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Overview

इरेक्टाइल डिसफंक्शन (Erectile Dysfunction) - उपचार, प्रक्रिया और साइड इफेक्ट्स

इरेक्टाइल डिसफंक्शन (Erectile Dysfunction) का उपचार क्या है ?

जब किसी पुरुष को यौन संभोग के दौरान निर्माण जारी रखने या जारी रखने में समस्याएं आती हैं, तो वह सीधा होने वाली अक्षमता (ईडी) से पीड़ित हो सकता है। ईडी का परिणाम हृदय रोग जैसी अंतर्निहित स्वास्थ्य समस्या के कारण हो सकता है, इस प्रकार समस्या के साथ जल्द से जल्द डॉक्टर से चर्चा की जानी चाहिए।

समस्या के कारणों और सीमा के अनुसार डॉक्टर एक प्रकार के उपचार की सिफारिश करेगा जिसमें मौखिक दवा, लिंग पंप, लिंग इम्प्लांटेशन और यहां तक कि सर्जरी भी शामिल हो सकती है। तनाव और चिंता से पीड़ित पुरुषों को मनोवैज्ञानिक परामर्श की सिफारिश की जाती है। कम आत्म-सम्मान भी ईडी का कारण बन सकता है। परामर्श प्रभावी ढंग से पुरुषों को उनके मानसिक स्वास्थ्य के मुद्दों को सुलझाने और ईडी को दूर करने में मदद करता है। मौखिक दवा में वियाग्रा, सियालिस, स्टेन्द्र और लेवित्रा जैसे दवाएं शामिल हो सकती हैं, जो शरीर में नाइट्रिक ऑक्साइड प्रभाव को बढ़ाती हैं, इस प्रकार लिंग में रक्त प्रवाह में सुधार होता है। दवाओं का खुराक अलग-अलग से अलग-अलग होगा। ये दवाएं तत्काल निर्माण में सहायता नहीं करती हैं, क्योंकि वे एफ़्रोडाइजियस नहीं हैं। नाइट्रिक ऑक्साइड की रिहाई को ट्रिगर करने और निर्माण के कारण यौन उत्तेजना के कुछ रूप आवश्यक हैं। स्व-इंजेक्शन और म्यूज़िक थेरेपी, साथ ही साथ टेस्टोस्टेरोन प्रतिस्थापन विकल्प भी डॉक्टरों द्वारा सुझाए जा सकते हैं।

इरेक्टाइल डिसफंक्शन (Erectile Dysfunction) का इलाज कैसे किया जाता है ?

म्यूज़िक थेरेपी के मामले में, एक विशेष आवेदक का उपयोग पेनिल यूरेथ्रा में एक छोटे अल्प्रोस्टैडिल सपोजिटरी डालने के लिए किया जाता है। यह संभोग से पहले लिंग में डाला जाना चाहिए। दवा के काम में लगभग 10 मिनट लगते हैं और निर्माण 30 मिनट से 60 मिनट तक चल सकता है।

टेस्टोस्टेरोन प्रतिस्थापन उपचार उन पुरुषों के लिए सिफारिश की जाती है जो टेस्टोस्टेरोन के निम्न स्तर की वजह से ईडी से ग्रस्त हैं। टेस्टोस्टेरोन का प्रतिस्थापन आमतौर पर इंजेक्शन या पैच के अनुप्रयोग के माध्यम से किया जाता है। इसे जेल या गम रूप में भी लिया जा सकता है। एक लिंग पंप, जिसे वैक्यूम निर्माण उपकरण के रूप में भी जाना जाता है, लिंग पर स्थित है। खोखले ट्यूब आमतौर पर बैटरी संचालित या हाथ संचालित है। एक बार पंप रखा जाता है, यह हवा के अंदर से हवा को हटा देता है, जिससे वैक्यूम होता है जो लिंग के रक्त प्रवाह को ट्रिगर करता है जिसके परिणामस्वरूप निर्माण होता है। निर्माण को बनाए रखने के लिए लिंग आधार पर तनाव की अंगूठी रखी जाती है। संभोग करने के बाद अंगूठी को हटा दिया जाना चाहिए। पेनिल इम्प्लांटेशन एक शल्य चिकित्सा प्रक्रिया के माध्यम से किया जाता है जिसमें प्रत्यारोपण एक व्यक्ति के लिंग के दोनों किनारों पर स्थित होते हैं। प्रत्यारोपण या तो inflatable छड़ या अर्द्ध कठोर छड़ हो सकता है। उपचार का यह रूप बहुत दुर्लभ है और अन्य प्रकार के ईडी उपचार विफल होने के बाद ही किया जाता है।

