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Erectile Dysfunction

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What is Erectile dysfunction?

An inability to achieve a firm enough erection for satisfying intercourse is commonly known as Erectile dysfunction or ED. One in every ten men is diagnosed with ED. It can be either a long-term or short-term condition. Sometimes, ED is a secondary symptom of another underlying health issue. Any of the following conditions can describe erectile dysfunction:
  • Occasional erection issues
  • Brief erection duration
  • Complete lack of erection

You should discuss this with your healthcare provider without embarrassment. A healthy sexual life positively impacts your daily activities as well.

What is the main cause of erectile dysfunction?

Both physical and emotional traumas can lead to ED. Factors contributing to ED include:
  • Diabetes
  • Obesity
  • High cholesterol
  • Insulin resistance syndrome
  • Hypertension (high blood pressure)
  • Cardiovascular diseases
  • Nephrological diseases
  • Older age
  • Anxiety
  • Stress
  • Hormonal imbalance, e.g., low testosterone levels
  • Depression
  • Relationship issues
  • Sleep disorders, e.g., apnea
  • Tobacco product usage
  • High alcoholic intake
  • Medicine intake, especially for high B.P or depression
  • Multiple sclerosis (MD)
  • Peyronie’s disease(development of scar tissues in the penis)
  • Vascular diseases (atherosclerosis) cause narrowing or blockage of the nerves supplying the penis.
  • Pelvic injury or surgery
  • Parkinson’s disease
  • Colon cancer

Erectile Dysfunction Symptoms:

The most commonly recognized side effect is having issues achieving and maintaining erections during sexual activities. Other problems faced by patients include the following:
  • Premature ejaculation
  • Delayed ejaculation
  • Anorgasmia

Erectile Dysfunction Diagnosis:

A patient should share a complete medical history with his healthcare practitioner. Diagnosing ED involves conducting multiple examinations, including:
  1. Physical exam:
  2. Psychosocial history:
  3. Laboratory diagnostic tests for ED

Your healthcare practitioner may recommend specific lab tests for a confirmatory diagnosis:

  • Duplex Ultrasound
  • Nocturnal penile tumescence test
  • Vasoactive Injection test
  • Urine analysis:
  • Blood hormone tests:
  • Complete blood count (CBC):
  • Renal and liver function test
  • Lipid profile
  • Thyroid function test
  • Bulbocavernosus reflex
  • Penile biothesiometry
  • Dynamic infusion cavernosometry
  • Arteriography

Erectile Dysfunction Treatment

Now, the question is how to improve erectile dysfunction. There are several ways to cure ED like:
  • Oral medication
  • Penile injections
  • Sex therapy
  • Intraurethral medication
  • Vacuum devices
  • Surgery (penile implant)
The method of treating a disease hinges on its root cause. Each protocol has its advantages and disadvantages, but fortunately, this disease is reversible. By selecting the proper treatment, a person can lead a healthy sexual life.

Non-surgical treatment:

  1. Communication and Education
  2. Medicines like
  • Tadalafil
  • Sildenafil
  • Vanafil
  • Vardenafil
  • Alprostadil is either administered as a penile suppository or via injection at the lateral side or base of the penis. It is used in combination with Trimix.
  • Testosterone replacement therapy (TRT) is a hormonal therapy practiced to treat low testosterone levels.

3.Mechanical aids include:

  • Vacuum devices
  • Penile constriction ring

Such mechanical aids cause erection in a few patients of ED.

4. Penile injection therapy (intracavernosal injection therapy) involves the use of papaverine, prostaglandin E1, and phentolamine. The procedure is painful, involving needle insertion, and it may also cause penile scarring (fibrosis).

5. Psychological and sex therapy

Surgical Treatment

When a patient does not respond to medication, doctors may recommend surgical treatment. The procedures for surgical treatment include:
  • Implants
  • Vascular surgery

Implants

A prosthesis, or implant, is surgically placed. It can be either inflatable or malleable, potentially enlarging the penis or allowing for manual adjustment.
This procedure is for patients who have experienced an accident or pelvic injury causing vascular damage. Vascular surgery repairs blocked arteries to ensure efficient blood flow to the penis.

