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ED treatment with Dr. Ravi Sankar Erukulapati

If you're struggling with erectile dysfunction, know that you're not alone. Learn more about this common condition and what you can do to treat it.

Erectile Dysfunction ( Impotence ) | Dr. Ravi Sankar Erukulapati, Senior Endocrinologist

Erectile dysfunction (ED), also known as impotence, is the inability to get and maintain an erection.

ED can be a sign of health problems. It may mean your blood vessels are clogged. It may also be a sign of nerve damage from diabetes.

If you have ED, you may think about using drugs such as sildenafil (Viagra), tadalafil (Cialis), or vardenafil (Levitra). These drugs can help you get and maintain an erection.

Causes

There are many possible causes of ED, and they can include:

  • Physical problems, such as injury to the nerves that control erections, or problems with blood flow to the penis
  • Psychological problems, such as anxiety, depression, or stress
  • Certain medications, such as antidepressants, blood pressure medications, or cancer treatments
  • Hormonal problems, such as low testosterone
  • Substance abuse, such as heavy alcohol use, or illegal drug use

In many cases, ED is caused by a combination of physical and psychological problems.

Risk factors

Factors that may increase your risk of ED include:

  • Age. ED is more common in men as they get older.
  • Smoking. Smoking cigarettes can damage your blood vessels and affect blood flow throughout your body. This may make it harder to get and keep an erection.
  • Excess weight. Being overweight can cause or worsen erectile dysfunction.
  • Certain medical conditions. Conditions such as diabetes, high blood pressure, and high cholesterol can harden arteries, which can lead to ED.
  • Certain medications. Medications used to treat depression, heartburn, and high blood pressure can cause ED.
  • Treatment for cancer. Cancer treatments, such as surgery, radiation, or chemotherapy, can damage the nerves that control erections.

Talk to your doctor about your risk factors for ED.

Diagnosis

Your doctor will ask about your medical history and symptoms, and do a physical exam. They may also order tests to check your blood flow and nerve function.

Treatment

ED can be treated in several ways. The most common are:

  • Oral medications. These drugs, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), are called phosphodiesterase type 5 (PDE5) inhibitors. They work by relaxing muscles and increasing blood flow.
  • Injections. A medication called alprostadil (Caverject, Edex, Muse) is injected into the side of the penis. It increases blood flow to the penis to help a man get and keep an erection.
  • Urethral pellets</
Most men suffer from Erectile Dysfunction at some stage of life. There are several causes for Erectile dysfunction, also called ED or Impotence. This can be evaluated and treated in a scientific manner through counselling and medications.

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Video transcription:

What is erectile dysfunction, erectile dysfunction is the inability to develop an erection or the inability to sustain it long enough to complete the sexual act. Most men do suffer from erectile dysfunction at some stage in life, but unfortunately, in some this is a serious problem and that can affect their confidence levels and their relationship as well. Hence, the reason why erectile dysfunction should be diagnosed and proper treatment instituted. What are the various causes of erectile dysfunction? Erectile dysfunction could be due to a variety of causes. To begin with, it can be due to stress and anxiety. It can be due to various medical problems such as undiagnosed or detected cardiovascular disease. It can be due to diabetes, especially poorly controlled diabetes. It can be due to neurological problems such as brain stroke, spinal cord injury could also be due to the nervous damage after prostate surgery in some cases can be due to hormonal problems such as testosterone deficiency, excess prolactin levels in the plant can also be due to thyroid problems at times. Certain medications, such as beta blockers and psychiatric medications, can also contribute to erectile dysfunction. This apart, smoking is an important cause of erectile dysfunction and alcoholism is another important cause. If you look at illicit drugs, these do not improve erections, but they cause serious erectile dysfunction, especially in the long run. Then let us look at what exactly one needs to do when he knows that he has erectile dysfunction. He needs to consult a speCialist, usually it’s an endocrinologist. Sometimes some urologist can also deal with erectile dysfunction efficiently. What does an endocrinologist do when you go with erectile dysfunction? He he or she takes a detailed history as to whether this is sudden onset or whether it has been there for a while whether you are developing any early morning, erections or not as to whether you have some libido or not. That means the desire to do sex. Then your medication history is discussed. They also take history about your underlying medical problems. Then certain tests might be ordered, for instance, hormonal test, your blood sugar related tests, an ecg, sometimes even a thread meal test and at times penile doppler, putting all these tests at one place and, of course, the history, including a general examination. Looking for any gynecomastia, that means male boobs and examination of your private parts. A diagnosis is made and the cause or the culprit is usually tried to be tackled in an efficient manner. Sometimes medications such as sildenafil or catalaphyl may have to be instituted after excluding contraindications, contraindications or undiagnosed, or untreated, underlying cardiac illness and hypotension, and also simultaneous usage of nitrates, so do discuss with your doctor, don’t buy them over the counter or in the internet. There are a lot of fake medications that are being sold as well. Then, at times you might need an injection into the penis or a suppository as well, not to forget that there are other techniques such as implants that can help you with your erectile dysfunction and pumps as well. That can help you develop an erection last, but not the least. Do not shy away from discussing these problems with your doctor, because there are treatments available which can really help you take care.

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