इरेक्टाइल डिसफंक्शन (Erectile Dysfunction) के इलाज के लिए कौन पात्र है ? (इलाज कब किया जाता है ? )

सीधा होने का असर किसी भी उम्र में पुरुषों को प्रभावित कर सकता है। आम तौर पर, बुजुर्ग पुरुषों को युवा पुरुषों की तुलना में इस समस्या का सामना करना पड़ता है। सभी उम्र के पुरुष ईडी के लिए इलाज की तलाश कर सकते हैं। ईडी के लिए उपचार आमतौर पर निदान पर निर्भर करता है और व्यक्तिगत से अलग-अलग होगा।

उपचार के लिए कौन पात्र नहीं है ?

स्वास्थ्य और कुछ अन्य कारकों के आधार पर एक डॉक्टर ईडी का इलाज करने के लिए उपचार के एक निश्चित रूप की सलाह देगा। जबकि मौखिक दवा जैसे उपचार का एक प्रकार एक रोगी के लिए काम कर सकता है, दूसरे को सर्जरी की आवश्यकता हो सकती है।

क्या कोई भी दुष्प्रभाव (side effects) हैं ?

ईडी के लिए उपचार सुरक्षित है, लेकिन कुछ दुष्प्रभाव हो सकते हैं जैसे कि: मौखिक दवा से सिरदर्द, पीठ दर्द, दृष्टि और पेट की समस्याओं में परिवर्तन हो सकता है। आत्म-इंजेक्शन के परिणामस्वरूप उस क्षेत्र के आसपास दर्द हो सकता है जहां सुई इंजेक्शन, रक्तस्राव और इंजेक्शन वाले क्षेत्र के चारों ओर रेशेदार ऊतक के विकास का परिणाम हो।

म्यूज़िक थेरेपी के दुष्प्रभावों में मामूली मूत्रमार्ग रक्तस्राव, दर्द और रेशेदार ऊतक गठन शामिल हैं। ईडी के इलाज के रूप में सर्जरी बहुत दुर्लभ है और संक्रमण जैसी गंभीर जटिलताओं का कारण बन सकती है।

उपचार के बाद दिशानिर्देश (post-treatment guidelines) क्या हैं ?

उपचार के बाद रोगियों को आम तौर पर अपनी जीवनशैली में बदलाव करने के लिए कहा जाता है। इसमें एक संतुलित आहार और नियमित व्यायाम शामिल है। उन्हें धूम्रपान छोड़ने और शराब का सेवन कम करने की सलाह दी जाती है।

ठीक होने में कितना समय लगता है ?

ईडी के लिए उपचार आम तौर पर मौखिक दवा के रूप में होता है जिसे निर्धारित दिशानिर्देशों के अनुसार लिया जाना चाहिए। पेनिल सर्जरी के बाद रिकवरी लगभग 2 से 4 सप्ताह लगती है। कोई भी 6 सप्ताह के समय में यौन गतिविधि फिर से शुरू कर सकता है।

तनाव या चिंता के कारण ईडी के मामले में, व्यक्ति मनोचिकित्सा और वसूली की तलाश करते हैं जब वे परेशान होते हैं और आराम करना सीखते हैं।

भारत में इलाज की क्या कीमत है ?

