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If not previously done, some basic studies should be considered to identify unrecognized systemic conditions that may predispose to erectile dysfunction. These include a complete blood count, urinalysis, renal function, lipid profile, fasting blood sugar, and thyroid function. Hormone testing for prolactin and testosterone the male hormone should be done. Erectile Dysfunction can be Psychogenic, Neurogenic or Vasculogenic. In order to identify a potential cause, a Penile Doppler Ultrasound testing is often employed. As ED is due to vasculogenic reasons in 50-70% individuals, the test serves to identify arterial or venous abnormalities which contribute to the same. The test is done by injecting a small quantity say 2ml of vasodialting agent such as Papaverine into the cavernosa. The Peak Systolic Velocity and The End Diastolic Velocities are noted.

Maintaining a healthy weight and avoiding/managing diabetes. A Harvard study found that a man with a 42-inch waist is twice as likely to develop ED as a man with a 32-inch waist. Being overweight is also a risk factor for type 2 diabetes, which can damage nerves and blood vessels throughout the body, including those that supply the penis. That can result in ED. Not smoking. Tobacco smoke contains thousands of toxins that can damage the linings of blood vessels throughout the body—including in the penis. Avoiding meds that may cause ED, if possible. If you’ve experienced ED after beginning a certain medication (an antidepressant, for example), talk with your healthcare provider about whether it’s possible to switch to another drug with fewer sexual side effects.

Here are some of the factors that could diminish the libido for women: hormonal imbalances: the period preceding menopause, can cause hormonal changes that will lead to a marked lack of interest in sexual activity. There may also be discomforts that occur during sexual contact due to decreased ability of vaginal tissues to lubricate the area. Depression and chronic stress: When you feel depressed or stressed, your libido can decrease greatly.

Premature ejaculation or lack of Ejaculatory control is the second most common reason men come to see me in my clinic. “It is over before it starts doctor”, they say. A feeling of anguish and the guilt of not being able to satisfy their partners lingers. Though a scientific definition of Premature Ejaculation may be ejaculating within one minute, partners of men who ejaculate slightly after one minute are not necessarily happy. So, what’s the story? What are they thinking? Discover even more info at instadocnow.com.

Viagra comes in different doses. While Viagra comes in 25mg, 50mg and 100mg tablets, the usual recommended dose is 50mg. Your doctor may recommend that you take more or less than the average dose depending on your personal situation. The maximum recommended dose is 100mg. Viagra doesn’t always work the first time you take it. Viagra isn’t magic; it does require sexual stimulation to result in an erection and it may not work the first time. You should allow at least two to three attempts to evaluate whether it is working for you. If you fear it is not working when you are with your partner, first try taking it on your own and self-stimulating. Direct stimulation of the penis after taking the tablet can also help.