According to statistics, few men turn to a sexologist in Delhi when experiencing erection issues. However, it is very important to tell your sexologist doctor in Delhi if you have erectile dysfunction, as this sexual difficulty can be a sign that there are other health problems, usually sensitive, such as diabetes, hypertension and heart disease, which are causing erection difficulties.
It is important to diagnose whether erectile dysfunction has situational, psychological causes or is the product of organic and physiological factors, or a combination of all of the above. Fatigue, lack of exercise and lack of appetite can also affect sexual reflexes.
For some men, treatment can be very simple: losing weight, doing more exercises and quitting smoking. In other cases, in addition to erection disorder, the sex specialist in Delhi should treat the underlying physical or psychological problem.
Medical treatment for erectile dysfunction in Delhi, when it has organic causes, should be at least the most invasive. First, abandoning certain medications that may be decreasing the ability to have an erection. Second, the use of drugs or vacuum devices. Finally, the use of surgery. The use of psychotherapy is always recommended, although the main causes are physical.
Dr. P K Gupta’s Super Specialty Clinic Pvt. Ltd. a recognized sexologist clinic in Delhi in the treatment of male sexual dysfunctions, warns about the importance of early erectile dysfunction treatment in Delhi. In particular, erectile dysfunction caused by organic factors can lead to progressive loss of healthy tissue of the penis and its erection capacity, when the underlying physical problem is not treated. A small problem could become more serious and irreversible. Treatment outcomes will depend on treating this situation on time.
The good news is that for many men, erectile dysfunction can be safely and effectively prevented or treated. The following treatments are currently used to address erectile dysfunction. A combination of methods may be used, depending on the case, such as prescription drugs along with psychotherapy and exercise of the pelvic muscles.
There are currently three main drugs—derived from the same active substance—that are sold only with a prescription. They are the “tadalafil” (Cialis®), the “vardenafil” (Levitra®) and the “sildenafil” (Viagra®). All increase blood flow in the penis in the presence of sexual stimulation. They work by inhibiting the enzyme PDE5, which is found in the penis to prevent it from always remaining erect. Sexual activity should be taken 30 to 60 minutes before and its effect usually lasts 4 to 5 hours, in the case of Levitra® and Viagra®, and between 17 and 36 hours with cialis intake®.
It is important to know that the effects of prolonged use of previous medicines have not yet been investigated. Each drug has its own characteristics, side effects and contraindications. The best sexologist in Delhi is the only person who can tell you if you can use them. All PDE5 enzyme inhibitor medications should be used with caution if you have any of the following health conditions:
- Stroke (stroke) or recent heart attack
- Severe heart disease, such as angina or heart arrhythmia
- Severe heart failure
- Uncontrolled high blood pressure (hypertension)
- Uncontrolled diabetes
- Very low blood pressure (hypotension)
Treatment with other drugs, such as “apomorphine hydrochloride”, has also been helpful, especially in patients with cardiac diseases that consume nitrates, who cannot use Cialis®, Levitra® or Viagra®. This drug stimulates dopamine—also called the pleasure hormone—responsible for sending the nerve signal of sexual desire to the brain, which increases blood flow in the penis and produces the erection, explains top sexologist in Delhi.
Psychotherapy and sex therapy
In men under age 40, psychological causes of erectile dysfunction are often more common than in older men. Among the main ones are: performance anxiety, fear of failure, low self-esteem, depression, guilt, anger, partner problems and work difficulties.
Psychotherapy/sexual therapy works on the psychological aspects that may be causing or maintaining erectile dysfunction, so that emotions, thoughts and beliefs, or a negative self-image, stop blocking the reflex of the erection. Even if erection difficulties have an organic cause, psychotherapy is necessary to address the impact that sexual difficulty is causing on esteem, emotional stability, partner relationship and work area of the patient.
