The dose of PDE5 inhibitor that you start with may vary with underlying medical conditions and medications that you are taking. Thus, it is important to review all medications (even over the counter medications) with your physician. Typically, one starts with a lower dose and increases as needed. Some medical conditions prevent going up to higher doses. You can review the drug prescribing information or consult with your doctor regarding the dose(s) that are appropriate for you.
For some men, traditional treatments for erectile dysfunction (or ED) simply do not work or create a dangerous health risk. Fortunately, several of the latest treatments for erectile dysfunction options are beginning to appear in research journals. .
As sexual activity often involves a partner, it is important to try to involve the partner in the evaluation and management of erectile dysfunction and determine if assistance with relationship problems will be needed. Sex therapists are helpful in assisting couples deal with sexual relationship difficulties.
The presence of normal skin sensation adequate to produce an erection is measured with this device. Click to view larger image. Medically reviewed by Michael Wolff, MD; American Board of Urology
But before taking the test let’s understand what Erectile dysfunction is and why it is important to get it tested on time?
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Understanding the signs and causes of ED is the first step toward achieving a better sex life.
A GP might recommend sex therapy, either on its own or in combination with other psychotherapy.
Erectile Dysfunction Test: A Step Towards Sexual WellnessHomeMens HealthErectile Dysfunction Test: A Step Towards Sexual Wellness
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By taking a blood test, one can easily determine the testosterone level which can help in evaluating ED and its causes as well. Testosterone is the hormone produced in a male body. The main production of these hormones is done by the male reproductive part. Testosterone is the male hormone that has a direct link with a person’s sex drive and also plays a significant role in sperm production.
When psychological factors are believed to be the principle cause of ED– particularly in men who are experiencing anxiety or depression – psychological counseling is mandatory. Consultation with a mental health professional with expertise in sexuality should be considered in all cases as this consultation is seldom harmful and the majority of patients will have some psychogenic or relational component to their sexual symptoms.
Injection therapy: The modern age of such drug therapies began in 1993 when the injection of papaverine (Pavabid), an alpha-blocker that produces vasodilatation (widening of the blood vessels), was shown to produce erections when injected directly into the penis. Soon afterward, other vasodilators, such as prostaglandin E1 (PGE 1) monotherapy (Caverject, Edex), PGE1 and phentolamine (Regitine), and Trimix (papaverine, phentolamine and prostaglandin E1), were demonstrated to be effective. The benefit of combination therapy is the decreased dosing of each with less side effects. Most important is the reduction of the prostaglandin PGE1 dosing, which is associated to the localized pain.
Low testosterone (low-T) can be caused by conditions such as type 2 diabetes, obesity, liver or kidney disease, hormonal disorders, certain infections, and hypogonadism. Signs and symptoms that a person may have low-T include insomnia, increased body fat, weight gain, reduced muscle, infertility, decreased sex drive, depression, and worsening of congestive heart failure or sleep apnea. Low-T can be treated with testosterone therapy in the form of gels, injections, pellets, or skin patches. Side effects of testosterone treatment include acne, anxiety, hair loss, headache, and change in sex drive (libido).
Psychosexual counselling, or sex therapy, is an appropriate recommendation especially for men who are experiencing discord with their partner especially if the conflict is related to the man’s ED. Counselling usually consists of 5–20 sessions with counsellor. It is our recommendation that referral doctors treating men with ED make a referral to a psychotherapist or sex therapist who is certified by AASECT (American Association of Sexuality Educators, Counselors and Therapists) of certified sexuality educator.43
Erythrocytosis has been noted in men on TRT, and should be monitored every 6–12 months depending upon the patients’ response to changes in haematocrit levels. For mild elevations, the dosage of testosterone can be decreased or the interval of using the medication can be increased. With the haematocrit greater than 50%, decisions to temporarily discontinue the medication or periodic phlebotomy may be indicated.38
Sex is considered the supreme factor on which a couple’s relationship and compatibility depend to an extent. Apart from that, the emotional and physical benefits like better self-esteem, reduced- heart disease risks, and many others are responsible because of satisfying physical contact. But relations can be flurry if partners don’t enjoy physical intimacy. And one of the possible reasons can be Erectile Dysfunction(ED).