Erectile dysfunction (ED) is a medical term that describes the inability to achieve and maintain an adequate erection of the penis that allows to perform the sexual act in a satisfactory manner. The prevalence of ED increases with age and this condition is one of the most common sexual problems among men, says sexologist in Delhi.
Achieving a normal erection is a complex process involving psychological impulses from the brain, adequate levels of the male sex hormone testosterone, a properly functioning nervous system, and a healthy vascular tissue in the penis, says the best sexologist in Delhi.
It is estimated that it affects a population of between 30 and 40 million in India. The causes are multiple, including systemic diseases that affect the erection (hypertension, diabetes mellitus, hypercholesterolemia, etc.), smoking, previous pelvic surgery, concomitant medication, etc. There are also patients with psychological causes who need a multidisciplinary approach (medical and psychological).
In our sexologist clinic in Delhi, we offer the following diagnostic and therapeutic alternatives:
- Comprehensive diagnosis, through clinical and sexual interview. Possibility of carrying out the following diagnostic tests:
- Penile Doppler ultrasound.
- Register nocturnal erections-RigiScan.
- Cavernosometry and Cavernosography.
- Intracavernous Injection Test (IIC).
- Specialist assessment to evaluate and treat possible underlying causes (Cardiology, Neurology, Endocrinology, etc).
- Etiological and symptomatic treatment:
There is a variety of different alternative erectile dysfunction treatment in Delhi, ranging from medications to surgery. At sex clinic in Delhi, we will tell you about the options that may be right for you, as well as about the risks and benefits.- Oral medications: There are numerous prescription medications available that can improve blood flow to the penis. When these medications are combined with sexual stimulation, an erection can occur.
- Injections: In injection therapy, a small needle is used to inject medications directly into the penis. The medication allows blood to flow into the penis and an erection occurs.
- Intraurethral suppositories: Another option is a suppository that contains medication. A small pill (suppository) is inserted into the urethra.
- Treatment of ED with shock waves
- Penile Prostheses: Penile prostheses, which have been used for more than 30 years, can offer an effective surgical option to men who are not satisfied with the results they get from other treatment options.
What are some of the causes of ED?
There are risk factors for the development of ED. As men get older, the level of circulating testosterone decreases, which can interfere with normal erections. While it is not common for a low level of testosterone itself to cause ED, a low testosterone level may be a contributing factor to other risk factors for ED in many men. The most important cause for the development of ED is the presence of diseases such as high blood pressure, diabetes mellitus, high cholesterol levels and cardiovascular diseases. These processes, which act over time, can lead to a degeneration of the blood vessels of the penis, which causes a restriction of the entrance of blood through the arteries and also the loss of blood through the veins during the erection, says top sexologist in Delhi.
Smoking, abuse in the consumption of alcohol or drugs, particularly for a prolonged period, will compromise the blood vessels of the penis. The lack of exercise and sedentary lifestyle contribute to the development of DE. The correction of these conditions will contribute to improving the general state of health and may in some individuals correct the mild ED.
The treatment of many medical conditions can interfere with normal erections. Drugs that are used to treat the risk factors listed above can also lead to ED or make it worse if it already exists. Patients who undergo surgery or radiotherapy due to prostate, bladder, colon or rectal cancer are at high risk of developing ED.
How is ED diagnosed?
For most patients, the diagnosis will require the preparation of a simple clinical history, physical examination and a systematic blood test. The choice of tests and treatment will depend on the individual's objectives. If the erection is restored with a simple treatment such as oral medication administration and the patient is satisfied, it is not necessary to make a more detailed diagnosis or need further treatment. If the response to the initial treatment is inadequate or if the patient is not satisfied, then the next step can be taken. In general, as more invasive treatment options are chosen, studies can be more complex.
How is the treatment process?
First visit
During the first visit to the sex specialist in Delhi, the treatments that exist for erectile dysfunction are considered, your sex doctor in Delhi will inform you which is the one that best adapts to your situation.
In our center they will only recommend this treatment if you need it. In addition, the best sex doctor in Delhi informs you of all available payment facilities.
Follow-up consultation
After 4 weeks of the treatment, visit the best sexologist doctor in Delhi to assess the results. Occasionally and by prescription may indicate 2 more additional sessions.
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