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Men who fear they’re experiencing symptoms of erectile dysfunction can usually get the treatment they need from their regular doctors. However, if the ED is complicated by comorbid conditions such as an enlarged prostate or urinary incontinence, it might be best to consult a urologist.
Men troubled by increasing difficulties in getting and keeping an erection suitable for intercourse face something of a dilemma when they finally decide it’s time to seek professional medical advice.
Should they take their problem to their general practitioner, or do their ED symptoms call for the expertise of a specialist — in this case a urologist?
Much depends on the individual patient’s overall health and medical history. A general practitioner or family doctor is well equipped to deal with declining erectile function providing these emerging symptoms of ED are not complicated by other urinary problems, such as incontinence or an enlarged prostate.
Regular Doctor Knows You Best
In most cases, your regular doctor has the advantage of knowing a great deal more about your medical history and is more likely to quickly discover if other underlying illnesses or medications could be a factor in your erection problems. Provided your symptoms of impotence are not complicated with other urinary tract disorders, you will probably be best served by taking the problem to your regular physician.
However, if you suspect or have previously been diagnosed with other urinary or reproductive system problems, seeing a specialist allows for treatment that takes into account the interconnectivity of all the working parts of your urinary and reproductive systems.
Candid Discussion Is Essential
Although some men have difficulty candidly discussing their health problems, particularly those related to sexual function, initiating a discussion with a familiar face might be less daunting a proposition than broaching the topic with a stranger. Conversely, others might feel less inhibited discussing such matters with someone they don’t know. It depends on your personality.
If you’d prefer to take your problem to someone you don’t already know, a visit to the urologist might be the wisest course of action. In any case, having a no-holds-barred conversation about your symptoms and any other current health problems is essential to developing a treatment plan that will work for you.
For readers who are not quite certain what the specialized practice of urology involves, the American Urological Association offers the following definition: “Urology is a surgical specialty [that] deals with diseases of the male and female urinary tract and the male reproductive organs.” Within the overall umbrella of urology fall the following subspecialties: pediatric urology, urologic oncology (cancer), renal (kidney) transplantation, male infertility, female urology (urinary incontinence and pelvic outlet relaxation disorders), and neurourology. The last subspecialty encompasses erectile dysfunction, voiding disorders, and urodynamic evaluation of patients.
Tests Ordered to Diagnose ED
Both general practitioners and urologists use essentially the same diagnostic tests to confirm a diagnosis of erectile dysfunction and to gauge the degree to which erectile function has been compromised. Because ED frequently occurs as a side effect of other underlying medical conditions, medical professionals may collect both blood and urine samples, according to MayoClinic.org. The blood tests can detect signs of heart disease, low testosterone levels, diabetes, and other health conditions antithetical to optimal erectile function. Urine tests may also reveal the presence of diabetes and other medical conditions.
Other diagnostic tests conducted to determine the presence — and severity — of ED include a physical exam, including palpation of the penis and testicles, and an ultrasound test to determine whether blood flow to the penis is compromised. If these physical tests indicate no apparent problems, the doctor may order psychological testing to see if the impotence symptoms are caused by depression, anxiety, or some other mental or emotional disorder.
Biggest Single Cause of ED
Insufficient blood flow to the penis is by far the biggest single cause of ED, accounting for up to 80 percent of all cases. Another 10 to 20 percent of ED is believed to be psychological in origin. The treatment of choice for vascular-related ED is with one of the oral ED drugs known as PDE5 inhibitors. Psychogenic ED is likely to require counseling to identify the underlying mental or emotional barriers to normal erectile function.
If your family doctor or urologist determines that you are suffering from some degree of ED that’s caused by insufficient blood flow, the doctor is likely to write a prescription for Viagra, Cialis, or one of the other PDE5 inhibitors. You can get that script filled at your neighborhood pharmacy or opt instead to place an order with a reliable online facilitator such as eDrugstore.com. If you opt to go the latter route, simply fax the prescription or scan and email it along with your order to eDrugstore.
If you’ve previously been diagnosed with ED and are looking to replenish your supply of Viagra or another of the popular ED drugs, eDrugstore can arrange a complimentary online consultation with a licensed U.S. physician who is a member of its team. If your symptoms, medical history, and current medications make you an appropriate candidate for one of these drugs, a prescription will be authorized. To get started, click below to access eDrugstore’s Erectile Dysfunction page. There you will find additional information about ED and its causes, as well as a list of medications that treat it. These include both brand-name and generic medications.
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