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treatment of erectile dysfunction

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Diagnosis

For many patients, a doctor can diagnose erectile dysfunction and propose treatment based on a physical exam and answers to questionnaires (medical history). If you have a chronic health problem or your doctor feels an underlying issue is at play, you may require additional tests or a specialist visit.

The following tests may be used to look for underlying conditions:

  • Examination of the body. This may entail a thorough examination of your penis and testicles, as well as a test of your nerves for sensitivity.
  • Tests on the blood. A blood sample may be sent to a lab to check for indicators of heart disease, diabetes, low testosterone levels, and other health issues.
  • urinalysis (urinalysis). Urine tests, like blood testing, are used to look for indicators of diabetes and other underlying illnesses. 
  • Ultrasound. This test is normally done in a doctor's office by a specialist. It entails holding a wand-like device (transducer) over the blood arteries supplying the penis. It generates a video image that your doctor can use to determine if you have blood flow issues.
  • This test is occasionally combined with a pharmaceutical injection into the penis to increase blood flow and induce an erection.
  • Examine your mental health. Your doctor may ask you questions to discover if you're depressed or if erectile dysfunction has any other psychological causes.. 

Treatment

The first thing your doctor will do is make sure you're getting the proper therapy for any health problems that may be causing or exacerbating your erectile dysfunction.

Depending on the cause and severity of your erectile dysfunction, as well as any underlying health concerns, you may have a range of treatment options. Your doctor will discuss the risks and advantages of each treatment with you and will take your preferences into account. Your partner's tastes may also influence your treatment decisions.

Medications taken orally 

Oral medications are an effective erectile dysfunction treatment for many men. They are as follows:


• Sildenafil is a drug that is used to treate (kamagra 100 , kamagra oral jelly)


• Tadalafil is a drug that is used to treat erect (Adcirca, Cialis)


• Avanafil (Levitra, Staxyn) Vardenafil (Levitra, Staxyn) (Stendra)


All four drugs boost the effects of nitric oxide, a natural substance produced by your body that relaxes penile muscles. By boosting blood flow, you can get an erection in response to sexual stimulation.


Taking one of these tablets does not guarantee that you will get an erection. To stimulate the release of nitric oxide from your penile nerves, sexual stimulation is required first.


 These medications boost that signal, allowing some people to resume normal penile function. Oral erectile dysfunction medicines are not aphrodisiacs, do not stimulate excitement, and are not required for men with normal erections.


The medications have different dosages, durations of action, and side effects.Flushing, nasal congestion, headache, vision disturbances, backache, and stomach discomfort are all possible adverse effects.

Your doctor will evaluate your specific situation to determine which drug will be most effective. These drugs may not be able to cure your erectile dysfunction right away. You may need to consult with your physician to determine the best prescription and dosage for you.


Get your doctor's approval before taking any erectile dysfunction prescription, including over-the-counter vitamins and herbal therapies. Erectile dysfunction medications do not work for everyone, and they may be less successful in some circumstances, such as following prostate surgery or if you have diabetes. Some drugs could be harmful if you:


Take nitrate medications, such as nitroglycerin (Nitro-Dur, Nitrostat, and others), isosorbide mononitrate (Monoket), and isosorbide dinitrate (Monoket) (Dilatrate-SR, Isordil, Bidil)

Have you been diagnosed with heart disease or heart failure?

Have a low blood pressure level (hypotension)


Other prescription drugs


Other erectile dysfunction drugs include:


Self-injection of alprostadil. This procedure involves injecting alprostadil (Caverject, Edex) into the base or side of your penis using a small needle. Drugs used to treat different ailments are sometimes used alone or in combination for penile injections. 

Alprostadil and phentolamine are two examples. 


Bimix (if two medications are included) and trimix (if three medications are included) are common terms used to describe these combination therapies (if three are included).

Each injection is precisely dosed to produce an erection that lasts little more than an hour. The injection site usually produces little discomfort since the needle is so little.

Mild injection-related bleeding, extended erection (priapism), and, in rare cases, fibrous tissue growth at the injection site are all possible side effects.


Urethral suppository with alprostadil. Intraurethral therapy with alprostadil (Muse) involves inserting a small alprostadil suppository into the penile urethra. The suppository is inserted into your penile urethra with a specific applicator.


If the erection is successful, it usually starts within 10 minutes and lasts between 30 and 60 minutes. A burning sensation in the penis, slight urethral bleeding, and the growth of fibrous tissue inside your penis are all possible adverse effects.


Testosterone is a hormone that is used to replenish testosterone in the body. Erectile dysfunction affects certain men, which can be exacerbated by low testosterone levels. In this case, testosterone replacement therapy may be administered as a first line of defence or in combination with other treatments.


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