How Does a Doctor Diagnose Erectile Dysfunction?

Viagra Question

How does a doctor diagnose erectile dysfunction? What tests are used to determine the severity of the problem?


Answer

Although you can probably work with your general practitioner to determine if you are suffering from ED, you might prefer to visit a urologist who specializes in problems affecting your urinary system.

Whichever doctor you choose to consult will probably order both blood and urine tests to see if they indicate anything out of the ordinary, such as an underlying medical condition that can cause erection problems. You may also be asked to conduct an overnight erection test known as a nocturnal penile tumescence (NPT) test.

Before retiring for the night, you will place a breakable band (almost like a strip of postage stamps) around the shaft of your flaccid penis. A man normally has three to five erections during the night as he sleeps. If you find a broken band in the morning it would indicate that there is nothing physiologically wrong with the penis.

In such a case, the doctor then can explore the possibility that psychological issues are the cause of your ED symptoms and may refer you for psychological counseling.

However, if the NPT test indicates the presence of a physiological problem, the doctor can investigate further and prescribe a regimen of treatment, which might include taking Viagra or one of the other ED medications.

I’m Diabetes Type 2 Can I Take Viagra?

Diabetes – Erectile Dysfunction Question:

I’m Diabetes Type 2 Can I Take Viagra?


Doctor Alsayes Answer:

The simple answer is: Yes you can take it.
Erectile dysfunction is more common in men with diabetes because it occurs due to a decrease in the blood supply to the penis, as well as damages to the nerves that are responsible for getting an erection, plus the reduction of testosterone levels in some men with diabetes.

So Viagra can help in this case by increasing the blood flow to the penile tissue leading to an erection. And it’s safe for diabetic patients.

One more important point is to monitor your blood glucose level and to follow the instruction of your therapist to make sure your diabetes is under control since it contributes to ED.

I hope this answers your question.

Thanks, Dr. Alsayes

I’m Diabetes Type 2 Can I Take Viagra?

Diabetes – Erectile Dysfunction Question:

I’m Diabetes Type 2 Can I Take Viagra?


Doctor Alsayes Answer:

The simple answer is: Yes you can take it.
Erectile dysfunction is more common in men with diabetes because it occurs due to a decrease in the blood supply to the penis, as well as damages to the nerves that are responsible for getting an erection, plus the reduction of testosterone levels in some men with diabetes.

So Viagra can help in this case by increasing the blood flow to the penile tissue leading to an erection. And it’s safe for diabetic patients.

One more important point is to monitor your blood glucose level and to follow the instruction of your therapist to make sure your diabetes is under control since it contributes to ED.

I hope this answers your question.

Thanks, Dr. Alsayes

How Long After a Breakup to Regain My Previous Sex Drive and Erection Capabilities and Have a Normal Sex Life?

Erectile Dysfunction Question:

I am almost sure my 4-year ED is psychogenic. I recently ended a very difficult and troubling 6-yrs relationship with another guy. The relationship was mainly sex driven and I ended up feeling undervalued and oppressed. How long do you estimate it will take me to recover my previous sex drive and erection capabilities and have a normal sex life? Since I broke up with the toxic relationship I consulted an MD to get tested for possible organic factors (everything OK!) and started both psychotherapy and regular exercise.


Doctor Alsayes Answer:

You are on the right way, and for your information above 80% of ED problems we see at our clinics are due to psychological problems and what makes them hard to treat is that many of these patients refuse to believe it’s just a psychological issue. So you already took the first step in recovery by knowing and recognizing the cause.

Regarding the duration of recovery, there is no single answer for everyone, it varies from person to another and it depends on many factors; such as the severity of the issues, the commitment to the treatment plan,… etc.

Your psychotherapist can have a better idea during the routine evaluation sessions.

I hope this answers your question.
Thanks, Dr. Alsayes

Could I Take Blood Pressure Medicine Amlodipine Besylate 10mg with a Viagra Pill

Blood Pressure – Erectile Dysfunction Question:

Taking Amlodipine Besylate 10mg with Viagra?


Doctor Alsayes Answer:

The simple answer is yes; you can take Viagra while taking Amlodipine.
But you should start with the minimum dose of Viagra (25 mg) and you should stop taking it and contact your doctor if you experience signs and/or symptoms of low blood pressure; such as dizziness, lightheadedness, fainting, flushing, headache, or a rapid pulse or heart rate.

I hope this answers your question.

Thanks, Dr. Alsayes

Last Couple of Years I Have Difficulty Getting and Keeping an Erection Using Viagra, What Other Treatments are Available?

Viagra Question

For the last couple of years, I’ve had increasing difficulty getting and keeping an erection hard enough for penetration. I’ve tried Viagra and all of the other oral ED drugs now on the market, but none of them seems to work for me. What other forms of treatment are available for ED?


