Erectile Dysfunction Nepal - Beauty Nepal Erectile Dysfunction Nepal
What is erectile dysfunction?
Erectile dysfunction (ED), is the inability to get and maintain an erection during sexual intercourse. Erectile dysfunction is also known as impotence
, and affects up to 150 million people with penises worldwide, and there are a large amount of cases found in Nepal. While erectile dysfunction is embarrassing, there is medicine for erectile dysfunction that can help treat the condition.
While it is normal to experience some trouble maintaining an erection during sex, it is not normal to see these troubles happen frequently. For ED, frequently means that this erectile trouble takes place roughly 75% of the time, over a long period of time. However, ED may be situational and your penile troubles are due to another factor, such as stress or an undiagnosed illness. In these cases, it is important to cover with your doctor all of the medical issues that you may experience in order to give a more proper diagnosis of impotence.
What are the symptoms of ED?
The symptoms of erectile dysfunction are fairly cut and dry – it is categorised as trouble getting, maintaining an erection. People with erectile dysfunction may also experience a much lower sex drive and inability to orgasm. An erection may also be seen, but it may not be held for long and may not be fully ‘hard’. These weak erections are signs of an underlying problem, and should not be ignored, no matter how embarrassing it is.
What is the cause of ED?
Erectile dysfunction unfortunately does not have one single cause, making it difficult to diagnose. Erectile dysfunction can stem from physical, emotional, or hormonal issues. It can also be caused from a combination of these issues, making the identification of the problem even harder.
Physical causes of erectile dysfunction may include:
- Heart Disease
- Clogged blood vessels
- High blood pressure
- High cholesterol
- Parkinson’s disease
- Multiple sclerosis (MS)
- Usage of tobacco products
- Metabolic syndrome
- Certain prescription medications (read side effects on the label of your medications!)
- Peyronine’s disease
- Substance abuse
- Sleep disorders
- Prostate issues
As mentioned earlier, there are also various psychological stressors that can cause erectile dysfunction. These include:
- Mental illness
- Issues with your relationship that can lead to stress
Of course, if you are experiencing any sort of difficulty getting and maintaining an erection, it is important to talk to your sexual health doctor
about the possible causes of your dysfunction.
If you don’t seek treatment for these symptoms, complications may arise. Complications, such as stress or anxiety, relationship issues, an unfulfilling sex life, or the inability to get your partner pregnant may occur due to your erectile dysfunction.
What are the risk factors for ED?
Like all other diseases, pre-disposal factors may put you at risk for ED. A bulk of these risk factors are preventable, such as avoiding cigarettes and tobacco products along with excess drug/alcohol use. The top risk factors for erectile dysfunction in men are:
- Various medications
- Hormonal imbalance
- Psychological conditions
- Poor circulations
- Drug/alcohol use
- Tobacco use
- Lack of physical activity
A main risk factor is a lack of physical activity. By increasing physical activity, your risk of obesity and poor circulation will decrease, leaving you healthier and your ED may improve! A healthy diet and exercise can take care of most health related inconveniences, so that should be your first step in management.
Certain prescription medications also cause erectile dysfunction. Some medications that are available in Nepal, such as antidepressants, anti-anxiety, antipsychotics, antihistamines, and high blood pressure medications all have impotence listed as a side effect. Medicine for Parkinson’s disease and chemotherapy also alter the ability to maintain an erection.
Recreational drugs such as alcohol, marijuana, heroin, and amphetamines also can lead to erectile dysfunction, so it is important to avoid any sort of inebriant during sexual intercourse.
How can I get tested for ED?
There are various tests performed by your urologist that can diagnose erectile dysfunction. If you feel as if your issues are not just situational, you should begin by making an appointment with your local urologist; from there you will be given a series of tests that will help determine the cause of your ED.
You will begin by being questioned about your sexual and medical history. Once you begin to realise that you may have impotence unrelated to a single situation, you should start keeping records of when you experienced impotence, and how long (if at all) you were able to maintain an erection. You should also list if you had consumed any substances that may contribute to impotence.
Expect to be greeted with a physical exam of your gonads to ensure that they look normal and there is no presence of abnormal swelling or discharge. Your doctor will also check for any presence of hair loss or enlarged breasts: these two possible issues point to an issue with your hormones.
Blood and urine tests may also follow, so expect to provide a urine sample as well as getting blood work taken. These tests will look for various diseases, such as diabetes, heart and kidney disease, and also be able to give you and your doctor an indication of your hormonal levels. In the instance of erectile dysfunction, the amount of testosterone present can make or break your erection. If you have an issue with your testosterone levels, hormone therapy is available.
