Men with ED often describe difficulty getting or keeping an erection that is firm enough for sex. A physical exam can help find the cause.

Blood tests may include a complete blood count, lipid profile and urinalysis. The doctor will also ask about your past sexual history and symptoms.

Causes

Men with ED often feel that their condition is embarrassing or shameful, which can add to feelings of isolation and depression. They may also worry that their partners will leave them or find other reasons to avoid sexual activity. Vidalista Professional pill can have a profound effect on emotional health and affect relationships with friends, family members and romantic partners.

In addition to asking about a person’s history of ED, a doctor will do a physical exam and take lab tests, such as a urinalysis (analysis of the urine) or a duplex ultrasound. A duplex ultrasound uses high-frequency sound waves to take “pictures” of blood flow in the penis and may reveal conditions such as a venous leak, atherosclerosis or tissue scarring.

People with ED are more likely to have a heart attack, stroke or die from cardiovascular disease than those who do not have the condition. Vidalista tablet doesn’t mean that every man with ED will develop heart problems, but it is important to see a health care professional to determine the cause of the problem and get treatment early.

Men with ED can improve their symptoms by taking medicines to help blood flow. Your doctor may prescribe Sildenafil (Viagra), vardenafil (Levitra) or tadalafil (Cialis). These medicines are taken by mouth. They may also prescribe alprostadil, which is inserted as a suppository into the urethra or as a small pill that can be dissolved under the tongue.

Symptoms

Many men with ED have difficulty getting or keeping an erection that lasts long enough for sexual performance or is rigid enough for penetration. This can make sex difficult for both partners. It can also affect the mental health of both people involved and can put strain on a relationship.

If a person is having trouble with sex, they should talk to their doctor. They may do a physical exam and ask questions about their sex life. The doctor may also want to know what medicines they are taking, as ED can be a side effect of some drugs.

A doctor may do several tests to find the cause of a person's erectile problems, such as penile biothesiometry and dynamic infusion cavernosometry. During these tests, the penis is stimulated with electromagnetic vibration to measure sensitivity and nerve function. A decrease in sensitivity could indicate that the nerves are damaged.

Blood tests and imaging studies of the head, neck, and chest can help a doctor find the cause of a person's problem. A doctor can also check a person's cholesterol, blood pressure, and blood sugar levels.

People who have a physical cause of ED may need surgery to fix it. For example, a man with a venous leak in the penis may need an operation to repair it. Some nonsurgical treatments for ED include oral medications (Viagra, Levitra, Cialis), vacuum devices, and injections. Some doctors recommend psychotherapy, which can teach a man and his partner techniques to reduce performance anxiety and improve intimacy.

Treatment

A health care provider can diagnose ED by asking questions, doing a physical exam and ordering lab tests. For example, a doctor might test for heart and vascular disease and check testosterone levels. If ED is caused by narrowing of the arteries (called atherosclerosis), your doctor might prescribe medicines that lower cholesterol and blood pressure.

A doctor may also order other blood tests to help determine if ED is caused by something else, such as liver or kidney problems. A lipid profile may be done to measure the level of fats in the blood. A thyroid function test is sometimes done because the hormones produced by the thyroid gland affect libido and testosterone levels.

Men who have a physical reason for ED can often get better with treatment such as pills that help increase blood flow to the penis. These include sildenafil citrate (brand name Viagra), vardenafil and tadalafil. These medicines can be taken by mouth or injected into the scrotum. Men who can't take oral medicines because of a heart or other medical condition might be prescribed alprostadil, which is a synthetic version of prostaglandin E and can be injected directly into the penis or inserted as a suppository in the urethra (the hole at the end of the penis).

If other treatments don't help, a man with ED can have a surgically placed penile prosthesis. This is an inflatable or semi-rigid device that can be shaped to look like a natural penis.

Prevention

Many people with ED have a physical cause, such as atherosclerosis (hardening of the arteries), certain diseases that reduce blood flow to the penis, or nerve damage. But a few cases of ED are linked to emotional problems, including relationship conflicts and anxiety. In one study, partners of men with ED reported feeling rejected, guilty, ashamed and frustrated. This can lead to isolation and a lack of communication between the partners, which can make the problem worse.

Having an occasional problem getting or keeping an erection does not mean you have ED, but it's worth telling your doctor if it happens regularly and affects your sexual satisfaction. Your doctor can recommend a range of treatments, such as dietary supplements and drugs to help you achieve and maintain a rigid penis for sexual intercourse.

Some patients with ED have a health condition that reduces blood flow to the penis, such as heart disease, diabetes or high blood pressure (hypertension). Treating these conditions may help restore an erection. In other cases, a procedure called dynamic infusion cavernosometry tests the ability of the penis to erect by pumping fluid into it at a set rate. The results show how fast fluid must be pumped to get a full, firm erection and can help diagnose the severity of a venous leak.