ईडी का इलाज करने की लागत उस प्रकार के उपचार पर भिन्न होती है जो कोई मांग रहा है। यह आम तौर पर कुछ मामलों में 25,000 से 40,000 रुपये और इससे भी अधिक है।

क्या उपचार के परिणाम स्थायी (permanent) हैं ?

जबकि सर्जरी और पेनिल इम्प्लांट्स के प्रभाव स्थायी हो सकते हैं, मौखिक दवा लेने की आवश्यकता होती है और जब ईडी से पीड़ित पुरुष संभोग में शामिल होना चाहता है।

उपचार के विकल्प क्या हैं ?

ईडी के लिए कई वैकल्पिक उपचार भी उपलब्ध हैं। इसमें शामिल है:

  1. पोषक तत्वों की खुराक
  2. हर्बल दवा
  3. एक्यूपंक्चर
  4. समूह चिकित्सा

सुरक्षा:मध्यम प्रभावशीलता: अधिक टाइम्लीनस: कम इससे जुड़े जोखिम: कम साइड इफेक्ट्स: कम ठीक होने में समय: मध्यम

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Erectile Dysfunction- Causes, Symptoms and Treatment!

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Erectile Dysfunction- Causes, Symptoms and Treatment!

A few physical conditions can render intense mental distress as well, and one such condition is Erectile Dysfunction in men. A majority of the men facing the problem feel uncomfortable disclosing the problem of erectile dysfunction. Affecting more than 30 million men worldwide, ED or erectile dysfunction continues to damage their sexual life. However, this condition is very much treatable and nothing at all to hide or embarrassed about.

How can you know that you have erectile dysfunction?
Erectile dysfunction refers to a man's failure of having a firm erection for having sexual intercourse. Problems with having an erection are nothing uncommon and are experienced by men half of the time. But when this male sexual problem becomes extremely frequent, then it is termed as erectile dysfunction.

The symptoms caused by erectile dysfunction can vary from one person to another. However, some of the common symptoms that can make one certain that he may be suffering from ED are reduced interest in intercourse or sex, facing difficulty in getting a firm erection and trouble in maintaining the erection for long during different sexual activities. Apart from these, some sexual disorders like delayed ejaculation or premature ejaculation and inability to achieve an orgasm, even after enough stimulation are some its symptoms too.

What causes Erectile Dysfunction?
When it comes to the causes of erectile dysfunction, there is a variety of them. For every different individual, the factors making him suffer from erectile dysfunction can be different. Some of the very common causes of erectile dysfunction are, suffering from hypertension, anxiety due to relationship problems, alcohol or drug use, excessive stress, cardiovascular disease, being overweight, any injury or damage due to cancer or any kind of surgery etc. It is not necessary that any one cause to be responsible behind ED, several factors can also cause erectile dysfunction.

Treatment options-
Depending on the underlying cause of erectile dysfunction, there are various treatment options available. From different oral medications to implants or surgeries, psychological counseling, various treatments are now available for treating erectile dysfunction. There are even different erection creating device and exercises that can put an end to erection dysfunction. There are also penile implants and alternative medications available. However, one must look for the guidance of a medical professional before opting for any of the treatment options. Because it is only a medical professional who can analyze the condition of ED, find out the exact cause behind it and suggest the best treatment that can help one in dealing with this condition.

Experiencing trouble in erection from time to time is nothing to be concerned about. However, when this condition turns into an ongoing one that happens every time one feels interested in intercourse or is sexually aroused, then the person should not hesitate anymore in seeking a consultation with a doctor. In case you have a concern or query you can always consult an expert & get answers to your questions!

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Erectile Dysfunction - Factors That Put You At Risk!

If a survey is done for the most common male sexual problem, the outcome would be erectile dysfunction. Commonly referred to as ED, it is a major problem for the male but it can be treated in simple ways.
By definition, ED is the repeated inability of a male to achieve and/or maintain an erection for a healthy and satisfying sexual relationship. The key word here is “repeated” as a quicker erection or softer erection is very common in many men, which could be a one-off instance and caused by transient factors like stress or lack of sleep. When this happens repeatedly, then it needs attention.

