What is Erectile Dysfunction (SS)?
SS is a common male sexual dysfunction. It is the inability to achieve or maintain an erection that would enable satisfactory sexual activity. It can be observed occasionally or frequently, with or without a specific cause. Some men with SS may not have an erection at all.
SS is not a life-threatening disorder, but it can negatively affect your or your partner's quality of life.
How common is SS?
SS is a common condition among men of all age groups and ethnicities. The risk of developing SS increases with age.
What causes SS?
Heart diseases are one of the common causes of SS. Other causes include:
Diabetes
Nerve damage in the penis or pelvic area
Low testosterone level
Parkinson-like neurological diseases
Cardiovascular disease and SS
SS and cardiovascular disease share similar risk factors, such as obesity, smoking, high cholesterol, high blood pressure, and lack of exercise. Because problems with blood flow can also affect erectile function, SS may be an early sign of heart disease. Therefore, men with SS should see a doctor to be evaluated for heart disease.
Urinary problems and SS
SS is often associated with symptoms such as urinary frequency and urination at night. These symptoms are often associated with benign prostate enlargement (BPD). It is unclear whether these urinary symptoms cause SS, but generally as urinary problems worsen, SS also worsens.
Psychological risk factors for SS
Many psychological conditions have been associated with SS. These include the following:
Anxiety
Depression
Feeling of self-inadequacy
Low self-confidence
Being unable to describe one's feelings
Stress
Male and female Ideas about how the interaction between them will be like can also cause SS. These ideas are realities about love and sexuality and inappropriate role models for men and women. It may contain expectations that are far from ideal. SS can sometimes be the cause and sometimes the result of a relationship that is not progressing properly or is not satisfied. It is often difficult to determine which of these started first.
Diagnosis of Erectile Dysfunction
Erectile dysfunction (ED) requires a correct diagnosis to understand what the cause is so that you can receive the right treatment. is a problem.
Discussing your SS with your family doctor or urologist may be uncomfortable, but it is important that you do so. Together you can decide what the most appropriate treatment method is for you.
This section contains some tests that your doctor will use when evaluating your condition. General information about the diagnosis of SS is included.
Medical history
Your physician will take your medical history to understand your general health condition. Within the scope of your medical history, your doctor may also ask questions about other problems you may have in addition to your current condition.
Your doctor may ask you the following:
Whether you use any medications
Whether you smoke or not
What time and how much alcohol you consume
Whether you drink a lot of coffee or alcohol
Whether you regularly use recreational drugs
Whether you have had surgery before
Whether you have any heart problems
Whether you have a hormonal disorder or not
Whether you have any psychological problems
Sexual history
Your doctor will also ask you questions about your sexual life, these may be very specific but It is essential for correct diagnosis and treatment. Some of these questions may include:
The status of your previous sexual relationships
Your current sexual relationships
Your current emotional state
When your erection problems started
How long your erection problems lasted
Whether you have seen another doctor before, especially for SS
Whether you have received treatment for SS before
Your doctor will ask you to describe the hardness and duration of erections that occur when you wake up in the morning and with sexual stimulation. Your doctor will also ask if you have problems with arousal, ejaculation and orgasm. He will also ask.
It will be beneficial for you to attend the interviews with your sexual partner, if you have one.
Physical examination
The doctor will perform a complete physical examination to evaluate the abnormalities of the penis and testicles. To evaluate heart disease, the doctor will measure your blood pressure and heart rhythm and order a blood test to measure your cholesterol level. Your doctor will feel the size, shape and consistency of the prostate by performing an anal examination. To evaluate diabetes, the doctor may order a test to measure blood sugar levels. Your testosterone level may also need to be measured. All of these are done with a blood test.
Heart-related risk assessment
Due to the close relationship between SS and heart diseases, the doctor usually performs a heart-related risk assessment as part of the diagnosis. does. Your doctor may refer you to a cardiologist for further evaluation for special heart-related tests, such as a “stress test.”
Other tests
In some cases, other tests may be necessary. These are not commonly used tests in the initial evaluation of SS and are only required if your doctor needs additional information when assessing your individual condition. If necessary, your doctor may refer you to a neurologist, a psychiatrist, an andrologist, or an endocrinologist for further evaluation.
