Treatment of erectile dysfunction depends on the cause. Oral pharmacotherapy and vacuum erection devices are first line treatments, which is followed by injections of drugs into the penis and penile implants. Oral medication includes Phosphodiesterase type 5 inhibitor, topical medication too can be applied. Extracorporeal shock wave therapy is a new treatment for erectile dysfunction that is non-drug, non-surgical and without any adverse side effects. Doctors generally take step-by-step approach for the treatment of erectile dysfunction.
As the treatment is dependent on the cause which can be mental, physical or both, then the treatment becomes different for different causes. If a particular medicine is responsible for the creation of such condition then stopping to intake that medicine or trying a different medicine. Trying testosterone or other treatment to fix a hormone problem such as low testosterone. Trying pills like PDE-5 inhibitors such as sildenafil, tadalafil, vardenafil. Trying couseling sessions if psychological cause is suspected. Trying medicines that are injected or inserted into the penis. The drugs which can be injected into the penis are- papaverine, phentolamine, prostaglandin E1. Trying a vacuum device. A vacuum erection device helps to draw blood into the penis by applying negative pressure. A topical cream combining alprostadil with the permeation enhancer DDAIP has been approved in Canada as the first line treatment for erectile dysfunction. Trying penile implant surgery. As a last option, when other treatments have failed, the most common procedure is prosthetic implants which involves the insertion of artificial rods into the penis.
It becomes important to seek treatment if symptoms like regular or repeated inability to obtain or maintain an erection have escalated to a point where they are posing a problem. It is better to call for a doctor as soon as the symptoms are diagnosed by the patients.
Since some drugs have side effects which can seriously affect the patient’s health, it is suggested to seek a doctor’s help. People with cardiovascular disease should be alert using the drug Sildenafil. Patients who take nitrates are not eligible to use this drug. A patient is not eligible to take certain alpha blockers which are used to lower blood pressure and to treat enlarged prostate gland with PDE-5 because it may cause dangerous drop in blood pressure level. So, it is safe and healthy to consult a doctor.
There are some side effects of using the drug for erectile dysfunction treatment- for example Tadalafil can cause headache, stomach discomfort or pain, indigestion, burping, acid reflux, muscle aches, flushing and stuffy or runny nose. These side effects actually reflect the ability of PDE 5 inhibition to cause vasodilation and generally goes away after few hours. Sildenafil can have some side effects which are headaches, flushed skin. Caution is advised for those who have cardiovascular diseases. It can also lead to prolonged erections which can be harmful for the penis and sudden on-set of hearing loss. This drug should not be taken by patients who take nitrates. There are some infrequent but serious side effects of vardenafil. Though rarely but it can cause heart attack. It can also cause priapism, edema, hypertension, tachycardia.
Some post treatment guidelines include maintaining a healthy diet, leading a healthy lifestyle through exercises and yogas and maintaining a better mental health.
If Erectile dysfunction is chronic, it can last for years or be life long. Erectile dysfunction can either be temporary or chronic depending on the underlying reason for dysfunction. Temporary causes include medications, excessive alcohol, mood, social factors, hormones and bicycling. Chronic causes include chronic diseases like diabetes, high blood pressure, obesity, heart disease and nerve injury.
Cost of the treatment will depend on the cause leading to erectile dysfunction. Long term treatments will be costly compared to short term ones.
Permanency of the treatment depends on the factors causing erectile dysfunction. Temporary causes leading to ED can have permanent solutions but chronic causes take time to get cured and may or may not be permanent depending on the patient’s health.
There are some alternative treatments of erectile dysfunction. If erectile dysfunction is caused due to stress, then yoga and massage may help a patient. Some men use a form of massage called prostatic massage therapy where practitioners massage the tissues around a man’s groin to promote blood flow to his penis. Acupuncture may help psychological erectile dysfunction. A study has also shown that regular pelvis floor muscle exercises for about three months can improve penile function. After almost about six months the patients can gain back their normal erectile function. Healthy lifestyle habits may prevent erectile dysfunction. As it is related with the problems of blood flow, so maintaining blood vessel health through exercise and a healthy diet may help reduce the risk for erectile dysfunction.
Sexual dysfunction is a disorder that is characterized by problems in your sexual life. It can cause you to lose interest and hence, not engage in any sexual activity. This disorder can affect people of all ages, however, the risk of sexual dysfunction increases with age. The usual symptoms of sexual dysfunction are low libido levels and erectile dysfunction.
Sexual Dysfunction in Women:
Low Libido- Low levels of estrogen hormone in your body can lead to low libido. Other causes of low libido are anxiety, fatigue and depression.
Dryness of the Vagina- Vaginal dryness occurs due to hormonal changes that occur in the body once menopause sets in. This leads to pain during sexual intercourse and impaired sexual arousal. Certain psychological issues such as anticipation or fear of painful sex and anxiety can also cause vaginal dryness.