Symtoms: Erectile dysfunction is when:

  1. Erection is too soft, not allowing for sufficient penetration and prolonged intercourse
  2. Erection duration is very short
  3. There is difficulty in arousal

Risk factors: ED has been noted to be commonly seen in people, who have following behaviours:

  1. Smoking
  2. Obesity
  3. Advanced age (>60 years)
  4. Excessive alcohol abuse
  5. Sedentary lifestyle with no exercise
  6. History of diabetes
  7. Hypertension
  8. Atherosclerosis
  9. History of groin surgical procedures for prostate, bladder, etc.

Causes: ED has both physiological and psychological reasons.

  • Most common psychological reasons are strained relationships, performance anxiety, and other life stressors.
  • Physical causes include reduced hormone levels and other chronic medical conditions like obesity, diabetes, and hypertension.

Diagnosis: While ED is easy to diagnose medically, the truth is that not many would be forthcoming for a diagnosis. Given that this issue could be a jolt to the “manhood,” it is often not brought out in the open for discussion. Once that is done, the following steps can help in diagnosis.

  1. Medical history and specifically sexual history
  2. Check for genital abnormalities
  3. Blood testosterone levels
  4. Other vitals including blood pressure, sugar, and cholesterol levels to identify overall health

Management:

  1. Sexual counseling involving the couple. Once they open up and get comfortable, the problem vanishes. Performance anxiety which is a major cause is taken care of, and ED is no longer an issue. Aligning the couple’s expectations also is very essential.
  2. Hormone supplements, both locally applied and taken into the system, help to a great extent
  3. Lifestyle changes like quitting smoking, moderating alcohol abuse, healthy eating habits, and moving away from sedentary lifestyle helps treat ED
  4. Medicines like Viagra are very useful for occasional cases of erectile dysfunction

As a last resort, there are advanced options like pumps, vacuum devices, implants, and surgical options, and implants. These are often not required, as in most cases, sexual counseling and hormone therapy help in managing ED. If you wish to discuss about any specific problem, you can ask a free question.

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Causes and Role of Counselling in Treating Diabetes and Erectile Dysfunction

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Diabetic men usually are prone to suffering from erectile dysfunction, i.e., they are unable to maintain an erection while having sex. If you are suffering from diabetes for a long time, your nerves and blood vessel might get damaged. That will cause you to suffer from erectile dysfunction. Almost 35% to 75% diabetic men suffer from erectile dysfunction. This situation becomes more serious with age.

Causes: It involves various factors like impairment in the nerves, blood vessels, and also cause problems in proper muscle functioning. You need healthy blood vessels, nerves, as well as healthy male hormones and sexual desire to get an erection. Diabetes damages the nerves and blood vessels responsible for an erection. So even if you have the required amount of hormones and the desire, you might not be able to get a proper erection.

Treatment: If you are suffering from diabetes, and have a condition of erectile dysfunction, then the most common treatment for you is Sildenafil. Other medications, which you can take are tadalafil, avanafil, and vardenafil. But keep in mind that if you have any heart problems, then you should refrain from taking any of these medicines as they will further complicate situations for you. Consult your doctor in this case to know which will be the best treatment for you to cure erectile dysfunction. Other treatment methods are as follows:

  1. Intracavernous injection therapy
  2. Vacuum erection devices
  3. Venous constriction device
  4. Intraurethral therapy
  5. Penile prostheses

The dosage of these medicines depends upon weight of the patient as well as presence or absence of other co-morbid conditions like hypertension, dyslipidemia, cardiac problems, kidney/liver diseases, etc. Prescription of these medicines also depends on the other medications that the patient is taking as these ED medicines have a lot of adverse drug-interactions. Hence, one must always consult a doctor before starting these medications.

