The inability to achieve an erection once or twice is not a cause for concern. But if the problem occurs frequently, it may be time to see a doctor, because it could be erectile dysfunction. There are no exact signs of when you need to see a specialist, nor is there a certain amount – once a day, a week, or a year – when you should be ready to have sex. Just listen to your body.
What are the causes of erectile dysfunction?
It used to be believed that erectile dysfunction was a purely psychological problem, which was often ignored, hoping that it would go away on its own. But in fact, erectile dysfunction depends more on the general condition of the body, such as the presence of cardiovascular disease or diabetes, than on psychogenic factors (like anxiety or depression).
“The most common cause of vasculogenic erectile dysfunction is a problem with blood flow in the penis,” says Dr. Patel. According to the specialist, it’s important to get tested as soon as possible to determine if there’s a risk of developing another cardiovascular disease.
But many other medical factors increase the likelihood of erectile dysfunction: medication side effects, stroke, or thyroid disease. For example, erectile dysfunction is much more common in people with diabetes. However, studies show that the causes of problems in young men are more often psychological factors, such as stress at work.
What are the most common treatment options?
First, your doctor will look at your medical history and lifestyle. According to Dr. Patel, certain medications, such as antidepressants, anticonvulsants, and high blood pressure medications, can contribute to or cause erectile dysfunction. In addition, alcohol, tobacco, stress, or being overweight can also cause ED. The first treatment option, in addition to lifestyle changes, would be to prescribe a pde5 inhibitor (“Viagra” or “Cialis”) in pill form. We recommend that you order the drug Viagra from the website ExpressApotek . Here you will not only find Viagra but also a lot of certified drugs.
What do you need to know before you start taking the pills?
Pde5 inhibitors are not “magic pills”, they do not cause automatic erections. Dr. Snyder explains that pills like Viagra simply increase positive signals from the brain to the penis. That is, they gradually help with both the psychological and physical side of the problem, but they don’t cure it instantly. He compares them to an amplifier on a stereo system: “You can turn up the volume as high as you want, but you won’t hear anything unless the song starts playing.”
Are there other treatment options?
There are quite a few. There are vacuum devices that you can buy online without a prescription. Another option is to inject the same drug, a pde5 inhibitor, into the base of the penis before sex. Dr. Patel says this method “works very well in a large percentage of patients and there is a lot of room to maneuver in terms of safely increasing the dose.” It is also possible to inject a capsule of the drug into the urethra, where it will dissolve and have the same effect. This method is less common, according to Dr. Patel, because it can cause a burning sensation in some patients.
There is also an invasive treatment option – replacing the erectile tissue with prosthetic tissue. An erection would be achieved with a two-position pump that would be placed inside the scrotum. Dr. Patel explains that this surgery “won’t change anything about your ability to have an orgasm. This method works best, but “usually most guys want to try other options that are easier before deciding to have surgery.”
How long does it usually take to treat erectile dysfunction?
Dr. Snyder believes it depends on several factors, such as whether your erectile dysfunction is a medical or psychological problem. Each case is different: some people will need one or two doctor’s appointments and a simple pill administration, while others may need additional help or more complicated methods. “Medical erectile dysfunction often requires long-term treatment because most factors in its development are not completely reversible,” says the doctor. Regardless of the cause, most erectile dysfunction is treatable. And the first step toward recovery is, of course, seeing a doctor.