How Is Erectile Dysfunction Diagnosed
Because there are a variety of causes for ED, there are several different tests your doctor may use to diagnose the condition and determine its cause. Only after the cause of ED is determined can it be effectively treated.
Before ordering any tests, your doctor will review your medical history and perform a thorough physical examination. The doctor will also “interview” you about your personal and sexual history. Some of these questions will be very personal and may feel intrusive. However, it is important that you answer these questions honestly. The questions asked may include:
- What medications or drugs are you currently using? This includes prescription drugs, over-the-counter drugs, herbals, dietary supplements and illegal drugs.
- Have you had any psychological problems such as stress, anxiety and depression?
- When did you first notice symptoms of ED?
- What are the frequency, quality and duration of any erections you have had?
- What are the specifics of the circumstances under which ED first occurred?
- Do/did you experience erections at night or during the morning?
- What sexual techniques do you use?
- Are there problems in your current relationship?
The doctor may also wish to interview your sexual partner since your partner may be able to offer in sight about the underlying causes.
After your physical examination and discussion, your doctor may then order any one of the following tests to further diagnose your condition:
What Medications Could Cause Erectile Dysfunction
Erectile dysfunction is a common side effect of a number of prescription drugs. While these medications may treat a disease or condition, in doing so they can affect a man’s hormones, nerves or blood circulation, resulting in ED or increasing the risk of ED.
If you experience ED and think that it may be a result of the medication you are using, do not stop taking the medication. If the problem persists, contact your doctor and he or she may be able to prescribe a different medication. Common medications that may list ED as a potential side effect include:
- Diuretics .
- Antihypertensives .
These drugs not only affect and often suppress the central nervous system, but can also cause serious damage to the blood vessels, leading to permanent ED.
Melatonin For Erectile Dysfunction
There are divers efficacious treatment options accessible for consumers in United States. Usually discount drugs save money, but sometimes companies offer better deals than other companies. The sale of remedies through Internet has emerged all over the globe. There are four questions about melatonin for Erectile Dysfunction.
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How Is Erectile Dysfunction Treated
ED can be treated in many ways, including:
- Oral medications.
- Intraurethral medication.
- Surgery .
Each type has its own pros and cons. Discuss your options with your doctor to determine the best treatment for you.
The first step to treating ED is to find the underlying cause. Then the appropriate treatment can begin. There are a number of non-surgical and surgical options that can help a man regain normal sexual function.
What About Taking Melatonin
There are only a few instances where taking additional melatonin via over the counter supplements is recommended, according to Dr. Raymann.
- To prep for or deal with jetlag Instead of relying solely on your travel pillow, taking melatonin at certain times to help your body adjust to new time zones prior to traveling is a great way to stay ahead of jetlag and prevent time change tiredness.
- For the elderly As you grow older, your pineal gland becomes more calcified, which means less melatonin is released. Additionally, your eye lens is yellowed, which means your eyes are less able to determine lightness from darkness, further inhibiting melatonin production.
- Those with low melatonin levels Through testing of your nighttime melatonin level, a doctor may determine you are low in melatonin and prescribe the right treatment plan for you.
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Testosterone Production And Sleep
Testosterone production is largely sleep-dependent. Your levels rising during sleep and plateau at approximately 90 minutes. Then, they fall when you wake up.
As such, sleep deprivation and insufficient sleep are likely to result in lower overall testosterone production resulting in a more physically-driven form of ED .
What To Avoid While Taking Valerian
Avoid driving or doing activities that require your motor skills or concentration since valerian root can make you feel sleepy or drowsy, such as driving or manipulating heavy machinery.
Also avoid combining valerian with any other herbal supplement that has the same effect. This includes:
- 5-HTP or 5-hydroxytryptophan.
- Yerba Mansa.
Can Erectile Dysfunction Be Prevented
For people who are at risk of developing ED due to personal behavior, steps may be taken to try to prevent its occurrence. However, other causes may not be preventable.
A number of studies now suggest a link between ED and obesity, high cholesterol, hypertension, diabetes and heart disease.
The following recommendations may help prevent ED or improve the problem if it is already present:
- Eat a healthy diet. A diet that limits saturated fat intake and includes several portions of fruits, vegetables and whole grains can benefit men with ED.
- Reduce cholesterol. High cholesterol can harden, narrow or block the arteries leading to the penis. Men can lower cholesterol through diet, exercise and medication.