The Role of Counselling for Treating Erectile Dysfunction:

Erectile dysfunction can be caused by psychological factors and once a man experiences erectile dysfunction it can have a major impact on their emotional well-being. A man may feel a loss of manhood, a loss of confidence, low self-esteem, angry and depressed and it may also affect his relationship or sexual encounters. Therefore, counselling is a crucial part of treatment in order to address these issues.
Does psychosexual counselling work?

Psychosexual counselling is most effective when a man's sexual partner is willing to be part of the treatment. Studies have shown that for men with stress-related ED, when the partner is involved in the therapy, the problem is resolved 50%-70% of the time. When the man must go through counselling alone, the results are less successful.

Psychosexual counselling is unlikely to work if a man drops out of treatment after just one or two sessions.

Sometimes, several sessions of psychosexual counselling can be helpful if a man is due to receive medical or surgical treatment for ED. A counsellor can help guide a couple towards agreeing on treatment, or help them improve their sexual communication and lovemaking skills. A man may benefit from counselling on his own regarding how to talk to his partner about penile injections or a vacuum constriction device, which are both treatments for ED. If you wish to discuss about any specific problem, you can consult a doctor.

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Sleep is the most important aspect for a healthy beign, but for kids it is of utmost priority. Lack of sleep can often have a negative impact on the brain funtioning of kids along with accidents. Listed below are the major sleep disorders in children along with their causative factors:

1. Sleepwalking: It is not uncommon for children under the age of 10 to sleep walk. Despite being harmless on its own, the effects of sleep walking can be dangerous such as stepping outdoors or hurting themselves during sleep. If the child runs into objects while sleep walking, they might wake up and hence further worsen the situation.
2. NightmaresThey might be general or result from Post-Traumatic Stress Disorder. Nightmares, if frequent, can make falling asleep a tedious task. Nightmares in children are common and they usually begin to reduce in frequency by 9 years of age.
3. Obstructive sleep apneaSnoring might be the result of improper respiration while sleeping and while it isn’t a cause of worry, regular snoring might lead to insufficient oxygen during sleep, thus making shut eye a challenge. It might be hereditary or the result of a deviated nasal septum or blocked nose. The snoring might hamper the quality of sleep.

4. BedwettingThis is something most children experience, but usually grow out of by the time they turn six. It doesn’t need to be a cause of concern unless the frequency doesn’t reduce over time and more than two instances of bedwetting take place in a week.
5. Insomnia in children: It can be due to a host of factors and coping with changes to their normal lifestyle is one of the biggest triggers. Mental disorders such as anxiety and stress due to a variety of reasons (like the death of a loved one) may also be the cause of distress and lead to troubled or incomplete sleep.
6. Excessive daytime sleepinessExcess naps throughout the day, always feeling lethargic or experiencing trouble waking up in the morning may be symptomatic of EDS. It isn’t uncommon in adults either wherein despite apparent proper sleep; energy levels seem to be low throughout the day. If you wish to discuss about any specific problem, you can consult a doctor.

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Disregarding genital tract infections and issues including the symptoms of the same can lead to problems when it comes to fertility. It may also cause problems in your sexual life. Genital problems can also lead to infertility. These days, infertility is a noteworthy and very important occurrence that plagues many couples.

Common Infections: A large portion of these genital tract diseases occurs because of infections. Salpingitis happens in close to 15% of ladies in their reproductive age and 2.5% of all ladies get to be infertile as an aftereffect of salpingitis by age 35. Many times, symptoms of conditions and STDs like Chlamydia  trachomatis trachomatis are usually nonexistent. The real rate of ladies with upper genital tract infections is presumably underestimated.

