Erectile dysfunction treatment

What is erectile dysfunction?

It is the inability to achieve or maintain an erection long enough for intercourse. Persistence of the problem may indicate underlying health problems and it may cause anxiety and psychological stress that may harm relationships

Symptoms of erectile dysfunction

There are signs that my precede erectile dysfunction

  • Difficulty achieving erections
  • Sudden loss of erection
  • Decreased libido
  • Other sexual issues like premature or delayed ejaculation
  • Comorbidities like diabetes or heart diseases

If any of the aforementioned symptoms occur, a physician must be consulted as soon as possible

Causes of Erectile dysfunction

Some factors may lead to sudden erectile dysfunction، including both physical and psychological. A solitary or multiple simultaneous factors can cause the problem

Causes of sudden erectile dysfunction:

  • Diabetes
  • Hypertension
  • Obesity
  • Heart and cardiovascular diseases
  • Decreased testosterone levels or hormonal disturbances
  • Kidney diseases
  • Medications that may affect sexual health
  • Addiction of drugs and alcohol
  • Multiple sclerosis
  • Surgeries or injuries affecting the pelvic area
  • Some Neurological disorders increase the chance of erectile dysfunction like: Alzheimer, Parkinson’s disease، and tumors of the brain and the spinal column
  • Strokes

Psychological Erectile dysfunction

Some psychological stresses like anxiety or depression ، may cause erectile dysfunction.
Anxiety stimulates the release of metabolites that affects erections. Decreased libido and frustration may cause relationship problems.
Psychological causes screening must be done and may indicate referral to a specialist

Erectile dysfunction diagnosis

The process starts with inquiry about the symptoms and the persistence of the problem then some investigation may be required

  • Physical examination
  • Health and sexual history
  • Prostate exam

Further investigations may be required:

  • Penile ultrasound to detect blood flow problems
  • Nocturnal penile tumescence test
  • Injection test: to assess the rigidity and duration of erections
  • Urine Lab analysis to detect comorbidities like diabetes and heart disease
  • Hormonal assays: thyroid levels and testosterone levels are measured

Diagnosis leads to an appropriate treatment protocol

Complications of erectile dysfunction

Persistence of the problem may lead to complications as:

  • Anxiety
  • Frustration and embarrassment
  • Decreased libido
  • Relationship issues
  • Delayed conception

Erectile dysfunction treatment

Before starting the treatment protocol, medication history is taken to assess whether the issue is a side effect of current medications. After reaching a diagnosis, treatment protocol options are explained with emphasis on benefits and possible risks

Doctor may prescribe some medications that may be a successful treatment for erectile dysfunction. Some drugs may be prescribed and they differ in doses and side effects

Some pharmaceuticals include

  • Sildenafil (Viagra)
  • Tadalafil (Cialis or Adcirca)
  • Vardenafil (Levitra or Staxyn)
  • Avanafil (Stendra)

The appropriate drug and dosage are prescribed by the doctor

Testosterone replacement therapy: in case of low testosterone level, which is responsible for libido, testosterone replacement therapy is initiated. It may be administered concurrently with another drug for better results.

The patient may suffer some psychological stresses like:

  • Anxiety
  • Depression
  • Post-traumatic stress disorder (PTSD)
  • Psychotherapy sessions by a specialist help support patients who suffer from erectile dysfunction

If non-invasive treatments are not effective, surgery is recommended. Some advanced cases can only be treated by surgery.

Prosthetic penile implant: Two prosthesis are inserted on both sides of the penis. They are either malleable or inflatable to help control erections. It is a simple procedure with a high success rate.

Vacuum erectile devices: they are a hollowed cylindrical devices with a pump to help natural blood flow into the penis to achieve erections

Some exercises help alleviate erectile dysfunction and enhance penile condition

Kegel exercises: they are simple exercises that strengthen pelvic muscles and show considerable effect with continuity.

Treatment of erectile dysfunction in Dar Elzokora

In Dar Elzokora , the patient goes through some stages:

  • History taking: to screen for any causative diseases of Erectile dysfunction or drugs that may cause the condition. Previous surgeries and diseases are reviewed and a psychological evaluation is done
  • The specialist lists the required investigations like testosterone levels, urine analysis and some imaging like penile ultrasound to detect blood flow in the peni.
  • According to the diagnosis and the condition an appropriate treatment protocol is initiated that spans from pharmaceuticals to surgery.
  • Pharmaceutical drugs uses, doses and interaction with other drugs, especially those taken for chronic diseases, are explained to the patient.
  • Continuous follow up during the treatment period till the patient achieves full recovery.

Prevention of erectile dysfunction and its causes.

Adherence to some instructions may help prevent the occurrence of erectile dysfunction , Protection methods include the following:

  • Adherence to a healthy lifestyle with regular workouts
  • Healthy diet and keeping an optimum weight
  • Simple exercises to decrease anxiety like yoga
  • Regular physical checkups
  • Regular follow up for chronic diseases like diabetes and heart disease
  • Seeking help in case of depression, anxiety and other psychological stresses


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