BEST Erectile Dysfunction (ED) doctor near me

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Erectile Dysfunction

What is erectile dysfunction?

Erectile dysfunction (ED) is a common form of male sexual dysfunction tin which men are unable to get or maintain an erection firm enough for sex. A recent study by the National Institute of Health (NIH) concluded that about 30% of men are affected by erectile dysfunction.

In many cases, erectile dysfunction is a natural product of aging or stress. It is normal to experience difficulty maintaining an erection every now and then. However, ED can also signify underlying health problems that need to be addressed. If you experience persistent ED, it is recommended you consult a doctor.

Are ED consults on Sesame private?

Absolutely. All video visits on Sesame are HIPAA compliant and 100% private. Doctors on Sesame understand that ED can be a sensitive issue and are fully committed to your privacy.

Sesame connects you (the patient) directly with real, quality doctors Louisiana, so you can feel totally confident that a video ED consult booked on Sesame is confidential. Book a visit at your convenience, and talk to a doctor about any questions regarding erectile dysfunction you may have.

What kind of doctor should a man see for erectile dysfunction?

Primary care providers (sometimes known as family doctors), as well as Doctors of Urology, are capable of diagnosing and treating erectile dysfunction. It's generally recommended that you speak to a primary care provider (PCP) first to help determine if any underlying conditions or health problems are causing your erectile dysfunction. From there, your PCP might refer you to a urologist or endocrinologist, based on your medical history and symptoms.

Urologists specialize in the urinary tract and reproductive systems of both men and women. A urologist can conduct urine tests, as well as penile ultrasounds to check for conditions such as kidney disease, STIs, or blood flow issues that might be causing erectile dysfunction.

Endocrinologists specialize in the diagnosis and treatment of conditions related to hormones and the glands that create them. You may be referred to an endocrinologist for ED if your primary care provider thinks that your sexual health is being caused by low testosterone or other hormonal issues.

What causes erectile dysfunction?

Erectile dysfunction is a common occurrence in men, especially in men over the age of 50. Sexual arousal (getting an erection) is a complex process that involves your brain, hormones, blood flow, nerves, and more. Because of this, it is perfectly normal to have difficulty maintaining an erection now and then. It happens, and it often isn't a cause for concern.

That being said, if you are experiencing persistent ED, or if ED is consistently disrupting your sex life, there may be serious underlying causes behind this change in sexual function. Some common causes of ED include:
- Heart disease/ cardiovascular disease
- High blood pressure
- High cholesterol
- Diabetes
- Atherosclerosis (blood vessels clogged by fatty plaque in the arteries
- Obesity
- Change in testosterone levels
- Prostate cancer treatment
- Substance abuse
- Prescription medication (such as antidepressants, antihistamines, blood pressure medication, or prostate cancer medication)
- Injury/ infection

In addition, erectile dysfunction can be a side effect of psychological causes, such as:
- Stress
- Depression
- Fatigue
- Anxiety

If ED becomes a recurring issue, it is recommended that you consult with a doctor. In many cases, ED can be fixed by working with your doctor on mental health issues, lifestyle changes, and stress reduction. However, in some cases, further treatment may be needed.

Is erectile dysfunction curable?

There are several treatment options doctors may recommend to reverse or treat erectile dysfunction and prevent it from occurring persistently. Some methods to help ED on your own may include:

Exercise: Moderate to vigorous physical activity done several times a week can increase blood flow by lowering blood pressure. This can help blood move through blood vessels in the body easily during sexual stimulation. Obesity, high blood pressure, and poor vascular health are all underlying causes of erectile dysfunction. Adopting a regular exercise routine can help reverse these effects.

Counseling/ Therapy: Erectile dysfunction can be caused by stress, anxiety, or depression. These mental health risk factors affect sexual stimulation and can make sexual performance/ arousal difficult. Speaking to a licensed counselor or therapist can help you with stress management, relationship issues, depression, and anxiety. Sesame offers Video Mental Health Visits with licensed therapists in Louisiana.