To treat erectile dysfunction for psychological causes can be applied relaxation techniques, when anxiety is the problem. “Sensory targeting” is also used successfully. Through this technique, the couple exchanges caresses alternately throughout the body—except on the breasts and genitals—focusing on sensations of pleasure and not intercourse. It is also often worked on negative or erroneous beliefs, if it is found that they may be inhibiting sexual response, through psychological therapy and sex education.
Testosterone is the main hormone that is involved in erection response. It is also involved in the development of male sex organs. The decrease in testosterone levels usually increases with age, however, individual differences have been observed based on expectations and beliefs.
Decreased testosterone levels often influence the decline of desire and sexual activity, including erection. Testosterone treatment can be given orally, patches on the skin or injections, and can only be prescribed by a doctor.
In other cases, erectile dysfunction is due to high levels of the hormone prolactin. This hormone reduces male sex drive, for example, their levels usually increase naturally after orgasm, during the refractory period, when the man cannot have an erection. If erectile dysfunction is due to excessive levels of prolactin, your sexologist in South Delhi may prescribe the drugs “cabergoline” or “bromocriptine”, used in the treatment of hyperprolactinemia.
Exercise of the pelvic muscles
Pelvic muscles are involved in sexual intercourse and increase blood flow to the genital area, which helps the erection reflex occur. Several studies indicate that exercise of the pelvic muscles helps restore erectile function. A sample of men over the age of 20 who had experienced erectile dysfunction for a period of at least 6 months participated in an exercise program to strengthen the pelvic floor for 6 months, with the supervision of a physical therapist. After this period, 40% of men had regained a normal erection, 36% had improved it, and 25% had not experienced any positive changes. Although the results were not entirely successful—as with other treatments—this therapy should be considered to resolve long-term erectile dysfunction and as a method of increasing the positive effects of other therapies. Like any other muscle in the body, if you don’t exercise your pelvic muscles, they lose the ability to function properly, says sexologist in East Delhi.
This treatment activates the physiological processes that produce the erection, by means of a drug called “alprostadil”, which the same patient must be injected on the sides or at the base of the penis. The pain is usually little, as the needle is very fine. It should be applied 10 or 15 minutes before intercourse and requires the patient to accurately follow the dose prescribed by his doctor. Each injection produces an erection that lasts about an hour, although sometimes the erection can last longer, which can be painful.
It is an airtight cylindrical apparatus placed on the penis. It has a pump (manual or battery) that allows air to be sucked in and a vacuum created. This causes blood to flow to the penis for an erection to occur. It is then necessary to place a constrictor band around the base of the penis to retain blood and maintain the erection. Then the cylinder can be removed. The erection usually lasts long enough for the partner to have a normal sexual relationship, although ejaculation can happen with less force. The band is removed after intercourse and should not be left on more than 30 minutes in total. One of the main drawbacks of this method is that it reduces spontaneity during sexual encounter. It is important for your sexologist in Delhi to recommend a reliable, safe and effective pump brand, as many advertisements can be misleading.
All implants in the penis require surgical intervention. It consists of surgically inserting two or more anatomically shaped implants into the cavernous bodies, located on both sides of the penis. Implants can be semi-rigid or inflatable. Inflatables allow you to control how long you want to maintain the erection, while semi-rigid implants always keep the penis firm enough to have a sexual relationship, but can bend under normal conditions. It is irreversible surgery, which has fallen into disuse in favor of other less invasive methods, as it permanently injures erectile tissue in the penis when implants are inserted. Therefore, it is only recommended by sexologist in Delhi when other treatments have been tested without results. It is important for the couple to agree to adopt this method to treat erectile dysfunction. Like any other surgery, there are risks of complications such as infection.
In rare cases, erectile dysfunction is due to problems in the veins or arteries. Venous surgery involves removing or tying the veins that allow blood to leave the penis. Arterial surgery connects or rebuilds the arteries to remove any blockages and increase blood flow and pressure in the penis. Although almost untreated, it may sometimes be necessary in patients who have suffered an accident that affected the normal blood supply in this area, explains sexologist in Delhi.