Erectile dysfunction

Diagnosis and treatment

Your doctor will ask you questions about your erectile dysfunction and the risk factors or possible causes. A physical exam is then performed. You may also be referred to a urologist for further assessment.

Certain tests can be performed and include:

Blood tests: to assess diabetes, high cholesterol, testosterone, kidney disease, etc.

Urine tests: also for the assessment of diabetes and kidney diseases.

Duplex ultrasound: This ultrasound exam is used to assess blood flow to the penis and venous leaks. A prostaglandin injection is given to induce an erection and duplex ultrasound is used to measure blood flow.

Nocturnal swelling of the penis: it is normal for a man to have 5 to 6 erections while sleeping. When such erections occur, it means that the penis has an intact nerve and blood supply. These nocturnal erections can be measured with a pressure or a manometer.

Bulbo cavernous reflex test: used to determine whether there is an intact nervous system in the penis. If the penis of the glands is tight, there is a normal reflex contraction of the anus.

Other tests: such as penis biothesiometry, penis angiography, body cavernosometry, magnetic resonance angiography etc. are sometimes listed.

How is ED treated?

How erectile dysfunction is treated largely depends on the cause. Your doctor will assess the physical and / or psychological components that can contribute to the problem of erectile dysfunction and decide which type of treatment is best for you. Treatments (with the exception of testosterone supplementation for testosterone deficient) generally work temporarily to provide an erection that is suitable for intercourse, but do not permanently solve the underlying problem.

Oral medication:

PDE5 inhibitors: These are prescription drugs that block the effects of PDE5. This causes the penile arteries to relax during sexual stimulation, causing the cavern body to fill with blood from the penile shaft. The drugs in this category are: Sildenfil (Viagra), Tadalafil (Cialis) and Vardenafil (Levitra).


Psychological factors that cause or contribute to the emergency must be addressed through counseling.

Injectable drugs, creams and penis suppositories:

These drugs are given just before sexual intercourse.

Vacuum Therapy:

A penis pump is used to draw blood into the penis. A tension ring is then placed on the base of the penis to maintain an erection by preventing blood from flowing.


Prosthetic implants are sometimes used as a last resort when other treatments have failed.

Weekend pill for your erectile dysfunction - an effective treatment option!

If you're looking for an erectile dysfunction treatment option and are expecting more from your impotence medication, Cialis is a great option in every way. It is known to last much longer in your body with its longer half-life. It is a key differentiator from Cialis compared to other impotence drugs.

Available in two options

Cialis is the only impotence drug that gives you two options: Cialis for daily use and 36-hour Cialis. As the name suggests, the former can be taken daily, the latter is aimed at anyone looking for a more sustainable option. Due to the fact that it can last for 36 hours in your body; it is also known as "the weekend pill". This medicine differs from other medicines for impotence because it allows you to enjoy spontaneous sex. You don't have to worry about whether the effects of this medication will wear off or not. So you can be ready to scold at any time.

Cialis for daily use is available in dosages of 2.5 mg and 5 mg. The correct dosage is prescribed taking into account your health. It is best to take this medication at the same time each day, preferably in the morning. On the other hand, Cialis is also available in two dosages for 36 hours, namely 10 mg and 20 mg. Its effects last for 36 hours and is an ideal option for a passionate romantic weekend.

How does Cialis work?

Both options of Cialis have the same mechanism of action. They contain the active ingredient tadalafil, which belongs to the family of medicinal products called PDE5 inhibitors (phosphodiesterase type 5). Tadalafil relaxes the smooth muscles of the arteries and improves blood flow to the penis. When more blood flows into the chambers of the penis known as the Corpora Cavernosa, the penis is erected. You lose an erection after reaching a satisfactory orgasm.

Cialis side effects

Cialis is a prescription drug, so the use of this drug has side effects. Some of the common side effects of this medication are back pain, upset stomach, nasal congestion, runny nose, muscle aches and headaches. Side effects such as back pain and / or muscle pain are usually not felt until about 12-24 hours after taking Cialis Black. They usually last about 2 days, but if any of these side effects get in the way, you should contact your doctor as soon as possible.

They are also prone to rare side effects such as priapism (an erection that lasts abnormally long), sudden poor eyesight, loss of vision, sudden decrease or hearing loss (sometimes accompanied by buzzing) in the ears). Dizziness).

You must follow your doctor's instructions when taking Cialis. Do not exceed the recommended dosage without first consulting your doctor. It may take a few days for the dosage to take effect. So you have to be patient. Let it work for you, but if you think it won't work for you, contact your doctor.