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Sexual counseling is the most important part of the treatment for patients with sexual problems. Many professional sexual counselors are skilled in working with patients, but the primary care physician, the urologist, and the gynecologist also serve in this capacity to some degree. These are usually the first professionals to learn about the problem, and they often have to extract the information about the sexual problem from the patient.
If pills do not work, options such as the following are available.
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Numerous alternative therapies are used to improve sexual function. Some include: niacin, zinc, copper, Korean red ginseng root, ginkgo, pine bark, Tribulus terrestris, arginine, Avena sativa, horny goat weed, maca root, muira puama, saw palmetto, and Swedish flower pollen. None of these however have been recognized as effective by the FDA. While zinc deficiency may be a cause of lower testosterone levels in hemodialysis patients, which may benefit from zinc supplementation, such supplements have no effect on the testosterone levels of healthy males who consume a zinc-sufficient diet.
Sildenafil, a potent PDE-5 inhibitor has been studied extensively in the context of clinical trials. To date its profile as a safe treatment option in the management of ED remains unchanged. This study aimed mainly at recording the acceptance of the drug, its efficacy and safety profile outside the scope of a trial i.e., in a study without any stringent exclusion criteria.
Hemoglobin A1c, serum chemistry studies, lipid profiles, and prostate-specific antigen levels should be obtained unless the patient has recently had these studies performed and the results are available.
Drug used for treating drug addicts can have some success in patients with inhibited sexual desire.
Painless Adverse effects uncommon
How Erectile Dysfunction Works
Obtaining erections which are either not rigid or full (lazy erection), or are lost more rapidly than would be expected (often before or during penetration), can be a sign of a failure of the mechanism which keeps blood held in the penis, and may signify an underlying clinical condition, often cardiovascular in origin.
An average penis is 3.5 inches when flaccid, six inches long and four to six inches in circumference when erect. Men you see in pornographic movies and photos are unusually well endowed, so persistent exposure to these images can cause men to over-estimate the average penis size and under-estimate their own size.
One theory holds that ED and heart disease are both manifestations of the same disease. Indeed, Chew found that men who suffer from ED are more likely to go onto develop heart disease.
A psychosocial examination, using an interview and a questionnaire, reveals psychological factors. A man's sexual partner may also be interviewed to determine expectations and perceptions during sexual intercourse.
Besides diabetes, which is very common in the U.S. today, there are other, somewhat rarer things that affect the nervous system and can in turn cause erectile dysfunction.
The hamsters recovered 25 percent to 50 percent more quickly from the equivalent of human jet lag, needing less time to synchronize themselves to the new schedule, said Dr. Diego Golombek, a researcher with the Universidad Nacional de Quilmes in Buenos Aires. He said sildenafil worked at least as well as melatonin, a jet-lag treatment.
Penile implants: Complications include infections in 2%, device malfunction in 4%, erosion of the device through the urethra or skin in 2%, and painful erections in 1%.
Half the men were assigned to receive 2 Gray (Gy -- a measurement of radiation) in 38 sessions spread over seven and a half weeks.
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