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For many men, all a doctor needs to diagnose erectile dysfunction and recommend a treatment is a physical examination and response questions (medical history). If you have chronic health conditions or if your doctor suspects that an underlying condition may be involved, you may need more tests or a consultation with a specialist.
Tests for underlying conditions could include:
Physical exam. This could include a careful examination of your penis and testicles and check your nerves to detect the sensation.
Blood test. A sample of your blood could be sent to a laboratory for signs of heart disease, diabetes, low testosterone levels, 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 an office. It involves the use of a wand-type device (transducer) that is held over the blood vessels that supply the penis. Create a video image to let your doctor see if you have blood flow problems.
This test is sometimes done in combination with an injection of drugs into the penis to stimulate blood flow and produce an erection.
Psychological test Your doctor can ask questions to detect depression and other possible psychological causes of erectile dysfunction.
Oral medications are a successful treatment for erectile dysfunction in many men. They include:
Tadalafil (Adcirca, Cialis)
Vardenafil (Levitra, Staxyn)
The four medications improve the effects of nitric oxide, a natural chemical that your body produces that relaxes the muscles of the penis. This increases blood flow and allows you to get an erection in response to sexual stimulation.
Taking one of these tablets will not automatically produce an erection. Sexual stimulation is necessary first to cause the release of nitric oxide from the nerves of the penis. These medications amplify that signal, allowing some men to function normally. Medicines for oral erectile dysfunction are not aphrodisiac, do not cause excitement and are not necessary in 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 upset stomach.
If the medications are not effective or appropriate in your case, your doctor may recommend a different treatment. Other treatments include:
+ Penis pumps
+ Penis implants
+ Psychological counseling
+ If you smoke, stop smoking
+ Lose the excess pounds
+ Include physical activity in your daily routine.
+ Get help with drug or alcohol problems
+ Work through relationship problems
Video credits to Beauty From The Inside Out YouTube channel