Also called impotence, erectile dysfunction (ED) is the inability to keep an erection. It is common for men to have erection issues from time to time, but if you are experiencing persistent trouble maintaining your erections, you should see a doctor. Erectile dysfunction is not just about relationship problems and self-esteem; but it can also be an indicator of an underlying health condition. If you are facing erectile issues in New York, visit Lazare Urology for a quick consultation.
Understanding the symptoms
There are some evident signs of erectile dysfunction. The first one is trouble getting an erection. Many men also have an issue with keeping an erection long enough to have sex. Another sign is a decrease in sexual desire. If you are facing other issues like premature or delayed ejaculations, check with a urologist soon.
There are both physical and psychological causes that may lead to erectile dysfunction. ED could be related to high blood pressure, heart disease, atherosclerosis, diabetes and obesity. Depression, anxiety, stress, and other mental health conditions can also impact erections.
Diagnosing erectile dysfunction
In most cases, your urologist will ask questions and do a physical exam. During the physical exam, the urologist will examine the penis and testicles and look at nerve sensations. They may also recommend additional blood work to check whether you have other conditions like heart disease or diabetes that could be the underlying cause of erectile dysfunction. To check whether there is a blood flow issue that is impacting your erections, an ultrasound may be necessary. Psychological tests are also used to determine whether there are mental health concerns.
Treatments for erectile dysfunction
Your urologist will first check whether another health condition is causing or worsening your ED, and based on the diagnosis, they may recommend medications. Oral medications are often used as a first line of treatment, and your doctor may recommend options like Vardenafil, Sildenafil, and Tadalafil. If you don’t respond to medications, your doctor may suggest other treatments, such as penile pumps and penile implants. A penis pump, as the name suggests, has a pump and a tube. The tube is placed over the penis, and the pump creates a vacuum, which increases blood flow to the penis. There are different models of penis pumps, and your doctor will recommend the right one.
If conventional treatments for erectile dysfunction don’t work as expected, you still have the choice of penile implants. A penile implant is placed surgically inside, and you can get an erection when you want. Inflatable penile implants are versatile and highly durable, often lasting for twenty years. Some patients may need psychological counseling, as ED is often a result of stress and depression.
Consider lifestyle modifications
If you smoke, you should quit. There are nicotine replacements that you can consider. Losing weight is also recommended, as obesity can cause or worsen ED. Even moderate exercise for four to five days a day can be helpful. You may also want to consider quitting alcohol, and if you use drugs, stop. Many couples have a hard time talking about erectile dysfunction, and if you think that is impacting your relationship, counseling can be useful. As mentioned earlier, having erection problems once in a while is not a major concern. Don’t let that affect your confidence, and avoid assuming this is a long-term problem.
Visiting a urologist
When you go for your appointment, ensure to carry your medical records, especially if you are on prescription medication. They may ask numerous questions, including personal ones about your sex life and the relationship you share with your partner, and it is best to be honest. Ask relevant questions before you agree to advanced treatments, such as a penile implant.
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