- Maintain a healthy weight.
- Exercise regularly. Regular exercise may reduce the risk of ED. Choose exercises that you enjoy and will make a regular part of your day. In addition to reducing the risk of ED, exercise also can help you manage stress. Check with your doctor before starting any exercise program.
What Is Ed And Who Should Care
Erectile dysfunction is defined as regular difficulty getting or maintaining an erection for satisfying sex. The key word here is regular. Its normal for men to have problems getting hard on occasion, but when successful erections become the exception more than the rule, or when they flat out dont happen anymore, thats ED.
This can be a sign theres something else going on inside. Thats because the same things that cause erectile dysfunction can also cause problems with your heart and blood vessels. So if you have erectile dysfunction, you are likely to have heart disease and vice versa.
Most people with heart disease take blood pressure-lowering medicine.
The most common medications to cause erectile dysfunction are blood pressure drugs . Here are some other medications that can cause ED:
If youre having ED and take one of these medications, its not all bad news. Here are blood pressure medications that do not often cause ED:
Alpha-blockers like doxazosin, prazosin, and terazosin
ACE inhibitors like lisinopril, benazepril, enalapril, ramipril, quinapril, and ramipril
ARBs like losartan, irbesartan, and valsartan
Calcium channel blockers like amlodipine, diltiazem, verapamil, and nifedipine
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Managing Sleep Disorders In Ed
For insomnia, Cognitive Behavioral Therapy for Insomnia is the first-line treatment .
Studies show CBT-I can improve sleep disturbances in the context of insomnia and result in significant reductions in anxiety and depression. This, therefore, makes it an attractive option in the context of psychologically-driven ED.
As yet, however, there have been no studies of CBT-I in the context of ED to determine whether this impacts the frequency or severity of ED .
OSAs main treatment for moderate and severe OSA is Continuous Positive Airway Pressure .
CPAP involves a mask over the nose or mouth . Then, air is gently pumped through the CPAP machine.
In essence, the air creates a splint by which the airway is kept open. This, therefore, allows the individual to breathe throughout the night.
In one review, combining CPAP with ED treatment resulted in significantly improved Quality of Life ratings in addition to better management of both the ED and the OSA. This, therefore, suggests the superiority of this approach.
Can You Have Or Take Too Much Melatonin
There is no such thing as an acute melatonin overdose if you take the pills as prescribed, even for the 20 mg pills, continues Dr. Raymann, Even taking a very high dosage of melatonin frequently does not result in toxicity in adults.
But too much melatonin can derail the delicate balance of different hormones in your body.
It has been shown that very few people report adverse effects from taking melatonin, ranging from headaches to seizures. If you take melatonin orally, youre essentially taking away the need for your body making melatonin on its own. This then throws off your natural production of melatonin and might lead to consequences when you forget to take the supplement.
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Does Melatonin Cause Erectile Dysfunction
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Lack Of Sleep Can Lead To An Increase In Mood Swings And Depression
Lack of sleep is also likely to make you grumpy, moody and irritable. Your fuse is shorter. It takes less to push you over the edge.
Taken to the extreme, sleep deprivation can cause emotional imbalances and even depression.
In fact, sleep loss and depression are two highly correlated variables. Research has found that sleep deprived persons are more likely to report psychological distress and depression.
And both depression and emotional imbalances can have a dampening effect on your libido. And it can cause erectile dysfunction.
Lets switch gears. Let me tell you about my experience with lack of sleep.
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Are There Melatonin Best Practices
Dr. Raymann addresses a few key things to keep in mind if youre thinking of taking melatonin.
SleepScore recommends REMfresh a 2mg dosage that actually time releases the melatonin.
If youre looking for a way to magically fix your sleep problems, sadly melatonin supplements wont be your answer. But, in the right circumstances, it can be used to help maintain our natural body clocks. Have more melatonin questions? Tweet us @sleepscore!
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Use Of Serum Homocysteine Levels As Biomarkers For The Development And/or Progression Of Erectile Dysfunction
The authors stated that this study has several drawbacks, most notably the small number of studies involved and the lack of a clear definition of ED. A single study assessed presence of ED by means of a single question . The remaining studies used validated questionnaires: in detail, 4studies used the IIEF and 4 studies used the IIEF-5. However, most studies did not report separate measurements of serum Hcy based on the degree of severity of ED.
