Erectile Dysfunction

Erectile Dysfunction (ED) Treatments

Erection problems affect an estimated 10 % or more of all adult men. A man's age can significantly affect the chance of erectile issues so that by age 50, roughly 20% of men have some ED (erectile dysfunction). By age 60, at least 30 % of all men have some sexual dysfunction, including ED and premature ejaculation (PE).

A great contributor to ED is a Low Testosterone level (Low T), which can be a problem for some men, even in their 20's or 30's. Despite common misconceptions, ED is not "all in the head" of the male, and even men in their 20's should consider an evaluation if there is any question of an occurring issue.

Mental, physical, and adequate hormonal stimulation are vital to obtaining and sustaining a proper erection. Good hormonal stimulation is said to take place when there is high testosterone and low estrogen. An erection is also dependent upon appropriately responsive penile tissues of the erection bodies of the penis, including penile sensitivity (nerves) and vascular response (increasing body flow in/restriction of blood flow out).

Some general physicians may prescribe a treatment that is inconsistent with the diagnosis. Compared to other Urologists or Primary Care Physicians, an expert in the field of erectile dysfunction will be able to provide a more accurate diagnosis and, in turn, a more successful treatment program.

The evaluation for male erectile disorder

The primary evaluation for ED treatment options requires a medical/sexual history, physical exam, and blood tests for serum testosterone, estradiol, and prolactin levels. All efforts are made to avoid invasive, tender, or embarrassing diagnostic tests, and in most cases, a good medical history can help prevent the need for them.

Treatment progresses from a simple trial of pills that enhance the body's own natural erection mechanisms, such as Viagra, Levitra, Cialis, or Stendra. These medications work in concert with the body's biological mechanisms and are effective in up to 70% of clients. If the body fails to respond to the oral medications after ruling out Low T as a cause for the erectile dysfunction, Dr. Buch may suggest vacuum constriction devices (VCD's), which have a 50-70 % success rate.

Is there a cure for erection problems at Legacy Male Health?

Dr. Buch will also coordinate with certified sexual and relationship counselors to enable a comprehensive approach to your sexual issues. Needless to say, we rarely fail to return a client to acceptable sexual function and renewed confidence in themselves and their self-image. Contact Dr. Jeffrey Buch at Legacy Male Health in Frisco, TX, by calling (972) 996-7177 for more information about erectile dysfunction or male health issues.

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