Is defined as the persistent inability to achieve or maintain penile erection sufficient for satisfactory sexual performance. Most men have sporadically experienced some difficulty with their penis becoming hard or staying firm. Yet erectile dysfunction ED is only considered a concern if satisfactory sexual performance has been impossible on a number of occasions for some time.
In the past, erectile dysfunction was commonly believed to be caused by psychological problems. Now it is known that, for most men, erectile dysfunction is caused by physical problems, typically related to the blood supply of the penis. Another problem is premature ejaculation- ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration. There are effective modern methods of treatment for this disorder. The doctor will ask about your medical history and your lifestyle and relationship.
It is possible that you will have to fill a questionnaire that indirectly determines index of erectile dysfunction. Then they will carry out with basic health checks and examining your genitals to rule out physical cause.
The doctor can order laboratory tests blood count, lipid status, hormonal status, glycaemia, prostate markers, etc. If your symptoms include having to pee more often the doctor will have to examine your prostate. It is a great mistake if a person suffering from erectile dysfunction suppresses this problem, or, as often happens, resorts to self-medication, usually by purchasing medicines of untested origin, with possible serious unintended consequences. Your doctor is going to base your treatment on your age, medical history, extent of the disease and expectations for the course of the disease.
Your opinion and preference is also important. Non-invasive treatments are often tried first. Surgical implantation of penile implants can be considered in patients who have failed drug therapy or in those seeking a permanent solution.