Pain During Sex- Women may experience pain during sexual intercourse which may be caused by dryness in the vagina or endometriosis (growth of uterus lining tissues out of the uterus). Pain during sex can also be accompanied by a burning sensation in the genitals.
Orgasm Concerns- Certain antidepressant medications can lead to an inability to orgasm. It can also have psychological causes such as anxiety and depression.
Sexual Dysfunction in Men:
Low Libido- In men, a dip in the levels of testosterone in the body can lead to a dip in libido levels. If you are suffering from higher stress levels, it can lead to lack of sexual desire.
Erectile Dysfunction- This is characterized by an inability to get or maintain an erection long enough for unhindered sexual intercourse. This disorder is most likely caused by medical disorders such diabetes and hypertension. It can also be caused by stress and depression.
Ejaculation Problems- Ejaculation problems include both inability to ejaculate and premature ejaculation. Sexual trauma, certain medications and sexual anxiety contribute to this disorder.
Ayurvedic Remedies for ED
ED is treatable at any age. The total treatment in for impotence is called as “ Vajikarana therapy” in ayurveda. As this natural herbal erectile dysfunction remedy, increases the strength of a man to perform sexual act, like a horse, it is called 'Vaajikarana'. ( ' Vaaji'=Horse.)
Vaajikarana therapy or herbal treatment for erectile dysfunction leads to
Potency to produce healthy offspring.
Increased span of erection.
Eligibility for Vajikarana Therapy
The vajikarana therapy should be administered to persons who are between 18 to 70 years of age.
These therapies should be administered only to a self-controlled person. If this therapy is administered to a person who does not have self-control, he becomes nuisance to society through his illegitimate sex acts.
Numerous herbal preparations are mentioned in Ayurveda to treat ED or impotence. It has been said that people who have strong sexual urge, who want to enjoy sex regularly have to consume these preparations regularly to replenish the energy, vigor, stamina and strength. These preparations also supply the nutrients which are necessary for the production of semen.
Ayurveda Tips to Overcome ED
Consuming herbal preparations to rejuvenate the reproductive organs.
Massaging the body with herbal oil which gives a relief from physical exertion and also acts as aphrodisiac.
Practicing Yoga and Meditation to overcome mental exertion and to cope up with stress.
Sleep at least for 8 hours a day.
Avoiding the consumption of alcohol, tobacco, heroin etc.
Avoid hot, spicy and bitter foods.
Favor sweets, milk products, nuts and urad dal.
Add little ghee in your diet.
Give a gap of four days between two consecutive intercourses
If you wish to discuss about any specific problem, you can consult an ayurveda.
It is said that, one in every three people are suffering from high blood pressure. It is estimated that at present more alone about 65 million people in US itself are suffering from this ailment. High blood pressure is a serious ailment that can cause heart attack, kidney failure, vision impairment, and it can even cause sexual problems. This ailment has no symptoms, and it is also regarded as one of the silent killers. In fact, erectile dysfunction, which is one of the serious ailments may caused by high blood pressure can even affect the relationship between the couples.
High blood pressure and erectile dysfunction:
In the case of men, there is a direct link between sexual problem or erectile dysfunction and high blood pressure. Erection of the penis is caused by the two tissues called as corpora cavernosa. This tissue is made of small arteries and veins. During the process of erection, brain sends a signal to the nerve ending in the penis to dilate the arteries. This in turn makes the arteries to open sufficiently, and blood gets filled in empty spaces in the Penis. The relationship between high blood pressure and erectile dysfunction can be further analyzed as follows:
Those suffering from high blood pressure are prone to damage of lining on the arteries. This in turn affects the flow of blood in the arteries.
On the other hand, in the case of a person suffering from high blood pressure, arteries fail to dilate and the smooth muscles of corpora cavernosa also fail to relax. Naturally, this affects the flow of blood to the Penis which in turn causes erectile dysfunction. Because of these, people suffering from high blood pressure may suffer from the problem of Erectile Dysfunction.
There are medicines that can help the individual to manage this problem of erectile dysfunction due to high blood pressure. Apart from the medicine to control high blood pressure, the physician may also suggest exercises and lifestyle modification. Remember that few medicines used to control high blood pressure(Specially beta blocker group) itself may cause Erectile Dysfunction as side effect!
So one should take the medicines strictly as per the physician's directions. If someone is on anti-hypertensive drugs and suffer from erectile dysfunction, should discuss the problem with physician. So he can switch over to safe drugs with no side effects on sexual organ.
Having a happy and satisfied love life is very important for any person. However, physical limitations such as erectile dysfunction can severely hamper that and cause you to lose out on physical pleasure. It may also cause strife in your marital life and be a cause for low self-esteem as well as social embarrassment. Erectile dysfunction, which is commonly referred to as impotence, is either the inability to continue with an erection into climax for a continued period, or being able to maintain the erection for a very short time or not being able to get an erection at all.
