the Need for Cialis in Treating Erectile Issues - Urology

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What is the necessity of prescribing Viagra for erectile dysfunction by a urologist?


Previously, I visited a urologist due to experiencing erectile difficulties during intercourse.
Although I still have morning erections, I am unable to achieve the same firmness as a cucumber during sex.
The doctor prescribed Cialis but did not inquire about or assess any psychological factors or other potential issues.
I would like to know if Cialis is clinically effective for short-term improvement of erectile function, as I read online, but the doctor only prescribed Cialis and mentioned that I should observe my firmness this week.
I'm a bit confused about the doctor's reasoning.
Can simply taking an erectile dysfunction medication help identify the underlying problem? Will I need to continue taking it afterward?

C, 20~29 year old female. Ask Date: 2016/05/17

Dr. Li Xinyi reply Urology


If the original physician does not clearly explain the situation to you, it is advisable to seek a second opinion from a different urologist.

Reply Date: 2016/05/17

More Info


When it comes to understanding the need for Cialis (tadalafil) in treating erectile dysfunction (ED), it's essential to consider both the physiological and psychological aspects of the condition. Erectile dysfunction can stem from various causes, including physical issues such as cardiovascular disease, diabetes, or hormonal imbalances, as well as psychological factors like anxiety, depression, or relationship problems.

Cialis works by increasing blood flow to the penis, which helps achieve and maintain an erection when sexually stimulated. It does this by inhibiting an enzyme called phosphodiesterase type 5 (PDE5), which leads to the relaxation of blood vessels and increased blood flow. This mechanism is effective for many men, especially those whose ED is primarily due to physical causes.

However, your situation raises an important point: the role of psychological factors in erectile dysfunction. While Cialis can provide a temporary solution by improving erectile function, it does not address any underlying psychological issues that may be contributing to the problem. For instance, if anxiety about performance is affecting your ability to maintain an erection, simply taking a medication may not resolve the root cause of your ED.

Your doctor's recommendation to observe your response to Cialis over the week is likely aimed at determining whether the medication effectively addresses your erectile issues. If you notice significant improvement in hardness and overall sexual performance, it may indicate that the problem is more physical in nature. Conversely, if you continue to experience difficulties, it may suggest that psychological factors are at play, and further evaluation or therapy may be necessary.

It's also important to consider that while Cialis can be effective, it is not a cure for erectile dysfunction. Many men find that they need to continue using the medication to maintain their erectile function. This can lead to a reliance on the drug, which may not be ideal for everyone. Therefore, it is crucial to have an open dialogue with your healthcare provider about your concerns, the potential need for ongoing medication, and the possibility of exploring other treatment options, including therapy for any psychological factors.

In summary, while Cialis can be a valuable tool in treating erectile dysfunction, it is essential to approach the issue holistically. This means considering both the physical and psychological aspects of your condition. If you feel comfortable, discuss your concerns with your doctor, including the possibility of exploring psychological evaluations or counseling alongside your medication. This comprehensive approach can help you achieve not only better erectile function but also a more satisfying sexual experience overall.

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