Archive for category diagnosis

The Diagnosis and Management of Female Impotence

Posted by admin in diagnosis, female impotence on May 7th, 2009

How is Female Sexual Arousal Disorder Diagnosed?

Diagnosis of FSAD is initiated by taking a complete medical history. It is important to that FSAD is differentiated from inadequate genital stimulation disorder and drug abuse. These two should be ruled out to establish a precise diagnosis. Sexual orientation is often determined, as it is necessary to come up with appropriate evaluation and management.

When all important information is obtained, diagnostic and laboratory examinations are done to check out if there’s alteration or an imbalance in your body that is probably causing the impotence.

A pelvic examination is usually done to visualize for any structural changes that have probably occurred in your reproductive system, causing your unresponsiveness and discomfort in sexual stimulations. Blood results are also done to check on the levels of your hormones, which could possibly be the root cause of
female impotence.

What Are Your Treatment Options?

The treatment and management of female stimulation arousal disorder is approached in various ways. Conservative management or nonsurgical intervention FSAD includes the use of drugs. Tibolone, a new drug mainly used to treat osteoporosis has shown beneficial effects. It increases vaginal lubrication and increases arousal. This drug is not yet found in Europe and in Asia. Since hormonal imbalances most frequently result in female impotence, hormonal replacement therapies are usually recommended. Various creams and jellies are suitable lubricants and may help to alleviate the discomfort. Warm baths or use of non-steroidal anti-inflammatory drugs can minimize pain before sex while trying different positions during sex. Hormones are key elements in a woman’s sexual drive and sexual function. Women in menopause or who have had a complete hysterectomy are likely to experience imbalances in estrogen and progesterone levels that can be related to sexual enjoyment.

Because the mind and the body are closely interconnected, hypnosis may offer another avenue of treatment for FSAD. Using techniques of deep relaxation as well as self-hypnosis can help resolve any unconscious conflict that may act as a block to healthy sexual function. The psychological portion of treatment is directed at teaching how to focus on pleasurable thoughts and feelings about sex through counseling or psychotheraphy. Because self-help is difficult when it comes to sexual dysfunction, sex therapists help men and women, as individuals and as couples, with sexual expression.

Sensual massages can be recommended where the partner provides the massage and the receiving patient provides feedback to what feels good. This would promote comfort and communication between partners.

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Diagnosing and Treating Erectile Dysfunction

Posted by admin in diagnosis on May 7th, 2009

How is Erectile Dysfunction Diagnosed?

Before erectile dysfunction is diagnosed, several steps should be taken to come up with an accurate diagnosis. It starts by taking your complete medical history. Information about your current medications, prior surgeries, past medical diagnoses, physical traumas and radiation exposures are obtained to form an objective opinion about your condition and possibly, to find the root cause of the problem. Stress factors and tensions at work and at home are explored. The patient’s psychological state is intensively assessed.

Specialized tests are used to confirm the diagnosis of ED. An ultrasound determines the adequacy of blood supply to the penis through the analysis of the emitted sound waves. To check for a possible damage of your nerves, a complete neurological evaluation is done by your physician. Dynamic infusion and cavernosometry and cavernosonography or DICC, is another accurate tool that analyzes the supply of blood to the penis through injection of a dye in the vessels that supply the male organ. The nocturnal turnescence test is indicated to determine if erectile dysfunction is caused by a physical problem or a psychological setback. A special perforated tape is wrapped around the penis before sleep to determine if erections have occurred during the night, which can be manifested by the separation of tape in the morning. Normally, men without erectile dysfunctions have numerous erections during sleep.

What are Your Treatment Options?

A variety of treatment options are available for ED. Conservative management includes the use of medications. Sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) and alpostradil (Caverject), a synthetic prostaglandin hormone are the most commonly used drugs to treat ED. These drugs promote relaxation of the muscles in the penis, increasing the amount of blood flow, which encourages erections.

A penis pump can effectively cause erections by functioning as a vacuum to draw blood into the penis. In cases where blockages of the blood vessels that supply the penis occur, a vascular surgery is indicated. Penile implants are also used to manage impotence. These implants allow you to have erections, wherever and whenever.

If ED has a psychological origin, your physician may suggest that you and your partner visit a psychologist or counselor with years of experience in sexual problem management (sex therapist). Even if it is caused by something physical, erectile dysfunction can create stress and tensions in relationships. Counseling can be of great help, most especially if you and your partner go through it all together.

The cause and severity of your condition are important factors in determining the best treatment approach for you. It is best that you visit your physician and avoid self – medication.

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