By Sakai Dannin
Premature ejaculation is the result of failure to achieve an erection before the vaginal penetration has occurred. Premature ejaculation can be lifelong, arising from the first coitus, or acquired after a successful sexual relationship. Psychogenic ED is caused by stress and is psychogenic, not a disease. Medical history can identify any diseases or conditions that cause impotence. A patient’s sexual history will help distinguish between ejaculation and an erection.
In a study by anthropologists, men in Mexico surveyed about their sexual function and health. The researchers found that men aged 50 and older were three times as likely to experience ED as younger men. Additionally, men who were in poor physical condition were three times as likely to report low sexual desire. Biomedical institutions tend to focus on promoting prolonged sexual function rather than on the holistic ideals of ageing. In addition, Western biomedicine can become blind to what is appropriate for aging.
For men with ED, the best treatment for asymptomatic ED is based on the underlying cause of the condition. Medications may be the first line of treatment. If nonsurgical solutions do not work, a urologist may perform a surgical procedure. Sometimes, psychological counseling can help. Treatment options for ED are available, but they come with their own set of risks. The best treatment is based on the specific cause of the ED and its severity.
Psychological causes of erectile dysfunction include depression, alcoholism, smoking, and certain drugs. If you have a family history of erectile dysfunction, you may be more susceptible to developing this condition. For some people, physical causes of ED are related to vascular disease and other medical conditions. If you’re feeling nervous or self-conscious about sexual activity, there’s a possibility of psychological erectile dysfunction.
Surgery for erectile dysfunction can address underlying causes and help men resume sexual activity. Penile implants are one option that can restore normal sexual function. The cylinder is attached to the base of the penis and lubricant is placed over it. The cylinder’s inflated chamber helps create an erection. It can stay on for 30 minutes. Although penile implants come with a risk of infection, the high success rate makes it an excellent treatment for some men.
Since the 1990s, erectile dysfunction has been recognized as a prevalent issue. A five-question International Index of Erectile Function allows physicians to quickly assess the severity of the condition. Psychological factors may include performance anxiety and relationship issues. Tobacco use and antidepressants are known risk factors for erectile dysfunction. Further, the risk of cardiovascular disease and other diseases increases with age. So, it’s important to remember that ED is a symptom of underlying health conditions, not a disease.
A systematic review of relevant articles from Pubmed, Embase, and Cochrane was conducted. The researchers looked for articles that describe ED treatments, which focused on either the peripheral or central axis. They selected clinical guidelines based on the strengths of the evidence for each treatment. The authors also incorporated expert opinion as a basis for making their recommendations. The recommendations presented in this section are meant to guide clinical care, not to replace clinician judgment.
Treatment for Erectile Dysfunction (ED) may be different for each person. A men’s clinic called Preferred Men’s Medical Center may prescribe multiple therapies and treatment options for your unique scenario. This may include oral medications or refer you to a urologist for non-surgical treatment. A doctor may also prescribe you a surgical procedure, such as vasectomy. In addition to medications, the doctor may also prescribe you to see a therapist or psychologist. There are a variety of ways to treat ED, and each has its own benefits and disadvantages.
While the underlying cause of ED is unknown, it can affect a man’s quality of life and his relationship with his partner. In addition, many men avoid seeking medical treatment for ED because of shame and embarrassment. However, sexual dysfunction is often the early symptom of other health problems. ED can be a warning sign of more serious conditions, such as progressive coronary artery disease. It is important for men to discuss treatment options with their physicians to determine the best course of action.
The diagnosis of ED is based on various criteria, including the severity of symptoms and the cause of the problem. The doctor will look for abnormal responses of the penis and other characteristics of erectile function. Lab tests may include blood counts, urine analysis, liver enzymes, creatinine, and lipid profile. Testosterone levels are often tested in men with ED. If the cause of ED is not yet known, further testing may be necessary.
Symptomatic erectile dysfunction can lead to stress, relationship problems, and loss of self-confidence. Men with ED should speak with a physician immediately. If it is an underlying health condition, addressing the condition will reverse the erectile dysfunction and help the patient regain sexual function. Treatment may include medication, surgery, and external devices. For 70 per cent of men with ED, medication has been effective. PDE5 inhibitors inhibit the erectile response to sexual stimulation.
The principles of ED treatment are the same for every man with the problem. The goals of treatment include restoring sexual function, improving overall physical health, and optimizing QoL for both the man and his partner. The ED guideline is intended to be a reference for clinicians and men who are affected by ED. Continuing medical research on the causes of ED is necessary to provide appropriate treatment. It is essential that the man and his partner communicate the problem and make informed decisions.
ED is caused by a variety of factors. Some of the most common are age and genetics. Other risk factors include diabetes mellitus, dyslipidemia, hypertension, and psychotropic medications. A proper evaluation includes a thorough history and physical examination. Psychotropic medications and drug side effects are other risk factors for erectile dysfunction. Behavioral modification including nutritional counseling, dietary modification, and psychological counseling should be part of the initial treatment plan.
Injection therapy for erectile dysfunction is an option that may be effective in some patients. However, injection therapy is risky for patients with severe cardiovascular disease or high blood pressure. This procedure can also lead to penile scarring. Moreover, injection therapy can result in dizziness, high blood pressure, and even scarring. The most common side effects are pain and blood pressure. A physician should also be consulted if you are worried about your mental health.
