouth that help maintain an erection. Not all men can use these drugs. Your doctor will discuss the possibility to use alprostadil if oral medications are not an option for you. Alprostadil is a synthetic version of prostaglandin E. It can be injected into the penis or inserted as a suppository into the tiny urethra. Your doctor will help you decide which treatment is best for you.

How should I take this medicine?

Follow your doctor's instructions. Usually, a man takes 1 tablet 30 minutes to 1 hour prior to the time you plan to have sex. You should not take more than 1 tablet for a period of 24 hours. The drug is available in tablets of 25 mg, 50 mg and 100 mg. Most patients begin taking 50 mg.

Even if you take sildenafil, you still need physical and mental stimulation and desire to have an erection. If the first dose of Viagra does not help, call your doctor. Your doctor may wish to change your tablet strength.

What are the side effects?

Sildenafil has some common side effects: 

  • Headache.
  • Flushing (redness and warmth in the face and upper body).
  • Upset stomach.
  • Runny nose (runny nose).
  • Changes in vision (objects look blue).

The headache is the most common side effect. Changes in vision are the least common. Talk to your doctor if you have any side effect that causes discomfort.

Call your doctor right away if you take sildenafil and has a prolonged erection lasting 4 hours or more. This condition can lead to permanent impotence if not treated.

Can anyone use this medicine?

No. You should not take this medicine if you take nitroglycerin or other nitrate drug for chest pain. If you have heart problems, tell your doctor before taking sildenafil. This drug can have serious side effects in people with heart problems.

If you take sildenafil and has chest pains, be sure to tell the paramedics, nurses or doctors at the hospital taking it and when was the last time you took.

You also should not take sildenafil if you are taking other medicines for erectile dysfunction.

What other options do I have?

If medicines are not suitable for you, you could also try using a penile implant or devices with vacuum pump, or could have surgery. Your doctor may refer you to a urologist to discuss these options.



What is erectile dysfunction?

Erectile dysfunction occurs when a man can not achieve an erection to have sex or can not keep an erection long enough to finish having sex. (Used to be called impotence). Erectile dysfunction can occur at any age but is most common in men over 75 years.

Is erectile dysfunction just part of being old? 

Erectile dysfunction does not have to be part of aging. It is true that as you age, you may need more stimulation (such as stroking and touching) to achieve an erection. You may also need more time between erections and over. However, older men should still be able to achieve an erection and enjoy sex.

What is the cause of erectile dysfunction?

Erectile dysfunction can be caused by:

  • Diabetes (high blood sugar).
  • Hypertension (high blood pressure).
  • Atherosclerosis (hardening of the arteries).
  • Stress, anxiety or depression.
  • Alcohol and snuff.
  • Some prescription medications such as antidepressants, analgesics and drugs for high blood pressure.
  • Fatigue.
  • Brain or spinal cord.
  • Hypogonadism (which leads to lower testosterone levels).
  • Multiple sclerosis.
  • Parkinson's disease.
  • Radiation therapy to the testicles.
  • Stroke.
  • Some types of surgery for prostate or bladder.

If you can not maintain the level of blood sugar or blood pressure under control, you may have erectile dysfunction. It is important to take medications for these problems just the way your doctor tells you.

Sometimes, hormones become unbalanced and this causes erectile dysfunction. Your doctor will decide if you need blood tests to examine hormone levels. Some medications can cause erectile dysfunction. If this is your case, your doctor may stop the drug or give you a different one.

Drinking too much alcohol, smoking too much and abusing drugs can also cause erectile dysfunction.

Problems in your relationship with your sexual partner can also cause erectile dysfunction. Improving the relationship could help in the sexual life. If you decide to seek therapy, it is probably more effective if it includes the sexual partner.Couples can learn new ways to please each other and show affection. This can reduce anxiety about having erections.

Feelings that can lead to erectile dysfunction

  • Feeling nervous about sex, perhaps because of a bad experience or a previous episode of impotence.
  • Feeling stressed, including stress from work or family situations.
  • Being troubled by problems in your relationship with your sexual partner.
  • Feeling depressed.
  • Feeling so shy he can not enjoy sex.
  • Thinking that your partner is reacting negatively to you.