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Articles

Erectile Dysfunction - Diagnosis and Treatment

Your doctor will ask about your erectile dysfunction and risk factors or the possible causes. A physical examination is then performed. It may also be referred to a urologist for further evaluation.

Certain tests can be made and these can include:

Blood tests to assess diabetes, high cholesterol, testosterone, kidney disease, etc.
Urine tests also to assess the diabetes and kidney disease.
Duplex ultrasound: This test uses ultrasound to assess blood flow to the penis and venous leaks. An injection of prostaglandin is administered to induce an erection and a duplex ultrasound is used to measure blood flow.
Nocturnal penile tumescence: It is normal for a man to have 5-6 erections during sleep. If an erection occurs, which means that there is an intact nerve and blood supply to the penis. This nocturnal erections can be measured by a snap or strain gauge.
Bulbocavernosus reflex test: Used to determine if an intact nervous system in the penis. When the penis gland is tightened, there is a normal reflex contraction of the anus.
Other tests, such biothesiometry penis, penis angiogram cavernosometry corpus, etc. Magnetic resonance angiography is sometimes performed.

How is it?

How is erectile dysfunction depends largely on what is causing it. Your doctor will evaluate the components that are able and / or psychological problems that contribute to erectile dysfunction problem and decide what treatment is best for you. Treatments (with the exception of testosterone supplementation in those deficient in testosterone) generally work on a temporary basis to allow an erection adequate for intercourse, but not permanently solve the underlying problem.

Oral medications:

PDE5 inhibitors are drugs are prescription medications that work by blocking the action of PDE5. This relaxes the arteries in the penis when sexual stimulation, causing the corpus cavernosum of the shaft of the penis to fill with blood. Drugs in this category are: sildenfil (Viagra), tadalafil (Cialis) and vardenafil (Levitra).

Advice:

Psychological factors that cause or contribute to erectile dysfunction should be managed through counseling.

Injectable drugs, creams and suppositories penis

These drugs are administered just before intercourse.

Vacuum Therapy:

A penis pump is used to draw blood into the penis. A tension ring is applied to the base of the penis to maintain erection prevent blood from flowing out.

Surgery:

Prosthetic implants are sometimes inserted as a last resort if other treatments have failed.

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