Causes of erectile dysfunction according to Ayurveda
Erectile dysfunction may be caused due to a variety of factors which include physical issues, lifestyle habits as well as psychological issues. Anything from injuries to defects within the spinal cord or problems with blood flow may cause erectile dysfunction. An abusive childhood or guilt associated with sex may also be responsible. In Ayurveda the study of sexual medicine is linked to ‘shukra dhatu’. Any problem with this may thus result in multiple sexual problems including erectile dysfunction.
How Ayurveda can help cure erectile dysfunction?
Ayurveda take a holistic approach rather than trying to cure the problems from one focused area. It tries to get the issues with ‘Shukra Dhatu’ resolved in your body so that erectile dysfunction can be cured. Some of the techniques applied in Ayurveda are mentioned below. The exact implementation as well as the combination of the methods chosen may change according to the causes in a specific case.
A healthy sex life is very important for mental as well as physical health. However, due to many factors couples may face problems in their sex life, among which the primary concern is a lack of libido. This affects not only men but women as well. Let's look at some of the common factors which can cause low libido.
Usual causes of low libido:
1. Mental stress, anxiety or depression
2. Lack of understanding or love in a relationship
3. Lack of sex drive in women after childbirth
4. Erectile Dysfunction in men and reduced blood supply to the vagina for women making sex painful.
5. Diabetes and hypertension in both men and women
6. Hyperthyroid or hypothyroid
7. Obesity and many others
Homeopathy and the treatment of low libido:
Homeopathy usually treats the underlying conditions first to increase libido, but there are many other treatments to increase sex drive for men and women directly as well. Let's have a look at some of the treatments that are commonly used to treat these problems.
1. Lycopodium - This is one of the most common medications that are prescribed by doctors for treating low sexual libido in men. This is equally potent for young as well as old men who have problems getting or maintaining erections and thus have difficulty performing.
2. Natrum Muriaticum - This is a commonly prescribed medication that is usually prescribed to women who have a low sexual desire owing to dryness in the vagina. This may be caused due to underlying factors as well but the usage of natrum muraticum helps in promoting wetness helping in sexual acts.
3. Nux Vomica - This is a widely used homeopathic medicine which is very good for men who have erectile dysfunctions owing to bad lifestyle habits such as excess consumption of alcohol, other stimulants, rich food or suffer from immense work stress.
4. Arnica - It is a great remedy for men who suffer from erectile dysfunction due to exhaustion. Arnica is also useful even if a person has no erection problems and has regular morning erections but has a general aversion to sex.
5. Gelsemium - This is a great remedy for people who have desire but aren't able to perform due to the muscles in the penis being relaxed. Some people even tend to suffer from performance anxiety and may even suffer from diarrhea and thus Gelsemium tends to be a very potent medication in these cases. If you wish to discuss about any specific problem, you can consult a homeopath.
For most people, a prolonged sexual act is one of the most pleasurable acts. However, though not might admit it, there could be multiple reasons due to which this might not be possible. In males especially, premature ejaculation is very common, which does not allow for a prolonged sexual experience. There are multiple causes for this, some physiological and some psychological.
Given the private nature of the topic, many would not admit to the issue in the first place. Even with the couple, many would be reluctant to discuss it. For many men, close friends might often be the only one who knows about it. Someone else who has had similar problems might suggest a solution. The Internet, given the privacy it offers, could be another forum for discussion and seeking solutions. So what happens is they end up trying solutions from either of these two sources. However, what is important to understand is that each person’s body is built and wired very differently. What worked for a friend or for another person in some other part of the world might not work for you too.
The first point of coping begins with acknowledging the problem. When the ejaculation happens soon after the penetration, well before the partner is satisfied, it is known as premature ejaculation. In some cases, there might not even be adequate stimulation. While it is a matter of self-esteem for the male, for the female it is often an unsatisfactory experience. Knowing some of the possible causes helps understand the problem and then work towards a solution. Some of the most common physiologic and psychologic causes are listed below.
• Performance anxiety: In many cases, especially when with a new partner, premature ejaculation is very common. However, gradually, with familiarity, this improves.
• The prolonged duration between sex episodes: If the person has not engaged in sex for quite a while, there are chances of premature ejaculation.
• Guilt: Past sexual experiences could lead to guilt, which also can cause premature ejaculation.
• Hormonal: Hormonal imbalances also can lead to an inability to sustain and/or maintain an erection.
Most men experience some degree of PE in their early years when they start off their sex lives, but this gradually improves with age, as they learn to control.
Coping with it begins with one round of diagnosis. If there is no serious underlying cause, then simple measures like relaxation techniques and quitting smoking can be used to control ejaculation.
Talking to the partner and easing out stress during the act also can go a long way.
If these do not help, seek counselling or behavioural therapy. You can definitely manage better performance with support of the partner and the counsellor. If you wish to discuss about any specific problem, you can consult a sexologist and ask a free question.