Infection and Infertility: Infectious agents can hinder different vital human functions, including reproduction. Bacteria, fungi, infections and viruses can meddle with the reproductive capacity in both genders. Diseases of male genito-urinary tract represent around 15% of the instance of male infertility. Diseases can influence distinctive areas of the male regenerative tract, for example, the testis, epididymis and male sex organs and glands. Urogenital diseases at various levels of their advancement, development and transport can affect the sperms themselves in this manner. Among the most widely recognized microorganisms required for sexually transmitted diseases, meddling with male fertility are Chlamydia trachomatis and Neisseria gonorrhea.

Symptoms: If the following symptoms of a genital tract infection are ignored, it can definitely lead to the person being infertile in some stage of life or immediately. These are as follows:


The signs and symptoms in males are

  1. Changes in the way you discharge
  2. Bleeding while urinating or discharge
  3. Thick white, yellow or green release from the tip of the penis along with pain in urethra or pain while urinating
  4. A hard but painless sore on the penis along with swelling of the lymph hubs in the crotch
  5. Pain or uneasiness while urinating or discharge from the urethra
  6. Difficult or irritated red spots and small blisters on the penis
  7. Chestnut bits on the hair around the penis
  8. Gentle delicacy around one of the testicles
  9. Delicate swelling in the scrotum on one or both sides
  10. Extreme pain after injury to your penis

The signs and symptoms in women are as follows:

  1. Irregular vaginal discharge with a pungent smell
  2. Burning sensation while urinating
  3. Tingling or itching in the outer area of vagina
  4. Uneasiness and pain during sex
  5. Sore vagina
  6. Foamy greenish-yellow discharge with a foul smell
  7. Light bleeding after intercourse
  8. Warts in the vagina

Regular check-ups and visits to the gynecologist are very essential. One should always keep the partner updated about their sexual health problems to practice a healthy and honest relationship and to avoid further contagious infections from occurring.

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Popular Questions & Answers

We both partners are virgin. As I always try to enter vagina, I lose erection as its tough to get inside her for the first time. I'm suffering from anxiety and fear so I will not able to maintain erection for long time. Please help so I can do intercourse sex with my wife and let her satisfied. Please suggest me.

MBBS, MS - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
General Surgeon, Meerut
Its quite natural to face such problem in initial phase, you should spend more time on foreplay and try to enjoy it rather than jumping to intercourse, with time and co-operation of partner things will get better.
2 people found this helpful

I am 45 years old and married late. I could not lead a satisfactory sexual life. Sometime there is erection problem and some time pre mature ejaculation. What should I do?

MBBS, MS - General Surgery, MCh - Urology
Urologist, Trivandrum
If you are stressful, try to reduce it. Usually half of your problem is solved. Do some blood tests like blood testosterone level, TSH, LFT, HBAIC, RFT.
5 people found this helpful

I am suffering from erectile dysfunction since from 6 months. I took Modula 5 mg tablet as per doctor's advice. I made semen analysis and culture reports. Semen analysis is in normal condition and culture occurs bacterial and pathogenic infections. Am not cured till now. Recently I got married and my wife is hesitate to talk with me. I am in depression now, so please help me and guide me.

Diploma In Psychology Counselling Skills, Diploma in ayurveda, B.S IT
Psychologist, Bangalore
Hello Friend, Good that you are seeking a help here. Such ED issues are more due to psychology issues like stress or anxiety in your mind than any physical limitations. Work related stress or inferiority complex or unnecessary negative thoughts cause performance anxiety which result in ED. Be positive. Along with the medicine, you need to adopt few stress management techniques like relaxation exercises, self therapies, dietary changes, special excersise etc to overcome this problem problem. Feel free to reach me online or through Lybrate private chat for further evaluation and recommendation. Be positive. You will be alright soon.

My penis doesn't stand sir it has been since 4 ,5 days my penis doesn't stand I can't sleep whole night thing that my penis is gone soft and I tried to masturbate by watching porn but it doesn't respond it was hard and long before I used to masturbate 2 to 3 times a week nothing happened before I am afraid my age is only 20 I am afraid of my life how can I satisfy my parents will by marrying and getting children how do I have sex now please help sir.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear user. Please don’t panic. You must understand ERECTILE DYSFUNCTION. There is nothing called erectile dysfunction while having masturbation. Loosing erection in the initial stages of sex or not having erection at all or having late erection or lack of sexual desire are called erectile dysfunction. Erectile dysfunction can be a sign of a physical or psychological condition. It can cause stress, relationship strain, and low self-confidence. I suggest sex therapy.

