Last week we started a topic on male sexual dysfunction. We have discussed erectile dysfunction and its causes. This week we will conclude with its symptoms, effects on fertility, diagnosis, prevention and treatment. SYMPTOMS OF ERECTILE DYSFUNCTION Symptoms of erectile dysfunction may include persistent symptoms: difficulty getting an erection, difficulty maintaining an erection, decreased desire for sex. Without the ability to stay firm, the act of penetration and childbirth will be difficult. This is the most obvious reason, but erectile dysfunction also causes relationship issues, which can impact fertility. Failure to conceive within the time frame the couple has set can lead to increased stress, anxiety and panic. These emotions can affect the hormones women produce when they ovulate, reducing their chances of getting pregnant. The same goes for men, as stress can reduce sperm count. This is why it is essential to treat erectile dysfunction before trying to conceive, as this will prevent future challenges. DIAGNOSIS OF ERECTILE DYSFUNCTION A physical exam and medical history are often all a doctor needs to diagnose erectile dysfunction and recommend treatment. However, if you have chronic health problems or if the doctor suspects that an underlying condition is at work, you may need further tests or a consultation with a medical specialist (urologist). Tests for underlying conditions may include: Physical examination: This may include a thorough examination of the penis and testicles, as well as a nerve test for sensation. Blood tests: A blood sample may be sent to a lab to be tested for signs of heart disease, diabetes, low testosterone levels and other health issues. Urine tests (urinalysis): Urine tests can also be used to detect diabetes and other underlying health conditions. Ultrasound: This test is usually performed by a specialist. A rod-like device (transducer) is held over the blood vessels that supply the penis. It generates a video image that the doctor can use to determine if you have blood circulation problems. This test is sometimes done in conjunction with a drug injected into the penis to increase blood flow and produce an erection. Psychological examination: The doctor may ask questions to screen for depression or other psychological causes of erectile dysfunction. PREVENTION Making healthy lifestyle choices and managing any existing health issues are the best ways to prevent erectile dysfunction, such as: Managing diabetes, heart disease, and other chronic health conditions. Visit the clinic for checkups regular and medical screening tests. Quit smoking, limit or avoid alcohol consumption and avoid using illegal drugs. Take steps to reduce stress. Seek treatment for anxiety, depression or other mental health issues. TREATMENT The first thing the doctor will do is make sure you receive proper treatment for any medical conditions that may be causing or worsening your erectile dysfunction. There may be several treatment options depending on the cause and severity of your erectile dysfunction, as well as any underlying health conditions. The clinician will explain the risks and benefits of each treatment and take your preferences into account. Oral medications: Erectile dysfunction medications for men are effective. These medications enhance the effects of nitric oxide, a natural chemical produced by the body that relaxes the muscles of the penis. This increases blood flow, allowing you to achieve an erection in response to sexual stimulation. Testosterone Replacement: Some people suffer from erectile dysfunction, which can largely be caused by low testosterone levels. In this case, testosterone replacement therapy may be prescribed as a first step or given in conjunction with other treatments. Penis pumps: A penis pump (vacuum erection device) is a hollow tube that contains a manual or battery-operated pump. This tube is placed over the penis and the pump is used to draw air out of the tube. This produces a vacuum that draws blood into the penis. When you get an erection, you wrap a tension ring around the base of the penis to keep the blood in and the erection firm. The vacuum device is then removed. Typically, the erection lasts long enough for a couple to have sex. Penile implants: This procedure involves surgically implanting devices on both sides of the penis. These implants consist of inflatable or malleable (bendable) rods. You can control when and how long you have an erection with inflatable devices. Malleable rods support the penis while allowing it to bend. Penile implants are generally not recommended unless all other options have been exhausted. Exercise: Exercise, particularly moderate to vigorous aerobic activity, has been shown in recent studies to improve erectile dysfunction. Regular, less intense exercise can reduce the risk of erectile dysfunction. Increasing activity level can also help reduce risk. Psychological Counseling: When erectile dysfunction is caused by stress, anxiety, or depression, or if the condition causes relationship stress and strain, the doctor may advise you or your partner to see a psychologist or an advisor. CONCLUSION Erectile dysfunction (ED) is not an exciting topic for many men to discuss. Men who have performance issues during sex are usually embarrassed, ashamed, and even depressed. However, health issues like this should be discussed with a trusted doctor, as this problem affects not only the person struggling with the problem, but also their romantic partner. Erectile dysfunction affects the mental health of couples and makes it difficult to conceive in addition to the physical aspect of not being able to maintain an erection during sex is very worrying. It is advisable to communicate openly and honestly about your condition. Treatment can be more effective when it involves your partner in most cases. Like this: Like Loading…

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