Treatment
Erectile dysfunction (SD) is a common problem. Although it is not life-threatening, it can negatively affect your quality of life. It's important to get the right treatment because it can be associated with other conditions, such as heart disease. There are different treatment methods for SS, discuss the most appropriate treatment option for your situation with your doctor.
Education and evaluation of couples
An important part of the treatment is to treat this condition and your loved ones. is to understand the consequences it may have on your relationship. To treat SS, your doctor usually recommends a combination of physical and psychological approaches. Treatments that include psychological approaches rather than just treating physical symptoms have proven to be more effective. Is this approach useful for single patients or with a partner?
If you are in a serious relationship, it will be beneficial for your partner to approve the type of treatment, know how it works and be able to talk about it.
Remember that the treatment depends on your situation. It is specially planned and treatments that work for others may not always work for you.
If you have another health problem related to SS, your doctor may refer you to a specialist for evaluation and further treatment.
Lifestyle recommendations
Improving your general health condition can reduce your complaints. Your doctor will advise you to quit smoking, consume less alcohol and exercise regularly.
Depending on your personal situation, your doctor may recommend you adjust your diet. It is important to discuss this situation with your doctor first. As a general rule, try to have a diet low in sugar, salt and fatty foods.
Phosphodiesterase 5 inhibitors
Phosphodiesterase 5 inhibitors (PDE5I) is a drug used in the treatment of SS. group. These drugs increase blood flow by relaxing the smooth muscles of the vessels in the penis. They do not cause erection without sexual stimulation.
There are 4 approved types of PDE5Is:
Sildenafil
Tadalafil
Vardenafil
Avanafil
PDE5Is are the most commonly prescribed for SS. are drugs. All PDE5I variants may be equally effective. Which drug is better for you depends on how often you want to have sexual intercourse and your personal experiences. Since PDE5Is are very effective in the treatment of SS, there are many imitation drugs on the market. These drugs are not approved for sale, they can be toxic and harm your health. Be sure to talk to your doctor or healthcare provider before using or buying medication for SS.
Sildenafil
It is the oldest known PDE5I and is sold as a pill. It is offered for sale in doses of 25, 50 and 100 mg. Dosage adjustments can be made according to your needs. You start to feel the effects 30 - 60 minutes after taking the medicine. Its effect can last up to 12 hours. If you eat fatty foods right before taking Sildenafil, the effect of the drug will decrease. r.
Tadalafil
Tadalafil is sold as a pill. It is available in doses of 5, 10 and 20 mg. Dosage adjustments can be made according to your needs. You start to feel the effects 30 minutes after taking the medicine. It reaches its most effective level after 2 hours. Its effect can last up to 36 hours. Compared to other PDE5Is, what you eat has no effect on the effectiveness of Tadalafil.
Vardenafil
It is sold as pills or dissolvable tablets. It is available in doses of 5, 10 and 20 mg. Dosage adjustments can be made according to your needs. You start to feel the effects 30 minutes after taking the medicine. If you eat fatty foods right before drinking Vardenafil, the effect of the drug will decrease.
Avanafil
Avanafil is the newest PDE5I. It is available in doses of 50, 100 and 200 mg. Dosage adjustments can be made according to your needs. You start to feel the effects 15 - 30 minutes after taking the medicine. Anything you eat along with the medication may delay the effect of the medication.
Side effects
PDE5Is can cause headache, skin rash, heartburn, nasal congestion and feeling dizzy. Vardenafil may cause vision changes, while Tadalafil and Avanafil may cause back and muscle pain. All these side effects disappear after you stop using the drug.
What can be done if PDE5Is do not work?
If you think that PDE5Is are not beneficial to you, you must first determine the cause of this situation. must. To do this, you must answer the following questions:
Did you use this drug at least 4 different times?
Did you use the maximum dose of the drug?
Was there sufficient sexual stimulation when you took the drug?
For the drug to take effect Did you wait long enough?
Did you wait too long before initiating sexual stimulation?
If you do not see any benefit despite using the highest dose and correct PDE5I, talk to your doctor about other possible treatment alternatives.
Topical treatment.
What is topical treatment?
Topical treatment means applying drugs to the skin. The first of these is a drug placed at the tip of the penis. The second is a medicine in cream form that is applied to the external opening of the urethra, at the tip of the penis.
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