Hello doctor I af suffering from erectile dysfunction and looseness of penis thats why I have a big problem so please consult me how can I treatment this problem.

MBBS, MS - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
General Surgeon, Meerut
You need to consult a doctor as per age I hope you are married since atleast 4-5 years, so if this problem is recent then you need to consult a doctor and get yourself evaluated.
9 people found this helpful

विषय सूची

इरेक्टाइल डिसफंक्शन (Erectile Dysfunction) का उपचार क्या है ?

इरेक्टाइल डिसफंक्शन (Erectile Dysfunction) का इलाज कैसे किया जाता है ?

इरेक्टाइल डिसफंक्शन (Erectile Dysfunction) के इलाज के लिए कौन पात्र है ? (इलाज कब किया जाता है ? )

उपचार के लिए कौन पात्र नहीं है ?

क्या कोई भी दुष्प्रभाव (side effects) हैं ?

उपचार के बाद दिशानिर्देश (post-treatment guidelines) क्या हैं ?

ठीक होने में कितना समय लगता है ?

भारत में इलाज की क्या कीमत है ?

क्या उपचार के परिणाम स्थायी (permanent) हैं ?

उपचार के विकल्प क्या हैं ?

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Erectile Dysfunction
Here are types, causes and treatments of erectile dysfunction.

Hello viewers I am doctor Rahul Reddy. I am a microsurgical andrologist. I deal with the erectile dysfunction and male infertility and all men's problems. Today let us discuss about erectile dysfunction which is very common in all age groups.

So when there is a erectile dysfunction people get panic they visit sort of sexologists unqualified cracks and they get worried. See erectile dysfunction is of four types one the first one is psychological and second one is hormonal erectile dysfunction and third one is Vasogenie erectile dysfunction the fourth one is a neurological erectile dysfunction. So the first two like psychological erectile dysfunction and hormonal erectile dysfunction these are very easy to treat and it can be diagnosed by any urologist. Psychological erectile dysfunction is due to fear our performance anxiety, when a male tries to perform or how intercourse and if he fails he carries this fear to the next intercourse. Instead of going with excitement he is going with fear so obviously he fails. So if this gets carried away then he can never perform.



So most of the young males are they come to us they come to me with this these kind of problems. Generally these are the patients where we put them on medications to give them confidence. Once they perform normally with these medications they get confidence then after that they don't have to use this medications on a regular basis. Coming to second type of erectile dysfunction it is hormonal erectile dysfunction this is commonly seen in various of in young patient and as well as in old patients. Here when we talk about hormones the first hormone we discuss is testosterone. So why this hormone is on the lower side. Commonly the first common cause is lack of exercise.

Second one is stress at work. Third one is sedentary lifestyle and fourth one is lack of proper sleep. The twelve to five is a peak time for Hormone production. So if you are not in deep sleep in this time, then your Hormone production is not normal. Regularly work for 30 minutes a day and eat healthy food avoid junk food and third one you have to avoid anxiety and stress and fourth one you have to be properly sleep early in the night and wake up early morning. So if you maintain these things that testosterone levels will come to normal level and you see change in 15 to 20 days.

Then coming to third form of erectile dysfunction vasculagenic erectile dysfunction here the blood vessels inside the penis or are damaged so because of these damaged blood vessels the blood is not flowing properly into the penis. For what we advise these patients instead of treating the problem it's better to avoid the problem. So alcohol initial days it will give a boost later it will kill your erection. The same time people with high cholesterol have to avoid junk food, they have to regularly exercise, they have to maintain their cholesterol and triglycerides in the normal levels and when it comes the fourth one neurological erectile dysfunction this is very rare. This is commonly seen in patients who had spinal surgery and patients who had accidents so a spinal cord injury.