Answer

While the oral ED drugs are undoubtedly the simplest way of overcoming the symptoms of erectile dysfunction, they don’t work for everyone, even among those whose impotence is caused by insufficient blood flow to the penis. Perhaps the next best form of treatment for vascular-related ED is penile injection therapy, which has an even higher success rate than Viagra or the other PDE5 inhibitors.

In penile injection therapy, a vasodilating drug — alprostadil, for example — is injected directly into the shaft of the penis, which sounds more painful than it actually is.

The injected drug quickly dilates the blood vessels in the penis and allows blood to quickly flood in and engorge the corpora cavernosa — the twin columns of spongy tissue that are inside the penis and run pretty much through the entire length of the shaft. As this spongy erectile tissue becomes filled with blood, the penis becomes harder until it achieves an optimal erection.

The only major side effect associated with this form of treatment is the risk of developing scar tissue at the injection site. This problem can be minimized by varying the site where you inject the needle.

Does Masturbating Cause Erectile Reduction or Dysfunction?

Erectile Dysfunction Question:

Does Masturbating Cause Erectile Reduction or Dysfunction?


Doctor Alsayes Answer:

This is another public misconception. So the answer is no Although some studies have found that frequently masturbating to porn can contribute to ED by desensitizing you to certain imagery and physical intimacy, that effect was due to the pornography itself not the act of masturbation.

I hope this answers your question.

Thanks, Dr. Alsayes

If I Start Using Viagra, How Long Will I Have to Take It Until I Get Well Completely?

Erectile Dysfunction Question:

If I Start Using Viagra, How Long Will I Have to Take It Until I Get Well Completely? Apart from Those Mentioned treatments is there any other Treatment for Erectile Dysfunction Besides the Pills?


Doctor Alsayes Answer:

I’m sorry, the first part of your question is not clear to me, I’m not sure what you are referring to.

For the second part of your question; Viagra is used to treat erectile dysfunction (impotence) by relaxing muscles found in the walls of blood vessels and increases the blood flow to the penile tissue leading to an erection.

But you should know that Viagra is not a cure for ED, and it should be taken only when needed, about 30-60 minutes before sexual activity. It can help achieve an erection only in the presence of sexual stimulation, and the erection will not occur just by taking the pill.

I’d suggest you follow your doctor’s instructions and remember to allow 24 hours to pass between doses.

I hope that answers your questions.
Thanks, Dr. Alsayes

If I Start Using Viagra, How Long Will I Have to Take It Until I Get Well Completely?

Erectile Dysfunction Question:

If I Start Using Viagra, How Long Will I Have to Take It Until I Get Well Completely? Apart from Those Mentioned treatments is there any other Treatment for Erectile Dysfunction Besides the Pills?


Doctor Alsayes Answer:

I’m sorry, the first part of your question is not clear to me, I’m not sure what you are referring to.

For the second part of your question; Viagra is used to treat erectile dysfunction (impotence) by relaxing muscles found in the walls of blood vessels and increases the blood flow to the penile tissue leading to an erection.

But you should know that Viagra is not a cure for ED, and it should be taken only when needed, about 30-60 minutes before sexual activity. It can help achieve an erection only in the presence of sexual stimulation, and the erection will not occur just by taking the pill.

I’d suggest you follow your doctor’s instructions and remember to allow 24 hours to pass between doses.

I hope that answers your questions.
Thanks, Dr. Alsayes

Early 30s, Type 2 Diabetes and Developing Erectile Dysfunction Does Viagra Work with the Diabetes Medications?

Viagra Question

In my early 30s, I was diagnosed with type 2 diabetes, which I manage to control well with prescription medications. Does being a diabetic make me more likely to develop erectile dysfunction, and does Viagra interfere with the workings of diabetic medications?


Answer

Diabetes, including both types I and II, is a medical condition that often leads to erectile dysfunction, primarily because diabetes causes serious damage to both nerves and blood vessels, both of which play key roles in male sexual function.

Generally speaking, men who have diabetes, regardless of which type, are two to three times more likely to develop ED than men who are not diabetic. Roughly half of all men who are diagnosed with type 2 diabetes will develop ED within 10 years of their diagnosis.

Diabetes is a condition in which the body is unable to properly regulate the levels of glucose (sugar) in the blood. Of the two primary types of diabetes, type 2 is the most common, accounting for 90 percent of all diabetes diagnoses. It most often develops in men and women who are overweight and sedentary, both of which are also risk factors for ED.

Working with your doctor to carefully monitor and manage your blood sugar levels can reduce your chances of developing ED. In some cases, reversing some of the health conditions that led to a diabetes diagnosis can sharply decrease the potential damage the disease has on other body systems.