Register to join our community
|
|
Question:
Difficulty maintaining erection, and feeling of severe numbness or loss of penile sensation.
|
Answer:
by Hussein Ghanem: (06/02/2004)
In the other information section you mention having an “extremely enlarged thyroid gland”, as well as receiving treatment for hypertension and high cholesterol. High blood pressure, elevated blood lipids and thyroid disorders are all risk factors for Erectile Dysfunction (ED). Studies have shown that (30% to 50%) men in your age group (50-60) suffer from erectile difficulties. Erectile dysfunction may be physical (organic) due to various vascular, neurogenic, endocrine and other factors. Psychologic factors are mainly related to performance anxiety or fear of failure, or depression.
The good news is that almost all cases of ED can be treated. You first need to visit an endocrinologist to evaluate your thyroid problem to exclude a serious thyroid illness. An Andrologist or Urologist need to investigate your ED to diagnose the problem and exclude associated medical risk factors.
Therapy for erectile dysfunction is generally classified into first line, second line, and third line treatments options.
Treatment decision-making
. 1st line therapy (Oral erectogenic agents): e.g. Viagra and new medications in clinical trials Vardenafil & Cialis; Vacuum devices; Couples/sexual therapy
. 2nd line therapy (Local treatments): Intraurethral alprostadil; Intracavernosal self injections
. 3rd line therapy (Surgery): Penile prosthesis
Please check my recent article on this subject - Modern Trends In The Management of Erectile Dysfunction - on sexualhealth.com (recent articles)
Best wishes, Hussein Ghanem, MDReviewed by Sexual Health Editorial Team
|
This question appears in the following topics:
|
|
|
|
