You should talk to your own doctor
The medical research estimates that about 70% of all cases of impotence go without formal diagnosis and treatment through a registered medical practitioner. Most men are unwilling to talk about sexual problems. They simply buy Cialis online, find that it works “for now” and believe that all problems are solved. This is not necessarily true!
You need to overcome your inhibitions and get advice. You should remember that all doctors have the skills and knowledge to help you. They will not laugh at you. They understand the seriousness of the emotional issues and will approach any discussion with you in a professional way, outlining the approach to diagnosis and treatment. More importantly, they are there to protect you against the more serious medical conditions that may underlie your impotence. Unless and until these possible causes have been eliminated, they will be justifiably worried for your health.
What will your doctor do?
The first step will be a thorough review of your medical history. There are many possible causes of impotence and there may be early warning signs in your past or the actual cause may be in plain sight but you may not have understood the risks. For example, some types of surgery or some medications can have side-effects affecting sexual performance. Equally, there may have been earlier tests that already exclude some of the possible causes.
What can your doctor ask about
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Once this review is complete, you can move on to the least threatening exploration of your lifestyle. There will be questions
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about whether you smoke |
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how much alcohol you consume, and |
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whether you use any of the recreational drugs. |
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There may also be issues about your weight. If you are tending towards obesity, this can be a cause of sexual dysfunction. Action to reduce your weight and to exclude any of the more harmful lifestyle choices may be a necessary first step to restoring your health. |
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The doctor will then be obliged to discuss your sexual practices. This may well be embarrassing but this information is absolutely necessary to a proper diagnosis. You should be completely honest about it all. Put the other way round, you cannot expect the doctor to make a proper diagnosis if you fail to give him or her complete information. You do not know what is significant. You should just answer all the questions as and when they are asked. If you find some of the questions are too intrusive, you should not simply refuse to answer. It is always better to ask why the information is required. Once the doctor explains the point of the question, you can make a better decision about whether to risk refusing to answer.
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So you should explain exactly what problems you are experiencing.
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Are you actually getting an erection? |
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Is it less hard than it used to be? |
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Do you fail to maintain the erection? |
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Then there will be the questions about time.When did you first become aware of the problem, was the onset sudden, has the condition changed over time, and so on. |
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The detail of actual sexual performance is a vital aid to understanding the possible causes of the problem.
For example, if you have an involuntary erection as you wake from sleep in the morning, this may suggest that the difficulty is more psychological than physical (you do get an erection when your mind is not engaged and you have not had a chance to become anxious).
Similarly, if the change in performance was abrupt and sexual function has not reappeared, this may suggest that it is a symptom of some other more serious change in your body’s inner workings.
Physical examination
There will also be a need for a physical examination. Again, you must bear with any sense of humiliation. It is a necessary invasion of your physical privacy to see whether there are any obvious signs of a problem.
For example, if the physical size of your testicles has reduced, this may be a sign of an imbalance in your body’s hormones. The doctor may be able to detect unusual swelling or possible lumps either in your testicles or prostate.
Further examination of your body may reveal possible enlargement of your goiter suggesting thyroid problems, or testing the pulse in your wrists and ankles in combination with taking your blood pressure may suggest circulation problems.
Lab tests
A series of lab tests will also pin down whether you do have a hormonal imbalance or your thyroid function is adversely affected.
Blood and urine tests
Further tests with both blood and urine samples will explore whether you have diabetes or cardiovascular problems. If the tests at a local level fail to reveal the cause, you should not be afraid of a follow-up at the hospital. As with all medical conditions, treatment is only possible when you have identified the cause. If that means you have to visit a specialist and undergo more invasive examination and testing, that is a price worth paying if your health is ultimately restored.
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Talking to your Partner can
change a lot |
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Tips for ladies
How you can help your partner |
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| Why you should talk over certain problems with your doctor. And how to do it. |
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