5. Erectile Dysfunction

Erectyl Dysfunction: Disease details

• Erectile dysfunction (ED) is the inability to get or keep an erection firm enough to have sexual intercourse. 

Signs and Symptoms of Erectile Dysfunction:

• 1)Trouble getting an erection.
• 2)Trouble keeping an erection for a long enough period of time.
• 3)Reduced sex drive.
• 4)Feelings of embarrassment or guilt.
• 5)Low self-esteem.

Investigations: 

• 1)fasting serum glucose level 
• 2) lipid panel
• 3) thyroid-stimulating hormone test
• 4)morning total testosterone level.

Rx:

1.Lifestyle modifications 

2. Tab. Erecta (Sildenafil)(50mg) - (short acting)

OR

• Tab. Adafil([post id="781" title="Tadalafil"])(5mg)/(10mg)- (Long acting)

১টা ট্যাবলেট সহবাসের ১-২ ঘন্টা আগে খাবেন

3.Cap.E-cap(200mg) 1+0+1…….১ মাস

4.Tab.Xinc([post id="470" title="Vitamin-B-complex"]) 1+0+1…………১ মাস

5.Tab.Frenxit ([post id="486" title="Flupenthixol+Melitracen"])1+0+0…………..2 মাস

Decrease Sexual desire in female

In. Reproductive age:

•  Tab. Femastin (1mg) ০+০+১....২মাস

Post menopausal:

•  Tab. Menorest (2.5mg) ০+০+১.......২ মাস

Special note:

• Sildenafil/ Tadalafil both are Contraindicted in IHD

Other option when medication isn’t improve ED

• 1)Penis Pump
• 2)Penis implement 

Advice:

• 1.lose weight if you're overweight.
• 2.stop smoking.
  
• 3.eat a healthy diet.
  
• 4.exercise daily.
  
• 5. try to reduce stress and anxiety.