You may find it embarrassing to speak with a healthcare provider about ed, but doing so can improve both your sex life and quality of life. If you feel awkward talking to your primary care provider, meet with a urologist (a specialist in disorders of the male reproductive tract), if possible. When meeting with a provider, come prepared with all the information needed to help narrow the causes of your condition. This includes what you are experiencing physically and what you feel emotionally. This should include: how often you can get an erection how long you can sustain an erection when the problem started if there are specific situations where you are unable to get an erection.

It's not easy to accept that you have ed. And it can be even harder to talk about it. Talking about ed is the only way to learn about treatments and get the help you need. It's normal to feel embarrassed discussing such an intimate and personal issue, but your health care provider is a professional who is there to help you, not judge you. Explain to your health care provider the symptoms you have been experiencing tell your health care provider your concerns and ask him if it could be ed or another sexual disorder inform your health care provider of any other emotional or physical changes you have experienced.

Health and ED History

Urethral suppositories, also known as medicated urethral system for erection (muse)(experimental) low-intensity shockwave therapy (experimental) at wake forest men’s health, dr. Ryan terlecki will evaluate your condition and explain all your treatment options. He will help you decide which is best for you based on the severity of your condition, your medical history, and your personal preferences.

Oral Drugs (PDE5 inhibitors)

There are several oral medications available for the treatment of ed, including viagra, levitra and cialis. Each of these medications is a phosphodiesterase-5 inhibitor (pde-5) which boosts the natural signals that are generated during sex. These medications cause the muscles in the penis to relax, allowing for better blood flow, which improves and prolongs the erection. Almost 80 percent of men who try one of these pde-5 inhibitors show improvement with use. Side effects are usually mild and temporary, and can include headache, stuffy nose, flushing and muscle aches. Your urologist can educate you further regarding the oral medication options for ed.

Medicines known as pde5 inhibitors can help two-thirds of men with ed. These include viagra (sildenafil), cialis (tadalafil) and levitra (vardenafil). You may need to take several doses over time before they work properly, and you may need to adjust the dose. National guidelines say you can be prescribed these drugs from six months after a heart attack, providing your condition is stable. Another erectile dysfunction treatment is a hormone called alprostadil, which is applied as an injection or a pellet placed inside the man’s urethra (the tube that travels through the penis. A non-drug treatment is a vacuum pump – these may take some practice, but are usually very effective.

The systematic review and meta-analysis by mykoniatis et al 1 compared the literature on combination therapy vs monotherapy for the treatment of erectile dysfunction (ed). The authors found that combination therapy with phosphodiesterase type 5 (pde5) inhibitors in conjunction with other accepted treatment modalities, including tadalafil, low-intensity extracorporeal shockwave therapy (li-eswt), vacuum erectile device, or antioxidants, was associated with statistically significant improvements in symptoms as measured by the international index of erectile function (iief) score, with no increase in adverse effects. However, certain limitations exist in this review and should be considered when interpreting the its conclusions. Since the first pde5 inhibitor, sildenafil citrate, was approved by the us food and drug administration in 1998, 2 this class of medications has revolutionized the management of ed.

Medications can be used to treat erectile dysfunction, such as viagra, levitra and cialis. Oral medications are effective in about 70% of men with erectile dysfunction. Other non-surgical treatment options would include the use of penile injection therapy. In this treatment a small needle and syringe are used to inject medication directly into the penis. These medications can increase blood flow into the penis causing a firm erection. The discomfort associated with penile injection therapy is not severe and the risk of complications is low. A side effect of non-surgical treatments is priapism, an erection that persists for several hours.