Thanks to innovations in science and technology, men now have more options regarding erectile dysfunction treatment in San Antonio.  I’ll start with a quick review of what constitutes ED and its causes. The medical work up will be discussed briefly followed by a quick review of current treatment approaches.

The final section is the most exciting (you might just want to jump there now) as I will outline a new approach that reverses the most common cause of ED at its source.

What is Erectile Dysfunction (ED)?

Erectile dysfunction occurs when a man cannot achieve or maintain an erection that is firm enough for sexual intercourse. Having ED is normal when it occurs infrequently.  If you experience ED for a more prolonged period of time, like a few months, you should talk to your doctor.

Causes Of ED

The most common cause of erectile dysfunction is a blood circulation problem.  This coincides with one of the most common health conditions, namely cardiovascular disease.  High blood pressure, “hardening” of the arteries, diabetes and other common conditions gradually cause diminished blood flow in the tiny arteries that feed the penis.  A large inflow of blood is necessary to produce a firm erection. These tiny blockages add up to poor erection firmness or total lack of erection.

Other causes of erectile dysfunction include prostate surgery or other procedures that affect the nerves or blood vessels that help produce erections. Side effects from medications, emotional or mental stress, smoking, excessive alcohol use and drug abuse also cause ED.  Low testosterone is a common cause or associated problem frequently accompanying  ED.

Erectile Dysfunction Diagnosis

Diagnosing erectile dysfunction involves a comprehensive review of your medical history and a physical examination.  Extra attention for possible signs of problems with your cardiovascular, neurologic and hormone systems is important.  Laboratory studies are necessary to evaluate for conditions such as heart disease, diabetes, and low testosterone.

Erectile Dysfunction Treatment Options

  • Medication Adjustment: Helps when the medication you take for a separate condition is giving you the side effect of ED
  • Lifestyle Changes: Quitting smoking, cutting down on excessive alcohol consumption, exercising, or losing weight can all improve ED
  • Counseling: Helps for ED caused by stress, depression, anxiety or relationship issues.
  • Medications: Viagra, Cialis and similar drugs increase blood flow to the penis when you are sexually aroused and thereby produce erection. These drugs are now the most common therapy for ED
  • Vacuum Erection Device: Also called a penis pump, this device draws blood into your penis using a plastic tube and pump. A constriction ring at the base of your penis helps you keep the erection.  A bit cumbersome but has been useful for some men.
  • Penile injections and Suppositories: Injection of blood vessel dilating medication into the penis or inserting small pellets into the urethra that do the same allow blood to flow into the penis to create an erection.
  • Surgery/Penile Implant: When other treatments have not worked, the surgical placement of a penile implant or penile prosthesis are the final options.

A New Erectile Dysfunction Treatment Option Is Available In San Antonio

Extracorporeal shock wave therapy for erectile dysfunction

Shockwave therapy uses energy from acoustic waves to trigger angiogenesis.  New blood vessels form which helps improve blood flow to the penis.

As you already know, blood flow is critical to producing erections. Sexual arousal provokes multiple chemical signals that trigger increased blood flow to the penis.

Blocked blood flow due to age, cardiovascular disease or diabetes are the most common causes of ED.

Shockwave therapy works at the basic level by improving blood flow to the penis. This allows men an increased chance of having erections on their own.

Different areas of the penis are treated with a special probe. Sessions may last for fifteen to twenty minutes. Anesthesia is typically not necessary.

Clinical trials of shockwave therapy for ED have had encouraging results. The process has been well tolerated by patients with no harmful side effects reported.

Up to 75% of men previously dependent on ED medication no longer needed them after treatment.

Even more promising were studies showing men who no longer responded to ED medications, subsequently responding again to ED medications after treatment.

 

Still Have Questions? Click Here For Answers From Dr. Esquivel