The next step to controlling ED is to get treatment. In order to recommend the proper treatment the doctor will have to ask you questions and possibly perform some medical tests. Although there are no formal tests to be done, usually blood tests are done to exclude any underlying diseases. Then the doctor will have determine if it is a psychological impotence or physical impotence. A useful way to distinguish between the two is to determine whether the patient ever gets an erection. If never, the problem is most likely physiological, if sometimes, it’s probably psychological.
The first test for physical ED is duplex ultrasound. This is used to evaluate blood flow, signs of atherosclerosis, and scarring of erectile tissues. Injecting prostaglandin, a hormone-like stimulator induces an erection. The ultrasound is then used to see vascular dilation and measure penile blood pressure.
There are tests such as bulbocavernosus reflex test that are used to determine if there is sufficient nerve sensation in the penis. The physician will squeeze the head of the penis, which immediately causes the anus to contract of nerve function is normal. The physician will measure the latency between the squeeze and the contraction.
It is normal for a man to have five to six erections while asleep, especially during REM sleep. The absence of these erections may indicate a problem with nerve function or blood supply in the penis. Snap gauge and strain gauge are used to measure penile rigidity and circumference during an erection. Lack of nocturnal erections does not automatically signify ED; men who have normal erections some time do not experience nocturnal erections.
Dynamic infusion cavernosometry (DICC) is a technique in which fluid is pumped into the penis at a set rate and pressure. It will give measurements of the pressure in the corpus caernosum during an erection. Other tests may include urinalysis, liquid profile, blood glucose levels, serum creatinine, liver enzymes and liver function tests, and other hormone level tests.
There are several treatments available for men with ED. Exercise is an effective treatment for ED, medications, surgery, and devices. Each of these treatments has advantages and disadvantages so it is important that you talk to your doctor before starting any treatment.
Committing to a change in lifestyle can help improve ED. You can quit smoking, exercise regularly, lose excess weight, control your high blood pressure, and optimizing blood glucose levels in diabetes patients is important. Some studies show that men who have made lifestyle changes with have higher rates of success than men who take oral medications.
There are many oral medications that can be taken to improve ED. The most common PDE5 drugs approved are sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). There are no studies that have been done to study which drug is more superior to the others. Viagra was the first oral drug approved by the FDA to treat ED. Viagra increases blood flow into the penis and decreases blood flow out of the penis. Levitra was the second oral medication approved for ED. This drug also inhibits PDE5 which destroys cGMP. Cialis is the third oral medicine approved by the FDA. Cialis also inhibits PDE5.
For more severe cases, after drugs and lifestyle changes have failed, there are prosthetic implants which involves the insertion of artificial rods into the penis. This would be for men whose ED cannot be solved naturally or with the aid of oral medications. This would require surgery and is a very serious alternative to oral medications. With this type of surgery, the penis may not be as firm as a natural erect penis. On the other hand, some models may not be completely flaccid.
When oral medications do not work, and you do not want to have surgery, there is another alternative. This would be the penis pump. This device helps draw blood into the penis by applying negative pressure. This can be used right before sexual intercourse to help aid in an erection.
If the cause of your ED is psychological it is more likely that you will need a psychological examination. A psychologist of therapist will need to get to the root of your ED, if it is a purely psychological cause. You will need to target the issues affecting it. This will help not only your ED, but can help you function better in your everyday life.
Erectile dysfunction can be a difficult time for someone to go through. If you are experiencing ED, do not be afraid to go talk to your doctor. He is there to help you figure out what the underlying causes of your ED is, and how you can help treat them. More often there is a more serious underlying cause that is making you experience ED, so it is very important that you see a doctor. He may discover a health problem that you were unaware of. To treat your ED you can take oral medications, commit to a lifestyle change, have surgery, or even use devices designed to help with ED. There are many options out there, so start exploring them, and take the first step to getting help. You deserve to live a happy life and enjoy a healthy sex life.