Erectile dysfunction
Hello Dr.
Hsu: I am experiencing erectile dysfunction and would like to seek medical treatment.
Could you please recommend a specialist in Taichung City for my reference? Thank you!
Xiao Lin, 30~39 year old female. Ask Date: 2013/03/18
Dr. Xu Weikai reply Urology
Xiao Lin: Hello, this webpage does not provide such services.
Please consult major medical centers on your own.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online responses can only serve as a reference; if necessary, you should seek medical care at healthcare institutions.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Department of Health, Executive Yuan, who cares about you.
Reply Date: 2013/03/18
More Info
Erectile dysfunction (ED) is a common condition that affects many men, particularly as they age. It can be caused by a variety of factors, including physical conditions such as diabetes, cardiovascular disease, and hormonal imbalances, as well as psychological factors like stress, anxiety, and depression. Given your interest in seeking treatment for ED in Taichung, it’s important to consider a few key points regarding diagnosis and treatment options.
Firstly, it is advisable to consult a urologist who specializes in male sexual health. Urologists are trained to diagnose and treat conditions related to the urinary tract and male reproductive system, including erectile dysfunction. In Taichung, there are several reputable hospitals and clinics where you can find urologists with expertise in this area. Some well-known medical institutions include Taichung Veterans General Hospital and Chung Shan Medical University Hospital. You can also look for private clinics that specialize in men's health.
When you visit a urologist, they will typically begin with a thorough medical history and physical examination. This may include questions about your sexual history, any underlying medical conditions, medications you are taking, and lifestyle factors such as smoking and alcohol consumption. Blood tests may also be conducted to check for conditions like diabetes, testosterone levels, and other hormonal imbalances.
Once a diagnosis is made, treatment options can vary based on the underlying cause of the erectile dysfunction. Common treatments include:
1. Oral Medications: Phosphodiesterase type 5 (PDE5) inhibitors, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), are often the first line of treatment. These medications work by increasing blood flow to the penis, helping to achieve and maintain an erection.
2. Lifestyle Modifications: Addressing lifestyle factors can significantly improve erectile function. This includes maintaining a healthy diet, exercising regularly, quitting smoking, and reducing alcohol intake.
3. Psychological Counseling: If psychological factors are contributing to ED, therapy or counseling may be beneficial. Cognitive-behavioral therapy (CBT) can help address anxiety, depression, or relationship issues.
4. Vacuum Erection Devices: These devices create a vacuum around the penis, drawing blood into it and causing an erection. They can be a useful option for men who prefer non-invasive treatments.
5. Penile Injections or Suppositories: Medications can be injected directly into the penis or inserted as a suppository to facilitate an erection.
6. Hormone Therapy: If low testosterone levels are identified, hormone replacement therapy may be considered.
7. Surgical Options: In cases where other treatments are ineffective, surgical options such as penile implants may be explored.
Regarding prognosis, many men find improvement with appropriate treatment, especially when the underlying causes are addressed. However, the effectiveness of treatment can vary based on individual circumstances.
As for the risks, most treatments for ED are generally safe, but they can have side effects. For example, PDE5 inhibitors may cause headaches, flushing, or gastrointestinal issues. It’s crucial to discuss any potential risks and side effects with your urologist.
In conclusion, seeking treatment for erectile dysfunction is a positive step towards improving your sexual health and overall well-being. I recommend scheduling an appointment with a urologist in Taichung to discuss your symptoms and explore the best treatment options for your situation. Remember, you are not alone in this, and effective treatments are available.
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