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Management of Erectile Dysfunction

Erectile dysfunction is common in men and affects quality of life. It can be diagnosed through history and physical exam. Treatment options include oral medications like Viagra, Cialis, injection therapies, penile pumps or implants. Lifestyle changes through exercise, weight loss, quitting smoking and treating underlying conditions may also help manage erectile dysfunction.

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Miami Arif
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67 views

Management of Erectile Dysfunction

Erectile dysfunction is common in men and affects quality of life. It can be diagnosed through history and physical exam. Treatment options include oral medications like Viagra, Cialis, injection therapies, penile pumps or implants. Lifestyle changes through exercise, weight loss, quitting smoking and treating underlying conditions may also help manage erectile dysfunction.

Uploaded by

Miami Arif
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Management of erectile dysfunction

Erectile dysfunction (ED) is the most common sexual problem in men. The incidence increases with age
and affects up to one third of men throughout their lives. It causes a substantial negative impact on
intimate relationships, quality of life, and self-esteem. History and physical examination are sufficient to
make a diagnosis of ED in most cases, because there is no preferred.
Treatment
Depending on the cause and severity of your erectile dysfunction and any underlying health conditions,
patient might have various treatment options, partner's preferences also might play a role in treatment
choices.
Oral medications
Oral medications are a successful erectile dysfunction treatment for many men. They include:
 Sildenafil (Viagra)
 Tadalafil (Adcirca, Cialis)
 Vardenafil (Levitra, Staxyn)
 Avanafil (Stendra)
All four medications enhance the effects of nitric oxide — a natural chemical your body produces that
relaxes muscles in the penis. This increases blood flow and allows you to get an erection in response to
sexual stimulation.
Taking one of these tablets will not automatically produce an erection. Sexual stimulation is needed first to
cause the release of nitric oxide from your penile nerves. These medications amplify that signal, allowing
normal penile function in some people. Oral erectile dysfunction medications are not aphrodisiacs, will not
cause excitement and are not needed in people who get normal erections.
The medications vary in dosage, how long they work and side effects. Possible side effects include
flushing, nasal congestion, headache, visual changes, backache and stomach upset.
Doctor will consider particular situation to determine which medication might work best. These
medications might not treat erectile dysfunction immediately. Patient might need to work with his doctor
to find the right medication and dosage for him.
Before taking any medication for erectile dysfunction, including over-the-counter supplements and herbal
remedies, patient should get doctor's OK. Medications for erectile dysfunction do not work in everyone
and might be less effective in certain conditions, such as after prostate surgery or if you have diabetes.
Some medications might also be dangerous if patient:
 Take nitrate drugs — commonly prescribed for chest pain (angina) — such as nitroglycerin
(Nitro-Dur, Nitrostat, others), isosorbide mononitrate (Monoket) and isosorbide dinitrate
(Dilatrate-SR, Isordil, Bidil)
 Have heart disease or heart failure
 Have very low blood pressure (hypotension)
Other medications
Other medications for erectile dysfunction include:
 Alprostadil self-injection. With this method, use a fine needle to inject alprostadil
(Caverject, Edex) into the base or side of patient penis. In some cases, medications generally
used for other conditions are used for penile injections on their own or in combination.
Examples include alprostadil and phentolamine. Often these combination medications are
known as bimix (if two medications are included) or trimix (if three are included).
Each injection is dosed to create an erection lasting no longer than an hour. Because the needle used is
very fine, pain from the injection site is usually minor.
Side effects can include mild bleeding from the injection, prolonged erection (priapism) and, rarely,
formation of fibrous tissue at the injection site.
 Alprostadil urethral suppository. Alprostadil (Muse) intraurethral therapy involves placing
a tiny alprostadil suppository inside patient penis in the penile urethra. use a special applicator
to insert the suppository into his penile urethra.
The erection usually starts within 10 minutes and, when effective, lasts between 30 and 60 minutes. Side
effects can include a burning feeling in the penis, minor bleeding in the urethra and formation of fibrous
tissue inside his penis.
 Testosterone replacement. Some people have erectile dysfunction that might be complicated
by low levels of the hormone testosterone. In this case, testosterone replacement therapy
might be recommended as the first step or given in combination with other therapies.

Penis pumps, surgery and implants


Battery-powered penis pump for erectile dysfunctionOpen pop-up
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If medications aren't effective or appropriate in case, doctor might
recommend a different treatment. Other treatments include:
 Penis pumps. A penis pump (vacuum erection device) is a hollow
tube with a hand-powered or battery-powered pump. The tube is
placed over patient penis, and then the pump is used to suck out the
air inside the tube. This creates a vacuum that pulls blood into his
penis.
Once he get an erection, he slip a tension ring around the base of his penis to hold in the blood and
keep it firm. then remove the vacuum device.
The erection typically lasts long enough for a couple to have sex. he remove the tension ring after
intercourse. Bruising of the penis is a possible side effect, and ejaculation will be restricted by the
band. his penis might feel cold to the touch.
If a penis pump is a good treatment choice for him, doctor might recommend or prescribe a specific
model. That way, he can be sure it suits his needs and that it's made by a reputable manufacturer.
 Penile implants. This treatment involves surgically placing devices into both sides of the
penis. These implants consist of either inflatable or malleable (bendable) rods. Inflatable
devices allow him to control when and how long he have an erection. The malleable rods
keep his penis firm but bendable.
Penile implants are usually not recommended until other methods have been tried first. Implants have
a high degree of satisfaction among those who have tried and failed more-conservative therapies. As
with any surgery, there's a risk of complications, such as infection. Penile implant surgery is not
recommended if patient currently have a urinary tract infection.

Exercise
Recent studies have found that exercise, especially moderate to vigorous aerobic activity, can
improve erectile dysfunction.
Even less strenuous, regular exercise might reduce the risk of erectile dysfunction. Increasing men
level of activity might also further reduce risk.

Lifestyle and home remedies


For many people, erectile dysfunction is caused or worsened by lifestyle choices. Here are some steps
that might help:
 If you smoke, quit.
 Lose excess pounds.
 Include physical activity in your daily routine.
 Get treatment for alcohol or drug problems.
 Work through relationship issues.

Miami Arif
B3

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