Erectile Dysfunction

Erectile Dysfunction: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height [obesity (overweight): current body weight versus age-related ideal weight: increase in body weight with increase in body fat percentage; decreasing muscle strength; visceral adiposity* → free testosterone↓; peripheral edema/water retention; alopecia/hair loss, … Erectile Dysfunction: Examination

Erectile Dysfunction: Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, blood), sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing of suitable antibiotics for sensitivity / resistance). Electrolytes … Erectile Dysfunction: Test and Diagnosis

Erectile Dysfunction: Diagnostic Tests

Obligatory medical device diagnostics. Doppler sonography (ultrasound examination that can dynamically visualize fluid flow (especially blood flow)) – visualization of the penile arteries with a color Doppler or a duplex device and measurement of the so-called peak systolic velocity (PSV) and end-diastolic velocity (EDV), as well as the vascular resistance index (RI) in the A. … Erectile Dysfunction: Diagnostic Tests

Erectile Dysfunction: Micronutrient Therapy

Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for supportive therapy. The semi-essential amino acid arginine can contribute to an improvement in blood flow and thus be used therapeutically in erectile dysfunction. To lower homocysteine levels and thus to prevent and treat atherosclerosis (risk factor of erectile dysfunction), … Erectile Dysfunction: Micronutrient Therapy

Erectile Dysfunction: Erectile Tissue Auto-Injection Therapy

Erectile tissue autoinjection therapy (SKAT) is a form of treatment for erectile dysfunction (ED) in which a penile-stiffening drug (alprostadil; prostaglandin E1, PGE1) is injected into the erectile tissue (corpus cavernosum). The procedure Erectile dysfunction is a euphemism for the inability of a man’s member to become erect enough for sexual intercourse, and thus the … Erectile Dysfunction: Erectile Tissue Auto-Injection Therapy

Erectile Dysfunction: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate erectile dysfunction (erectile dysfunction): Inability to get an erection Inability to maintain an erection Dissatisfaction with the sexual situation Attention. If there is chronic erectile dysfunction lasting at least six months and satisfactory intercourse is not possible in at least 70% of attempts, it is most likely erectile … Erectile Dysfunction: Symptoms, Complaints, Signs

Sildenafil for Erectile Dysfunction

Sildenafil therapy (phosphodiesterase-5 inhibitor) is used to treat erectile dysfunction (ED) with medication. Indications (areas of application) Erectile dysfunction Contraindications Hypersensitivity to the active substance sildenafil or vardenafil. Taking nitrates or other nitric oxide donors. Nonarteritic anterior ischemic optic neuropathy. Individuals with severe heart disease Severe hepatic insufficiency Hypotension (low blood pressure, < 90/50 mmHg). … Sildenafil for Erectile Dysfunction

Tadalafil for Erectile Dysfunction

Tadalafil therapy (phosphodiesterase-5 inhibitor) is used to treat erectile dysfunction (ED) with medication. Indications (areas of application) Erectile dysfunction Contraindications Hypersensitivity to the active substance tadalafil. Taking nitrates or other nitric oxide donors. Uncontrolled arrhythmias (cardiac arrhythmias). Non-arteritic anterior ischemic optic neuropathy. Severe cardiac disease (for example, unstable angina, heart failure (> Grade I), coronary … Tadalafil for Erectile Dysfunction

Vardenafil for Erectile Dysfunction

Vardenafil therapy (phosphodiesterase-5 inhibitor) is used to treat erectile dysfunction (ED) with medication. Indications (areas of application) Erectile dysfunction Contraindications Hypersensitivity to the active substance sildenafil or vardenafil. Taking nitrates or other nitric oxide donors. Nonarteritic anterior ischemic optic neuropathy. Individuals with severe heart disease Severe hepatic insufficiency Hypotension (low blood pressure, < 90/50 mmHg). … Vardenafil for Erectile Dysfunction

Erectile Dysfunction: Complications

The following are the most important diseases or complications that can be caused by erectile dysfunction (erectile dysfunction): Psyche – Nervous System (F00-F99; G00-G99). Depression Ejaculatio praecox (premature ejaculation) Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99). Male sterility Further Increase in cardiovascular risk Coronary artery disease (CAD): hazard ratio of 2.5 (95% confidence … Erectile Dysfunction: Complications

Erectile Dysfunction: Classification

The causes of erectile dysfunction are divided into an organic and a nonorganic, psychogenic genesis. However, it is always difficult to establish a causal pathogenesis, because even purely organic forms always lead to a psychological co-reaction, which affects the self-esteem of the man and leads to personality changes (Popken 2002). Another classification of erectile dysfunction … Erectile Dysfunction: Classification