It affects a lot of men, but only a few of them talk about it. One of the most commonly identified sexual dysfunctions among men is erectile dysfunction. The erect penis has been linked to male fertility and sexual success for thousands of years. Men with this illness are socially discriminated against, which promotes sexual anxiety and reduces a patient's willingness to attend a doctor's clinic for therapy. Topics relating to sexual health are considered delicate, and many people prefer that they be handled in a professional manner.
Erectile dysfunction is defined as the inability to achieve and sustain a penile erection for a long enough time to satisfy sexual desires. When it occurs on a regular basis, a verified diagnosis is made, and the clinician works feverishly to determine the likely cause in a patient. For a clinician, erectile dysfunction might be difficult to manage. The doctor struggles to comprehend the patient's degree of comfort in discussing erectile dysfunction right from the first consultation. Erectile dysfunction is now curable even by internet doctors, thanks to current technological developments and treatments.
The doctor then proceeds to determine the remote source of this condition after establishing a professional relationship. Specifically, clerking queries are aimed at establishing which stage of the erection process is impacted by this issue. The questions addressed are crucial in determining if a patient is unable to achieve an erection or whether the erection achieved is inefficient for penetration. By extension, the doctor can determine whether the erection lasts till orgasm or whether ejaculation occurs in conjunction with sexual enjoyment.
A thorough examination of your medical history is also expected. This is necessary to rule out any disease conditions or comorbidities that may have contributed to the onset of erectile dysfunction. Erectile dysfunction is caused by a number of causes, including cardiovascular disease, diabetes, and obesity. New clinical evidence has recently emerged that suggests persons who have survived various types of childhood malignancies are at risk of acquiring erectile dysfunction at some point in their lives.
The American Urology Association emphasized the importance of a full examination of medical, sexual, surgical, and psychological history in the treatment of erectile dysfunction in a journal update on the management modalities for erectile dysfunction. A positive history of past prostate surgery, trauma, or pelvic surgery aids the doctor in better understanding the patient's condition and formulating a better treatment strategy.
It's also possible to look into your medical history. All supplements, vitamins, herbal formulations, and prescription drugs taken in the weeks leading up to the development of erectile dysfunction should be examined for a probable reason. A medical history is especially relevant in an elderly patient who is currently being treated with many medications for various diseases.
The reasons of this illness are multifaceted, according to clinical studies. The specific reason of sexual disability may not be known in many cases. In some circumstances, however, there are at least two probable causes for a patient's condition. According to reliable studies, the following are the top causes of erectile dysfunction in men:
Patients with erectile dysfunction caused by organic factors experience a range of symptoms that worsen over months or years, ranging from trouble maintaining an erection to complete failure to achieve an erection. This is in stark contrast to psychogenic variables, which can produce dysfunction. Organic erectile dysfunction is typically caused by physical issues that patients may have recognized are linked to their inability to acquire or maintain a penile erection. Erectile dysfunction can be caused by vascular, neurogenic, or drug-related reasons.
Subclinical perineal trauma is one of the most common vascular disorders that leads to organic erectile dysfunction. Physical activity that can temporarily obstruct penile vessels, such as bicycling, can induce penile vascular damage. In 2012, a clinical study was published that looked at the occurrence of erectile dysfunction in young surgically treated individuals with lumbar spine illness. According to research, around 34% of males under the age of 50 who underwent surgical decompression of the lower spine experienced erectile dysfunction.
Some drugs have long been known to cause erectile dysfunction as an adverse effect. Many antidepressants, anxiolytics, neuroleptics, and non-steroidal anti-inflammatory medicines come with a warning that they may cause erectile dysfunction as a side effect. Another medicine type that is known for this side effect is selective serotonin receptor inhibitors. In the treatment of schizophrenia and other psychotic diseases, neuroleptics are used.
All of these medications raise prolactin levels in men, which has been associated to the development of erectile dysfunction in many schizophrenic patients. Antiepileptic drugs, on the other hand, cause guys' reproductive hormone levels to fluctuate. This action has been associated to the development of erectile dysfunction in patients taking these medications.
Psychogenic erectile dysfunction has a quick onset, unlike organic ED, which has symptoms that grow over time. After psychological trauma, patients with this type of erectile dysfunction may have difficulties achieving penile erection. In some circumstances, the patient may have erectile dysfunction with one partner but not with another, which is why psychogenic erectile dysfunction is also known as "Selective Erectile Dysfunction."
Psychogenic erectile dysfunction is thought to be caused by anxiety, guilt, melancholy, stress, and disagreements about sexual matters. Many patients with this illness can get a penile erection during self-stimulation but have complete erectile dysfunction with sexual contact. Because symptoms might be ambiguous, appropriate medical history, physical, and laboratory investigations may be required in some individuals to correctly identify between psychogenic and biological erectile dysfunction.
There are various treatment options for erectile dysfunction currently available; however, the ultimate therapy goal remains the same – to improve penile blood flow and sexual enjoyment. The use of the internet for ED treatment is becoming more common. Online doctor services use telemedicine to provide online ED treatment regimens to patients in the comfort of their own homes.
This means patients won't have to travel large distances to the hospital or wait in line for hours to see a doctor. A patient can easily schedule an appointment with an online doctor service by going online. An online doctor can make a diagnosis and write a prescription for you. Telemedicine is improving healthcare delivery while also lowering the cost of obtaining professional medical advice.