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When To See A Doctor
When your doctor prescribes Gabapentin they should advise you about the side effects. It is only available on prescription so you should not obtain it without seeking the opinion of a doctor. Your doctor will offer the following advice:
If you are taking over-the-counter medication, ensure that you inform your doctor about it. You should also seek the help of a doctor before you stop taking gabapentin medication. If you stop taking it suddenly, you may have seizures and withdrawal symptoms.
If you need help with your Gabapentin erectile dysfunction, you should seek the help of a doctor. Lazare Urology offers reliable services in Brooklyn, New York. We treat sexual health problems for both men and women. Contact us today at and book an appointment.
Melatonin For Erectile Dysfunction Treatment
Although erectile dysfunction is a thoroughly researched health disorder with multiple treatment options, scientists still keep searching for new, more effective therapies for it. The need for alternative medications and treatments remains high as well. This is because certain groups of ED patients including those with diabetes, nerve injury, etc. dont respond to conventional first- and second-line treatments.
One of such promising treatments is melatonin the hormone released by the pineal gland when we sleep. The effect of melatonin on sexual function was first discussed in the 2014 study by Tavukçu et al. This research focused on sexual performance after spinal cord injury and compared different groups of injured rats treated with melatonin, tadalafil and a combination thereof. Melatonin therapy was used because of the hormones antioxidative and neuroprotective characteristics, which allow the patient with spinal cord injury to recover faster. However, the results of the study suggest that it is also effective in treating erectile dysfunction, even when taken without tadalafil. A combination of tadalafil and melatonin also showed better results than tadalafil alone.
Melatonin For Men And Male Enhancement
Melatoninis a specific protein that is responsible for skin pigmentation, and your ability to tan. It also helps to regulate your biological clock, or sleep-wake cycle. That is why melatonin supplements have been used as effective sleep aids.
Now, new research seems to suggest that melatonin also plays a role in sexual wellness, leading researchers to believe, that melatonin may also be used as an effective treatment for sexual dysfunction in both men and women.
Much how Viagra was discovered by accident when it was in clinical trials for something else men who were testing a sunless tan product containing melatonin reported increased erections. Women in the trial claimed to become sexually aroused when using the product.
While these reports are largely anecdotal, as are similar ones from people particularly men taking melatonin for sleep problems, research in rats is now on-going into the possible use of melatonin based treatments for erectile dysfunction and female sexual wellness issues. The results so far indicate that large amounts of melatonin inhibit sexual function, but in small doses, it may stimulate the pleasure centers of the brain that produce and release the feel good chemicals serotonin and dopamine, which would explain how melatonin could influence sexual arousal.
Measurement Of Serum Melatonin Levels For The Diagnosis Of Erectile Dysfunction
The authors stated that this was the first study evaluating serum melatonin level as a causative factor in this patient group. A low serum melatonin level may result in an inadequate erection by preventing sufficient antioxidant capacity. There is a need for additional studies to determine the exact role of melatonin deficiency in ED patients. The drawbacks of this study were the absence of Doppler ultrasound findings, the lack of a treatment group and follow-up data on melatonin levels and the small sample size . They stated that future studies may evaluate the association or a possible correlation between serum melatonin levels and Doppler ultrasound parameters of erectile function.
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What Are Surgical Treatment Options For Erectile Dysfunction
Penile prosthesis surgery
Inflatable penile prostheses are implanted during outpatient surgery. Once they are part of a man’s body, they enable him to have an erection whenever he desires. The use of a prosthesis preserves penile sensation, orgasm and ejaculation for most men.
The most commonly used penile implant consists of a pair of inflatable cylinders that are surgically implanted in the erection chambers of the penis. The cylinders are connected through tubing to a reservoir of fluid under the lower abdominal muscles, and to a pump inside the scrotal sac.
To inflate the penile prosthesis, the man compresses the pump a number of times to transfer fluid from the reservoir to the cylinders. This causes the penis to become erect. When inflated, the prosthesis makes the penis stiff and thick, which is very similar to a natural erection.
A penile prosthesis does not change the sensation on the skin of the penis or a man’s ability to achieve orgasm or ejaculate. Pressing on a deflation valve attached to the pump returns the fluid to the reservoir, which returns the penis to a flaccid state.
The surgical procedure is performed through one or two small incisions that are generally well hidden. Other people will be unable to tell that a man has an inflatable penile prosthesis. Complications following surgery are not common, but primarily include infection and mechanical device failure.