Vascular surgery

This procedure is for patients who have experienced an accident or pelvic injury causing vascular damage. Vascular surgery repairs blocked arteries to ensure efficient blood flow to the penis.

How To Treat Erectile Dysfunction with Ginnastic Health Centre?

So, if you are curious to know what is the latest treatment for erectile dysfunction, Ginnastic Health Centre is your ultimate destination.

Dr. Waseem at Ginnastic Health Centre is a renowned dietitian and fitness trainer. He emphasizes treating disease naturally through lifestyle changes, including diet and physical activity. He advises his patients to undergo a hormonal profile check to assess levels of testosterone, prolactin, FSH, LH, estradiol, or insulin. Additionally, vitamin D deficiency might lead to ED. It is essential to understand that general treatment protocols, including medications or surgical interventions, may involve specific side effects. Therefore, Dr. Waseem's treatment plan is somewhat different. His treatment encompasses the following guidelines:

Erectile Dysfunction Treatment

Psychological Therapy

So, if you are curious to know what is the latest treatment for erectile dysfunction, Ginnastic Health Centre is your ultimate destination.

Dr. Waseem at Ginnastic Health Centre is a renowned dietitian and fitness trainer. He emphasizes treating disease naturally through lifestyle changes, including diet and physical activity. He advises his patients to undergo a hormonal profile check to assess levels of testosterone, prolactin, FSH, LH, estradiol, or insulin. Additionally, vitamin D deficiency might lead to ED. It is essential to understand that general treatment protocols, including medications or surgical interventions, may involve specific side effects. Therefore, Dr. Waseem's treatment plan is somewhat different. His treatment encompasses the following guidelines:

What is Erectile dysfunction?

You should prioritize counseling, as it can address the cause if it’s related to depression, stress, or anxiety.

Intermittent fasting:

Every patient follows a customized plan designed to achieve a healthy weight and reduce belly fat.

Dietary management:

A therapeutic ketogenic diet helps maintain a healthy body weight and ensures normal physiological functions. This diet plan emphasizes high fat and low carbohydrate intake. It includes:
  • Extra virgin olive oil
  • Animal fat (cheese butter fat)
  • Dry fruits (almond, walnut, cashew nuts)
  • Organ meat (liver)
  • Avoid using drugs without a doctor's prescription.
  • Avoid alcohol or tobacco intake.

Exercise:

Regular exercise schedules are beneficial in overcoming the risk of ED. They include:
  • Leg workout to elevate testosterone levels
  • Kegel exercise for the strength of pelvic muscles

Proper sleep patterns:

A proper sleep schedule is very important in hormonal balancing and reducing stress.

Supplements:

Supplements like vitamin D, selenium, zinc, and other micro and macro minerals are effective in treating ED. Dr. Waseem and his team have developed various dietary supplements to address ED and other fertility-related issues.
Regular exercise, weight reduction, and stress reduction are crucial factors for boosting testosterone levels. However, if the underlying cause is nerve damage or blood flow obstruction, medical or surgical intervention is necessary.

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Frequently Asked Questions

Book your appointment online at Ginnastic Health Centre, Islamabad. Dr. Waseem is available for consultations on Mondays and Fridays from 12 PM to 6 PM. Please make sure to book your appointment before visiting.

Lifestyle modifications can prevent ED. A healthy way of living can improve your overall health and reduce stress, and as a result, we can avoid ED.
Clinical trials are currently underway for new treatments for this disease. These include low-intensity extracorporeal shockwave therapy, also known as penile shockwave therapy. However, these treatments remain in the experimental phase.
Erectile dysfunction is not something you have to accept simply. Nearly all cases of erectile dysfunction are treatable, and treatment can enhance overall physical and emotional health for most patients while also improving intimacy for couples.

Following is the list of foods that prove to be beneficial for ED:

  • Blackberries and other flavonoid-rich fruits
  • Watermelon
  • Spinach and dark leafy greens
  • Oatmeal
  • Pistachios, walnuts, hazelnuts, and almonds
  • Pomegranate juice
  • Avocado
  • Bananas
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