So if you have these problems just get your testosterone test done and visit a local urologist. Urologists are the right people to find out and treat these patients so ideally for an erectile dysfunction patient the cost of initial evaluation should not be more than six or seven thousand rupees. With the help of lybrate you can book my appointment. You can come to my clinic which is located in Jubilee Hills Hyderabad.
Play video
Erectile Dysfunction
Men who have a problem with their sexual performance may be reluctant to talk with their doctor, seeing it can be an embarrassing issue. However there are various treatment options available now.
Play video
Erectile Dysfunction
Erectile dysfunction (ED) is only considered a concern if satisfactory sexual performance has been impossible on a number of occasions for some time. Causes are usually medical but can also be psychological. There are many treatments for ED, and most men will find a solution that works for them.
Play video
Exercise For Erectile Dysfunction
Erectile dysfunction is the inability to maintain an erection, is a problem that occurs in many men for many reasons. There are exercises you can do.
Play video
Erectile Dysfunction Due To Performance Anxiety
Hello Friends!

I am Dr. Vikas Deshmukh. I am a psychiatrist and sexologist practicing in Vashi, Navi Mumbai. Aaj hum baat krenge erectile dysfunction due to performance anxiety. Performance anxiety kya hota hai? Jab apke dimag me sex krne ke alwa koi chinta ya or koi thought ata hai ki apka performance kaisa hoga? Aap apne partner ko satisfy kar payenge ya nhi? Is chinta ki vjha se uska erection lose ho jata hai. Islia usko erection nhi aata hai. Me sare patient se puchta hun ki sex ke lia konsa organ sabse jruri part hai? To bhut sare patient ka answer hota hai - penis or ling. Lekin me sabse important part unko bolta hun - Brain.

Agar apke brain me sex ka vichar aat hai to hi apko erection aata hai. Yadi aap khin pe bhi baithe hain or sexual video ya message padh rhen hain to apko errection aa skta hai quki us time aap apne dimag me sex ke bare me soch rhen hain. Vahan apke partner nhi hota hai lekin sex ke vichar aapko aa rhen hain. Kabhi apko aise vichar bhi aa skte hain ki aap apne partner ko satisfy kar payenge ya nhi. Kabhi misconception bhi apke dimag me rehte hain ki apka penis ka size chota hai. Aap bhut jyada masturbation krte the jiski vjha se uska side-effect ho rha hai. Agar aisa anxiety apko rehta hai to erection apko nhi aata hai or aise hi next time bhi apka confidence loose hota hai.

Is darr ki vjha se aap sex pe focus nhi kar pate hain. Acha sex krne ke lia sex ke vichar maan me chaiye. Meri partner kitni achi dikhti hai. Sex ke time pe apke all 5 senses involve hone chaiye. Ab erection na aane k lia hum kya kar skte hain? Aap kisi psychitrist ya sexologist se milen. Agar or koi reason hai to rule out kriye. Kuch investigation apke doctor krenge. Aap apni sexual life ko enjoy karen. Involvement of other partner is also very important in this case. Agar apka partner isko smjhta hai to is chiz se bhut farak pdta hai. Agar aap apne partner se apni problem chupaoge to miscommunication badhega.

Agar apka partner smjhta hai apko to vo apki anxiety kam kar skta hai. Next technique hai relaxation. Before sexual activity, apko relax krna chaiye ya apni body ko rest dena chaiye. Ye apke doctor apko sikhayenge and apko ye 10 mins tak krna hai. Aap apna mind bhi divert kar skte hain jaise music, fantasies. Ye sari chizen aap performance anxiety se deal krne ke lia kar skte hain. So friends, Than you so much for listening. Meri or videos dekhne ke lia lybrate.com pe login kijiye. Mujhe aap contact kar skte hain Lybrate ke through.

Thank you very much.
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