There’s also the possibility of getting the injection test or overnight erection test if there have been no other explanations found for your ED. The injection test, or intracavernosal test, is when your doctor injects a substance directly into the base of your penis that should cause an erection. If you do not get an erection post-injection, then your ED is due to an issue with circulation in the penis, and there is evidence of issues with blood flow. With an overnight erection test, the number of erections that occur during sleep are measured through a medical device. This device is worn overnight, and records the amount of erectors that occur. This device will rule out any sort of physical issue, and shows that the ED is caused by a psychological issue.
An ultrasound and mental health examination may also occur, so be prepared to talk about any psychological stressors that you may be experiencing.
How do I treat ED, and is it curable?
There are a few routes you can take in order to get your erection back and working
again. Thankfully, you have more than enough options. Simple lifestyle changes can do the trick or if the issue persists, medication is always a possible route covered by most insurance. Your urologist can help you decide the best therapy for you.
, or the little blue pill, is most likely the first drug to come to mind when you think about prescription medications for your ED. However, there are many more options on the market! Three main types of drugs are used when it comes to erectile dysfunction treatment: vasodilators
, impotence agents, and pulmonary hypertension agents. All of these drugs are available in Nepal, so be sure to talk to your healthcare provider about your options and what work best for you.
In the instance that your ED is due to a lack of blood flow to the penis, you are most likely going to be prescribed a vasodilator. As you can probably deduce from the name, a vasodilator is a drug that will promote the dilation of blood vessels, allowing for a larger amount of blood flow to reach your penis. The most popular generic drug for this class as alprostadil systemic, and is coined under the brand names Muse, Caverject, Edex, alprostadil, and Caverject Impulse. These all are only available with a prescription, so the only way to obtain a script for one of these is to talk to your doctor.
Impotence agents, or PDE5 inhibitors
, are drugs specifically
created to treat erectile dysfunction, and are not prescribed any other time. These also cause vasodilation by blocking the action of PDE5 on the smooth muscle cells of the penis, again allowing for a greater amount of blood flow to the penis. This class of drugs are the most widely available, as they were the first effective oral treatment for impotence. While these drugs seem ideal, they may be able to cause sudden hearing loss and nasal congestion. This class includes all of the aforementioned vasodilators, but also include our good friends Viagra, Cialis, the generic sildenafil systemic, Staxyn, Levitra, and another generic, vardenafil systemic. All of these drugs cannot be mixed with alcohol, nor can they be obtained without a prescription from your doctor.
Lastly, we see the usage of pulmonary hypertension agents employed in the treatment for ED. While it is less commonly used, these drugs are only available with a prescription and reduce blood pressure in the lungs. By using these drugs, tadalafil systemic (generic) and sildenafil systemic (generic), blood pressure is reduced and there is less stress on the circulatory system, allowing for an erection to be maintained.
As we know, how you treat your body is how your body treats you. Since ED can stem from negative lifestyle choices, such as eating unhealthily or not exercising can cause ED. Thankfully, there are some small changes you can make to help overcome this issue. These changes can be:
- Perfecting your diet. In a Massachusetts Male Aging Study, it was found that eating a diet rich in vitamins and minerals (with less red and heavily processed meats) decreased the prevalence of ED.
- Exercising your pelvic floor muscles. No, Kegels are not just for women! Men can also partake in the Kegel exercise, which will help strengthen your pelvic floor muscles and enhances rigidity in erections during sex. By being able to hold this position, you will be able to keep blood from leaving your penis as you’re pressing on a major vein.
- Make sure your vascular health is in balance. As most cases of ED are due to an issue with your circulatory system, so it is extremely important to make sure you eat and exercise correctly. When your arteries and veins become to sluggish due to blockages from unnecessary fats.
In the instance that your erectile dysfunction is due to low testosterone, hormone therapy is an option. With this, you would be given testosterone replacement therapy, which would be given in the form of injections, skin patches, or tablets. This will allow for an increasing level of testosterone in the body, allowing for your erections to return to normal. It is extremely important that you only take what your healthcare provider recommends, and avoid any of the ‘testosterone boosting’ pills you may find at adult stores, gas stations, or elsewhere. These will not provide the same effects.
Thankfully, erectile dysfunction is easily diagnosed, treatable, and often times, preventable. All it takes to prevent situational erectile dysfunction is to stay out of stressful sexual situations, drink a little less, steer away from the drugs, and maintain your healthiest self. Even if you do your best, you have plentiful options for treatment, ranging from medication to testosterone therapy, or a simple tweak in your lifestyle. Treat yourself right, and your body will repay you!