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If not previously done, some basic studies should be considered to identify unrecognized systemic conditions that may predispose to erectile dysfunction. These include a complete blood count, urinalysis, renal function, lipid profile, fasting blood sugar, and thyroid function. Hormone testing for prolactin and testosterone the male hormone should be done. Erectile Dysfunction can be Psychogenic, Neurogenic or Vasculogenic. In order to identify a potential cause, a Penile Doppler Ultrasound testing is often employed. As ED is due to vasculogenic reasons in 50-70% individuals, the test serves to identify arterial or venous abnormalities which contribute to the same. The test is done by injecting a small quantity say 2ml of vasodialting agent such as Papaverine into the cavernosa. The Peak Systolic Velocity and The End Diastolic Velocities are noted.
Maintaining a healthy weight and avoiding/managing diabetes. A Harvard study found that a man with a 42-inch waist is twice as likely to develop ED as a man with a 32-inch waist. Being overweight is also a risk factor for type 2 diabetes, which can damage nerves and blood vessels throughout the body, including those that supply the penis. That can result in ED. Not smoking. Tobacco smoke contains thousands of toxins that can damage the linings of blood vessels throughout the body—including in the penis. Avoiding meds that may cause ED, if possible. If you’ve experienced ED after beginning a certain medication (an antidepressant, for example), talk with your healthcare provider about whether it’s possible to switch to another drug with fewer sexual side effects.
Decreased libido can be a consequence of a physical illness, the administration of certain medications, stress or psychological factors. Sometimes the pain of sexual intercourse or unrealistic expectations can lead to loss of interest in sexual activity. To solve the problem it is very important to detect the cause.
Premature ejaculation or lack of Ejaculatory control is the second most common reason men come to see me in my clinic. “It is over before it starts doctor”, they say. A feeling of anguish and the guilt of not being able to satisfy their partners lingers. Though a scientific definition of Premature Ejaculation may be ejaculating within one minute, partners of men who ejaculate slightly after one minute are not necessarily happy. So, what’s the story? What are they thinking? Discover more information at InstaDocNow.
Not every man can or should take Viagra.: Tell your doctor if you take nitrates, have chest pain, or suffer from low blood pressure, have had a heart attack, heart failure, or stroke within the last year before starting this medication. Viagra can create adverse reactions in those that take certain medications or have certain health conditions, so be sure to tell your doctor all the medications that you take and if you have any allergies.