Before Making A Choice, Think About The Person’s Age
The most common cause of ejaculation problems is a problem with the arterial blood vessels. Atherosclerosis causes the narrowing of blood vessels, which doctors call “artery narrowing.” Fat accumulates in the arteries of the heart and brain, leading to stroke and atherosclerosis. Atherosclerotic plaques can be caused by various factors.
These symptoms could be caused by electrical or heart valve problems. Erectile dysfunction affects older men more often than younger ones. Impotence is seen in men aged 18 to 65 years
Start with vilitra for the best results. By taking this medicine you will be 100% satisfied and enjoy an erection for a long time.
For many men, a physical exam and questions to answer (medical history) are all a doctor needs to diagnose erectile dysfunction and recommend treatment. If you have a chronic health condition or your doctor suspects that an underlying condition may be involved, you may need further tests or a consultation with a specialist.
Tests For Underlying Conditions May Include:
Physical examination: This may include a careful examination of your penis and testicles and checking your nerves for sensation.
Blood tests: A sample of your blood may be sent to a lab to check for signs of heart disease, diabetes, low testosterone, and other health conditions.
Urine tests (urinalysis). Like blood tests, urine tests are used to look for signs of diabetes and other underlying health conditions.
Ultrasound: This test is usually done by a specialist in the office. It involves the use of a wand-like device (transducer) placed over the blood vessels supplying the penis. It creates a video image for your doctor to see if you have a blood flow problem.
The test is sometimes combined with the injection of medication into the penis to stimulate blood flow and produce an erection.
The first thing your doctor will do is make sure you’re getting the right treatment for any health conditions that may be causing or worsening your erectile dysfunction.
Depending on the cause and severity of your erectile dysfunction and any underlying health conditions, you may have different treatment options. Your doctor can explain the risks and benefits of each treatment and will consider your options. Your partner’s preferences may also play a role in your choice of treatment.
Oral medications are a successful treatment for erectile dysfunction for many men. They include:
- Vilitra 40
These drugs increase the effects of nitric oxide – a natural chemical your body produces that relaxes the 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 automatically induce an erection. First sexual stimulation is necessary to release nitric oxide from your penile nerves. These drugs amplify that signal, allowing normal penile function in some people. Oral erectile dysfunction drugs are aphrodisiacs, will cause arousal, and are used by men who have normal erections.
Medications vary in dosage, how long they work, and side effects. Possible side effects include flushing, nasal congestion, headache, visual changes, back pain, and stomach upset.
Your doctor will consider your specific situation to determine which medication might work best. These medications may immediately treat your erectile dysfunction. You may need to work with your doctor to find the right medication and dosage for you.
Get your doctor’s OK before taking any medication for erectile dysfunction, including over-the-counter supplements and herbal remedies. Erectile dysfunction medications work differently in all men and may be less effective in certain situations, such as after prostate surgery or if you have diabetes.
Some drugs can also be dangerous, such as:
- Take nitrate medications — commonly prescribed for chest pain (angina) — such as nitroglycerin (Nitro-Dur, Nitrostat, others), isosorbide mononitrate (Monocate), and isosorbide dinitrate (Isordil, Bidil)
- Have heart disease or heart failure
- Very low blood pressure (hypotension)
Other medications for erectile dysfunction include:
With this method, you use a fine needle to inject alprostadil (Caverject, Adex) into the base or side of your penis. In some cases, drugs commonly used for other conditions are used alone or in combination for penile injections. Examples include alprostadil and phentolamine. Often these combination drugs are called bimixes (if two drugs are included) or trimixes (if three are included).
Each injection is dosed to produce an erection lasting no more than an hour. Because the needles used are very fine, pain from the injection site is usually minor.
Side effects may include mild bleeding from the injection, prolonged erection (priapism), and rarely, fibrous tissue formation at the injection site.
Alprostadil Urethral Suppository:
Alprostadil (Muse) intraurethral therapy involves placing a small alprostadil suppository inside your penis in the penile urethra. You use a special applicator to insert the suppository into your penile urethra.
The erection usually begins within 10 minutes and lasts for 30 to 60 minutes when effective. Side effects can include a burning sensation in the penis, minor bleeding in the urethra, and the formation of fibrous tissue inside your penis.
Testosterone Replacement: Some people have erectile dysfunction that can be complicated by low levels of the hormone testosterone. In this case, testosterone replacement therapy may be recommended as a first step or given in combination with other therapies.
Penis Pumps, Surgery, And Implants
Battery-Operated Penis Pump:
Battery Operated Penis Pump for Erectile Dysfunction Open pop-up dialog box
If medications are not effective or appropriate in your case, your doctor may recommend a different treatment. Other treatments include:
A penis pump (vacuum erection device):
A penis pump is a hollow tube with a hand-operated or battery-operated pump. The tube is placed on your penis, and then a pump is used to suck out the air inside the tube. This creates a vacuum that draws blood into your penis.
Once you have an erection, you slip a tension ring around the base of your penis to trap blood and keep it firm. Then you remove the vacuum device.
An erection usually lasts long enough for the couple to have sex. You remove the tension ring after intercourse. Bruising on the penis is a possible side effect, and ejaculation will be restricted by the band. Your penis feels cold to the touch.
If a penis pump is a good treatment choice for you, your doctor may recommend or prescribe a specific model. This way, you can be sure that it suits your needs and is made by a reputable manufacturer.
This treatment involves surgically placing devices on both sides of the penis. These implants consist of either inflatable or bendable rods. Inflatable devices allow you to control when and for how long an erection occurs. Flexible rods keep your penis firm but bendable.
Penile implants are usually not recommended unless other methods have been tried first. Those who have tried and failed more conservative therapies have a high level of satisfaction with implants. As with any surgery, there is a risk of complications such as infection. Penile implant surgery is not recommended if you currently have a urinary tract infection.