Please Help: I am Having Erectile Dysfunction

The inability to obtain and maintain an erection sufficient for sexual activity is known as erectile dysfunction (ED) or impotence.

Men most frequently report erectile dysfunction to their doctor when they have sex-related issues. Up to 30 million men may be harmed by it. Men with diabetes are two to three times more likely to have ED than men without diabetes.

Even though it’s common for men to experience occasional erection issues, ED that progresses or frequently occurs during sexual activity is abnormal and has to be treated.

Statistics:

According to the study, ED affects an increasing percentage of men as they age; about 40% of men have it at the age of 40, and by age 70, nearly 70% do. At age 40, the prevalence of complete ED increased from 5%; at age 70, it reached 15%. The factor with the strongest correlation to ED was age.

How do you know you have erectile dysfunction?

The following symptoms you will be having if you suffer from ED:

Reduced libido (sexual desire)
Trouble getting an erection
Trouble maintaining an erection

Who Is At Risk?

Certain health conditions will make you vulnerable to getting ED.

These are:

Type 2 diabetes:
Cardiovascular diseases
Atherosclerosis
Hypertension
Chronic kidney disease
Multiple sclerosis
Peyronie’s disease
Injury from treatments for prostate cancer
Injury to the penis, spinal cord, prostate, bladder, or pelvis
Obesity
Alcohol and drug over-use

Psychological problems include:

Anxiety, Depression, or other mental health disorders
Stress
Lack of communication with partner
Other relationship issues

Also, some medicines have an adverse effect on men’s sexual health.

These are:

Anti-hypertensive drugs
Antiandrogens (drugs used to treat prostate cancer)link
Antidepressants
Tranquilizers or sedatives
Appetite suppressants
Medicines to treat ulcer

Some common questions you should expect your healthcare practitioner will ask

Concerning Your ED Symptoms:

How long have you experienced this condition? They started suddenly or gradually.

Do you have an erection when you wake up in the morning or at night?

How firm are your erections if you do have them? Is penetration difficult?

Do your erections change in a different situation, like when you’re with a partner or masturbating?

Did you experience sexual desire or arousal issues?

Do you experience issues during the orgasm (climax) or ejaculation?
How is this issue affecting your ability to enjoy sex?
Do you have penile curvature, a lump or bulge in the penis, or painful erections? These are symptoms of Peyronie’s disease, which can be managed with the help of a urology specialist.

How To Treat Erectile Dysfunction?

Depending on the root cause, the severity of your erectile dysfunction, and any underlying medical conditions, you may have various therapy choices.

Your doctor will consider your preferences and can go over the benefits and risks of each course of therapy. Your treatment decisions may be affected by your partner’s preferences as well.

The first line of treatment is frequently non-invasive. The majority of the most popular ED remedies are effective and secure. However, it can be helpful to consult with your doctor about the potential side effects of each choice:

1: Oral phosphodiesterase type-5 inhibitors (PDE5 inhibitors) are most frequently recommended as oral medications or pills for ED (Viagra, Cialis, Levitra, Stendra):

PDE type-5 inhibitors are medications that boost penile blood flow. These are the only oral treatments for ED that have received FDA approval in the United States.

® Viagra (sildenafil citrate)

® Levitra (vardenafil HCl)

Stendra ® (avanafil)

Men with ED should take these pills one to two hours before having intercourse for the best outcomes. The medications demand that the penis nerves function normally.

PDE5 inhibitors enhance typical erectile functions by increasing blood flow to the penis. Seven out of ten guys perform well and experience stronger erections. Patients with cancer and diabetes have reduced response rates.

2: Testosterone: when low testosterone is detected in blood tests:

Testosterone therapy may restore normal erections in some cases where a low sex drive and low blood levels of testosterone are the cause of ED. It may also work in combination with ED medications (PDE type 5 inhibitors)

3: Penile Injections (ICI, intracavernosal Alprostadil) and intraurethral medication (IU, Alprostadil):

Alprostadil is a medication that men can use with ED if oral medications are ineffective. Depending on how it will be administered, this medication is available in either an intracavernosal injection (referred to as “ICI”) or through the urethra (called “IU therapy”).

4: Devices for Vacuum Erection:

A plastic tube that fits over the penis and forms a seal with the body’s skin is a vacuum erection device. An erection is produced when a low-pressure vacuum is created around the erectile tissue by a pump.

The base of the penis is then covered with an elastic ring. For up to 30 minutes, this retains the blood in the penis (and keeps it firm). 75 out of 100 men can successfully use a vacuum erection device with the right training.

5: Penile implants:

Some younger men with severe pelvic injuries may have surgery to bypass penile artery damage. Older men with hardened arteries are not recommended to have penile vascular surgery.

There are two types of penile implants.

Semi-rigid Implant: Two flexible rods—typically composed of silicone—that are easy to bend make up the most basic type of implant. The man’s penis is given the hardness needed for sexual penetration by these silicone rods.

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Inflatable implant: Fluid-filled cylinders are inserted lengthwise in the penis using an inflatable implant. These cylinders are connected through tubing to a pump located inside the scrotum.

When the pump runs, the penis is inflated and stiffened by the pressure in the cylinders. For your partner, inflatable implants provide an erection that looks and feels normal. Your surgeon can recommend a lubricant for your spouse.

Erectile dysfunction treatment in KL and Kepong:

The best clinic to treat Erectile dysfunction are:

Chye clinic
Your Physio Spine, Sport, Stroke Rehab Specialist

Baiduri Clinic

First Physio SS2

Your Physio Kepong

Liew Clinic, 10 Boulevard

Klinik MedicVac

Your Physio Spine, Sport, Stroke Rehab Specialist

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