Routine Physical Exams: Some cases of ED can be caused by underlying medical conditions. Routine physical examinations are recommended for all adults, as they can help catch serious health problems and conditions early. ED might signify problems such as high blood pressure, diabetes, low testosterone, and more. If you are experiencing persistent ED, talk to your physician about any symptoms or concerns you may have. A primary care physician can screen for diseases, and discuss treatment options with you.

Quitting Smoking: Smoking causes blood vessels to narrow, limiting blood flow to different parts of your body. This can seriously affect your ability to get and maintain an erection. Additionally, chemical addiction can lead to psychological side effects, further complicating your ability to respond to sexual stimulation. Quitting smoking is a major lifestyle change that can positively impact your sexual health, your vascular/ cardiovascular health, and your mental health.

If lifestyle changes and mental health counseling doesn't improve your ability to get and keep an erection, you may want to speak to your primary care physician about your persistent erectile dysfunction. A primary care physician can discuss ED treatment options for you, including:

Prescription medication: Your doctor may prescribe oral medication (known as PDE5 inhibitors) to treat persistent ED. The Food and Drug Administration (FDA) requires a prescription to obtain these drugs, but they have been proven effective by clinical trials. Oral erectile dysfunction medication relaxes muscles in the penis by increasing the effects of nitric oxide in the body. Nitric oxide widens blood vessels, resulting in improved blood flow throughout the body. This can help you get an erection in response to sexual stimulation. These drugs do not cause erections but allow the blood flow needed for function during sexual intercourse. These prescription drugs include:
- Viagra (Sildenafil)
- Cialis (Tadalafil)
- Levitra (Vardenafil)
- Stendra (Avanafil)

These oral medications have been known to cause mild, short-term side effects such as headaches, congestion, muscle aches, and indigestion. Because of this, it is recommended that you talk to your doctor before taking any PDE5 inhibitors to be sure that oral medication is the right treatment plan for you.

Alprostadil injection/ urethral suppository: Alprostadil is a drug used to treat ED that opens blood vessels and increases blood flow, improving erectile function. Alprostadil is most commonly administered in 1 of 2 ways: through injecting a tiny needle into the base or side of the penis, or through an intraurethral suppository (placing a small suppository of the drug in the penis through the urethra). Alprostadil will usually begin to work in about 5-20 minutes. Alprostadil therapy is generally considered effective and safe. Side effects are minor but may include some discomfort, mild bleeding, and a prolonged erection after ejaculation.

Penis pump (vacuum device): A vacuum erection device is a hollow tube with a pump attached that is operated either by hand or with a battery. The pump pulls air out of the tube, creating a vacuum around the penis. This pulls blood into the penis, causing an erection. After the penis is erect, you slip a tension ring around the base of the penis to keep blood in that area. This should help you keep an erection long enough for sex.

Testosterone therapy: If erectile dysfunction is being caused by low testosterone levels, your doctor may prescribe testosterone replacement therapy (TRT) to help improve libido and erectile function. TRT can be done through patches, gels, and injections. Side effects of TRT are minor, but you should speak with your doctor before starting TRT, to discuss any health risks.

How does a video ED consult work?

Sesame offers convenient and affordable 15 minute ED consultations with real, quality health care providers in Louisiana. All you will need is a stable internet connection, a private space, and a camera on your device. ED consultations are quick and painless sessions between you and a primary care provider to discuss symptoms you may be experiencing and treatment options that might be right for you.

Your doctor will start by asking you questions related to your medical history, and the symptoms you are experiencing. It is recommended that you are upfront about any drug, alcohol, or tobacco use - as this information helps doctors get a clear picture of your general wellness.

You will be asked questions about your ED symptoms, including:
- How long have you been experiencing ED?
- Do you experience loss of sex drive or libido?
- Do you have problems with ejaculation?
- Are your erections painful? If you experience pain during an erection or notice a lump in your penis, your primary care provider may refer you to a urologist to screen for Peyronie's disease (segments of scar tissue in the penis).

