Failure to maintain a stiff erection to have adequate or satisfactory sexual intercourse is called erectile dysfunction.
ED symptoms are quite variable and may show improvement on their own, improving and then later worsening. However there are certain causes of erectile dysfunction that can be reversed for example hypothyroidism and testosterone deficiency if treated can lead to improvement of erectile dysfunction excess of product and can also be treated easily certain offending drugs that are causing erectile dysfunction may be changed which may lead to improvement in symptoms
Lifestyle changes can definitely improve erectile dysfunction which are related to lifestyle related illnesses for example doing regular pranayama will help in relaxing the mind and tweeting depression and anxiety related erectile dysfunction . Regular walking and following the dietitians advice to control the metabolic imbalances in hypertension dyslipidemia and diabetes will also help in improving erectile dysfunction
The earlier you recognize erectile dysfunction and meet the doctor ,the earlier the better the doctor will be able to treat you. So if you suspect erectile dysfunction please reach out to the doctor immediately.
The best doctor for treating a erectile dysfunction depends on the cause of erectile dysfunction probably for finding out the cause and appropriate referral to the appropriate specialist a qualified physician or an endocrinologist can help best.
The management of erectile dysfunction involves a very detailed history taking. The doctor will ask you about your background illnesses, he might inquire about your diet and smoking and alcohol habits he will take a detailed history as far as the drug intake is concerned. He may assess psychological symptoms that might be contributing to the Erectile dysfunction. Erectile dysfunction needs to be differentiated from loss of libido and premature ejaculation which are totally different conditions and require different investigations and treatment An endocrinologist might order some hormonal parameters that might point to easily treatable causes of erectile dysfunction; the commonly ordered tests Include an 8 AM testosterone level, TSH and prolactin. The doctor might order tests pertaining to diagnosis of diabetes and high cholesterol. Once the diagnosis has been made the doctor will decide as to which specialist should treat the patient.
An endocrinologist usually will end up treating diabetes, hypertension dyslipidemia the correction of which will lead to improvement in erectile dysfunction often the most satisfying conditions that lead to complete reversal of a erectile dysfunction included hormone imbalance.That can be easily picked up and treated by an endocrinologist.
Symptomatic treatment of erectile dysfunction includes the use of certain drugs known as PDE5 inhibitors like Sildenafil and Tadalafil. Please enquire with the doctor about what the correct time for intake for these medications are. Sometimes the urologist may help with certain procedures which may be a simple intraurethral medicine insertion, penile injection or a more complicated process like a penile prosthesis.
In Magna, there is a concept of an andrology clinic. The first doctor that evaluates the patient is usually an endocrinologist, after which either he himself will treat the condition or refer to well qualified sexual counselors, psychiatrists or urologist depending on the cause .
ED is diagnosed by a standard questionnaire called IIEF5 - it refers to a short 5 point questionnaire that documents someone’s symptoms over the previous 6 months.