Here is a brief synopsis of treatments available for
erectile dysfunction and what tests should be done. As always start with
history, issues like how long you have had the problem, whether your partner is
interested in correcting the problem. What medications do you take that could
be aggravating the problem. Are you a smoker of cigarettes or marijuana, abuser
of alcohol all these cause ED. Have you had Diabetes or Hypertension and so on.
The history should be extensive. Next is the Physical exam and lab tests for
hormones and diabetes. Six hormones are tested for as well as standard blood
tests.If you are physically normal and have no problems with desire then your
doctor may prescribe the PDE5 inhibitor drugs like Viagra. If your hormones,
such as testosterone are found to be low these can be replaced. Medical issues
can be addressed and any offending medications removed. If these don't work
there are medications like "Muse" which the man can put directly into
his penis, this will give him an erection that could last 4 hours. A variety of
medications can be put into the urethra or injected directly into the penis, by
the patient or the doctor. If these are not satisfactory or unacceptable there
are surgical remedies which include inserting rods into the penis some of these
are firm in consistency and some have to be inflated. My urology colleagues
tell me that for the people that have to get implants the satisfaction rate is
90%. If you have more questions please call for an appointment, I would love to
go into more detail.
Originally Published by Dr. Tuakli February 8th 2016
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