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:
- 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.