Your doctor will then ask to perform a physical exam, via your device's camera. You may be required to expose your genitals during this exam, as doctors may need to screen for cancer or trauma to the area. Video consultations on Sesame are HIPAA compliant, which means your privacy is guaranteed during these video visits. Physical exams help providers check for disease and injury to your groin, both of which are possible causes of erectile dysfunction.

If the questionnaire/ physical exam is inconclusive, or if further testing is needed, your doctor may refer you to a urologist or endocrinologist. A urologist can perform blood work and urine samples to help screen for cancers or underlying causes of erectile dysfunction. An endocrinologist helps treat hormonal conditions, such as low testosterone, and may be able to prescribe testosterone replacement therapy (TRT) to help.

After your exam and any further testing, your doctor or specialist will discuss treatment options with you. Examples of common ED treatment options are listed above. Your doctor may also discuss certain lifestyle changes - like quitting smoking, increasing physical activity, or making diet changes - that may help improve your ability to get and keep erections.

Video ED consults on Sesame are 100% private and confidential. Erectile dysfunction may be a sign of underlying health concerns, such as high blood pressure, diabetes, high cholesterol, and more. If you are experiencing persistent and disruptive erectile dysfunction, it is recommended that you speak to a health care provider as soon as possible to discuss treatment options.

Can I use my own pharmacy if a Sesame provider prescribes ED medications?

Of course! Note, however, that through SesameRx you can get medication sent directly to your door for just $5 - prescription and shipping included!

If your health care provider decides that ED medication is the right treatment plan for you, they will fill out an online order and send it to the pharmacy of your choice - either SesameRx or a local pharmacy. Prescription ED medication can cost as little as $0.38 a pill when prescribed through Sesame.

How much do ED meds cost?

It depends. Providers on Sesame can prescribe oral ED medication that starts at just $0.38 a pill. These medications, such as Viagra, Cialis, Stendra, and Levitra, are among the most common and successful forms of ED treatment available. In some cases, further treatment or testing may be needed. If this is the case, it is recommended that you talk to your doctor about the costs of continued treatment.

Do I need to turn on my camera for an ED consult?

If you book a video ED consult on Sesame, your doctor will assess any symptoms you may have related to your erectile dysfunction. In some cases, a physical exam may need to be performed. It is crucial that your provider can speak to you face-to-face (even over video), to help get a sense of your general health and wellness. If you are experiencing anxiety, or do not have a camera on your device, call the provider you have booked an appointment with. They will be able to answer any questions you may have about the visit and can discuss options with you if video doesn't seem like the right choice for you.

All platforms on Sesame are 100% confidential, and HIPAA compliant. That means your payment and medical information is absolutely safe and secure. You can read about our privacy policies here.

Erectile dysfunction can complicate sex. It may also signify underlying health concerns that you want to address ASAP. ED is a common occurrence in men, especially in men over the age of 50. If you are experiencing persistent ED, or if ED is regularly disrupting your sexual activity, regain control of your sex life with a video ED consult on Sesame. 15-minute visits start at just $35.

How does a urologist diagnose erectile dysfunction?

Urologists or primary care providers diagnosing erectile dysfunction will use a number of tests and exams to determine the cause of ED and develop a treatment plan that meets your needs. During an ED consult, doctors will:

Ask questions: You will be asked about your medical history and lifestyle choices. Poor diet, tobacco smoking, and substance abuse may cause erectile dysfunction. Underlying health conditions such as heart disease, diabetes, and prostate cancer can also affect your ability to keep or maintain erections. It's important that you are upfront and honest about your lifestyle, medications you take, and health conditions you have to help doctors create the best treatment plan for you.

Perform a physical exam: Doctors will perform a physical examination of the penis and testicles to check for abnormalities or nerve damage. You may have your blood pressure taken and your pulse checked to test blood flow.

Take a blood test/ urine sample: If your doctor suspects that you are experiencing ED as a side effect of undiagnosed heart disease, diabetes, or kidney disease, you may be asked to have your blood drawn.

Urine Tests: Additionally, urine tests may be conducted to check for kidney function or urinary tract infections.

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